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Other Liabilities (Details) - USD ($) $ in Thousands | Dec. 31, 2019 | Dec. 31, 2018
--- | --- | ---
Other Liabilities Disclosure [Abstract] |  |
Payor refunds and retractions | $ 377,044 | $ 302,244
Insurance and self-insurance accruals | 58,941 | 58,569
Accrued interest | 54,899 | 82,827
Accrued non-income tax liabilities | 36,285 | 28,663
Other | 229,005 | 123,547
Other liabilities | $ 756,174 | $ 595,850

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