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Other Receivables (Details) - USD ($)
$ in Thousands
Dec. 31, 2018
Dec. 31, 2017
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables $ 469,796 $ 399,262
Supplier rebates and non-trade receivables    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables 334,156 295,292
Medicare bad debt claims    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Other receivables $ 135,640 $ 103,970