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Accrued Expenses and Other Current Liabilities and Other Liabilities
12 Months Ended
Dec. 31, 2021
Payables and Accruals [Abstract]  
Accrued Expenses and Other Current Liabilities and Other Liabilities Accrued Expenses and Other Current Liabilities and Other Liabilities
Accrued expenses and other current liabilities consist of:
As of December 31,
(in thousands)20212020
Patient prepayments, deposits, and refunds payable$26,475 $27,195 
Insurance and self-insurance accruals8,943 7,651 
Accrued sales taxes and other taxes7,803 9,863 
Derivative liability6,425 7,686 
Accrued professional fees750 1,016 
Accrued interest payable707 440 
Other current liabilities9,296 9,010 
Total$60,399 $62,861 
Patient prepayment deposits and refunds includes funds received for devices not yet delivered to a patient and refunds for overpayments. Accrued insurance primarily relates to accruals for estimated losses for certain self-insured risks including property, professional and general liability, and employee health care costs. Taxes primarily includes accrued sales, property, and franchise tax liabilities. Derivative liability relates to our cash flow hedge; refer to Note O - “Derivative Financial Instruments.” Accrued professional fees primarily relate to accruals for professional accounting and legal fees. Accrued interest payable relates to interest on our debt obligation. Other current liabilities are primarily related to accruals for deferred revenue and warranty liabilities.
Other liabilities consist of:
As of December 31,
(in thousands)20212020
Supplemental executive retirement plan obligations$20,779 $21,503 
Long-term insurance accruals7,112 7,326 
Derivative liability4,664 14,388 
Deferred payroll taxes— 5,918 
Unrecognized tax benefits— 5,465 
Other 2,285 1,993 
Total$34,840 $56,593 
Supplemental executive retirement plan obligations include obligations due on both the Defined Benefit Supplemental Executive Retirement Plan (“DB SERP”) and DC SERP. See Note Q - “Employee Benefits” within these consolidated financial statements. Derivative liability relates to our cash flow hedge; refer to Note O - “Derivative Financial Instruments.” Deferred payroll taxes represents deferred liabilities associated with the CARES Act. Unrecognized tax benefits represent the difference between tax positions that we expect to take, or take on our income tax returns and the benefit we recognize on our financial statements. Other includes asset retirement obligations, which is the liability to return a leased building to the state before it was occupied, fair market value lease differential liability, and other long-term accrued expenses.