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Selected Quarterly Financial Information | 12 Months Ended
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Dec. 31, 2020
Quarterly Financial Information Disclosure [Abstract] |
Selected Quarterly Financial Information |
20. | Selected Quarterly Financial Information (Unaudited):
The following tables set forth a summary of the Company’s selected quarterly financial information for each of the four quarters ended December 31, 2020 and 2019 (in thousands, except for per share data):
|  | 2020 Quarters |
|  | First |  |  | Second |  |  | Third |  |  | Fourth |
Net revenue |  | $ | 441,245 |  |  | $ | 415,441 |  |  | $ | 460,635 |  |  | $ | 416,630 |
Operating expenses: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Practice salaries and benefits |  |  | 316,279 |  |  |  | 282,985 |  |  |  | 309,904 |  |  |  | 284,772 |
Practice supplies and other operating expenses |  |  | 23,842 |  |  |  | 20,173 |  |  |  | 22,440 |  |  |  | 24,235 |
General and administrative expenses |  |  | 67,442 |  |  |  | 60,488 |  |  |  | 66,346 |  |  |  | 54,671 |
Depreciation and amortization |  |  | 6,803 |  |  |  | 6,751 |  |  |  | 7,195 |  |  |  | 7,692 |
Transformational and restructuring related expenses |  |  | 16,076 |  |  |  | 10,479 |  |  |  | 34,291 |  |  |  | 12,955 |
Total operating expenses |  |  | 430,442 |  |  |  | 380,876 |  |  |  | 440,176 |  |  |  | 384,325 |
Income from operations |  |  | 10,803 |  |  |  | 34,565 |  |  |  | 20,459 |  |  |  | 32,305 |
Investment and other (expense) income |  |  | (1,046 | ) |  |  | 3,576 |  |  |  | 10,534 |  |  |  | 4,849 |
Interest expense |  |  | (27,665 | ) |  |  | (28,265 | ) |  |  | (27,250 | ) |  |  | (27,302 | )
Equity in earnings of unconsolidated affiliates |  |  | 494 |  |  |  | 305 |  |  |  | 282 |  |  |  | 504 |
Total non-operating expenses |  |  | (28,217 | ) |  |  | (24,384 | ) |  |  | (16,434 | ) |  |  | (21,949 | )
(Loss) income from continuing operations before income taxes |  |  | (17,414 | ) |  |  | 10,181 |  |  |  | 4,025 |  |  |  | 10,356 |
Income tax provision |  |  | (1,085 | ) |  |  | (3,097 | ) |  |  | (6,677 | ) |  |  | (5,869 | )
(Loss) income from continuing operations |  |  | (18,499 | ) |  |  | 7,084 |  |  |  | (2,652 | ) |  |  | 4,487 |
Loss from discontinued operations, net of tax |  |  | (213 | ) |  |  | (679,520 | ) |  |  | (38,392 | ) |  |  | (68,783 | )
Net loss |  | $ | (18,712 | ) |  | $ | (672,436 | ) |  | $ | (41,044 | ) |  | $ | (64,296 | )
Per common and common equivalent share data (1): |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
(Loss) income from continuing operations: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basic |  | $ | (0.22 | ) |  | $ | 0.08 |  |  | $ | (0.03 | ) |  | $ | 0.05 |
Diluted |  | $ | (0.22 | ) |  | $ | 0.08 |  |  | $ | (0.03 | ) |  | $ | 0.05 |
Loss from discontinued operations: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basic |  | $ | — |  |  | $ | (8.14 | ) |  | $ | (0.46 | ) |  | $ | (0.81 | )
Diluted |  | $ | — |  |  | $ | (8.11 | ) |  | $ | (0.46 | ) |  | $ | (0.81 | )
Net loss: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basic |  | $ | (0.22 | ) |  | $ | (8.06 | ) |  | $ | (0.49 | ) |  | $ | (0.76 | )
Diluted |  | $ | (0.22 | ) |  | $ | (8.03 | ) |  | $ | (0.49 | ) |  | $ | (0.76 | )
Weighted average common shares: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basic |  |  | 82,799 |  |  |  | 83,490 |  |  |  | 83,862 |  |  |  | 84,316 |
Diluted |  |  | 82,799 |  |  |  | 83,744 |  |  |  | 83,862 |  |  |  | 85,082 |
(1) | Basic and diluted per share amounts are computed for each of the periods presented. Accordingly, the sum of the quarterly per share amounts may not agree with the full year amount.
