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Accrued Expenses (Details) - USD ($) $ in Thousands | Dec. 31, 2017 | Dec. 31, 2016
--- | --- | ---
Payables and Accruals [Abstract] |  |
Salaries and related costs | $ 16,828 | $ 10,569
Credit balances due to patients and payors | 4,158 | 3,880
Group health insurance claims | 2,929 | 2,499
Federal income tax payable | 2,833 | 0
Other | 6,594 | 4,808
Total | $ 33,342 | $ 21,756

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