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v3.24.3

Consolidated Statements of Income and Comprehensive Income (Unaudited) - USD ($) shares in Thousands, $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Income Statement [Abstract] |  |  |  |
Net revenue | $ 511,158 | $ 506,612 | $ 1,510,555 | $ 1,498,197
Operating expenses: |  |  |  |
Practice salaries and benefits | 364,888 | 368,404 | 1,091,834 | 1,084,671
Practice supplies and other operating expenses | 29,449 | 31,319 | 92,903 | 93,128
General and administrative expenses | 58,121 | 57,406 | 174,884 | 174,478
Depreciation and amortization | 6,254 | 9,211 | 25,353 | 27,109
Transformational and restructuring related expenses | 18,560 | 0 | 40,619 | 0
Goodwill impairment | 0 | 0 | 154,243 | 0
Fixed assets impairments | 0 | 0 | 20,112 | 0
Intangible assets impairments | 0 | 0 | 7,679 | 0
Loss on disposal of businesses | 59 | 0 | 10,932 | 0
Total operating expenses | 477,331 | 466,340 | 1,618,559 | 1,379,386
Income (loss) from operations | 33,827 | 40,272 | (108,004) | 118,811
Investment and other income | 1,089 | 273 | 2,941 | 2,096
Interest expense | (10,126) | (10,374) | (31,033) | (31,994)
Equity in earnings of unconsolidated affiliate | 445 | 661 | 1,427 | 1,578
Total non-operating expenses | (8,592) | (9,440) | (26,665) | (28,320)
Income (loss) before income taxes | 25,235 | 30,832 | (134,669) | 90,491
Income tax (provision) benefit | (5,794) | (9,441) | 5,120 | (26,612)
Net income (loss) | 19,441 | 21,391 | (129,549) | 63,879
Unrealized holding gain on investments, net of tax of $571, $-, $657 and $100 | 1,745 | 1 | 2,005 | 218
Total comprehensive income (loss) | $ 21,186 | $ 21,392 | $ (127,544) | $ 64,097
Net income (loss): |  |  |  |
Basic | $ 0.23 | $ 0.26 | $ (1.56) | $ 0.78
Diluted | $ 0.23 | $ 0.26 | $ (1.56) | $ 0.77
Weighted average common shares: |  |  |  |
Basic | 83,891 | 82,543 | 83,223 | 82,127
Diluted | 84,523 | 82,950 | 83,223 | 82,492

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