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Valuation and Qualifying Accounts (Details) - Allowance for doubtful accounts - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Activity in Valuation and Qualifying Accounts      
Balance at Beginning of Year $ 20,972 $ 23,520 $ 15,981
Charged to Cost and Expenses 149,603 94,205 151,016
Deductions (153,579) (96,753) (143,477)
Balance at End of Year $ 16,996 $ 20,972 $ 23,520