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Accounts Payable and Accrued Expenses
6 Months Ended
Jun. 30, 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):

 

     June 30, 2018      December 31, 2017  

Accounts payable

   $ 28,377      $ 34,632  

Accrued salaries and bonuses

     144,911        225,429  

Accrued payroll taxes and benefits

     71,379        75,672  

Accrued professional liabilities

     35,253        37,912  

Accrued contingent consideration

     26,783        6,259  

Accrued interest

     5,077        4,495  

Other accrued expenses

     46,475        53,618  
  

 

 

    

 

 

 
   $ 358,255      $ 438,017  
  

 

 

    

 

 

 

The net decrease in accrued salaries and bonuses of $80.5 million from December 31, 2017 to June 30, 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 six months ended June 30, 2018. A majority of the Company’s payments for performance-based incentive compensation is paid annually during the first quarter.