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Other Liabilities (Tables)
12 Months Ended
Dec. 31, 2018
Other Liabilities Disclosure [Abstract]  
Schedule of Other Liabilities Other liabilities were comprised of the following:
 
December 31,
 
2018
 
2017
Payor refunds and retractions
$
302,244

 
$
292,370

Insurance and self-insurance accruals
58,569

 
64,924

Accrued interest
82,827

 
83,362

Accrued non-income tax liabilities
28,663

 
28,317

Other
123,547

 
110,032

 
$
595,850

 
$
579,005