Consolidated Balance Sheets - USD ($)	Dec. 31, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents	$ 73,258,000	$ 9,824,000
Short-term investments	104,485,000	93,239,000
Accounts receivable, net	272,313,000	296,787,000
Prepaid expenses	13,525,000	14,878,000
Income Taxes Receivable	7,565,000	0
Other current assets	12,308,000	13,261,000
Total current assets	483,454,000	427,989,000
Property and equipment, net	75,639,000	73,290,000
Goodwill	1,384,166,000	1,532,092,000
Intangible assets, net	21,240,000	18,491,000
Operating and finance lease right-of-use assets	70,294,000	66,924,000
Deferred income tax assets	102,852,000	105,925,000
Other assets	82,165,000	123,176,000
Total assets	2,219,810,000	2,347,887,000
Current liabilities:
Accounts payable and accrued expenses	350,798,000	374,225,000
Current portion of debt and finance lease liabilities, net	14,913,000	14,898,000
Current portion of operating lease liabilities	21,076,000	21,589,000
Income taxes payable	2,159,000	16,271,000
Total current liabilities	388,946,000	426,983,000
Line of credit	0	4,000,000
Long-term debt and finance lease liabilities, net	618,421,000	632,381,000
Long-term operating lease liabilities	47,238,000	44,213,000
Long-term professional liabilities	251,284,000	275,629,000
Deferred income tax liabilities	34,308,000	33,638,000
Other liabilities	30,552,000	39,411,000
Total liabilities	1,370,749,000	1,456,255,000
Commitments and contingencies
Shareholders' equity:
Preferred stock; $.01 par value; 1,000 shares authorized; none issued	0	0
Common stock; $.01 par value; 200,000 shares authorized; 00,000 and 82,947 shares issued and outstanding, respectively	840,000	829,000
Additional paid-in capital	999,906,000	983,601,000
Accumulated other comprehensive income (loss)	2,214,000	(3,735,000)
Retained deficit	149,471,000	(89,063,000)
Total shareholders' equity	849,061,000	891,632,000
Total liabilities and shareholders' equity	$ 2,219,810,000	$ 2,347,887,000