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Accounts Payable and Accrued Expenses
9 Months Ended
Sep. 30, 2019
Payables and Accruals [Abstract]  
Accounts Payable and Accrued Expenses
8.
Accounts Payable and Accrued Expenses:
Accounts payable and accrued expenses consist of the following (in thousands):
                 
 
September 30,
 
2019
   
December 31,
 
2018
 
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
 
                 
  $
441,972
    $
448,567
 
                 
 
 
 
 
 
 
 
The net decrease in accrued salaries and bonuses of $36.8 million, from December 31, 2018 to September 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 nine months ended September 30, 2019. A majority of the Company’s payments for performance-based incentive compensation is paid annually during the first quarter.