2016 Q4 Form 10-K Financial Statement
#000162828018002423 Filed on February 28, 2018
Income Statement
Concept | 2016 Q4 | 2016 Q3 | 2016 Q2 |
---|---|---|---|
Revenue | $366.3M | $361.6M | $360.7M |
YoY Change | 8.24% | 10.75% | 14.8% |
Cost Of Revenue | $212.6M | $212.1M | $206.5M |
YoY Change | 10.44% | 13.56% | 17.53% |
Gross Profit | $153.7M | $149.5M | $154.2M |
YoY Change | 5.35% | 7.02% | 11.34% |
Gross Profit Margin | 41.96% | 41.34% | 42.75% |
Selling, General & Admin | $130.7M | $129.9M | $130.9M |
YoY Change | 4.56% | 11.79% | 10.65% |
% of Gross Profit | 85.04% | 86.89% | 84.89% |
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $5.000M | $5.300M | $4.900M |
YoY Change | 19.05% | 15.22% | 4.26% |
% of Gross Profit | 3.25% | 3.55% | 3.18% |
Operating Expenses | $135.7M | $135.1M | $135.9M |
YoY Change | 5.03% | 11.84% | 10.58% |
Operating Profit | $18.00M | $14.36M | $18.30M |
YoY Change | 7.78% | -14.1% | 17.86% |
Interest Expense | $400.0K | $2.100M | -$900.0K |
YoY Change | 100.0% | -57.46% | -137.25% |
% of Operating Profit | 2.22% | 14.62% | -4.92% |
Other Income/Expense, Net | $600.0K | $3.835M | $700.0K |
YoY Change | -89.66% | -328.96% | -75.96% |
Pretax Income | $14.60M | $18.19M | $18.09M |
YoY Change | -35.4% | 20.97% | -1.92% |
Income Tax | $5.600M | $6.693M | $7.242M |
% Of Pretax Income | 38.36% | 36.79% | 40.04% |
Net Earnings | $8.900M | $11.40M | $10.70M |
YoY Change | -31.01% | 35.71% | 0.94% |
Net Earnings / Revenue | 2.43% | 3.15% | 2.97% |
Basic Earnings Per Share | $0.27 | $0.34 | $0.32 |
Diluted Earnings Per Share | $0.26 | $0.34 | $0.32 |
COMMON SHARES | |||
Basic Shares Outstanding | 33.31M shares | 33.20M shares | |
Diluted Shares Outstanding | 33.82M shares | 33.71M shares |
Balance Sheet
Concept | 2016 Q4 | 2016 Q3 | 2016 Q2 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $30.20M | $8.900M | $10.00M |
YoY Change | 9.82% | -84.41% | -69.88% |
Cash & Equivalents | $30.20M | $8.915M | $9.968M |
Short-Term Investments | |||
Other Short-Term Assets | $11.30M | $22.00M | $17.30M |
YoY Change | -50.22% | 290.0% | -29.96% |
Inventory | |||
Prepaid Expenses | $7.397M | ||
Receivables | $166.1M | $162.5M | $152.2M |
Other Receivables | $1.300M | $0.00 | $0.00 |
Total Short-Term Assets | $214.9M | $193.4M | $179.5M |
YoY Change | 22.6% | -10.65% | 6.59% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $37.00M | $43.00M | $44.60M |
YoY Change | -13.34% | 3.65% | -33.43% |
Goodwill | $288.9M | ||
YoY Change | 10.39% | ||
Intangibles | $46.70M | ||
YoY Change | 6.14% | ||
Long-Term Investments | $27.80M | ||
YoY Change | |||
Other Assets | $38.50M | $153.5M | $158.9M |
YoY Change | -75.63% | -6.57% | -7.24% |
Total Long-Term Assets | $519.1M | $528.3M | $531.6M |
YoY Change | 2.51% | 17.41% | 11.45% |
TOTAL ASSETS | |||
Total Short-Term Assets | $214.9M | $193.4M | $179.5M |
Total Long-Term Assets | $519.1M | $528.3M | $531.6M |
Total Assets | $734.0M | $721.7M | $711.1M |
YoY Change | 7.68% | 8.3% | 10.18% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $30.36M | $33.10M | $35.10M |
YoY Change | 18.21% | 36.63% | 60.27% |
Accrued Expenses | $63.29M | $143.9M | $149.7M |
YoY Change | -12.05% | 107.98% | 7.85% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $5.200M | $5.200M | $5.000M |
YoY Change | 4.0% | 36.84% | -58.33% |
Total Short-Term Liabilities | $181.3M | $182.2M | $189.8M |
YoY Change | 3.51% | 6.42% | 7.83% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $87.81M | $88.90M | $89.50M |
YoY Change | -4.14% | -7.68% | 7.19% |
Other Long-Term Liabilities | $3.700M | $4.300M | $4.000M |
YoY Change | -17.78% | -13.97% | -31.03% |
Total Long-Term Liabilities | $91.51M | $88.90M | $89.50M |
YoY Change | -0.1% | -12.24% | 7.19% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $181.3M | $182.2M | $189.8M |
Total Long-Term Liabilities | $91.51M | $88.90M | $89.50M |
Total Liabilities | $272.9M | $276.3M | $279.3M |
YoY Change | -0.64% | 1.41% | 4.96% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | -$30.55M | ||
YoY Change | -54.95% | ||
Common Stock | $537.5M | ||
YoY Change | 6.58% | ||
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | $46.77M | ||
YoY Change | 73.46% | ||
Treasury Stock Shares | 1.656M shares | ||
Shareholders Equity | $460.2M | $445.4M | $426.9M |
YoY Change | |||
Total Liabilities & Shareholders Equity | $734.0M | $721.7M | $711.1M |
YoY Change | 7.67% | 8.29% | 10.18% |
Cashflow Statement
Concept | 2016 Q4 | 2016 Q3 | 2016 Q2 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | $8.900M | $11.40M | $10.70M |
YoY Change | -31.01% | 35.71% | 0.94% |
Depreciation, Depletion And Amortization | $5.000M | $5.300M | $4.900M |
YoY Change | 19.05% | 15.22% | 4.26% |
Cash From Operating Activities | $28.60M | $6.800M | $14.70M |
YoY Change | 42.29% | -77.85% | -65.41% |
INVESTING ACTIVITIES | |||
Capital Expenditures | -$2.200M | -$3.600M | -$3.200M |
YoY Change | -35.29% | 176.92% | -78.08% |
Acquisitions | |||
YoY Change | |||
Other Investing Activities | -$4.400M | -$4.100M | -$300.0K |
YoY Change | -90.02% | -38.81% | -106.25% |
Cash From Investing Activities | -$6.600M | -$7.600M | -$3.600M |
YoY Change | -86.11% | -6.17% | -62.89% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | |||
YoY Change | |||
Debt Paid & Issued, Net | |||
YoY Change | |||
Cash From Financing Activities | -600.0K | -200.0K | -8.900M |
YoY Change | -70.0% | -118.18% | 229.63% |
NET CHANGE | |||
Cash From Operating Activities | 28.60M | 6.800M | 14.70M |
Cash From Investing Activities | -6.600M | -7.600M | -3.600M |
Cash From Financing Activities | -600.0K | -200.0K | -8.900M |
Net Change In Cash | 21.40M | -1.000M | 2.200M |
YoY Change | -172.79% | -104.22% | -92.69% |
FREE CASH FLOW | |||
Cash From Operating Activities | $28.60M | $6.800M | $14.70M |
Capital Expenditures | -$2.200M | -$3.600M | -$3.200M |
Free Cash Flow | $30.80M | $10.40M | $17.90M |
YoY Change | 31.06% | -67.5% | -68.65% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
CY2016Q4 | amed |
Asset Impairment Charges Net Of Income Taxes
AssetImpairmentChargesNetOfIncomeTaxes
|
2700000 | USD |
CY2016Q1 | amed |
Business Acquisition Transaction Costs Net Of Income Taxes
BusinessAcquisitionTransactionCostsNetOfIncomeTaxes
|
1000000 | USD |
CY2016Q2 | amed |
Business Acquisition Transaction Costs Net Of Income Taxes
BusinessAcquisitionTransactionCostsNetOfIncomeTaxes
|
200000 | USD |
CY2016Q3 | amed |
Business Acquisition Transaction Costs Net Of Income Taxes
BusinessAcquisitionTransactionCostsNetOfIncomeTaxes
|
300000 | USD |
CY2016Q4 | amed |
Business Acquisition Transaction Costs Net Of Income Taxes
BusinessAcquisitionTransactionCostsNetOfIncomeTaxes
|
500000 | USD |
CY2017Q1 | amed |
Business Acquisition Transaction Costs Net Of Income Taxes
BusinessAcquisitionTransactionCostsNetOfIncomeTaxes
|
400000 | USD |
CY2017Q2 | amed |
Business Acquisition Transaction Costs Net Of Income Taxes
BusinessAcquisitionTransactionCostsNetOfIncomeTaxes
|
200000 | USD |
CY2016 | amed |
Business Acquisitions Pro Forma Operating Income Loss
BusinessAcquisitionsProFormaOperatingIncomeLoss
|
59700000 | USD |
CY2017 | amed |
Business Acquisitions Pro Forma Operating Income Loss
BusinessAcquisitionsProFormaOperatingIncomeLoss
|
78700000 | USD |
CY2015 | amed |
Cash Distribution To Noncontrolling Interest
CashDistributionToNoncontrollingInterest
|
436000 | USD |
CY2016 | amed |
Cash Distribution To Noncontrolling Interest
CashDistributionToNoncontrollingInterest
|
329000 | USD |
CY2017 | amed |
Cash Distribution To Noncontrolling Interest
CashDistributionToNoncontrollingInterest
|
216000 | USD |
CY2016Q4 | amed |
Charity Care
CharityCare
|
1400000 | USD |
CY2017Q4 | amed |
Charity Care
CharityCare
|
1500000 | USD |
CY2017Q4 | amed |
Common Stock Shares Authorized For Issuance To Employee Stock Purchase Plan
CommonStockSharesAuthorizedForIssuanceToEmployeeStockPurchasePlan
|
1410511 | shares |
CY2014Q2 | amed |
Corporate Integrity Agreement Term
CorporateIntegrityAgreementTerm
|
P5Y | |
CY2016Q4 | amed |
Deferred Compensation Plan Liability
DeferredCompensationPlanLiability
|
1800000 | USD |
CY2017Q4 | amed |
Deferred Compensation Plan Liability
DeferredCompensationPlanLiability
|
1900000 | USD |
CY2015 | amed |
Deferred Debt Issuance Costs Written Off
DeferredDebtIssuanceCostsWrittenOff
|
2512000 | USD |
CY2016 | amed |
Deferred Debt Issuance Costs Written Off
DeferredDebtIssuanceCostsWrittenOff
|
0 | USD |
CY2017 | amed |
Deferred Debt Issuance Costs Written Off
DeferredDebtIssuanceCostsWrittenOff
|
0 | USD |
CY2016Q4 | amed |
Deferred Tax Assets Goodwill And Intangible Assets1
DeferredTaxAssetsGoodwillAndIntangibleAssets1
|
56300000 | USD |
CY2017Q4 | amed |
Deferred Tax Assets Goodwill And Intangible Assets1
DeferredTaxAssetsGoodwillAndIntangibleAssets1
|
26000000 | USD |
CY2016Q4 | amed |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Workers Compensation
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsWorkersCompensation
|
10900000 | USD |
CY2017Q4 | amed |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Workers Compensation
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsWorkersCompensation
|
7900000 | USD |
CY2016 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
0 | USD |
CY2017 | amed |
Defined Contribution Plan Employer Matching Contribution
DefinedContributionPlanEmployerMatchingContribution
|
0.44 | USD |
CY2015 | amed |
Depreciation And Amortization For Continuing Operations
DepreciationAndAmortizationForContinuingOperations
|
20036000 | USD |
CY2015 | amed |
Depreciation And Amortization For Continuing Operations
DepreciationAndAmortizationForContinuingOperations
|
20000000 | USD |
CY2017 | amed |
Depreciation And Amortization For Continuing Operations
DepreciationAndAmortizationForContinuingOperations
|
17123000 | USD |
CY2015 | amed |
Effective Income Tax Rate Reconciliation Excess Tax Benefit Sharebased Compensation Percent
EffectiveIncomeTaxRateReconciliationExcessTaxBenefitSharebasedCompensationPercent
|
0.000 | |
CY2015 | amed |
Defind Contribution Plan Maximum Annual Match Per Employee Salary Percentage
DefindContributionPlanMaximumAnnualMatchPerEmployeeSalaryPercentage
|
0.06 | |
CY2016 | amed |
Defind Contribution Plan Maximum Annual Match Per Employee Salary Percentage
