XML 41 R4.htm IDEA: XBRL DOCUMENT v3.20.1
Consolidated Statements of Income - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Income Statement [Abstract]    
Net revenue $ 845,918 $ 851,183
Operating expenses:    
Practice salaries and benefits 652,721 621,539
Practice supplies and other operating expenses 25,264 25,791
General and administrative expenses 105,235 101,821
Depreciation and amortization 18,673 20,033
Transformational and restructuring related expenses 30,907 3,544
Total operating expenses 832,800 772,728
Income from operations 13,118 78,455
Investment and other (expense) income (679) 1,647
Interest expense (27,608) (30,723)
Equity in earnings of unconsolidated affiliates 1,345 1,236
Total non-operating expenses (26,942) (27,840)
(Loss) income from continuing operations before income taxes (13,824) 50,615
Income tax provision (2,286) (8,962)
(Loss) income from continuing operations (16,110) 41,653
Loss from discontinued operations, net of tax (2,602) (284,525)
Net loss $ (18,712) $ (242,872)
Loss (income) from continuing operations:    
Basic $ (0.20) $ 0.48
Diluted (0.20) 0.48
Loss from discontinued operations:    
Basic (0.03) (3.31)
Diluted (0.03) (3.29)
Net loss:    
Basic (0.23) (2.82)
Diluted $ (0.23) $ (2.81)
Weighted average common shares:    
Basic 82,799 86,073
Diluted [1] 82,799 86,545
[1] Due to a loss from continuing operations for the three months ended March 31, 2020, no incremental shares are included because the effect would be antidilutive.