XML 22 R32.htm IDEA: XBRL DOCUMENT v3.3.0.814
Accounts Payable and Accrued Expenses - Schedule of Accounts Payable and Accrued Expenses (Detail) - USD ($)
$ in Thousands
Sep. 30, 2015
Dec. 31, 2014
Payables and Accruals [Abstract]    
Accounts payable $ 22,340 $ 32,783
Accrued salaries and bonuses 188,800 231,390
Accrued payroll taxes and benefits 57,775 49,858
Accrued professional liabilities 28,431 19,718
Accrued contingent consideration 13,312 17,010
Accrual for uncertain tax positions 7,000  
Other accrued expenses 33,986 29,899
Accounts payable and accrued expenses, total $ 351,644 $ 380,658