2021 Q4 Form 10-K Financial Statement
#000095017022001387 Filed on February 17, 2022
Income Statement
Concept | 2021 Q4 | 2021 | 2020 Q4 |
---|---|---|---|
Revenue | $498.5M | $1.911B | $416.6M |
YoY Change | 19.67% | 10.22% | -9.16% |
Cost Of Revenue | |||
YoY Change | |||
Gross Profit | |||
YoY Change | |||
Gross Profit Margin | |||
Selling, General & Admin | $391.7M | $1.561B | $339.4M |
YoY Change | 15.4% | 8.17% | -5.54% |
% of Gross Profit | |||
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $7.859M | $32.15M | $7.700M |
YoY Change | 2.06% | 13.03% | -122.92% |
% of Gross Profit | |||
Operating Expenses | $427.5M | $1.708B | $371.3M |
YoY Change | 15.13% | 4.43% | -4.7% |
Operating Profit | $202.9M | ||
YoY Change | 106.78% | ||
Interest Expense | -$14.49M | $68.72M | -$21.90M |
YoY Change | -33.84% | -37.8% | -16.41% |
% of Operating Profit | 33.87% | ||
Other Income/Expense, Net | -$67.69M | ||
YoY Change | -25.6% | ||
Pretax Income | $53.52M | $135.2M | $10.40M |
YoY Change | 414.57% | 1791.83% | -25.18% |
Income Tax | $13.24M | $27.24M | $5.900M |
% Of Pretax Income | 24.74% | 20.14% | 56.73% |
Net Earnings | $47.52M | $131.0M | -$64.30M |
YoY Change | -173.9% | -116.44% | -791.4% |
Net Earnings / Revenue | 9.53% | 6.85% | -15.43% |
Basic Earnings Per Share | $1.54 | ||
Diluted Earnings Per Share | $558.6K | $1.53 | -$767.3K |
COMMON SHARES | |||
Basic Shares Outstanding | 86.45M | 84.83M | 85.60M |
Diluted Shares Outstanding | 85.83M |
Balance Sheet
Concept | 2021 Q4 | 2021 | 2020 Q4 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $487.1M | $487.1M | $1.229B |
YoY Change | -60.36% | -60.36% | 556.01% |
Cash & Equivalents | $387.4M | $387.4M | $1.124B |
Short-Term Investments | $99.72M | $99.72M | $104.9M |
Other Short-Term Assets | $18.90M | $37.43M | $61.81M |
YoY Change | -69.43% | -52.43% | 36.44% |
Inventory | |||
Prepaid Expenses | $18.54M | $16.90M | |
Receivables | $301.8M | $301.8M | $241.9M |
Other Receivables | $14.25M | $14.25M | $0.00 |
Total Short-Term Assets | $840.6M | $840.6M | $1.549B |
YoY Change | -45.75% | -45.75% | 111.8% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $70.15M | $135.6M | $76.19M |
YoY Change | -7.92% | 2.58% | -57.03% |
Goodwill | $1.505B | $1.480B | |
YoY Change | 1.72% | ||
Intangibles | |||
YoY Change | |||
Long-Term Investments | |||
YoY Change | |||
Other Assets | $131.0M | $219.4M | $107.4M |
YoY Change | 22.05% | 35.58% | -57.47% |
Total Long-Term Assets | $1.882B | $1.882B | $1.799B |
YoY Change | 4.64% | 4.64% | -47.32% |
TOTAL ASSETS | |||
Total Short-Term Assets | $840.6M | $840.6M | $1.549B |
Total Long-Term Assets | $1.882B | $1.882B | $1.799B |
Total Assets | $2.723B | $2.723B | $3.348B |
YoY Change | -18.68% | -18.68% | -19.25% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $36.65M | $36.65M | $59.77M |
YoY Change | -38.69% | -38.72% | 50.94% |
Accrued Expenses | $377.2M | $377.2M | $382.3M |
YoY Change | -1.35% | -1.35% | -22.86% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $2.490M | $2.490M | $2.200M |
YoY Change | 13.18% | 13.18% | 2100.0% |
Total Short-Term Liabilities | $427.4M | $427.4M | $444.3M |
YoY Change | -3.82% | -3.81% | -17.99% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $1.002B | $1.002B | $1.743B |
YoY Change | -42.48% | -42.48% | 0.71% |
Other Long-Term Liabilities | $42.33M | $354.8M | $45.32M |
YoY Change | -6.59% | 0.92% | -85.69% |
Total Long-Term Liabilities | $42.33M | $1.357B | $45.32M |
YoY Change | -6.59% | -35.2% | -97.79% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $427.4M | $427.4M | $444.3M |
Total Long-Term Liabilities | $42.33M | $1.357B | $45.32M |
Total Liabilities | $1.826B | $1.826B | $2.600B |
YoY Change | -29.78% | -29.78% | -1.76% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | -$155.4M | -$286.4M | |
YoY Change | -45.73% | ||
Common Stock | $1.051B | $1.030B | |
YoY Change | 1.97% | ||
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | |||
Shareholders Equity | $896.5M | $896.5M | $747.5M |
YoY Change | |||
Total Liabilities & Shareholders Equity | $2.723B | $2.723B | $3.348B |
YoY Change | -18.68% | -18.68% | -19.25% |
Cashflow Statement
Concept | 2021 Q4 | 2021 | 2020 Q4 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | $47.52M | $131.0M | -$64.30M |
YoY Change | -173.9% | -116.44% | -791.4% |
Depreciation, Depletion And Amortization | $7.859M | $32.15M | $7.700M |
YoY Change | 2.06% | 13.03% | -122.92% |
Cash From Operating Activities | $44.24M | $76.74M | -$11.90M |
YoY Change | -471.73% | -62.5% | -108.07% |
INVESTING ACTIVITIES | |||
Capital Expenditures | -$3.168M | -$32.25M | -$7.000M |
YoY Change | -54.74% | 11.98% | -222.81% |
Acquisitions | -$29.93M | ||
YoY Change | 1245.17% | ||
Other Investing Activities | -$12.42M | -$20.82M | $847.6M |
YoY Change | -101.46% | -102.47% | 460.58% |
Cash From Investing Activities | -$15.58M | -$53.07M | $840.6M |
YoY Change | -101.85% | -106.51% | 435.41% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | -$2.134M | ||
YoY Change | -243.8% | ||
Debt Paid & Issued, Net | |||
