CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($) $ in Thousands		3 Months Ended
		Mar. 31, 2020	Mar. 31, 2019
Net revenue:
Net revenue		$ 1,794,307	$ 1,739,489
Costs and expenses:
Cost of care		951,642	941,961
Cost of goods sold		486,142	489,793
Direct service costs and other operating expenses (1)(2)	[1],[2]	287,731	271,924
Depreciation and amortization		28,684	30,708
Interest expense		9,029	9,107
Interest and other income		(3,759)	(4,974)
Total costs and expenses		1,759,469	1,738,519
Income before income taxes		34,838	970
Provision for income taxes		16,588	539
Net income		$ 18,250	$ 431
Net income per common share:
Basic (in dollars per share)		$ 0.74	$ 0.02
Diluted (in dollars per share)		$ 0.73	$ 0.02
Unrealized gains (losses) on available-for-sale securities (3)	[3]	$ (201)	$ 320
Comprehensive income		18,049	751
Managed care and other
Net revenue:
Net revenue		1,272,936	1,223,979
PBM
Net revenue:
Net revenue		$ 521,371	$ 515,510

[1] Includes changes in fair value of contingent consideration of $144 for the three months ended March 31, 2019.

[2] Includes stock compensation expense of $9,607 and $6,057, for the three months ended March 31, 2019 and 2020, respectively

[3] Net of income tax provision (benefit) of $100 and $(67) for the three months ended March 31, 2019 and 2020, respectively