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v3.25.2

Consolidated Statements of Income and Comprehensive Income (Unaudited) - USD ($) shares in Thousands, $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2025 | Jun. 30, 2024 | Jun. 30, 2025 | Jun. 30, 2024
Income Statement [Abstract] |  |  |  |
Net revenue | $ 468,844 | $ 504,296 | $ 927,203 | $ 999,397
Operating expenses: |  |  |  |
Practice salaries and benefits | 323,502 | 357,808 | 660,533 | 726,946
Practice supplies and other operating expenses | 20,614 | 32,369 | 39,300 | 63,454
General and administrative expenses | 55,714 | 56,565 | 114,318 | 116,763
Depreciation and amortization | 5,313 | 8,791 | 10,645 | 19,099
Transformational and restructuring related expenses | 3,834 | 13,579 | 10,439 | 22,059
Goodwill impairment | 0 | 154,243 | 0 | 154,243
Long-lived asset impairments | 0 | 27,791 | 0 | 27,791
Loss on disposal of businesses | 0 | 10,873 | 0 | 10,873
Total operating expenses | 408,977 | 662,019 | 835,235 | 1,141,228
Income (loss) from operations | 59,867 | (157,723) | 91,968 | (141,831)
Investment and other income (loss) | 3,727 | (161) | 8,464 | 1,852
Interest expense | (9,130) | (10,308) | (18,284) | (20,907)
Equity in earnings of unconsolidated affiliate | 505 | 464 | 911 | 982
Total non-operating expenses | (4,898) | (10,005) | (8,909) | (18,073)
Income (loss) before income taxes | 54,969 | (167,728) | 83,059 | (159,904)
Income tax (provision) benefit | (15,709) | 14,703 | (23,062) | 10,914
Net income (loss) | 39,260 | (153,025) | 59,997 | (148,990)
Unrealized holding gain on investments, net of tax of $140, $66, $395 and $86 | 429 | 200 | 1,208 | 260
Total comprehensive income (loss) | $ 39,689 | $ (152,825) | $ 61,205 | $ (148,730)
Net income (loss): |  |  |  |
Basic | $ 0.46 | $ (1.84) | $ 0.71 | $ (1.79)
Diluted | $ 0.46 | $ (1.84) | $ 0.7 | $ (1.79)
Weighted average common shares: |  |  |  |
Basic | 84,797 | 83,332 | 84,653 | 83,074
Diluted | 85,529 | 83,332 | 85,517 | 83,074

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