DefindContributionPlanMaximumAnnualMatchPerEmployeeSalaryPercentage
|
0.06 | |
CY2017 | amed |
Defind Contribution Plan Maximum Annual Match Per Employee Salary Percentage
DefindContributionPlanMaximumAnnualMatchPerEmployeeSalaryPercentage
|
0.06 | |
CY2015 | amed |
Defined Contribution Plan Employee Contribution For Employee Matching Program
DefinedContributionPlanEmployeeContributionForEmployeeMatchingProgram
|
1.00 | USD |
CY2016 | amed |
Defined Contribution Plan Employee Contribution For Employee Matching Program
DefinedContributionPlanEmployeeContributionForEmployeeMatchingProgram
|
1.00 | USD |
CY2017 | amed |
Defined Contribution Plan Employee Contribution For Employee Matching Program
DefinedContributionPlanEmployeeContributionForEmployeeMatchingProgram
|
1.00 | USD |
CY2015 | amed |
Defined Contribution Plan Employer Matching Contribution
DefinedContributionPlanEmployerMatchingContribution
|
0.375 | USD |
CY2016 | amed |
Defined Contribution Plan Employer Matching Contribution
DefinedContributionPlanEmployerMatchingContribution
|
0.375 | USD |
CY2016 | amed |
Depreciation And Amortization For Continuing Operations
DepreciationAndAmortizationForContinuingOperations
|
19678000 | USD |
CY2016 | amed |
Depreciation And Amortization For Continuing Operations
DepreciationAndAmortizationForContinuingOperations
|
19700000 | USD |
CY2017 | amed |
Depreciation And Amortization For Continuing Operations
DepreciationAndAmortizationForContinuingOperations
|
17100000 | USD |
CY2016 | amed |
Effective Income Tax Rate Reconciliation Excess Tax Benefit Sharebased Compensation Percent
EffectiveIncomeTaxRateReconciliationExcessTaxBenefitSharebasedCompensationPercent
|
0.000 | |
CY2017 | amed |
Effective Income Tax Rate Reconciliation Excess Tax Benefit Sharebased Compensation Percent
EffectiveIncomeTaxRateReconciliationExcessTaxBenefitSharebasedCompensationPercent
|
0.035 | |
CY2017 | amed |
Effective Income Tax Rate Reconciliation Sharebased Compensation Excess Tax Benefit Amount
EffectiveIncomeTaxRateReconciliationSharebasedCompensationExcessTaxBenefitAmount
|
2900000 | USD |
CY2015 | amed |
Effective Income Tax Rate Reconciliation Tax Credit Adjustment Percent
EffectiveIncomeTaxRateReconciliationTaxCreditAdjustmentPercent
|
1.360 | |
CY2017 | amed |
Episode Of Care As Episodic Based Revenue Duration
EpisodeOfCareAsEpisodicBasedRevenueDuration
|
P60D | |
CY2017 | amed |
Episodes In Progress That Begin During Reporting Period
EpisodesInProgressThatBeginDuringReportingPeriod
|
60 | day |
CY2016 | amed |
Equity Impact Of Increase Decrease In Assets Of Equity Method Investment
EquityImpactOfIncreaseDecreaseInAssetsOfEquityMethodInvestment
|
405000 | USD |
CY2017 | amed |
Equity Impact Of Increase Decrease In Assets Of Equity Method Investment
EquityImpactOfIncreaseDecreaseInAssetsOfEquityMethodInvestment
|
-146000 | USD |
CY2016 | amed |
Estimated Insurance Excluding Long Term Portion
EstimatedInsuranceExcludingLongTermPortion
|
41300000 | USD |
CY2017 | amed |
Estimated Insurance Excluding Long Term Portion
EstimatedInsuranceExcludingLongTermPortion
|
46500000 | USD |
CY2016 | amed |
Estimated Insurance Long Term Portion
EstimatedInsuranceLongTermPortion
|
800000 | USD |
CY2017 | amed |
Estimated Insurance Long Term Portion
EstimatedInsuranceLongTermPortion
|
1200000 | USD |
CY2016 | amed |
Estimated Insurance Total
EstimatedInsuranceTotal
|
42100000 | USD |
CY2017 | amed |
Estimated Insurance Total
EstimatedInsuranceTotal
|
47700000 | USD |
CY2016Q4 | amed |
Estimated Medicare Cap Liability
EstimatedMedicareCapLiability
|
800000 | USD |
CY2017Q4 | amed |
Estimated Medicare Cap Liability
EstimatedMedicareCapLiability
|
900000 | USD |
CY2017 | amed |
First Threshold Of Therapy Services Required
FirstThresholdOfTherapyServicesRequired
|
6 | visit |
CY2017Q4 | amed |
Fixed Charge Coverage Ratio
FixedChargeCoverageRatio
|
4.4 | |
CY2016 | amed |
Health Insurance
HealthInsurance
|
10600000 | USD |
CY2017 | amed |
Health Insurance
HealthInsurance
|
14100000 | USD |
CY2016Q4 | amed |
Health Insurance Deposits
HealthInsuranceDeposits
|
500000 | USD |
CY2017Q4 | amed |
Health Insurance Deposits
HealthInsuranceDeposits
|
500000 | USD |
CY2017 | amed |
Health Insurance Retention Limit
HealthInsuranceRetentionLimit
|
900000 | USD |
CY2017 | amed |
Historical Collection Rate From Medicare
HistoricalCollectionRateFromMedicare
|
0.99 | |
CY2016Q4 | amed |
Hospice Cost Of Revenue
HospiceCostOfRevenue
|
7200000 | USD |
CY2017Q4 | amed |
Hospice Cost Of Revenue
HospiceCostOfRevenue
|
9100000 | USD |
CY2015 | amed |
Hospice Medicare Revenue Rate Accounted For Routine Care
HospiceMedicareRevenueRateAccountedForRoutineCare
|
0.99 | |
CY2016 | amed |
Hospice Medicare Revenue Rate Accounted For Routine Care
HospiceMedicareRevenueRateAccountedForRoutineCare
|
0.99 | |
CY2017 | amed |
Hospice Medicare Revenue Rate Accounted For Routine Care
HospiceMedicareRevenueRateAccountedForRoutineCare
|
0.99 | |
CY2015 | amed |
Income Tax Effects Allocated To Goodwill
IncomeTaxEffectsAllocatedToGoodwill
|
-100000 | USD |
CY2016 | amed |
Income Tax Effects Allocated To Goodwill
IncomeTaxEffectsAllocatedToGoodwill
|
0 | USD |
CY2016Q4 | amed |
Legal And Other Settlements
LegalAndOtherSettlements
|
5700000 | USD |
CY2016Q4 | amed |
Lease Liability
LeaseLiability
|
400000 | USD |
CY2017Q4 | amed |
Lease Liability
LeaseLiability
|
900000 | USD |
CY2017Q4 | amed |
Legal And Other Settlements
LegalAndOtherSettlements
|
6400000 | USD |
CY2016Q1 | amed |
Legal Fees Net Of Income Taxes
LegalFeesNetOfIncomeTaxes
|
900000 | USD |
CY2017 | amed |
Income Tax Effects Allocated To Goodwill
IncomeTaxEffectsAllocatedToGoodwill
|
0 | USD |
CY2015 | amed |
Income Tax Effects Allocated To Interest Expense
IncomeTaxEffectsAllocatedToInterestExpense
|
200000 | USD |
CY2016 | amed |
Income Tax Effects Allocated To Interest Expense
IncomeTaxEffectsAllocatedToInterestExpense
|
-100000 | USD |
CY2017 | amed |
Income Tax Effects Allocated To Interest Expense
IncomeTaxEffectsAllocatedToInterestExpense
|
0 | USD |
CY2015 | amed |
Increase Decrease In Assets Of Equity Method Investment
IncreaseDecreaseInAssetsOfEquityMethodInvestment
|
0 | USD |
CY2016 | amed |
Increase Decrease In Assets Of Equity Method Investment
IncreaseDecreaseInAssetsOfEquityMethodInvestment
|
405000 | USD |
CY2017 | amed |
Increase Decrease In Assets Of Equity Method Investment
IncreaseDecreaseInAssetsOfEquityMethodInvestment
|
0 | USD |
CY2014Q4 | amed |
Internally Developed Computer Software
InternallyDevelopedComputerSoftware
|
75800000 | USD |
CY2016Q2 | amed |
Legal Fees Net Of Income Taxes
LegalFeesNetOfIncomeTaxes
|
300000 | USD |
CY2016Q3 | amed |
Legal Fees Net Of Income Taxes
LegalFeesNetOfIncomeTaxes
|
200000 | USD |
CY2016Q4 | amed |
Legal Fees Net Of Income Taxes
LegalFeesNetOfIncomeTaxes
|
1800000 | USD |
CY2017Q1 | amed |
Legal Fees Net Of Income Taxes
LegalFeesNetOfIncomeTaxes
|
100000 | USD |
CY2017Q2 | amed |
Legal Fees Net Of Income Taxes
LegalFeesNetOfIncomeTaxes
|
18000000 | USD |
CY2017Q3 | amed |
Legal Fees Net Of Income Taxes
LegalFeesNetOfIncomeTaxes
|
100000 | USD |
CY2017Q4 | amed |
Legal Fees Net Of Income Taxes
LegalFeesNetOfIncomeTaxes
|
200000 | USD |
CY2017 | amed |
Low Utilization Payment Adjustment Number Of Visits
LowUtilizationPaymentAdjustmentNumberOfVisits
|
5 | visit |
CY2017 | amed |
Maximum Days To Submit Final Bill From Date Request For Anticipated Payment Was Paid
MaximumDaysToSubmitFinalBillFromDateRequestForAnticipatedPaymentWasPaid
|
60 | day |
CY2017 | amed |
Maximum Days To Submit Final Bill From Start Of Episode
MaximumDaysToSubmitFinalBillFromStartOfEpisode
|
120 | day |
CY2017Q4 | amed |
Maximum Percent Ownership For Cost Method Percent
MaximumPercentOwnershipForCostMethodPercent
|
0.2 | |
CY2017Q4 | amed |
Maximum Percent Ownership For Equity Method Percent
MaximumPercentOwnershipForEquityMethodPercent
|
0.5 | |
CY2017 | amed |
Minimum Days Accounts Receivable Outstanding Fully Reserved
MinimumDaysAccountsReceivableOutstandingFullyReserved
|
365 | day |
CY2017Q4 | amed |
Minimum Percent Ownership For Controlling Interest Percent
MinimumPercentOwnershipForControllingInterestPercent
|
0.5 | |
CY2017 | amed |
Net Service Revenue Episode Payment Rate Duration
NetServiceRevenueEpisodePaymentRateDuration
|
P60D | |
CY2015 | amed |
Non Vested Stock And Stock Units
NonVestedStockAndStockUnits
|
0 | shares |
CY2016 | amed |
Non Vested Stock And Stock Units
NonVestedStockAndStockUnits
|
381000 | shares |
CY2017 | amed |
Non Vested Stock And Stock Units
NonVestedStockAndStockUnits
|
319000 | shares |
CY2017 | amed |
Number Of Individual States Subject To Income Tax
NumberOfIndividualStatesSubjectToIncomeTax
|
50 | state |
CY2015 | amed |
Other Intangible Assets Additions
OtherIntangibleAssetsAdditions
|
11100000 | USD |
CY2016 | amed |
Other Intangible Assets Additions
OtherIntangibleAssetsAdditions
|
5200000 | USD |
CY2017 | amed |
Other Intangible Assets Additions
OtherIntangibleAssetsAdditions
|
3400000 | USD |
CY2015 | amed |
Other Intangibles Write Offs
OtherIntangiblesWriteOffs
|
300000 | USD |
CY2017 | amed |
Other Intangibles Write Offs
OtherIntangiblesWriteOffs
|
1300000 | USD |
CY2016Q4 | amed |
Other Miscellaneous Deposits
OtherMiscellaneousDeposits
|
900000 | USD |
CY2017Q4 | amed |
Other Miscellaneous Deposits
OtherMiscellaneousDeposits
|
900000 | USD |
CY2016Q4 | amed |
Patient Liability
PatientLiability
|
4300000 | USD |
CY2017Q4 | amed |
Patient Liability
PatientLiability
|
5300000 | USD |
CY2016Q4 | amed |
Payroll Tax Escrow
PayrollTaxEscrow
|
6700000 | USD |
CY2017Q4 | amed |
Payroll Tax Escrow
PayrollTaxEscrow
|
7200000 | USD |
CY2017 | amed |
Percentage Of Patient Receivables Outstanding
PercentageOfPatientReceivablesOutstanding
|
0.1 | |
CY2017 | amed |
Percentage Of Total Reimbursement Of Outlier Payment
PercentageOfTotalReimbursementOfOutlierPayment
|
0.1 | |
CY2017 | amed |
Percentageofownershipinsubsidiaries
Percentageofownershipinsubsidiaries
|
0.5 | |
CY2017 | amed |
Percentageoftotalcombinedvotingpowerofthecompanyandoursubsidiaries
Percentageoftotalcombinedvotingpowerofthecompanyandoursubsidiaries
|
0.1 | |
CY2016 | amed |
Portion Of Patient Accounts Receivable Derived From Medicare
