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 |
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| 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 |
| X | ||||||||||
- Definition Practice salaries and benefits. No definition available.
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- Definition The aggregate amount of supplies and other operating expenses directly attributable to the physician practices. No definition available.
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- Definition Amount after tax of increase (decrease) in equity from transactions and other events and circumstances from net income and other comprehensive income, attributable to parent entity. Excludes changes in equity resulting from investments by owners and distributions to owners. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- Definition The aggregate expense recognized in the current period that allocates the cost of tangible assets, intangible assets, or depleting assets to periods that benefit from use of the assets. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- References No definition available.
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| X | ||||||||||
- Definition The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- References No definition available.
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| X | ||||||||||
- Definition The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- Definition Amount of gain (loss) from sale and disposal of integrated set of activities and assets capable of being conducted and managed for purpose of providing return in form of dividend, lower cost, or other economic benefit to investor, owner, member and participant. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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| X | ||||||||||
- Definition The aggregate total of expenses of managing and administering the affairs of an entity, including affiliates of the reporting entity, which are not directly or indirectly associated with the manufacture, sale or creation of a product or product line. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of impairment loss from asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The aggregate amount of write-downs for impairments recognized during the period for long lived assets held for use (including those held for disposal by means other than sale). Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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| X | ||||||||||
- Definition Amount of income (loss) from continuing operations, including income (loss) from equity method investments, before deduction of income tax expense (benefit), and income (loss) attributable to noncontrolling interest. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition Amount of income (loss) for proportionate share of equity method investee's income (loss). Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- References No definition available.
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| X | ||||||||||
- Definition Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- Definition Amount of interest expense classified as nonoperating. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- Definition Amount after accretion (amortization) of discount (premium), and investment expense, of interest income and dividend income on nonoperating securities. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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| X | ||||||||||
- Definition The aggregate amount of income or expense from ancillary business-related activities (that is to say, excluding major activities considered part of the normal operations of the business). Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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| X | ||||||||||
- Definition Generally recurring costs associated with normal operations except for the portion of these expenses which can be clearly related to production and included in cost of sales or services. Includes selling, general and administrative expense. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- References No definition available.
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| X | ||||||||||
- Definition The net result for the period of deducting operating expenses from operating revenues. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of expenses associated with exit or disposal activities pursuant to an authorized plan. Excludes expenses related to a discontinued operation or an asset retirement obligation. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount, including tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value-added and excise. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- Definition Amount of unrealized gain (loss) on investment. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The average number of shares or units issued and outstanding that are used in calculating diluted EPS or earnings per unit (EPU), determined based on the timing of issuance of shares or units in the period. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- Definition Number of [basic] shares or units, after adjustment for contingently issuable shares or units and other shares or units not deemed outstanding, determined by relating the portion of time within a reporting period that common shares or units have been outstanding to the total time in that period. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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