Other Liabilities (Tables)

12 Months Ended

Dec. 31, 2017

Other Liabilities Disclosure [Abstract]

Schedule of Other Liabilities

Other liabilities were comprised of the following:

	December 31,
	2017		2016
Payor refunds and retractions	$	292,370	$	270,298
Insurance and self-insurance accruals	64,924		76,857
Accrued interest	83,362		82,234
Accrued non-income tax liabilities	28,317		23,643
Other	83,689		125,860
	$	552,662	$	578,892