PortionOfPatientAccountsReceivableDerivedFromMedicare
|
0.61 | |
CY2017 | amed |
Portion Of Patient Accounts Receivable Derived From Medicare
PortionOfPatientAccountsReceivableDerivedFromMedicare
|
0.59 | |
CY2016 | amed |
Professional Liability
ProfessionalLiability
|
4700000 | USD |
CY2017 | amed |
Professional Liability
ProfessionalLiability
|
4300000 | USD |
CY2017 | amed |
Professional Liability Insurance Retention Limit
ProfessionalLiabilityInsuranceRetentionLimit
|
300000 | USD |
CY2016Q4 | amed |
Provision For Liability On Regulatory Audit
ProvisionForLiabilityOnRegulatoryAudit
|
0 | USD |
CY2016 | amed |
Securities Class Action Lawsuitsettlement
SecuritiesClassActionLawsuitsettlement
|
0 | USD |
CY2017 | amed |
Securities Class Action Lawsuitsettlement
SecuritiesClassActionLawsuitsettlement
|
28700000 | USD |
CY2017 | amed |
Securities Class Action Lawsuitsettlement
SecuritiesClassActionLawsuitsettlement
|
28712000 | USD |
CY2017Q4 | amed |
Provision For Liability On Regulatory Audit
ProvisionForLiabilityOnRegulatoryAudit
|
17400000 | USD |
CY2017 | amed |
Rate Of Request For Anticipated Payment Submitted For Initial Episode Of Care
RateOfRequestForAnticipatedPaymentSubmittedForInitialEpisodeOfCare
|
0.60 | |
CY2017 | amed |
Rate Of Request For Anticipated Payment Submitted For Subsequent Episodes Of Care
RateOfRequestForAnticipatedPaymentSubmittedForSubsequentEpisodesOfCare
|
0.50 | |
CY2015 | amed |
Revenue Adjustment To Medicare Revenue
RevenueAdjustmentToMedicareRevenue
|
6100000 | USD |
CY2016 | amed |
Revenue Adjustment To Medicare Revenue
RevenueAdjustmentToMedicareRevenue
|
7900000 | USD |
CY2017 | amed |
Revenue Adjustment To Medicare Revenue
RevenueAdjustmentToMedicareRevenue
|
14400000 | USD |
CY2017 | amed |
Second Threshold Of Services Required
SecondThresholdOfServicesRequired
|
14 | visit |
CY2015 | amed |
Securities Class Action Lawsuitsettlement
SecuritiesClassActionLawsuitsettlement
|
0 | USD |
CY2016Q1 | amed |
Software Implementation Costs Net Of Income Taxes
SoftwareImplementationCostsNetOfIncomeTaxes
|
1500000 | USD |
CY2016Q2 | amed |
Software Implementation Costs Net Of Income Taxes
SoftwareImplementationCostsNetOfIncomeTaxes
|
1600000 | USD |
CY2016Q3 | amed |
Software Implementation Costs Net Of Income Taxes
SoftwareImplementationCostsNetOfIncomeTaxes
|
1200000 | USD |
CY2016Q4 | amed |
Software Implementation Costs Net Of Income Taxes
SoftwareImplementationCostsNetOfIncomeTaxes
|
800000 | USD |
CY2015 | amed |
Stock Issued During Period Value Four Zero One K Employer Match
StockIssuedDuringPeriodValueFourZeroOneKEmployerMatch
|
6032000 | USD |
CY2016 | amed |
Stock Issued During Period Value Four Zero One K Employer Match
StockIssuedDuringPeriodValueFourZeroOneKEmployerMatch
|
6682000 | USD |
CY2017 | amed |
Stock Issued During Period Value Four Zero One K Employer Match
StockIssuedDuringPeriodValueFourZeroOneKEmployerMatch
|
8223000 | USD |
CY2015 | amed |
Surrendered Shares
SurrenderedShares
|
2525000 | USD |
CY2016 | amed |
Surrendered Shares
SurrenderedShares
|
7493000 | USD |
CY2017 | amed |
Surrendered Shares
SurrenderedShares
|
6939000 | USD |
CY2017Q4 | amed |
Tax Cuts And Jobs Act Of2017 Transition Tax Expense Benefit Net
TaxCutsAndJobsActOf2017TransitionTaxExpenseBenefitNet
|
21400000 | USD |
CY2017Q4 | amed |
Tax Cutsand Jobs Actof2017 Changein Tax Rate Income Tax Expense Benefit
TaxCutsandJobsActof2017ChangeinTaxRateIncomeTaxExpenseBenefit
|
-21400000 | USD |
CY2017 | amed |
Third Threshold Of Therapy Services Required
ThirdThresholdOfTherapyServicesRequired
|
20 | visit |
CY2017Q4 | amed |
Total Leverage Ratio
TotalLeverageRatio
|
0.9 | |
CY2017 | amed |
Unamortized Debt Issuance Cost Amortizatin Period
UnamortizedDebtIssuanceCostAmortizatinPeriod
|
P2Y8M12D | |
CY2016Q4 | amed |
Uncertain Tax Benefits In Long Term Obligations
UncertainTaxBenefitsInLongTermObligations
|
300000 | USD |
CY2017Q4 | amed |
Uncertain Tax Benefits In Long Term Obligations
UncertainTaxBenefitsInLongTermObligations
|
0 | USD |
CY2016 | amed |
Unrecognized Tax Benefits Decreases Resulting From Change In Statutory Tax Rate
UnrecognizedTaxBenefitsDecreasesResultingFromChangeInStatutoryTaxRate
|
0 | USD |
CY2017 | amed |
Unrecognized Tax Benefits Decreases Resulting From Change In Statutory Tax Rate
UnrecognizedTaxBenefitsDecreasesResultingFromChangeInStatutoryTaxRate
|
1100000 | USD |
CY2016 | amed |
Wokers Compensation
WokersCompensation
|
26800000 | USD |
CY2017 | amed |
Wokers Compensation
WokersCompensation
|
29300000 | USD |
CY2016Q4 | amed |
Workers Compensation Deposits
WorkersCompensationDeposits
|
400000 | USD |
CY2017Q4 | amed |
Workers Compensation Deposits
WorkersCompensationDeposits
|
400000 | USD |
CY2017 | amed |
Workers Compensation Insurance Retention Limit
WorkersCompensationInsuranceRetentionLimit
|
500000 | USD |
CY2015 | amed |
Write Off Of Investment
WriteOffOfInvestment
|
0 | USD |
CY2016 | amed |
Write Off Of Investment
WriteOffOfInvestment
|
196000 | USD |
CY2017 | amed |
Write Off Of Investment
WriteOffOfInvestment
|
0 | USD |
CY2017 | dei |
Amendment Flag
AmendmentFlag
|
false | |
CY2017 | dei |
Current Fiscal Year End Date
CurrentFiscalYearEndDate
|
--12-31 | |
CY2017 | dei |
Document Fiscal Period Focus
DocumentFiscalPeriodFocus
|
FY | |
CY2017 | dei |
Document Fiscal Year Focus
DocumentFiscalYearFocus
|
2017 | |
CY2017 | dei |
Document Period End Date
DocumentPeriodEndDate
|
2017-12-31 | |
CY2017 | dei |
Document Type
DocumentType
|
10-K | |
CY2017 | dei |
Entity Central Index Key
EntityCentralIndexKey
|
0000896262 | |
CY2018Q1 | dei |
Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
|
33984771 | shares |
CY2017 | dei |
Entity Voluntary Filers
EntityVoluntaryFilers
|
No | |
CY2017 | dei |
Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
|
Yes | |
CY2017 | dei |
Trading Symbol
TradingSymbol
|
AMED | |
CY2017 | dei |
Entity Current Reporting Status
EntityCurrentReportingStatus
|
Yes | |
CY2017 | dei |
Entity Filer Category
EntityFilerCategory
|
Large Accelerated Filer | |
CY2017Q2 | dei |
Entity Public Float
EntityPublicFloat
|
1500000000 | USD |
CY2017 | dei |
Entity Registrant Name
EntityRegistrantName
|
AMEDISYS INC | |
CY2016Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
30358000 | USD |
CY2017Q4 | us-gaap |
Accrued Liabilities Current
AccruedLiabilitiesCurrent
|
89104000 | USD |
CY2016Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
138650000 | USD |
CY2017 | us-gaap |
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
|
P1Y3M18D | |
CY2017Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
25384000 | USD |
CY2016Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
166056000 | USD |
CY2017Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
201196000 | USD |
CY2016Q4 | us-gaap |
Accrued Insurance Current
AccruedInsuranceCurrent
|
10600000 | USD |
CY2017Q4 | us-gaap |
Accrued Insurance Current
AccruedInsuranceCurrent
|
14100000 | USD |
CY2016Q4 | us-gaap |
Accrued Liabilities Current
AccruedLiabilitiesCurrent
|
63300000 | USD |
CY2016Q4 | us-gaap |
Accrued Liabilities Current
AccruedLiabilitiesCurrent
|
63290000 | USD |
CY2017Q4 | us-gaap |
Accrued Liabilities Current
AccruedLiabilitiesCurrent
|
89100000 | USD |
CY2016Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
138600000 | USD |
CY2017Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
146814000 | USD |
CY2017Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
146800000 | USD |
CY2016Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
15000 | USD |
CY2017Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
15000 | USD |
CY2016Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
537472000 | USD |
CY2017Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
568780000 | USD |
CY2015 | us-gaap |
Adjustments To Additional Paid In Capital Income Tax Deficiency From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalIncomeTaxDeficiencyFromShareBasedCompensation
|
4000 | USD |
CY2015 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
11824000 | USD |
CY2016 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
16401000 | USD |
CY2017 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
16295000 | USD |
CY2015 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
2073000 | USD |
CY2016 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
7241000 | USD |
CY2017 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
448000 | USD |
CY2015 | us-gaap |
Advertising Expense
AdvertisingExpense
|
6900000 | USD |
CY2016 | us-gaap |
Advertising Expense
AdvertisingExpense
|
7800000 | USD |
CY2017 | us-gaap |
Advertising Expense
AdvertisingExpense
|
6500000 | USD |
CY2016Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
17716000 | USD |
CY2017Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
20866000 | USD |
CY2015 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
800000 | USD |
CY2016 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
700000 | USD |
CY2017 | us-gaap |
Amortization Of Financing Costs
AmortizationOfFinancingCosts
|
700000 | USD |
CY2015 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
959000 | USD |
CY2016 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
740000 | USD |
CY2017 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
735000 | USD |
CY2016 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
2500000 | USD |
CY2017 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
2700000 | USD |
CY2015 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
922000 | shares |
CY2016 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
221000 | shares |
CY2017 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
271000 | shares |
CY2015Q1 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
75200000 | USD |
CY2015Q3 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
2100000 | USD |
CY2015 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
77268000 | USD |
CY2015 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
77300000 | USD |
CY2016Q4 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
4400000 | USD |
CY2016 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
4400000 | USD |
CY2016 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
4432000 | USD |
CY2017 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
