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Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2020 | Sep. 30, 2020 | Jun. 30, 2020 | Mar. 31, 2020 | Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Income Statement [Abstract] |  |  |  |  |  |  |  |  |  |  |
Net revenue | $ 416,630 | $ 460,635 | $ 415,441 | $ 441,245 | $ 458,600 | $ 454,913 | $ 439,154 | $ 427,092 | $ 1,733,951 | $ 1,779,759 | $ 1,723,107
Operating expenses: |  |  |  |  |  |  |  |  |  |  |
Practice salaries and benefits | 284,772 | 309,904 | 282,985 | 316,279 | 300,073 | 301,306 | 284,627 | 294,753 | 1,193,940 | 1,180,759 | 1,125,671
Practice supplies and other operating expenses | 24,235 | 22,440 | 20,173 | 23,842 | 23,223 | 22,581 | 25,402 | 24,705 | 90,690 | 95,911 | 92,475
General and administrative expenses | 54,671 | 66,346 | 60,488 | 67,442 | 59,194 | 63,284 | 63,011 | 59,023 | 248,947 | 244,512 | 232,218
Depreciation and amortization | 7,692 | 7,195 | 6,751 | 6,803 | 7,101 | 6,408 | 6,239 | 6,183 | 28,441 | 25,931 | 24,355
Transformational and restructuring related expenses | 12,955 | 34,291 | 10,479 | 16,076 | 28,865 | 12,766 | 16,820 | 2,439 | 73,801 | 60,890 | 0
Total operating expenses | 384,325 | 440,176 | 380,876 | 430,442 | 418,456 | 406,345 | 396,099 | 387,103 | 1,635,819 | 1,608,003 | 1,474,719
Income from operations | 32,305 | 20,459 | 34,565 | 10,803 | 40,144 | 48,568 | 43,055 | 39,989 | 98,132 | 171,756 | 248,388
Investment and other income | 4,849 | 10,534 | 3,576 | (1,046) | 909 | 802 | 726 | 1,249 | 17,913 | 3,686 | 3,051
Interest expense | (27,302) | (27,250) | (28,265) | (27,665) | (27,657) | (29,909) | (31,013) | (30,349) | (110,482) | (118,928) | (92,945)
Equity in earnings of unconsolidated affiliates | 504 | 282 | 305 | 494 | 517 | 786 | 503 | 464 | 1,585 | 2,270 | 7,714
Net non-operating expenses | (21,949) | (16,434) | (24,384) | (28,217) | (26,231) | (28,321) | (29,784) | (28,636) | (90,984) | (112,972) | (82,180)
Income from continuing operations before income taxes | 10,356 | 4,025 | 10,181 | (17,414) | 13,913 | 20,247 | 13,271 | 11,353 | 7,148 | 58,784 | 166,208
Income tax provision | (5,869) | (6,677) | (3,097) | (1,085) | (3,986) | (7,360) | (6,744) | 1,514 | (16,728) | (16,576) | (44,694)
(Loss) income from continuing operations | 4,487 | (2,652) | 7,084 | (18,499) | 9,927 | 12,887 | 6,527 | 12,867 | (9,580) | 42,208 | 121,514
(Loss) income from discontinued operations, net of tax | (68,783) | (38,392) | (679,520) | (213) | (596) | (1,268,803) | (14,772) | (255,739) | (786,908) | (1,539,910) | 147,115
Net (loss) income | $ (64,296) | $ (41,044) | $ (672,436) | $ (18,712) | $ 9,331 | $ (1,255,916) | $ (8,245) | $ (242,872) | $ (796,488) | $ (1,497,702) | $ 268,629
(Loss) income from continuing operations: |  |  |  |  |  |  |  |  |  |  |
Basic | $ 0.05 | $ (0.03) | $ 0.08 | $ (0.22) | $ 0.12 | $ 0.16 | $ 0.08 | $ 0.15 | $ (0.11) | $ 0.50 | $ 1.33
Diluted | 0.05 | (0.03) | 0.08 | (0.22) | 0.12 | 0.16 | 0.08 | 0.15 | (0.11) | 0.50 | 1.33
(Loss) income from discontinued operations: |  |  |  |  |  |  |  |  |  |  |
Basic | (0.81) | (0.46) | (8.14) |  | (0.01) | (15.39) | (0.18) | (2.97) | (9.44) | (18.44) | 1.62
Diluted | (0.81) | (0.46) | (8.11) |  | (0.01) | (15.31) | (0.18) | (2.96) | (9.44) | (18.33) | 1.60
Net (loss) income: |  |  |  |  |  |  |  |  |  |  |
Basic | (0.76) | (0.49) | (8.06) | (0.22) | 0.11 | (15.23) | (0.10) | (2.82) | (9.55) | (17.94) | 2.95
Diluted | $ (0.76) | $ (0.49) | $ (8.03) | $ (0.22) | $ 0.11 | $ (15.15) | $ (0.10) | $ (2.81) | $ (9.55) | $ (17.83) | $ 2.93
Weighted average common shares: |  |  |  |  |  |  |  |  |  |  |
Basic | 84,316 | 83,862 | 83,490 | 82,799 | 82,592 | 82,441 | 83,234 | 86,073 | 83,395 | 83,495 | 91,104
Diluted | 85,082 | 83,862 | 83,744 | 82,799 | 83,288 | 82,883 | 83,689 | 86,545 | 83,395 | 84,011 | 91,606

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