XML 14 R4.htm IDEA: XBRL DOCUMENT v3.10.0.1
Condensed Consolidated Statements of Income (Unaudited) - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Operating expenses:        
Practice salaries and benefits $ 620,980 $ 561,418 $ 1,252,810 $ 1,133,803
Practice supplies and other operating expenses 31,833 30,872 62,488 58,668
General and administrative expenses 107,908 103,015 216,684 206,780
Depreciation and amortization 26,518 25,735 52,681 51,349
Total operating expenses 787,239 721,040 1,584,663 1,450,600
Income from operations 128,679 121,904 233,112 227,941
Investment and other income 1,202 365 2,666 941
Interest expense (21,604) (18,535) (41,539) (36,287)
Equity in earnings of unconsolidated affiliates 1,257 689 2,782 1,486
Total non-operating expenses (19,145) (17,481) (36,091) (33,860)
Income before income taxes 109,534 104,423 197,021 194,081
Income tax provision (30,122) (40,725) (54,181) (75,692)
Net income $ 79,412 $ 63,698 $ 142,840 $ 118,389
Net income:        
Earnings per share, Basic $ 0.85 $ 0.69 $ 1.54 $ 1.28
Earnings per share, Diluted $ 0.85 $ 0.69 $ 1.53 $ 1.27
Weighted average common shares:        
Basic 92,987 92,181 92,922 92,270
Diluted 93,529 92,812 93,516 92,977
Health Care        
Net revenue $ 915,918 $ 842,944 $ 1,817,775 $ 1,678,541