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Quarterly Financial Data (Unaudited) (Tables)
 12 Months Ended
Dec. 31, 2019
Quarterly Financial Data [Abstract]  
Schedule of Quarterly Financial Information
The following table presents select unaudited financial data for each of the three-month periods ending March 31, 2019, June 30, 2019, September 30, 2019 and December 31, 2019, as well as the comparable 2018 periods (in thousands, except per share data):
 
Quarter Ended
 
March 31,
 
June 30,
 
September 30,
 
December 31,
2019 (1)
 
 
 
 
 
 
 
Total revenues
$
720,411

 
$
699,727

 
$
729,426

 
$
764,800

Gross profit
$
328,502

 
$
311,519

 
$
340,261

 
$
364,744

Loss from continuing operations
$
(12,612
)
 
$
(98,052
)
 
$
(41,431
)
 
$
(208,489
)
Discontinued operations, net of tax
$
(5,961
)
 
$
(7,953
)
 
$
(37,984
)
 
$
(10,154
)
Net loss
$
(18,573
)
 
$
(106,005
)
 
$
(79,415
)
 
$
(218,643
)
Net loss per share—Basic:
 
 
 
 
 
 
 
Continuing operations
$
(0.06
)
 
$
(0.43
)
 
$
(0.18
)
 
$
(0.92
)
Discontinued operations
(0.02
)
 
(0.04
)
 
(0.17
)
 
(0.04
)
Basic
$
(0.08
)
 
$
(0.47
)
 
$
(0.35
)
 
$
(0.96
)
Net loss per share—Diluted:
 
 
 
 
 
 
 
Continuing operations
$
(0.06
)
 
$
(0.43
)
 
$
(0.18
)
 
$
(0.92
)
Discontinued operations
(0.02
)
 
(0.04
)
 
(0.17
)
 
(0.04
)
Diluted
$
(0.08
)
 
$
(0.47
)
 
$
(0.35
)
 
$
(0.96
)
Weighted average shares—Basic
224,594

 
226,221

 
226,598

 
226,787

Weighted average shares—Diluted
224,594

 
226,221

 
226,598

 
226,787

2018 (2)
 
 
 
 
 
 
 
Total revenues
$
700,527

 
$
714,696

 
$
745,466

 
$
786,389

Gross profit
$
296,929

 
$
332,791

 
$
332,501

 
$
353,175

Loss from continuing operations
$
(497,738
)
 
$
(52,479
)
 
$
(146,071
)
 
$
(265,479
)
Discontinued operations, net of tax
$
(7,751
)
 
$
(8,388
)
 
$
(27,134
)
 
$
(26,429
)
Net loss
$
(505,489
)
 
$
(60,867
)
 
$
(173,205
)
 
$
(291,908
)
Net loss per share—Basic:
 
 
 
 
 
 
 
Continuing operations
$
(2.23
)
 
$
(0.23
)
 
$
(0.65
)
 
$
(1.18
)
Discontinued operations
(0.03
)
 
(0.04
)
 
(0.12
)
 
(0.12
)
Basic
$
(2.26
)
 
$
(0.27
)
 
$
(0.77
)
 
$
(1.30
)
Net loss per share—Diluted:
 
 
 
 
 
 
 
Continuing operations
$
(2.23
)
 
$
(0.23
)
 
$
(0.65
)
 
$
(1.18
)
Discontinued operations
(0.03
)
 
(0.04
)
 
(0.12
)
 
(0.12
)
Diluted
$
(2.26
)
 
$
(0.27
)
 
$
(0.77
)
 
$
(1.30
)
Weighted average shares—Basic
223,521

 
223,834

 
224,132

 
224,353

Weighted average shares—Diluted
223,521

 
223,834

 
224,132

 
224,353

__________
(1)
Loss from continuing operations for the year ended December 31, 2019 was impacted by (i) acquisition-related and integration items, net of $(37.5) million, $(5.5) million, $16.0 million and $(19.1) million during the first, second, third and fourth quarters, respectively, which related primarily to changes in the fair value of contingent consideration, (ii) asset impairment charges of $165.4 million, $88.4 million, $4.8 million and $267.4 million during the first, second, third and fourth quarters, respectively, (iii) certain retention and separation benefits and other cost reduction initiatives incurred in connection with continued efforts to enhance the Company’s operations of $2.0 million, $2.1 million, $11.0 million and $19.4 million during the first, second, third and fourth quarters, respectively, (iv) amounts related to litigation-related and other contingent matters totaling $10.3 million, $(14.4) million and $15.3 million during the second, third and fourth quarters, respectively, and (v) amounts related to sales of businesses and other assets of $1.3 million, $(2.5) million, $(1.9) million and $(3.3) million during the first, second, third and fourth quarters, respectively.
(2)
Loss from continuing operations for the year ended December 31, 2018 was impacted by (i) acquisition-related and integration items, net of $6.8 million, $5.2 million, $1.3 million and $8.6 million during the first, second, third and fourth quarters, respectively, which related primarily to changes in the fair value of contingent consideration, (ii) asset impairment charges of $448.4 million, $22.8 million, $142.2 million and $303.5 million during the first, second, third and fourth quarters, respectively, (iii) certain retention and separation benefits and other cost reduction initiatives incurred in connection with continued efforts to enhance the Company’s operations of $49.0 million, $29.2 million, $4.0 million and $4.2 million during the first, second, third and fourth quarters, respectively, (iv) amounts related to litigation-related and other contingent matters totaling $(2.5) million, $19.6 million, $(1.8) million and $(1.6) million during the first, second, third and fourth quarters, respectively, and (v) amounts related to sales of businesses and other assets of $(2.4) million, $(24.6) million, $(2.9) million and $(15.3) million during the first, second, third and fourth quarters, respectively.