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Consolidated Statements of Income - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Income Statement [Abstract]        
Net revenue $ 509,203 $ 561,237 $ 1,071,054 $ 1,104,249
Operating expenses:        
Practice salaries and benefits 349,258 361,203 748,715 731,571
Practice supplies and other operating expenses 21,433 24,783 46,839 47,107
General and administrative expenses 77,674 84,219 165,232 165,790
Depreciation and amortization 14,393 13,779 28,792 27,584
Transformational and restructuring related expenses 11,537 17,866 30,581 20,305
Total operating expenses 474,295 501,850 1,020,159 992,357
Income from operations 34,908 59,387 50,895 111,892
Investment and other income 3,851 1,219 3,172 2,866
Interest expense (28,265) (31,063) (55,931) (61,764)
Equity in earnings of unconsolidated affiliates 479 1,990 1,824 3,187
Total non-operating expenses (23,935) (27,854) (50,935) (55,711)
Income (loss) from continuing operations before income taxes 10,973 31,533 (40) 56,181
Income tax provision (3,373) (11,486) (6,109) (13,588)
Income (loss) from continuing operations 7,600 20,047 (6,149) 42,593
Loss from discontinued operations, net of tax (680,036) (28,292) (684,999) (293,710)
Net loss $ (672,436) $ (8,245) $ (691,148) $ (251,117)
Income (loss) from continuing operations:        
Basic $ 0.09 $ 0.24 $ (0.07) $ 0.50
Diluted 0.09 0.24 (0.07) 0.50
Loss from discontinued operations:        
Basic (8.14) (0.34) (8.25) (3.47)
Diluted (8.12) (0.34) (8.25) (3.45)
Net loss:        
Basic (8.05) (0.10) (8.32) (2.97)
Diluted $ (8.03) $ (0.10) $ (8.32) $ (2.95)
Weighted average common shares:        
Basic 83,490 83,234 83,061 84,623
Diluted [1] 83,745 83,689 83,061 85,087
[1] Due to a loss from continuing operations for the six months ended June 30, 2020, no incremental shares are included because the effect would be antidilutive.