Accounts Payable and Accrued Expenses (Notes)

9 Months Ended

Sep. 30, 2017

Payables and Accruals [Abstract]

Accounts Payable and Accrued Expenses

Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses consist of the following:

	September 30,		December 31,
	2017		2016
Accounts payable	$	153,946	$	134,984
Accrued payroll and related costs	166,102		153,086
Accrued clinical trial expenses	119,608		91,753
Accrued sales-related charges, deductions, and royalties	167,467		159,985
Income taxes payable	126,612		235,776
Other accrued expenses and liabilities	84,691		103,512
	$	818,426	$	879,096