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Other Receivables (Details) - USD ($)
$ in Thousands
Dec. 31, 2020
Dec. 31, 2019
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables $ 544,376 $ 489,695
Supplier rebates and non-trade receivables    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables 390,508 351,650
Medicare bad debt claims    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables $ 153,868 $ 138,045