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Significant Accounting Policies - Tuition Receivable (Details) - USD ($)
$ in Thousands
Mar. 31, 2019
Dec. 31, 2018
Accounting Policies [Abstract]    
Tuition receivable $ 80,229 $ 84,151
Allowance for doubtful accounts (29,387) (28,457)
Tuition receivable, net $ 50,842 $ 55,694