|  | 2019 Quarters |
|  | First |  |  | Second |  |  | Third |  |  | Fourth |
Net revenue |  | $ | 427,092 |  |  | $ | 439,154 |  |  | $ | 454,913 |  |  | $ | 458,600 |
Operating expenses: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Practice salaries and benefits |  |  | 294,753 |  |  |  | 284,627 |  |  |  | 301,306 |  |  |  | 300,073 |
Practice supplies and other operating expenses |  |  | 24,705 |  |  |  | 25,402 |  |  |  | 22,581 |  |  |  | 23,223 |
General and administrative expenses |  |  | 59,023 |  |  |  | 63,011 |  |  |  | 63,284 |  |  |  | 59,194 |
Depreciation and amortization |  |  | 6,183 |  |  |  | 6,239 |  |  |  | 6,408 |  |  |  | 7,101 |
Transformational and restructuring related expenses |  |  | 2,439 |  |  |  | 16,820 |  |  |  | 12,766 |  |  |  | 28,865 |
Total operating expenses |  |  | 387,103 |  |  |  | 396,099 |  |  |  | 406,345 |  |  |  | 418,456 |
Income from operations |  |  | 39,989 |  |  |  | 43,055 |  |  |  | 48,568 |  |  |  | 40,144 |
Investment and other income |  |  | 1,249 |  |  |  | 726 |  |  |  | 802 |  |  |  | 909 |
Interest expense |  |  | (30,349 | ) |  |  | (31,013 | ) |  |  | (29,909 | ) |  |  | (27,657 | )
Equity in earnings of unconsolidated affiliates |  |  | 464 |  |  |  | 503 |  |  |  | 786 |  |  |  | 517 |
Total non-operating expenses |  |  | (28,636 | ) |  |  | (29,784 | ) |  |  | (28,321 | ) |  |  | (26,231 | )
Income from continuing operations before income taxes |  |  | 11,353 |  |  |  | 13,271 |  |  |  | 20,247 |  |  |  | 13,913 |
Income tax benefit (provision) |  |  | 1,514 |  |  |  | (6,744 | ) |  |  | (7,360 | ) |  |  | (3,986 | )
Income from continuing operations |  |  | 12,867 |  |  |  | 6,527 |  |  |  | 12,887 |  |  |  | 9,927 |
Loss from discontinued operations, net of tax |  |  | (255,739 | ) |  |  | (14,772 | ) |  |  | (1,268,803 | ) |  |  | (596 | )
Net (loss) income |  | $ | (242,872 | ) |  | $ | (8,245 | ) |  | $ | (1,255,916 | ) |  | $ | 9,331 |
Per common and common equivalent share data (1): |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income from continuing operations: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basic |  | $ | 0.15 |  |  | $ | 0.08 |  |  | $ | 0.16 |  |  | $ | 0.12 |
Diluted |  | $ | 0.15 |  |  | $ | 0.08 |  |  | $ | 0.16 |  |  | $ | 0.12 |
Loss from discontinued operations: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basic |  | $ | (2.97 | ) |  | $ | (0.18 | ) |  | $ | (15.39 | ) |  | $ | (0.01 | )
Diluted |  | $ | (2.96 | ) |  | $ | (0.18 | ) |  | $ | (15.31 | ) |  | $ | (0.01 | )
Net (loss) income: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basic |  | $ | (2.82 | ) |  | $ | (0.10 | ) |  | $ | (15.23 | ) |  | $ | 0.11 |
Diluted |  | $ | (2.81 | ) |  | $ | (0.10 | ) |  | $ | (15.15 | ) |  | $ | 0.11 |
Weighted average common shares: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basic |  |  | 86,073 |  |  |  | 83,234 |  |  |  | 82,441 |  |  |  | 82,592 |
Diluted |  |  | 86,545 |  |  |  | 83,689 |  |  |  | 82,883 |  |  |  | 83,288 |
(2) | Basic and diluted per share amounts are computed for each of the periods presented. Accordingly, the sum of the quarterly per share amounts may not agree with the full year amount.

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- References No definition available. + Details
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- Definition The entire disclosure for quarterly financial data. Includes, but is not limited to, tabular presentation of financial information for fiscal quarters, effect of year-end adjustments, and an explanation of matters or transactions that affect comparability of the information. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 270 -URI http://asc.fasb.org/topic&trid=2126967 + Details
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