1323000 | USD |
CY2017 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
1300000 | USD |
CY2016Q4 | us-gaap |
Assets
Assets
|
734029000 | USD |
CY2017Q4 | us-gaap |
Assets
Assets
|
813482000 | USD |
CY2016Q4 | us-gaap |
Assets Current
AssetsCurrent
|
214910000 | USD |
CY2017Q4 | us-gaap |
Assets Current
AssetsCurrent
|
311156000 | USD |
CY2016 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
1.16 | |
CY2017 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
0.90 | |
CY2016 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
1.15 | |
CY2017 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
0.89 | |
CY2016 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
39000000 | USD |
CY2017 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
30800000 | USD |
CY2016 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
1501500000 | USD |
CY2017 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
1557600000 | USD |
CY2014Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
8032000 | USD |
CY2015Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
27502000 | USD |
CY2016Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
30197000 | USD |
CY2017Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
86363000 | USD |
CY2015 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
19470000 | USD |
CY2016 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
2695000 | USD |
CY2017 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
56166000 | USD |
CY2016Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
USD | |
CY2017Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
USD | |
CY2016Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.001 | |
CY2017Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.001 | |
CY2016Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
60000000 | shares |
CY2017Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
60000000 | shares |
CY2016Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
35253577 | shares |
CY2017Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
35747134 | shares |
CY2016Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
33597215 | shares |
CY2017Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
33964767 | shares |
CY2016Q4 | us-gaap |
Common Stock Value Outstanding
CommonStockValueOutstanding
|
35000 | USD |
CY2017Q4 | us-gaap |
Common Stock Value Outstanding
CommonStockValueOutstanding
|
35000 | USD |
CY2015 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
-3021000 | USD |
CY2016 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
37261000 | USD |
CY2017 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
30301000 | USD |
CY2015 | us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
|
709000 | USD |
CY2016 | us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
|
370000 | USD |
CY2017 | us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
|
382000 | USD |
CY2015 | us-gaap |
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest
|
-2312000 | USD |
CY2016 | us-gaap |
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest
|
37631000 | USD |
CY2017 | us-gaap |
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest
|
30683000 | USD |
CY2015 | us-gaap |
Concentration Risk Percentage1
ConcentrationRiskPercentage1
|
0.80 | |
CY2016 | us-gaap |
Concentration Risk Percentage1
ConcentrationRiskPercentage1
|
0.78 | |
CY2017 | us-gaap |
Concentration Risk Percentage1
ConcentrationRiskPercentage1
|
0.75 | |
CY2015 | us-gaap |
Cost Of Services
CostOfServices
|
725915000 | USD |
CY2015 | us-gaap |
Cost Of Services
CostOfServices
|
725900000 | USD |
CY2016 | us-gaap |
Cost Of Services
CostOfServices
|
833055000 | USD |
CY2016 | us-gaap |
Cost Of Services
CostOfServices
|
833100000 | USD |
CY2017 | us-gaap |
Cost Of Services
CostOfServices
|
900726000 | USD |
CY2017 | us-gaap |
Cost Of Services
CostOfServices
|
900700000 | USD |
CY2015 | us-gaap |
Costs And Expenses
CostsAndExpenses
|
1289707000 | USD |
CY2015 | us-gaap |
Costs And Expenses
CostsAndExpenses
|
1289700000 | USD |
CY2016 | us-gaap |
Costs And Expenses
CostsAndExpenses
|
1380114000 | USD |
CY2016 | us-gaap |
Costs And Expenses
CostsAndExpenses
|
1380100000 | USD |
CY2017 | us-gaap |
Costs And Expenses
CostsAndExpenses
|
1455200000 | USD |
CY2017 | us-gaap |
Costs And Expenses
CostsAndExpenses
|
1455156000 | USD |
CY2015 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
2200000 | USD |
CY2016 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
-500000 | USD |
CY2017 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
-2000000 | USD |
CY2015 | us-gaap |
Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
|
2700000 | USD |
CY2016 | us-gaap |
Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
|
-600000 | USD |
CY2017 | us-gaap |
Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
|
-2100000 | USD |
CY2015 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
500000 | USD |
CY2016 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
-100000 | USD |
CY2017 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
-100000 | USD |
CY2016Q4 | us-gaap |
Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
|
95700000 | USD |
CY2017Q4 | us-gaap |
Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
|
90700000 | USD |
CY2015Q4 | us-gaap |
Debt Issuance Costs Line Of Credit Arrangements Gross
DebtIssuanceCostsLineOfCreditArrangementsGross
|
2400000 | USD |
CY2015 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
-500000 | USD |
CY2016 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
22100000 | USD |
CY2017 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
51200000 | USD |
CY2016Q4 | us-gaap |
Deferred Finance Costs Net
DeferredFinanceCostsNet
|
2700000 | USD |
CY2017Q4 | us-gaap |
Deferred Finance Costs Net
DeferredFinanceCostsNet
|
1900000 | USD |
CY2015 | us-gaap |
Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
|
-100000 | USD |
CY2016 | us-gaap |
Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
|
0 | USD |
CY2017 | us-gaap |
Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
|
0 | USD |
CY2016Q4 | us-gaap |
Deferred Income Tax Assets Net
DeferredIncomeTaxAssetsNet
|
107900000 | USD |
CY2016Q4 | us-gaap |
Deferred Income Tax Assets Net
DeferredIncomeTaxAssetsNet
|
107940000 | USD |
CY2017Q4 | us-gaap |
Deferred Income Tax Assets Net
DeferredIncomeTaxAssetsNet
|
56100000 | USD |
CY2017Q4 | us-gaap |
Deferred Income Tax Assets Net
DeferredIncomeTaxAssetsNet
|
56064000 | USD |
CY2015 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-677000 | USD |
CY2015 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-700000 | USD |
CY2016 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
24547000 | USD |
CY2016 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
24500000 | USD |
CY2017 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
52178000 | USD |
CY2017 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
52200000 | USD |
CY2015 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
-100000 | USD |
CY2016 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
2400000 | USD |
CY2017 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
1000000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
143400000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
81400000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
107900000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
56100000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
143000000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
80700000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
1100000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
2400000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Other Loss Carryforwards
DeferredTaxAssetsOtherLossCarryforwards
|
44200000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Other Loss Carryforwards
DeferredTaxAssetsOtherLossCarryforwards
|
20100000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Tax Credit Carryforwards
DeferredTaxAssetsTaxCreditCarryforwards
|
4800000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Tax Credit Carryforwards
DeferredTaxAssetsTaxCreditCarryforwards
|
4600000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Other
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsOther
|
11400000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Other
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsOther
|
9000000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
7800000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
6100000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
6900000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
5300000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
400000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
700000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
35100000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
24600000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Investment In Noncontrolled Affiliates
DeferredTaxLiabilitiesInvestmentInNoncontrolledAffiliates
|
3200000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Investment In Noncontrolled Affiliates
DeferredTaxLiabilitiesInvestmentInNoncontrolledAffiliates
|
2100000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
900000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
500000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
7800000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
4000000 | USD |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Tax Deferred Income
DeferredTaxLiabilitiesTaxDeferredIncome
|
23200000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Tax Deferred Income
DeferredTaxLiabilitiesTaxDeferredIncome
|
18000000 | USD |
CY2015 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
6100000 | USD |
CY2016 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
6900000 | USD |
CY2017 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
8800000 | USD |
CY2015 | us-gaap |
Depreciation
Depreciation
|
20000000 | USD |
CY2016 | us-gaap |
Depreciation
Depreciation
|
17200000 | USD |
CY2017 | us-gaap |
Depreciation
Depreciation
|
14400000 | USD |
CY2015 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
20036000 | USD |
CY2016 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
