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Schedule II - Valuation and Qualifying Accounts (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Allowance for doubtful accounts and unbilled services      
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of period $ 180,687 $ 178,819 $ 185,754
Charged to Expense 17,872 15,386 8,912
Charged to Other Accounts 25,300 9,656 9,501
Deductions 21,465 23,174 25,348
Balance at End of Period 202,394 180,687 178,819
Valuation allowance for deferred tax asset      
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of period 21,621 18,900 13,167
Charged to Expense 308 2,721 5,733
Charged to Other Accounts 0 0 0
Deductions 0 0 0
Balance at End of Period $ 21,929 $ 21,621 $ 18,900