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Other liabilities (Tables)
 12 Months Ended
Dec. 31, 2016
Other Liabilities Disclosure [Abstract]  
Other Liabilities

Other liabilities were comprised of the following:

 

 

 

December 31,

 

 

 

2016

 

 

2015

 

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

 

 

 

$

856,847

 

 

$

682,123