19678000 | USD |
CY2017 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
17123000 | USD |
CY2016Q4 | us-gaap |
Due From Joint Ventures Current
DueFromJointVenturesCurrent
|
1700000 | USD |
CY2017Q4 | us-gaap |
Due From Joint Ventures Current
DueFromJointVenturesCurrent
|
2000000 | USD |
CY2015 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-0.09 | |
CY2016Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.19 | |
CY2016Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.32 | |
CY2016Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.34 | |
CY2016Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.27 | |
CY2016 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.12 | |
CY2017Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.45 | |
CY2017Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.13 | |
CY2017Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-0.11 | |
CY2017Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.43 | |
CY2017 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.90 | |
CY2015 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.09 | |
CY2016Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.19 | |
CY2016Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.32 | |
CY2016Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.34 | |
CY2016Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.26 | |
CY2016 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.10 | |
CY2017Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.44 | |
CY2017Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.13 | |
CY2017Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.42 | |
CY2017Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.11 | |
CY2017 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.88 | |
CY2015 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
-6.506 | |
CY2016 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.389 | |
CY2017 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.620 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.35 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.35 | |
CY2017 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.35 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.791 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.001 | |
CY2017 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.002 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
|
0.000 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
|
0.000 | |
CY2017 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
|
0.265 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-2.303 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.010 | |
CY2017 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.003 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
-6.633 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.006 | |
CY2017 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.011 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
-0.071 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.048 | |
CY2017 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.038 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Tax Credits
EffectiveIncomeTaxRateReconciliationTaxCredits
|
0.006 | |
CY2017 | us-gaap |
Effective Income Tax Rate Reconciliation Tax Credits
EffectiveIncomeTaxRateReconciliationTaxCredits
|
0.008 | |
CY2016Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
82480000 | USD |
CY2017Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
89936000 | USD |
CY2015 | us-gaap |
Employee Service Share Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
|
4700000 | USD |
CY2016 | us-gaap |
Employee Service Share Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
|
6400000 | USD |
CY2017 | us-gaap |
Employee Service Share Based Compensation Tax Benefit From Compensation Expense
EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
|
6400000 | USD |
CY2015 | us-gaap |
Employee Stock Ownership Plan Esop Compensation Expense
EmployeeStockOwnershipPlanESOPCompensationExpense
|
400000 | USD |
CY2016 | us-gaap |
Employee Stock Ownership Plan Esop Compensation Expense
EmployeeStockOwnershipPlanESOPCompensationExpense
|
400000 | USD |
CY2017 | us-gaap |
Employee Stock Ownership Plan Esop Compensation Expense
EmployeeStockOwnershipPlanESOPCompensationExpense
|
400000 | USD |
CY2016Q4 | us-gaap |
Equity Method Investment Aggregate Cost
EquityMethodInvestmentAggregateCost
|
27800000 | USD |
CY2017Q4 | us-gaap |
Equity Method Investment Aggregate Cost
EquityMethodInvestmentAggregateCost
|
26400000 | USD |
CY2015 | us-gaap |
Equity Method Investment Dividends Or Distributions
EquityMethodInvestmentDividendsOrDistributions
|
5610000 | USD |
CY2016 | us-gaap |
Equity Method Investment Dividends Or Distributions
EquityMethodInvestmentDividendsOrDistributions
|
4323000 | USD |
CY2017 | us-gaap |
Equity Method Investment Dividends Or Distributions
EquityMethodInvestmentDividendsOrDistributions
|
5321000 | USD |
CY2015 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
2073000 | USD |
CY2016 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
7241000 | USD |
CY2017 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1533700000 | USD |
CY2017Q4 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
404200000 | USD |
CY2017 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1533680000 | USD |
CY2017 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
0 | USD |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
27864000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
30610000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
2400000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
0 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
0 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
100000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
300000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
2800000 | USD |
CY2015 | us-gaap |
Gain Loss On Sale Of Property Plant Equipment
GainLossOnSaleOfPropertyPlantEquipment
|
-775000 | USD |
CY2016 | us-gaap |
Gain Loss On Sale Of Property Plant Equipment
GainLossOnSaleOfPropertyPlantEquipment
|
-582000 | USD |
CY2017 | us-gaap |
Gain Loss On Sale Of Property Plant Equipment
GainLossOnSaleOfPropertyPlantEquipment
|
0 | USD |
CY2015 | us-gaap |
Gains Losses On Sales Of Assets
GainsLossesOnSalesOfAssets
|
184000 | USD |
CY2016 | us-gaap |
Gains Losses On Sales Of Assets
GainsLossesOnSalesOfAssets
|
0 | USD |
CY2017 | us-gaap |
Gains Losses On Sales Of Assets
GainsLossesOnSalesOfAssets
|
0 | USD |
CY2015 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
452400000 | USD |
CY2016 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
503400000 | USD |
CY2017 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
482300000 | USD |
CY2014Q4 | us-gaap |
Goodwill
Goodwill
|
205600000 | USD |
CY2015Q4 | us-gaap |
Goodwill
Goodwill
|
261700000 | USD |
CY2016Q4 | us-gaap |
Goodwill
Goodwill
|
288957000 | USD |
CY2017Q4 | us-gaap |
Goodwill
Goodwill
|
319900000 | USD |
CY2017Q4 | us-gaap |
Goodwill
Goodwill
|
319949000 | USD |
CY2015 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
56100000 | USD |
CY2016 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
27100000 | USD |
CY2017 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
31000000 | USD |
CY2016 | us-gaap |
Goodwill Purchase Accounting Adjustments
GoodwillPurchaseAccountingAdjustments
|
100000 | USD |
CY2015 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1280500000 | USD |
CY2015 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1280541000 | USD |
CY2016Q1 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
348800000 | USD |
CY2016Q2 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
360700000 | USD |
CY2016Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
361600000 | USD |
CY2016Q4 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
366300000 | USD |
CY2016 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1437454000 | USD |
CY2017Q1 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
370500000 | USD |
CY2017Q2 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
378800000 | USD |
CY2017Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
380200000 | USD |
CY2017 | us-gaap |
Impairment Of Intangible Assets Excluding Goodwill
ImpairmentOfIntangibleAssetsExcludingGoodwill
|
1300000 | USD |
CY2015 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
-308000 | USD |
CY2016 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
61566000 | USD |
CY2017 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
80801000 | USD |
CY2015 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
9823000 | USD |
CY2016 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
5588000 | USD |
CY2017 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
3381000 | USD |
CY2015 | us-gaap |
Income Tax Effects Allocated Directly To Equity Other
IncomeTaxEffectsAllocatedDirectlyToEquityOther
|
-2100000 | USD |
CY2017 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
-2843000 | USD |
CY2015 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
36493000 | USD |
CY2016 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
55519000 | USD |
CY2017 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
59731000 | USD |
CY2015 | us-gaap |
Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
|
8406000 | USD |
CY2016 | us-gaap |
Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
|
-7618000 | USD |
CY2017 | us-gaap |
Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
|
31843000 | USD |
CY2015 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
-829000 | USD |
CY2016 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
-726000 | USD |
CY2017Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
46061000 | USD |
CY2015 | us-gaap |
Interest Expense
InterestExpense
|
10783000 | USD |
CY2016 | us-gaap |
Interest Expense
InterestExpense
|
5164000 | USD |
CY2017 | us-gaap |
Interest Expense
InterestExpense
|
5031000 | USD |
CY2016 | us-gaap |
Income Tax Effects Allocated Directly To Equity Other
IncomeTaxEffectsAllocatedDirectlyToEquityOther
|
-7200000 | USD |
CY2017 | us-gaap |
Income Tax Effects Allocated Directly To Equity Other
IncomeTaxEffectsAllocatedDirectlyToEquityOther
