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Accounts Payable and Accrued Expenses (Tables)

12 Months Ended

Dec. 31, 2018

Payables and Accruals [Abstract]

Schedule of Accounts Payable and Accrued Expenses

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

		December 31,
		2018				2017
Accounts payable		$	31,059			$	34,632
Accrued salaries and bonuses			249,834				225,429
Accrued payroll taxes and benefits			80,369				75,672
Accrued professional liabilities			34,931				37,912
Accrued contingent consideration			18,760				6,259
Accrued interest			9,477				4,495
Other accrued expenses			44,912				53,618
		$	469,342			$	438,017

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- Definition

Tabular disclosure of the (a) carrying value as of the balance sheet date of liabilities incurred (and for which invoices have typically been received) and payable to vendors for goods and services received that are used in an entity's business (accounts payable); (b) other payables; and (c) accrued liabilities. Examples include taxes, interest, rent and utilities. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer). An alternative caption includes accrued expenses.

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