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Other Liabilities (Detail) - USD ($) $ in Thousands | Dec. 31, 2016 | Dec. 31, 2015
--- | --- | ---
Other Liabilities Disclosure [Abstract] |  |
Payor refunds and retractions | $ 277,482 | $ 153,104
Contingent earn-out consideration | 7,217 | 29,050
Insurance and self-insurance accruals | 80,437 | 80,355
Accrued interest | 82,234 | 81,585
Other medical payables | 36,645 | 53,687
Accrued non-income tax liabilities | 27,759 | 29,291
Other | 345,073 | 255,051
Other liabilities | $ 856,847 | $ 682,123

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