XML 23 R13.htm IDEA: XBRL DOCUMENT v3.19.2
Accounts Payable and Accrued Expenses
6 Months Ended
Jun. 30, 2019
Payables and Accruals [Abstract]  
Accounts Payable and Accrued Expenses
7.
Accounts Payable and Accrued Expenses:
Accounts payable and accrued expenses consist of the following (in thousands):
                 
 
June 30, 2019
   
December 31, 2018
 
Accounts payable
  $
32,386
    $
31,059
 
Accrued salaries and bonuses
   
151,982
     
242,888
 
Accrued payroll taxes and benefits
   
64,197
     
78,415
 
Accrued professional liabilities
   
44,837
     
34,931
 
Accrued contingent consideration
   
8,299
     
18,760
 
Accrued interest
   
34,183
     
9,477
 
Other accrued expenses
   
50,524
     
33,037
 
                 
  $
386,408
    $
448,567
 
                 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The net decrease in accrued salaries and bonuses of $90.9 million, from December 31, 2018 to June 30, 2019, is primarily due to the payment of performance-based incentive compensation, principally to the Company’s affiliated physicians, partially offset by performance-based incentive compensation accrued during the six months ended June 30, 2019. A majority of the Company’s payments for performance-based incentive compensation is paid annually during the first quarter.