XML 12 R4.htm IDEA: XBRL DOCUMENT 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