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Other Liabilities
 12 Months Ended
Dec. 31, 2020
Other Liabilities Disclosure [Abstract]  
Other Liabilities Other liabilities
Other liabilities were comprised of the following:
 December 31,
 20202019
Payor refunds and retractions$371,183 $377,044 
Insurance and self-insurance accruals54,438 58,941 
Accrued interest30,066 54,899 
Accrued non-income tax liabilities39,075 36,285 
Other315,767 229,005 
 $810,529 $756,174