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Business Combinations, Assets Held for Sale and Discontinued Operations (Tables)
9 Months Ended
Sep. 30, 2020
Radiology Partners Inc [Member]  
Disposal Groups, Including Discontinued Operations
The following table represents the major classes of assets and liabilities of the radiology services medical group that are included as assets and liabilities held for sale in the accompanying Consolidated Balance Sheets as of September 30, 2020 and December 31, 2019 (in thousands):
 
    
September 30, 2020
    
December 31, 2019
 
Assets
     
Accounts receivable, net
   $ 54,284      $ 64,603  
Prepaid expenses and other
current 
assets
     9,819        9,744  
Property and equipment, net
     20,078        19,204  
Operating leases
right-of-use
assets
     14,165        15,008  
Goodwill
     640,818        685,170  
Intangible assets, net
     170,059        180,978  
Deferred income tax assets
     6,020        18,183  
Other assets
     36,305        40,724  
  
 
 
    
 
 
 
   $ 951,548      $ 1,033,614  
  
 
 
    
 
 
 
Liabilities
         
Accounts payable and accrued expenses
   $ 39,505      $ 42,474  
Operating and finance leases
     13,619        14,355  
Long-term professional liabilities
     23,744        21,978  
Other liabilities
     1,844        81  
  
 
 
    
 
 
 
   $ 78,712      $ 78,888  
  
 
 
    
 
 
 
The following table summarizes the results of discontinued operations related to the radiology services medical group for the three and nine months ended September 30, 2020 and 2019 (in thousands):
 
    
Three Months Ended

September 30,
    
Nine Months Ended

September 30,
 
    
2020
    
2019
    
2020
    
2019
 
Net revenue
   $ 125,765      $ 125,650      $ 340,133      $ 366,678  
  
 
 
    
 
 
    
 
 
    
 
 
 
Operating expenses:
                   
Cost of service salaries and benefits
     84,718        80,336        234,169        238,402  
Cost of service supplies and other operating expenses
     1,449        1,532        4,273        (1,468
General and administrative expenses
     19,876        20,734        57,178        64,490  
Depreciation and amortization
     5,090        7,595        20,328        22,757  
Transformational and restructuring related expenses
     2,491        441        6,517        1,487  
Goodwill impairment
     46,963        117,924        46,963        117,924  
  
 
 
    
 
 
    
 
 
    
 
 
 
Total operating expenses
     160,587        228,562        369,428        443,592  
  
 
 
    
 
 
    
 
 
    
 
 
 
Loss from operations
     (34,822      (102,912      (29,295      (76,914
Non-operating
income, net
     1,369        2,059        3,035        4,768  
  
 
 
    
 
 
    
 
 
    
 
 
 
Loss before income taxes
     (33,453      (100,853      (26,260      (72,146
Income tax (provision) benefit
     (62      3,907        (1,988      (3,687
  
 
 
    
 
 
    
 
 
    
 
 
 
Net loss
   $ (33,515    $ (96,946    $ (28,248    $ (75,833
  
 
 
    
 
 
    
 
 
    
 
 
 
North American Partners In Anesthesia [Member]  
Disposal Groups, Including Discontinued Operations
The following table summarizes the results of discontinued operations related to the anesthesiology services medical group for the three and nine months ended September 30, 2020 and 2019 (in thousands):
 
    
Three Months Ended

September 30,
   
Nine Months Ended

September 30,
 
    
2020
   
2019
   
2020
   
2019
 
Net revenue
   $ 2,700     $ 309,602     $ 377,661     $ 924,845  
  
 
 
   
 
 
   
 
 
   
 
 
 
Operating expenses:
        
Cost of service salaries and benefits
     2,746       250,157       351,408       746,237  
Cost of service supplies and other operating expenses
     38       2,837       5,254       9,537  
General and administrative expenses
     215       18,338       31,179       57,909  
Depreciation and amortization
     —         5,605       6,308       17,863  
Transformational and restructuring related expenses
     —         6,785       28,634       17,506  
Goodwill impairment
     —         1,331,291       —         1,331,291  
Loss on sale, net
     4,499       —         644,653       —    
  
 
 
   
 
 
   
 
 
   
 
 
 
Total operating expenses
     7,498       1,615,013       1,067,436       2,180,343  
  
 
 
   
 
 
   
 
 
   
 
 
 
Loss from operations
     (4,798     (1,305,411     (689,775     (1,255,498
Non-operating
(expense) income, net
           (17     51       (14
  
 
 
   
 
 
   
 
 
   
 
 
 
Loss before income taxes
     (4,798     (1,305,428     (689,724     (1,255,512
Income tax benefit
     100       129,241       5,661       115,987  
  
 
 
   
 
 
   
 
 
   
 
 
 
Net loss
   $ (4,698   $ (1,176,187   $ (684,063   $ (1,139,525