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Quarterly Financial Data (Unaudited) (Tables)
12 Months Ended
Dec. 31, 2016
Quarterly Financial Information Disclosure [Abstract]  
Quarterly Financial Data
 
First
Quarter
 
Second
Quarter
 
Third
Quarter
 
Fourth
Quarter
2016
(amounts in thousands, except per share data)
Revenue from services
$
196,583

 
$
199,443

 
$
214,988

 
$
222,523

 
 
 
 
 
 
 
 
Gross profit
51,046

 
54,846

 
58,210

 
57,633

 
 
 
 
 
 
 
 
Consolidated net income (loss)
19,186

 
(17,095
)
 
14,289

 
(7,649
)
 
 
 
 
 
 
 
 
Net income (loss) attributable to common shareholders
19,022

 
(17,237
)
 
14,066

 
(7,884
)
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common shareholders - Basic
$
0.60

 
$
(0.54
)
 
$
0.44

 
$
(0.24
)
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common shareholders - Diluted
$
0.09

 
$
(0.54
)
 
$
0.22

 
$
(0.24
)
 
First
Quarter
 
Second
Quarter
 
Third
Quarter
 
Fourth
Quarter
2015
(amounts in thousands, except per share data)
Revenue from services
$
185,964

 
$
192,617

 
$
195,692

 
$
193,148

 
 
 
 
 
 
 
 
Gross profit
47,037

 
48,363

 
51,486

 
50,479

 
 
 
 
 
 
 
 
Consolidated net income (loss)
3,050

 
2,680

 
5,151

 
(5,927
)
 
 
 
 
 
 
 
 
Net income (loss) attributable to common shareholders
2,934

 
2,573

 
5,009

 
(6,098
)
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common shareholders - Basic
$
0.09

 
$
0.08

 
$
0.16

 
$
(0.19
)
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common shareholders - Diluted
$
0.05

 
$
0.08

 
$
0.16

 
$
(0.19
)
________________

The following items impact the comparability and presentation of our consolidated data:

The Company recorded changes in the fair value of convertible notes derivative liability, recording a gain in the first and third quarters of 2016 of $16.4 million and $7.1 million, respectively, and a loss in the second and fourth quarters of 2016 of $3.6 million and $14.2 million, respectively. The Company also recorded a gain in the first and second quarters of 2015 of $2.1 million and $0.4 million, respectively, and a loss in the third and fourth quarters of 2015 of $2.9 million and $9.5 million, respectively. See Note 9 - Convertible Notes Derivative Liability.
During the second quarter of 2016 and the fourth quarter of 2015, the Company recorded impairment charges of $24.3 million and $2.1 million, respectively. See Note 5 - Goodwill, Trade Names, and Other Intangible Assets.
During the second quarter of 2016, the Company repaid its Second Lien Term Loan and recognized a loss on extinguishment of debt of $1.6 million. See Note 8 - Debt.
On August 31, 2015, the Company completed the sale of its education seminars business, CCE. Since the disposal did not represent a strategic shift that will have a major effect on the Company's operations and financial results, it was not reflected as discontinued operations. The transaction resulted in a pre-tax loss of $2.2 million, and an after-tax gain on the sale of CCE of $1.3 million. See Note 4 - Disposals and Discontinued Operations.
On October 30, 2015, the Company acquired all of the membership interests of Mediscan. The acquisition has been accounted for in accordance with FASB ASC 805, Business Combinations, using the acquisition method. The results of the acquisition's operations have been included in the consolidated statements of operations from its date of acquisition. See Note 3 - Acquisitions.
In 2016, the Company recorded acquisition-related contingent consideration expense primarily related to the Mediscan acquisition, recording $0.3 million in the first quarter, $0.2 million in the second and third quarters, and $0.1 million in the fourth quarter. There were no similar costs recorded in 2015. See Note 3 - Acquisitions and Note 10 - Fair Value Measurements.
In the third and fourth quarters of 2016, the Company recorded restructuring costs of $0.6 million and $0.2 million, respectively, primarily related to the centralization of corporate functions. In the second, third, and fourth quarters of 2015, the Company recorded restructuring costs of $1.0 million, $0.2 million, and $0.1 million, respectively.