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Assets Held for Sale and Discontinued Operations (Tables)
 6 Months Ended
Jun. 30, 2019
Discontinued Operations and Disposal Groups [Abstract]  
Disposal Groups, Including Discontinued Operations
The following table is a reconciliation of the major classes of assets and liabilities classified as assets and liabilities held for sale in the accompanying Consolidated Balance Sheets representing the management services service line as of June 30, 2019 and December 31, 2018 (in thousands):
                 
 
June 30, 2019
   
December 31, 2018
 
Assets
   
     
 
Cash and cash equivalents
  $
11,614
    $
11,254
 
Accounts receivable, net
   
39,787
     
38,118
 
Prepaid expenses and other assets
   
2,310
     
2,505
 
Property and equipment, net
   
47,573
     
42,603
 
Deferred income taxes
 
 
15,569
 
 
 
 
 
Operating lease
right-of-use
asset
    
4,883
     
—  
  
Goodwill
   
—  
      
321,556
 
Intangible assets, net
   
204,023
     
275,148
 
                 
  $
325,759
    $
691,184
 
                 
Liabilities
   
     
 
Accounts payable, accrued expenses and other liabilities
  $
21,390
    $
23,770
 
Lease liabilities
   
6,892
     
—  
  
Deferred income taxes
   
—  
      
35,659
 
                 
  $
28,282
    $
59,429
 
                 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table summarizes the results of discontinued operations for the three and six months ended June 30, 2019 and 2018 (in thousands):
                                 
 
Three Months Ended
June 30,
   
Six Months Ended
June 30,
 
 
2019
   
2018
   
2019
   
2018
 
Net revenue
  $
53,141
    $
58,242
    $
104,363
    $
114,331
 
                                 
Operating expenses:
   
     
     
     
 
Cost of service salaries and benefits
   
26,667
     
27,930
     
52,595
     
55,806
 
Cost of service supplies and other operating expenses
   
6,370
     
6,225
     
11,937
     
12,194
 
General and administrative expenses
   
11,421
     
11,562
     
22,444
     
22,788
 
Depreciation and amortization
   
—  
     
6,237
     
7,262
     
12,486
 
Transaction costs
   
300
     
—  
     
1,400
     
—  
 
Loss on classification as held for sale
   
66,446
     
—  
     
388,002
     
—  
 
                                 
Total operating expenses
   
111,204
     
51,954
     
483,640
     
103,274
 
 
                                
(Loss) income from operations
    
(58,063
)    
6,288
     
(379,277
)    
11,057
 
Non-operating expenses, net
    
(17
)    
(11
)    
(33
)    
(19
)
                                 
(Loss) income
before income taxes
    
(58,080
)    
6,277
     
(379,310
)    
11,038
 
Income tax benefit (provision)
    
14,319
     
(1,640
)    
51,024
     
(2,979
)
                                 
Net (loss) income
   $
(43,761
)   $
4,637
    $
(328,286
)   $
8,059