XML 61 R4.htm IDEA: XBRL DOCUMENT v3.19.3
Condensed Consolidated Statements of Income - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Income Statement [Abstract]        
Net revenue $ 888,675 $ 848,759 $ 2,608,167 $ 2,566,374
Operating expenses:        
Practice salaries and benefits 630,309 599,326 1,860,810 1,796,328
Practice supplies and other operating expenses 26,950 27,249 80,757 82,981
General and administrative expenses 102,356 95,771 307,717 298,402
Depreciation and amortization 19,608 22,205 59,450 62,399
Transformational and restructuring related expenses 19,992 0 51,018 0
Goodwill impairment 1,449,215 0 1,449,215 0
Total operating expenses 2,248,430 744,551 3,808,967 2,240,110
(Loss) income from operations (1,359,755) 104,208 (1,200,800) 326,264
Investment and other income 1,373 1,531 4,242 4,230
Interest expense (29,901) (21,788) (91,704) (63,341)
Equity in earnings of unconsolidated affiliates 2,249 1,766 5,475 4,548
Total non-operating expenses (26,279) (18,491) (81,987) (54,563)
(Loss) income from continuing operations before income taxes (1,386,034) 85,717 (1,282,787) 271,701
Income tax benefit (provision) 125,788 (23,550) 99,710 (74,752)
(Loss) income from continuing operations (1,260,246) 62,167 (1,183,077) 196,949
Income (loss) from discontinued operations, net of tax 4,330 3,408 (323,956) 11,466
Net (loss) income $ (1,255,916) $ 65,575 $ (1,507,033) $ 208,415
(Loss) income from continuing operations:        
Basic $ (15.29) $ 0.68 $ (14.11) $ 2.14
Diluted (15.29) 0.68 (14.11) 2.13
Income (loss) from discontinued operations:        
Basic 0.05 0.04 (3.86) 0.12
Diluted 0.05 0.04 (3.86) 0.12
Net (loss) income:        
Basic (15.24) 0.72 (17.97) 2.26
Diluted $ (15.24) $ 0.72 $ (17.97) $ 2.25
Weighted average common shares:        
Basic 82,441 90,984 83,846 92,239
Diluted 82,441 91,359 83,846 92,760