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Other Liabilities
 12 Months Ended
Dec. 31, 2023
Other Liabilities Disclosure [Abstract]  
Other Liabilities Other liabilities
Other liabilities comprised the following:
 December 31,
 20232022
Payor refunds and retractions$448,589 $475,195 
Insurance and self-insurance accruals74,337 68,440 
Accrued interest35,914 34,162 
Accrued non-income tax liabilities47,391 42,806 
Other222,647 181,866 
 $828,878 $802,469