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Supplemental Balance Sheet Information (Details) - USD ($) $ in Thousands | Dec. 31, 2020 | Dec. 31, 2019
--- | --- | ---
Accounts Payable and Accrued Liabilities, Current [Abstract] |  |
Salaries and wages | $ 65,310 | $ 86,476
Insurance reserves | 64,633 | 63,230
Paid time off | 37,848 | 37,415
Deferred payroll taxes (Note 3) | 36,336 | 0
Real estate taxes | 25,495 | 25,979
Interest | 11,453 | 16,196
Accrued utilities | 7,507 | 7,601
Taxes payable | 3,806 | 1,360
Other | 35,463 | 28,446
Total | 287,851 | 266,703
Other Assets, Noncurrent [Abstract] |  |
Health care licenses | 34,060 | 35,198
Lease security deposit | 3,180 | 49,102
Other | 19,019 | 34,431
Total | $ 56,259 | $ 118,731

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