|
-300000 | USD |
CY2015 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
2004000 | USD |
CY2015 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
2000000 | USD |
CY2016 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
23935000 | USD |
CY2016 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
23900000 | USD |
CY2017 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
50118000 | USD |
CY2017 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
50100000 | USD |
CY2015 | us-gaap |
Income Tax Expense Benefit Intraperiod Tax Allocation
IncomeTaxExpenseBenefitIntraperiodTaxAllocation
|
0 | USD |
CY2016 | us-gaap |
Income Tax Expense Benefit Intraperiod Tax Allocation
IncomeTaxExpenseBenefitIntraperiodTaxAllocation
|
16600000 | USD |
CY2017 | us-gaap |
Income Tax Expense Benefit Intraperiod Tax Allocation
IncomeTaxExpenseBenefitIntraperiodTaxAllocation
|
49800000 | USD |
CY2015 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
-12185000 | USD |
CY2016 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
755000 | USD |
CY2017 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
315000 | USD |
CY2016Q4 | us-gaap |
Income Taxes Receivable
IncomeTaxesReceivable
|
1300000 | USD |
CY2017Q4 | us-gaap |
Income Taxes Receivable
IncomeTaxesReceivable
|
3400000 | USD |
CY2015 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
7639000 | USD |
CY2016 | us-gaap |
Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
|
3970000 | USD |
CY2017 | us-gaap |
Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
|
61000 | USD |
CY2015 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
3523000 | USD |
CY2016 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
11415000 | USD |
CY2017 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
12749000 | USD |
CY2015 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-6455000 | USD |
CY2016 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-4231000 | USD |
CY2017 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
4940000 | USD |
CY2015 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
0 | shares |
CY2016 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
162000 | shares |
CY2017 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
281000 | shares |
CY2014Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
33200000 | USD |
CY2015Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
44000000 | USD |
CY2016Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
46755000 | USD |
CY2015 | us-gaap |
Interest Paid
InterestPaid
|
6175000 | USD |
CY2016 | us-gaap |
Interest Paid
InterestPaid
|
2897000 | USD |
CY2017 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-5538000 | USD |
CY2017 | us-gaap |
Interest Paid
InterestPaid
|
2697000 | USD |
CY2015 | us-gaap |
Investment Income Interest And Dividend
InvestmentIncomeInterestAndDividend
|
71000 | USD |
CY2016 | us-gaap |
Investment Income Interest And Dividend
InvestmentIncomeInterestAndDividend
|
75000 | USD |
CY2017 | us-gaap |
Investment Income Interest And Dividend
InvestmentIncomeInterestAndDividend
|
158000 | USD |
CY2016Q4 | us-gaap |
Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
|
27800000 | USD |
CY2017Q4 | us-gaap |
Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
|
26400000 | USD |
CY2015 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
279425000 | USD |
CY2016 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
306981000 | USD |
CY2017 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
305938000 | USD |
CY2015 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
23700000 | USD |
CY2016 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
27500000 | USD |
CY2017 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
28600000 | USD |
CY2016Q4 | us-gaap |
Liabilities
Liabilities
|
272887000 | USD |
CY2017Q4 | us-gaap |
Liabilities
Liabilities
|
297056000 | USD |
CY2016Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
734029000 | USD |
CY2017Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
813482000 | USD |
CY2016Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
181348000 | USD |
CY2017Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
215062000 | USD |
CY2015Q3 | us-gaap |
Line Of Credit Facility Maximum Borrowing Capacity
LineOfCreditFacilityMaximumBorrowingCapacity
|
300000000 | USD |
CY2016Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
93000000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
88800000 | USD |
CY2016Q4 | us-gaap |
Long Term Debt Current
LongTermDebtCurrent
|
5220000 | USD |
CY2016Q4 | us-gaap |
Long Term Debt Current
LongTermDebtCurrent
|
5200000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Current
LongTermDebtCurrent
|
10638000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Current
LongTermDebtCurrent
|
10600000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
|
10600000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
|
0 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
|
0 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
|
70000000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
|
10100000 | USD |
CY2016Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
87800000 | USD |
CY2016Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
87809000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
78203000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
78200000 | USD |
CY2016Q4 | us-gaap |
Loss Contingency Receivable Noncurrent
LossContingencyReceivableNoncurrent
|
4900000 | USD |
CY2017Q4 | us-gaap |
Loss Contingency Receivable Noncurrent
LossContingencyReceivableNoncurrent
|
17000000 | USD |
CY2016Q4 | us-gaap |
Minority Interest
MinorityInterest
|
939000 | USD |
CY2017Q4 | us-gaap |
Minority Interest
MinorityInterest
|
1105000 | USD |
CY2015 | us-gaap |
Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
436000 | USD |
CY2016 | us-gaap |
Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
329000 | USD |
CY2017 | us-gaap |
Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
216000 | USD |
CY2016Q3 | us-gaap |
Minority Interest Ownership Percentage By Noncontrolling Owners
MinorityInterestOwnershipPercentageByNoncontrollingOwners
|
0.30 | |
CY2015 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-20894000 | USD |
CY2016 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-7515000 | USD |
CY2015 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-67421000 | USD |
CY2016 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-52049000 | USD |
CY2017 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-44027000 | USD |
CY2015 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
107785000 | USD |
CY2016 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
62259000 | USD |
CY2017 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
105731000 | USD |
CY2015 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-3021000 | USD |
CY2016Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
6200000 | USD |
CY2016Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
10700000 | USD |
CY2016Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
11400000 | USD |
CY2016Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
8900000 | USD |
CY2016 | us-gaap |
Net Income Loss
NetIncomeLoss
|
37300000 | USD |
CY2016 | us-gaap |
Net Income Loss
NetIncomeLoss
|
37261000 | USD |
CY2017Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
15100000 | USD |
CY2017Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
4500000 | USD |
CY2017Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
14600000 | USD |
CY2017Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-3800000 | USD |
CY2017 | us-gaap |
Net Income Loss
NetIncomeLoss
|
30301000 | USD |
CY2017 | us-gaap |
Net Income Loss
NetIncomeLoss
|
30300000 | USD |
CY2015 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
709000 | USD |
CY2016 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
370000 | USD |
CY2017 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
382000 | USD |
CY2015 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
8858000 | USD |
CY2016 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
4226000 | USD |
CY2017 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
2277000 | USD |
CY2017 | us-gaap |
Number Of Reportable Segments
NumberOfReportableSegments
|
3 | segment |
CY2017Q4 | us-gaap |
Number Of States In Which Entity Operates
NumberOfStatesInWhichEntityOperates
|
34 | state |
CY2015 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
-9166000 | USD |
CY2015 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
-9200000 | USD |
CY2016 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
57340000 | USD |
CY2016 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
57300000 | USD |
CY2017 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
78500000 | USD |
CY2017 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
78524000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
|
80800000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
|
23600000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
|
5000000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
|
8900000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
|
13600000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
|
18100000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
|
11600000 | USD |
CY2016Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
6100000 | USD |
CY2017Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
4200000 | USD |
CY2016Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
11260000 | USD |
CY2016Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
11300000 | USD |
CY2017Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
16300000 | USD |
CY2017Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
16268000 | USD |
CY2016Q4 | us-gaap |
Other Assets Miscellaneous Current
OtherAssetsMiscellaneousCurrent
|
1600000 | USD |
CY2017Q4 | us-gaap |
Other Assets Miscellaneous Current
OtherAssetsMiscellaneousCurrent
|
3700000 | USD |
CY2016Q4 | us-gaap |
Other Assets Miscellaneous Noncurrent
OtherAssetsMiscellaneousNoncurrent
|
4000000 | USD |
CY2017Q4 | us-gaap |
Other Assets Miscellaneous Noncurrent
OtherAssetsMiscellaneousNoncurrent
|
3900000 | USD |
