Revenue Growth - Revenues before reimbursable expenses increased 11.9million,or3.3370.0 million in Q3 2024 from 358.2millioninQ32023[1]−Revenuesbeforereimbursableexpensesincreased74.8 million, or 7.3%, to 1.10billionforthefirstninemonthsof2024from1.02 billion for the same prior year period[3] - Total revenues for Q3 2024 increased to 378.089million,upfrom367.466 million in Q3 2023[24] - Revenues before reimbursable expenses for Q3 2024 were 370.049million,upfrom358.178 million in Q3 2023[24] - Total revenues for the nine months ended September 30, 2024, grew by 7.0% to 1.12billioncomparedto1.05 billion in 2023[27] - Revenues before reimbursable expenses for the nine months ended September 30, 2024 were 1.10billion,a7.31.02 billion in the same period of 2023[40] Net Income and Profitability - Net income increased 5.6million,or26.227.1 million in Q3 2024, compared to 21.5millioninQ32023[2]−Netincomeincreased23.0 million, or 38.5%, to 82.6millionforthefirstninemonthsof2024,comparedto59.6 million for the same prior year period[3] - Net income for Q3 2024 rose to 27.149million,comparedto21.516 million in Q3 2023[24] - Net income for the nine months ended September 30, 2024, increased to 82.6millionfrom59.6 million in 2023, representing a 38.6% increase[26] - Net income for Q3 2024 was 27.1million,up26.221.5 million in Q3 2023[40] - Net income as a percentage of total revenues for the nine months ended September 30, 2024 was 7.4%, up from 5.7% in the same period of 2023[40] Adjusted EBITDA and Margins - Adjusted EBITDA increased 6.9million,or14.354.9 million in Q3 2024 from 48.0millioninQ32023[2]−AdjustedEBITDAincreased18.4 million, or 14.6%, to 144.4millionforthefirstninemonthsof2024from126.0 million for the same prior year period[4] - Adjusted EBITDA for Q3 2024 was 54.9million,a14.348.0 million in Q3 2023[40] - Adjusted EBITDA margin for Q3 2024 was 14.8% of revenues before reimbursable expenses, up from 13.4% in Q3 2023[40] Earnings Per Share - Diluted earnings per share increased 0.37,or33.61.47 in Q3 2024, compared to 1.10inQ32023[2]−EarningsperdilutedshareforQ32024were1.47, up from 1.10inQ32023[24]−DilutedearningspershareforQ32024was1.47, compared to 1.10inQ32023,a33.61.68, up 20.9% from 1.39inQ32023[41]SegmentPerformance−Healthcaresegmentrevenuesbeforereimbursableexpensesincreasedby10.4554.0 million for the nine months ended September 30, 2024, compared to 502.0millionin2023[27]−Educationsegmentrevenuesbeforereimbursableexpensesroseby9.1355.4 million for the nine months ended September 30, 2024, from 325.9millionin2023[27]−Commercialsegmentrevenuesbeforereimbursableexpensesdecreasedby3.4188.3 million for the nine months ended September 30, 2024, compared to 195.0millionin2023[27]−ConsultingandManagedServicesrevenuesbeforereimbursableexpensesgrewby7.7634.4 million for the nine months ended September 30, 2024, compared to 589.1millionin2023[28]−Digitalrevenuesbeforereimbursableexpensesincreasedby6.8463.2 million for the nine months ended September 30, 2024, from 433.7millionin2023[28]OperatingandFinancialMetrics−OperatingincomeforQ32024was42.445 million, compared to 37.342millioninQ32023[24]−OperatingincomefortheninemonthsendedSeptember30,2024,roseby27.5121.8 million compared to 95.5millionin2023[29]−IncomebeforetaxesfortheninemonthsendedSeptember30,2024,increasedby30.6107.2 million from 82.1millionin2023[29]−ComprehensiveincomeforQ32024was22.89 million, compared to 19.136millioninQ32023[24]BalanceSheetandCashFlow−TotalassetsasofSeptember30,2024,were1.32878 billion, up from 1.262142billionasofDecember31,2023[25]−Long−termdebtincreasedto428.204 million as of September 30, 2024, from 324millionasofDecember31,2023[25]−Cashandcashequivalentsincreasedto18.497 million as of September 30, 2024, from 12.149millionasofDecember31,2023[25]−Goodwillincreasedto647.541 million as of September 30, 2024, from 625.711millionasofDecember31,2023[25]WorkforceandProfessionalGrowth−Thenumberofrevenue−generatingprofessionalsincreased10.41.47 billion to 1.49billionwhilemaintainingitspreviousmidpointofguidance[6]−Thecompanyincreaseditsadjusteddilutedearningspershareexpectationstoarangeof6.00 to 6.20[6]LitigationandLegalCosts−Thecompanyrecordeda15.0 million pre-tax litigation settlement gain in Q2 2024, with 11.7millionexcludedfromnon−GAAPmeasures[43]−Third−partylegalcostsforthelitigationmatterwere3.3 million in 2024, with 2.7millionincurredinQ1and0.6 million in Q2[43]