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Accounts Payable and Accrued Expenses
9 Months Ended
Sep. 30, 2016
Payables and Accruals [Abstract]  
Accounts Payable and Accrued Expenses
6. Accounts Payable and Accrued Expenses:

Accounts payable and accrued expenses consist of the following (in thousands):

 

     September 30,
2016
     December 31,
2015
 

Accounts payable

   $ 23,346       $ 21,969   

Accrued salaries and bonuses

     184,450         233,499   

Accrued payroll taxes and benefits

     64,938         58,979   

Accrued professional liabilities

     26,988         25,995   

Accrued contingent consideration

     7,086         13,565   

Accrued uncertain tax positions

     —           7,000   

Accrued interest

     14,884         2,655   

Other accrued expenses

     41,599         32,145   
  

 

 

    

 

 

 
   $ 363,291       $ 395,807   
  

 

 

    

 

 

 

The net decrease in accrued salaries and bonuses of $49.0 million, from December 31, 2015 to September 30, 2016, is primarily due to the payment of performance-based incentive compensation, principally to the Company’s physicians, partially offset by performance-based incentive compensation accrued during the nine months ended September 30, 2016. A majority of the Company’s payments for performance-based incentive compensation is paid annually during the first quarter.