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Discontinued Operations
12 Months Ended
Dec. 31, 2019
Discontinued Operations and Disposal Groups [Abstract]  
Discontinued Operations
8.
Discontinued Operations:
In November 2018, the Company announced the initiation of a process to divest its management services organization, which operated as MedData, to allow the Company to focus on its core physician services business.
 
On October 10, 2019, the Company entered into a securities purchase agreement
with an affiliate of Frazier Healthcare
Partners
 
to divest MedData
,
 and the
 transaction closed on October 31, 2019. Pursuant to the terms and conditions of the agreement, at the closing of the transaction, the Company received a cash payment of 
 
$
249.7
 million,
net of
certain net working capital and similar adjustments, as well as contingent economic consideration in an indirect holding company of the buyer, the value of which is contingent on both short and long-term performance of MedData and the maximum amount payable in respect of which is $
50.0
 million. The operating results of the management services service line were reported as discontinued operations in the Company’s Consolidated Statements of Income for the year ended December 31, 2019 with prior periods recast to conform with the current period presentation.
 
The initial classification of the management services service line to assets held for sale during the three months ended March 31, 2019 impacted the net book value of the assets and liabilities expected to be transferred upon sale. The initial determination of the estimated fair value of the management services service line was based on an estimated market value along with estimated broker, accounting, legal and other costs to sell. The Company deemed the carrying amount of other assets within the service line, specifically accounts receivable and property and equipment, to represent fair value and therefore recorded a
non-cash
charge during the first quarter of 2019 of $285.0 million against goodwill, which represented the difference between the estimated fair value of the management services service line and the carrying amount of the net assets held for sale. Recognition of the charge against goodwill resulted in a tax benefit which generated an additional $36.6 million deferred tax asset that increased the fair value of the service line. An incremental
non-cash
charge is then required to reduce the service line to its previously determined fair value. Accordingly, the Company recorded the incremental
non-cash
charge of $36.6 million for a total
non-cash
charge of $321.6 million during the three months ended March 31, 2019, reducing the goodwill balance of the management services service line to zero.
During the three months ended June 30, 2019, an incremental
non-cash
charge of $50.0 million was recorded based on new information obtained during the quarter with respect to the estimated market value of the management services service line. This
non-cash
charge was recorded against amortizing intangible assets. Recognition of the incremental
non-cash
charge resulted in a tax benefit which generated an additional $16.4 million deferred tax asset that increased the fair value of the service line. An incremental
non-cash
charge is then required to reduce the service line to its previously determined fair value. Accordingly, the Company recorded the incremental
non-cash
charge of $16.4 million for a total
non-cash
charge of $66.4 million during the three months ended June 30, 2019.
During the three months ended December 31, 2019, the preliminary net proceeds for the management services service line were determined to be $242.5 million,
net of cash sold and certain working capital adjustments,
 
resulting in
a preliminary loss on sale of
 
$
29.1
 
million.
 
Upon completion of the valuation of the contingent economic consideration and the working capital true-up, final net proceeds will be determined, and the Company will adjust the loss on sale at that time.
 
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 December 31, 2018 (in thousands):
 
December 31, 2018
 
Assets
 
 
 
Cash and cash equivalents
  $
11,254
 
Accounts receivable, net
   
38,118
 
Prepaid expenses and other assets
   
2,505
 
Property and equipment, net
   
42,603
 
Goodwill
   
321,556
 
Intangible assets, net
   
275,148
 
         
  $
691,184
 
         
Liabilities
 
 
 
Accounts payable, accrued expenses and other liabilities
  $
23,770
 
Deferred income taxes
   
35,659
 
         
  $
59,429
 
         
Income from discontinued operations, net of income taxes, as reported in the Company’s Consolidated Statements of Income for the years ended December 31, 2019, 2018 and 2017 includes net revenue of
$172.7 million, $220.9 million and $230.7 million, respectively. Operating income, excluding transaction related costs, for the years ended December 31, 2019, 2018 and 2017
was
$20.1 million, $14.0 million and $25.2 million
, respectively
.