CY2016Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
38468000 | USD |
CY2016Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2017Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2016 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
12315000 | USD |
CY2017 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
0 | USD |
CY2015 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
2553000 | USD |
CY2016 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
0 | USD |
CY2017 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
0 | USD |
CY2015 | us-gaap |
Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
|
0 | USD |
CY2016Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
38500000 | USD |
CY2017Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
49100000 | USD |
CY2017Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
49130000 | USD |
CY2015 | us-gaap |
Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
|
0 | USD |
CY2016 | us-gaap |
Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
|
0 | USD |
CY2017 | us-gaap |
Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
|
0 | USD |
CY2015 | us-gaap |
Other General And Administrative Expense
OtherGeneralAndAdministrativeExpense
|
161186000 | USD |
CY2016 | us-gaap |
Other General And Administrative Expense
OtherGeneralAndAdministrativeExpense
|
180048000 | USD |
CY2017 | us-gaap |
Other General And Administrative Expense
OtherGeneralAndAdministrativeExpense
|
159980000 | USD |
CY2016Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
3730000 | USD |
CY2016Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
3700000 | USD |
CY2017Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
3800000 | USD |
CY2017Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
3791000 | USD |
CY2015 | us-gaap |
Other Nonoperating Income Expense
OtherNonoperatingIncomeExpense
|
9747000 | USD |
CY2016 | us-gaap |
Other Nonoperating Income Expense
OtherNonoperatingIncomeExpense
|
3727000 | USD |
CY2017 | us-gaap |
Other Nonoperating Income Expense
OtherNonoperatingIncomeExpense
|
3769000 | USD |
CY2016Q4 | us-gaap |
Other Sundry Liabilities Noncurrent
OtherSundryLiabilitiesNoncurrent
|
1600000 | USD |
CY2017Q4 | us-gaap |
Other Sundry Liabilities Noncurrent
OtherSundryLiabilitiesNoncurrent
|
1900000 | USD |
CY2015 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
4581000 | USD |
CY2016 | us-gaap |
Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
|
0 | USD |
CY2017 | us-gaap |
Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
|
6939000 | USD |
CY2015 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
69130000 | USD |
CY2016 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
35522000 | USD |
CY2017 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
33715000 | USD |
CY2015 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
3485000 | USD |
CY2016 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
1040000 | USD |
CY2017 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
476000 | USD |
CY2015 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
21429000 | USD |
CY2016 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
15717000 | USD |
CY2017 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
10707000 | USD |
CY2015 | us-gaap |
Payments To Acquire Restricted Investments
PaymentsToAcquireRestrictedInvestments
|
19000 | USD |
CY2016 | us-gaap |
Payments To Acquire Restricted Investments
PaymentsToAcquireRestrictedInvestments
|
0 | USD |
CY2017 | us-gaap |
Payments To Acquire Restricted Investments
PaymentsToAcquireRestrictedInvestments
|
0 | USD |
CY2015 | us-gaap |
Pension Expense
PensionExpense
|
6089000 | USD |
CY2016 | us-gaap |
Pension Expense
PensionExpense
|
6875000 | USD |
CY2017 | us-gaap |
Pension Expense
PensionExpense
|
8754000 | USD |
CY2016Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.001 | |
CY2017Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.001 | |
CY2016Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
5000000 | shares |
CY2017Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
5000000 | shares |
CY2016 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
5000000 | USD |
CY2016Q4 | us-gaap |
Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
|
0 | shares |
CY2017Q4 | us-gaap |
Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
|
0 | shares |
CY2016Q4 | us-gaap |
Preferred Stock Value Outstanding
PreferredStockValueOutstanding
|
0 | USD |
CY2017Q4 | us-gaap |
Preferred Stock Value Outstanding
PreferredStockValueOutstanding
|
0 | USD |
CY2016Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
7397000 | USD |
CY2017Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
7329000 | USD |
CY2015 | us-gaap |
Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
|
413000 | USD |
CY2016 | us-gaap |
Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
|
0 | USD |
CY2017 | us-gaap |
Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
|
0 | USD |
CY2015 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
100000000 | USD |
CY2016 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
0 | USD |
CY2017 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
0 | USD |
CY2015 | us-gaap |
Proceeds From Sale Of Other Investments
ProceedsFromSaleOfOtherInvestments
|
5000000 | USD |
CY2016 | us-gaap |
Proceeds From Sale Of Other Investments
ProceedsFromSaleOfOtherInvestments
|
0 | USD |
CY2017 | us-gaap |
Proceeds From Sale Of Other Investments
ProceedsFromSaleOfOtherInvestments
|
0 | USD |
CY2015 | us-gaap |
Proceeds From Sale Of Property Plant And Equipment
ProceedsFromSaleOfPropertyPlantAndEquipment
|
20000000 | USD |
CY2016 | us-gaap |
Proceeds From Sale Of Property Plant And Equipment
ProceedsFromSaleOfPropertyPlantAndEquipment
|
0 | USD |
CY2017 | us-gaap |
Proceeds From Sale Of Property Plant And Equipment
ProceedsFromSaleOfPropertyPlantAndEquipment
|
249000 | USD |
CY2015 | us-gaap |
Proceeds From Sale Of Restricted Investments
ProceedsFromSaleOfRestrictedInvestments
|
1229000 | USD |
CY2016 | us-gaap |
Proceeds From Sale Of Restricted Investments
ProceedsFromSaleOfRestrictedInvestments
|
230000 | USD |
CY2017 | us-gaap |
Proceeds From Sale Of Restricted Investments
ProceedsFromSaleOfRestrictedInvestments
|
622000 | USD |
CY2015 | us-gaap |
Proceeds From Short Term Debt
ProceedsFromShortTermDebt
|
63400000 | USD |
CY2016 | us-gaap |
Proceeds From Short Term Debt
ProceedsFromShortTermDebt
|
134500000 | USD |
CY2017 | us-gaap |
Proceeds From Short Term Debt
ProceedsFromShortTermDebt
|
0 | USD |
CY2015 | us-gaap |
Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
|
399000 | USD |
CY2016 | us-gaap |
Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
|
0 | USD |
CY2017 | us-gaap |
Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
|
4554000 | USD |
CY2015 | us-gaap |
Proceeds From Stock Plans
ProceedsFromStockPlans
|
2204000 | USD |
CY2016 | us-gaap |
Proceeds From Stock Plans
ProceedsFromStockPlans
|
2483000 | USD |
CY2017 | us-gaap |
Proceeds From Stock Plans
ProceedsFromStockPlans
|
2382000 | USD |
CY2015 | us-gaap |
Profit Loss
ProfitLoss
|
-2312000 | USD |
CY2016 | us-gaap |
Profit Loss
ProfitLoss
|
37631000 | USD |
CY2017 | us-gaap |
Profit Loss
ProfitLoss
|
30683000 | USD |
CY2016Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
175600000 | USD |
CY2017Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
177900000 | USD |
CY2016Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
36999000 | USD |
CY2016Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
37000000 | USD |
CY2017Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
31122000 | USD |
CY2017Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
31100000 | USD |
CY2015 | us-gaap |
Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
|
14053000 | USD |
CY2015 | us-gaap |
Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
|
14100000 | USD |
CY2016 | us-gaap |
Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
|
19519000 | USD |
CY2016 | us-gaap |
Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
|
19500000 | USD |
CY2017 | us-gaap |
Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
|
25059000 | USD |
CY2017 | us-gaap |
Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
|
25100000 | USD |
CY2015 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
103000000 | USD |
CY2017 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
5319000 | USD |
CY2015 | us-gaap |
Repayments Of Short Term Debt
RepaymentsOfShortTermDebt
|
78400000 | USD |
CY2016 | us-gaap |
Repayments Of Short Term Debt
RepaymentsOfShortTermDebt
|
134500000 | USD |
CY2017 | us-gaap |
Repayments Of Short Term Debt
RepaymentsOfShortTermDebt
|
0 | USD |
CY2016Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
-30545000 | USD |
CY2017Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
204000 | USD |
CY2015 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
11824000 | USD |
CY2016 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
16401000 | USD |
CY2017 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
16295000 | USD |
CY2017 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Discount From Market Price Purchase Date
ShareBasedCompensationArrangementByShareBasedPaymentAwardDiscountFromMarketPricePurchaseDate
|
0.85 | |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Authorized
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
|
5500000 | shares |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
|
1200000 | shares |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
|
381932 | shares |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
|
28.73 | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
200000 | USD |
CY2017 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
3900000 | USD |
CY2017 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod
|
262513 | shares |
CY2017 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice
|
39.18 | |
CY2017 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
|
308292 | shares |
CY2017 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
|
308292 | shares |
CY2017 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
43.13 | |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
|
18100000 | USD |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