YoY Change | |||
Cash From Financing Activities | 825.0K | -760.1M | 500.0K |
YoY Change | 65.0% | 18180.81% | -100.24% |
NET CHANGE | |||
Cash From Operating Activities | 44.24M | 76.74M | -11.90M |
Cash From Investing Activities | -15.58M | -53.07M | 840.6M |
Cash From Financing Activities | 825.0K | -760.1M | 500.0K |
Net Change In Cash | 29.48M | -736.5M | 829.2M |
YoY Change | -96.45% | -172.49% | 772.84% |
FREE CASH FLOW | |||
Cash From Operating Activities | $44.24M | $76.74M | -$11.90M |
Capital Expenditures | -$3.168M | -$32.25M | -$7.000M |
Free Cash Flow | $47.40M | $109.0M | -$4.900M |
YoY Change | -1067.43% | -53.31% | -103.46% |
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CY2021Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | |
CY2020Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | |
CY2021Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | |
CY2020Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | |
CY2021Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
0 | |
CY2020Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
0 | |
CY2021Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2020Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2021Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
200000000 | |
CY2020Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
200000000 | |
CY2021Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
86423000 | |
CY2020Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
86423000 | |
CY2021Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
864000 | |
CY2020Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
856000 | |
CY2021Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
1049696000 | |
CY2020Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
1029453000 | |
CY2021Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
1317000 | |
CY2020Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
3530000 | |
CY2021Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
-155390000 | |
CY2020Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
-286354000 | |
CY2021Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
896487000 | |
CY2020Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
747485000 | |
CY2021Q4 | us-gaap |
Minority Interest
MinorityInterest
|
205000 | |
CY2020Q4 | us-gaap |
Minority Interest
MinorityInterest
|
232000 | |
CY2021Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
896692000 | |
CY2020Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
747717000 | |
CY2021Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
2722546000 | |
CY2020Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
3347948000 | |
CY2021 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1911191000 | |
CY2020 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1733951000 | |
CY2019 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1779759000 | |
CY2021 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
1297477000 | |
CY2020 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
1193940000 | |
CY2019 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
1180759000 | |
CY2019 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-1497702000 | |
CY2021 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
13652000 | |
CY2020 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
17913000 | |
CY2021 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
100472000 | |
CY2020 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
90690000 | |
CY2019 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
95911000 | |
CY2021 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
263357000 | |
CY2020 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
248947000 | |
CY2019 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
244512000 | |
CY2021 | us-gaap |
Gain Loss On Sale Of Properties
GainLossOnSaleOfProperties
|
-7280000 | |
CY2021 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
32147000 | |
CY2020 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
28441000 | |
CY2019 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
25931000 | |
CY2021 | us-gaap |
Restructuring Charges
RestructuringCharges
|
22100000 | |
CY2020 | us-gaap |
Restructuring Charges
RestructuringCharges
|
73801000 | |
CY2019 | us-gaap |
Restructuring Charges
RestructuringCharges
|
60890000 | |
CY2021 | us-gaap |
Operating Expenses
OperatingExpenses
|
1708273000 | |
CY2020 | us-gaap |
Operating Expenses
OperatingExpenses
|
1635819000 | |
CY2019 | us-gaap |
Operating Expenses
OperatingExpenses
|
1608003000 | |
CY2021 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
202918000 | |
CY2020 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
98132000 | |
CY2019 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
171756000 | |
CY2019 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
3686000 | |
CY2021 | us-gaap |
Interest Expense
InterestExpense
|
68722000 | |
CY2020 | us-gaap |
Interest Expense
InterestExpense
|
110482000 | |
CY2019 | us-gaap |
Interest Expense
InterestExpense
|
118928000 | |
