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Accounts Payable and Accrued Expenses - Schedule of Accounts Payable and Accrued Expenses (Detail) - USD ($) $ in Thousands | Sep. 30, 2019 | Dec. 31, 2018
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Payables and Accruals [Abstract] |  |
Accounts payable | $ 38,329 | $ 31,059
Accrued salaries and bonuses | 206,047 | 242,888
Accrued payroll taxes and benefits | 67,406 | 78,415
Accrued professional liabilities | 43,723 | 34,931
Accrued contingent consideration | 4,475 | 18,760
Accrued interest | 27,986 | 9,477
Other accrued expenses | 54,006 | 33,037
Accounts payable and accrued expenses, total | $ 441,972 | $ 448,567

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