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Condensed Consolidated Statements of Income (Unaudited) - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Operating expenses:        
Practice salaries and benefits $ 625,717 $ 586,476 $ 1,878,527 $ 1,720,279
Practice supplies and other operating expenses 30,159 29,497 92,647 88,165
General and administrative expenses 102,905 101,430 319,589 308,210
Depreciation and amortization 28,709 25,116 81,390 76,465
Total operating expenses 787,490 742,519 2,372,153 2,193,119
Income from operations 109,162 126,432 342,274 354,373
Investment and other income 1,302 235 3,968 1,176
Interest expense (21,782) (18,428) (63,321) (54,715)
Equity in earnings (losses) of unconsolidated affiliates 1,766 (240) 4,548 1,246
Total non-operating expenses (18,714) (18,433) (54,805) (52,293)
Income before income taxes 90,448 107,999 287,469 302,080
Income tax provision (24,873) (42,119) (79,054) (117,811)
Net income $ 65,575 $ 65,880 $ 208,415 $ 184,269
Net income:        
Earnings per share, Basic $ 0.72 $ 0.71 $ 2.26 $ 2.00
Earnings per share, Diluted $ 0.72 $ 0.71 $ 2.25 $ 1.98
Weighted average common shares:        
Basic 90,984 92,589 92,239 92,348
Diluted 91,359 92,881 92,760 93,014
Health Care        
Net revenue $ 896,652 $ 868,951 $ 2,714,427 $ 2,547,492