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Assets Held for Sale and Discontinued Operations (Tables)
 9 Months Ended
Sep. 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 September 30, 2019 and December 31, 2018 (in thousands):
                 
 
September 30,
 
2019
   
December 31,
 
2018
 
Assets
   
     
 
Cash and cash equivalents
  $
8,778
    $
11,254
 
Accounts receivable, net
   
38,902
     
38,118
 
Prepaid expenses and other assets
   
2,070
     
2,505
 
Property and equipment, net
   
51,178
     
42,603
 
Deferred income taxes
   
13,009
     
—
 
 
  
Operating lease
right-of-use
asset
    
4,505
     
—  
  
Goodwill
   
—
 
 
      
321,556
 
Intangible assets, net
   
204,023
     
275,148
 
                 
  $
322,465
    $
691,184
 
                 
Liabilities
   
     
 
Accounts payable, accrued expenses and other liabilities
  $
23,924
    $
23,770
 
Lease liabilities
   
6,520
     
—  
  
Deferred income taxes
   
—
 
 
      
35,659
 
                 
  $
30,444
    $
59,429
 
                 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table summarizes the results of discontinued operations for the three and nine months ended September 30, 2019 and 2018 (in thousands):
                                 
 
Three Months Ended
September 30,
   
Nine Months Ended
September 30,
 
 
2019
   
2018
   
2019
   
2018
 
Net revenue
  $
50,946
    $
55,236
    $
155,309
    $
169,567
 
                                 
Operating expenses:
   
     
     
     
 
Cost of service salaries and benefits
   
26,288
     
26,392
     
78,883
     
82,198
 
Cost of service supplies and other operating expenses
   
5,700
     
5,932
     
17,637
     
18,126
 
General and administrative expenses
   
11,007
     
11,454
     
33,451
     
34,242
 
Depreciation and amortization
   
—
     
6,506
      
7,262
     
18,992
 
Transaction costs
   
1,600
     
—
     
3,000
     
—  
  
Loss on classification as held for sale
   
—
     
—
     
388,002
     
—  
  
                                 
Total operating expenses
   
44,595
     
50,284
     
528,235
     
153,558
 
 
                                
Income (loss) from operations
   
6,351
     
4,952
     
(372,926
 )    
16,009
 
Non-operating
expenses, net
    
(15
 )    
(221
 )    
(47
 )    
(241
 )
                                 
Income (loss) before income taxes
   
6,336
     
4,731
     
(372,973
 )    
15,768
 
Income tax (provision) benefit
   
(2,006
 )    
(1,323
 )    
49,017
     
(4,302
 )
                                 
Net income (loss)
  $
4,330
    $
3,408
    $
(323,956
 )   $
11,466