1008157 | shares |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
909730 | shares |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
31.54 | |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
33.25 | |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
14.20 | |
CY2016Q1 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
41.09 | |
CY2016Q2 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
42.91 | |
CY2016Q3 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
40.32 | |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
36.24 | |
CY2017Q1 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
43.43 | |
CY2017Q2 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
53.39 | |
CY2017Q3 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
47.57 | |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Per Share Weighted Average Price Of Shares Purchased
ShareBasedCompensationArrangementByShareBasedPaymentAwardPerShareWeightedAveragePriceOfSharesPurchased
|
44.80 | |
CY2017 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
31.58 | |
CY2017 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
|
43.13 | |
CY2017Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
|
9200000 | USD |
CY2017 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
|
P7Y2M12D | |
CY2016Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedNumberOfShares
|
726699 | shares |
CY2017Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedNumberOfShares
|
527798 | shares |
CY2017 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Options Forfeited Number Of Shares
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedOptionsForfeitedNumberOfShares
|
246379 | shares |
CY2017 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Options Forfeited Weighted Average Grant Date Fair Value
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedOptionsForfeitedWeightedAverageGrantDateFairValue
|
39.48 | |
CY2016Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Grant Date Fair Value
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedWeightedAverageGrantDateFairValue
|
32.58 | |
CY2017Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Grant Date Fair Value
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedWeightedAverageGrantDateFairValue
|
36.52 | |
CY2016 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P8Y5M1D | |
CY2017 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P7Y7M13D | |
CY2016Q1 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
13850 | shares |
CY2016Q2 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
14236 | shares |
CY2016Q3 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
16520 | shares |
CY2016Q4 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
16882 | shares |
CY2017Q1 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
13244 | shares |
CY2017Q2 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
11446 | shares |
CY2014Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
397762000 | USD |
CY2017 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Number Of Shares
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedNumberOfShares
|
260814 | shares |
CY2017 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Weighted Average Grant Date Fair Value
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedWeightedAverageGrantDateFairValue
|
30.54 | |
us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
2977712 | shares | |
us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
3089489 | shares | |
CY2017Q3 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
12276 | shares |
CY2017Q4 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
13323 | shares |
CY2017 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
144206 | shares |
CY2015 | us-gaap |
Stock Issued During Period Value Employee Stock Purchase Plan
StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
|
2204000 | USD |
CY2016 | us-gaap |
Stock Issued During Period Value Employee Stock Purchase Plan
StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
|
2483000 | USD |
CY2017 | us-gaap |
Stock Issued During Period Value Employee Stock Purchase Plan
StockIssuedDuringPeriodValueEmployeeStockPurchasePlan
|
2382000 | USD |
CY2015 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures
|
0 | USD |
CY2016 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures
|
0 | USD |
CY2017 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures
|
0 | USD |
CY2015 | us-gaap |
Stock Issued During Period Value Stock Options Exercised
StockIssuedDuringPeriodValueStockOptionsExercised
|
399000 | USD |
CY2017 | us-gaap |
Stock Issued During Period Value Stock Options Exercised
StockIssuedDuringPeriodValueStockOptionsExercised
|
4554000 | USD |
CY2015Q3 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
75000000 | USD |
CY2015Q3 | us-gaap |
Stock Repurchase Program Expiration Date
StockRepurchaseProgramExpirationDate
|
2016-09-06 | |
CY2016Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
460203000 | USD |
CY2017Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
515321000 | USD |
CY2015Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
410436000 | USD |
CY2016Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
461142000 | USD |
CY2017Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
516426000 | USD |
CY2015 | us-gaap |
Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
|
39.20 | |
CY2016 | us-gaap |
Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
|
37.96 | |
CY2016Q4 | us-gaap |
Treasury Stock Shares
TreasuryStockShares
|
1656362 | shares |
CY2017Q4 | us-gaap |
Treasury Stock Shares
TreasuryStockShares
|
1782367 | shares |
CY2015 | us-gaap |
Treasury Stock Shares Acquired
TreasuryStockSharesAcquired
|
116859 | shares |
CY2016 | us-gaap |
Treasury Stock Shares Acquired
TreasuryStockSharesAcquired
|
324141 | shares |
CY2016Q4 | us-gaap |
Treasury Stock Value
TreasuryStockValue
|
46774000 | USD |
CY2017Q4 | us-gaap |
Treasury Stock Value
TreasuryStockValue
|
53713000 | USD |
CY2015 | us-gaap |
Treasury Stock Value Acquired Cost Method
TreasuryStockValueAcquiredCostMethod
|
4581000 | USD |
CY2015 | us-gaap |
Treasury Stock Value Acquired Cost Method
TreasuryStockValueAcquiredCostMethod
|
4600000 | USD |
CY2016 | us-gaap |
Treasury Stock Value Acquired Cost Method
TreasuryStockValueAcquiredCostMethod
|
12315000 | USD |
CY2016 | us-gaap |
Treasury Stock Value Acquired Cost Method
TreasuryStockValueAcquiredCostMethod
|
12300000 | USD |
CY2016Q4 | us-gaap |
Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
|
2700000 | USD |
CY2017Q4 | us-gaap |
Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
|
1900000 | USD |
CY2015Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
4700000 | USD |
CY2016Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
4100000 | USD |
CY2017Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
2700000 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
0 | USD |
CY2016 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
0 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
0 | USD |
CY2016Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
100000 | USD |
CY2017Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
100000 | USD |
CY2016 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Expense
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestExpense
|
100000 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Expense
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestExpense
|
100000 | USD |
CY2016 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
0 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
0 | USD |
CY2016 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
0 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
0 | USD |
CY2016 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
600000 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
300000 | USD |
CY2016 | us-gaap |
Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
|
100000 | USD |
CY2017 | us-gaap |
Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
|
300000 | USD |
CY2015 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
33018000 | shares |
CY2016 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
33741000 | shares |
CY2017 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
34304000 | shares |
CY2015 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
33018000 | shares |
CY2016 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
33198000 | shares |
CY2017 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
33704000 | shares |
CY2016Q4 | us-gaap |
Workers Compensation Liability Current
WorkersCompensationLiabilityCurrent
|
26800000 | USD |
CY2017Q4 | us-gaap |
Workers Compensation Liability Current
WorkersCompensationLiabilityCurrent
|
29300000 | USD |
CY2015Q3 | us-gaap |
Write Off Of Deferred Debt Issuance Cost
WriteOffOfDeferredDebtIssuanceCost
|
2500000 | USD |
CY2017 | us-gaap |
Comparability Of Prior Year Financial Data
ComparabilityOfPriorYearFinancialData
|
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-top:18px;text-align:justify;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;font-style:italic;font-weight:bold;">Reclassifications and Comparability</font></div><div style="line-height:120%;padding-top:6px;text-align:justify;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">Certain reclassifications have been made to prior periods’ financial statements in order to conform to the current period’s presentation. </font></div></div> | |
CY2017 | us-gaap |
Use Of Estimates
UseOfEstimates
|
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-top:18px;text-align:justify;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;font-style:italic;font-weight:bold;">Use of Estimates</font></div><div style="line-height:120%;padding-top:6px;text-align:justify;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;">Our accounting and reporting policies conform with U.S. Generally Accepted Accounting Principles (“U.S. GAAP”). In preparing the consolidated financial statements, we are required to make estimates and assumptions that impact the amounts reported in the consolidated financial statements and accompanying notes. Actual results could materially differ from those estimates.</font></div></div> |