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Accrued Expenses and Other Current Liabilities
12 Months Ended
Dec. 31, 2019
Accounts Payable and Accrued Liabilities, Current [Abstract]  
Accrued Expenses and Other Current Liabilities Accrued Expenses and Other Current Liabilities
 
Accrued compensation and benefits consist of the following at December 31:
 
2019
 
2018
Accrued compensation
$
24,526

 
$
22,480

Accrued vacation pay
12,670

 
12,107

 
$
37,196

 
$
34,587



Accrued expenses and other current liabilities consist of the following at December 31
 
2019
 
2018
Refunds due to payors
$
20,085

 
$
26,659

Income tax payable

 
13,618

Other
10,935

 
13,198

Accrued settlement (Note 20)
6,573

 
7,641

 
$
37,593

 
$
61,116