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Summary of Significant Accounting Policies - Account Receivable (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Allowance for Doubtful Accounts Receivable [Roll Forward]      
Balance, beginning of year $ 5,545 $ 5,378 $ 6,470
Provision for losses 4,154 4,181 3,926
Write-offs (4,469) (4,014) (5,018)
Balance, end of year $ 5,230 $ 5,545 $ 5,378