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Other Receivables (Details) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables $ 372,919 $ 288,156
Supplier rebates and non-trade receivables    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables 268,949 183,498
Medicare bad debt claims    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables $ 103,970 $ 104,658