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Other Liabilities
 12 Months Ended
Dec. 31, 2024
Other Liabilities Disclosure [Abstract]  
Other Liabilities Other liabilities
Other liabilities comprised the following:
 December 31,
 20242023
Payor refunds and retractions$484,459 $448,589 
Insurance and self-insurance accruals83,038 74,337 
Accrued interest60,541 35,914 
Accrued non-income tax liabilities59,007 47,391 
Other247,100 222,647 
 $934,145 $828,878