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Accounts Payable and Accrued Expenses
9 Months Ended
Sep. 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):

 

     September 30, 2018      December 31, 2017  

Accounts payable

   $ 30,709      $ 34,632  

Accrued salaries and bonuses

     194,457        225,429  

Accrued payroll taxes and benefits

     78,211        75,672  

Accrued professional liabilities

     33,468        37,912  

Accrued contingent consideration

     21,430        6,259  

Accrued interest

     15,418        4,495  

Other accrued expenses

     40,046        53,618  
  

 

 

    

 

 

 
     $413,739      $438,017  
  

 

 

    

 

 

 

The net decrease in accrued salaries and bonuses of $31.0 million from December 31, 2017 to September 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 nine months ended September 30, 2018. A majority of the Company’s payments for performance-based incentive compensation is paid annually during the first quarter.