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Accounts Payable and Accrued Expenses
3 Months Ended
Mar. 31, 2018
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):

 

     March 31, 2018      December 31, 2017  

Accounts payable

   $ 31,658      $ 34,632  

Accrued salaries and bonuses

     108,521        225,429  

Accrued payroll taxes and benefits

     56,832        75,672  

Accrued professional liabilities

     37,542        37,912  

Accrued contingent consideration

     8,461        6,259  

Accrued interest

     14,923        4,495  

Other accrued expenses

     44,628        53,618  
  

 

 

    

 

 

 
   $ 302,565      $ 438,017  
  

 

 

    

 

 

 

The net decrease in accrued salaries and bonuses of $116.9 million, from December 31, 2017 to March 31, 2018, 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 three months ended March 31, 2018. A majority of the Company’s payments for performance-based incentive compensation is paid annually during the first quarter.