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Accounts Payable and Accrued Expenses (Tables)
9 Months Ended
Sep. 30, 2019
Payables and Accruals [Abstract]  
Schedule of 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