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ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES AND OTHER LIABILITIES
12 Months Ended
Dec. 31, 2018
ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES AND OTHER LIABILITIES  
ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES AND OTHER LIABILITIES

NOTE I — ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES AND OTHER LIABILITIES

Accrued expenses and other current liabilities consist of:

 

 

 

 

 

 

 

 

 

 

As of December 31,

(in thousands)

    

2018

    

2017

 

 

 

 

 

 

 

Patient prepayments, deposits and refunds payable

 

$

24,563

 

$

30,194

Insurance and self-insurance accruals

 

 

8,886

 

 

8,901

Accrued sales taxes and other taxes

 

 

6,810

 

 

6,335

Accrued professional fees

 

 

3,751

 

 

11,612

Derivative liability

 

 

724

 

 

Accrued interest payable

 

 

332

 

 

845

Other current liabilities

 

 

6,717

 

 

8,421

Total

 

$

51,783

 

$

66,308

 

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 liability, and general liability, and employee health care costs.  Accrued professional fees primarily relate to accruals for professional accounting and legal fees.  Taxes primarily includes accrued sales tax liabilities and other taxes payable.  Derivative liability relates to our cash flow hedge; refer to Note O - “Derivative Financial Instruments.” Other current liabilities are primarily related to accruals for deferred revenue and warranty liabilities.

Other liabilities consist of:

 

 

 

 

 

 

 

 

 

 

As of December 31,

(in thousands)

    

2018

    

2017

 

 

 

 

 

 

 

Supplemental executive retirement plan obligations

 

$

20,195

 

$

21,842

Long-term insurance accruals

 

 

8,713

 

 

9,531

Deferred tenant improvement allowances

 

 

8,570

 

 

7,361

Unrecognized tax benefits, and related interest and penalties

 

 

5,458

 

 

5,219

Deferred rent

 

 

4,455

 

 

4,909

Derivative liability

 

 

3,134

 

 

Other

 

 

1,045

 

 

1,391

Total

 

$

51,570

 

$

50,253

 

Supplemental executive retirement plan obligations includes obligations due on both the Defined Benefit Supplemental Executive Retirement Plan (“DB SERP”) and DC SERP.  See Note K - “Employee Benefits” within these consolidated financial statements.  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.  Deferred tenant improvement allowance represents deferred credits associated with receiving lease incentives.  Deferred rent represents net deferred credits associated with recognizing rent expense on a straight-line basis for property operating leases whose lease payments escalate over the life of the lease.  Both deferred credits are recognized as reductions of rent expense over the term of the associated lease.  Derivative liability relates to our cash flow hedge; refer to Note O - “Derivative Financial Instruments.” 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, build-to-suit tenant interest accrual, and other long-term accrued expenses.