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ACCRUED EXPENSES AND OTHER
12 Months Ended
Dec. 31, 2018
Payables and Accruals [Abstract]  
ACCRUED EXPENSES AND OTHER
ACCRUED EXPENSES AND OTHER
 
December 31, 2018
 
December 31, 2017
Employee compensation and benefits
$
427.6

 
$
369.3

Self-insurance reserves
40.4

 
45.7

Accrued taxes payable
124.8

 
70.6

Royalty and license fees payable
6.4

 
6.2

Accrued investigator fees and pass through costs
80.4

 
71.6

Restructuring reserves
19.8

 
22.0

Acquisition related reserves
19.7

 
21.3

Interest payable
70.7

 
71.7

Rebates
26.0

 
24.6

Other
54.2

 
90.3

 
$
870.0

 
$
793.3