CY2021 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-14532000 | |
CY2021 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
1912000 | |
CY2020 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
1585000 | |
CY2019 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
2270000 | |
CY2021 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-67690000 | |
CY2020 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-90984000 | |
CY2019 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-112972000 | |
CY2021 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
135228000 | |
CY2020 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
7148000 | |
CY2019 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
58784000 | |
CY2021 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
27241000 | |
CY2020 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
16728000 | |
CY2019 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
16576000 | |
CY2021 | us-gaap |
Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
|
107987000 | |
CY2020 | us-gaap |
Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
|
-9580000 | |
CY2019 | us-gaap |
Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
|
42208000 | |
CY2021 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
22950000 | |
CY2020 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
-786908000 | |
CY2019 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
-1539910000 | |
CY2021 | us-gaap |
Profit Loss
ProfitLoss
|
130937000 | |
CY2020 | us-gaap |
Profit Loss
ProfitLoss
|
-796488000 | |
CY2019 | us-gaap |
Profit Loss
ProfitLoss
|
-1497702000 | |
CY2021 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
27000 | |
CY2021 | us-gaap |
Net Income Loss
NetIncomeLoss
|
130964000 | |
CY2020 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-796488000 | |
CY2021 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
1.27 | |
CY2020 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
-0.11 | |
CY2019 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.50 | |
CY2021 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
1.26 | |
CY2020 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
-0.11 | |
CY2019 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.50 | |
CY2021 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
|
0.27 | |
CY2020 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
|
-9.44 | |
CY2019 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
|
-18.44 | |
CY2021 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
|
0.27 | |
CY2020 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
|
-9.44 | |
CY2019 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
|
-18.33 | |
CY2021 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.54 | |
CY2020 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-9.55 | |
CY2019 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-17.94 | |
CY2021 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.53 | |
CY2020 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-9.55 | |
CY2019 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-17.83 | |
CY2021 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
84832000 | |
CY2020 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
83395000 | |
CY2019 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
83495000 | |
CY2021 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
85828000 | |
CY2020 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
83395000 | |
CY2019 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
84011000 | |
CY2018Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
3087884000 | |
CY2019 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-1497702000 | |
CY2019 | us-gaap |
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Net Of Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax
|
78000 | |
CY2019 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
11947000 | |
CY2019 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
42758000 | |
CY2019 | md |
Stock Issued During Period Value Stock Swaps
StockIssuedDuringPeriodValueStockSwaps
|
-689000 | |
CY2019 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
145280000 | |
CY2019Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
1498996000 | |
CY2020 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-796488000 | |
CY2020 | us-gaap |
Noncontrolling Interest Increase From Subsidiary Equity Issuance
NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance
|
232000 | |
CY2020 | us-gaap |
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Net Of Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax
|
3452000 | |
CY2020 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
7009000 | |
CY2020 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
43009000 | |
CY2020 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
8493000 | |
CY2020Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
747717000 | |
CY2021 | us-gaap |
Net Income Loss
NetIncomeLoss
|
130964000 | |
CY2021 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
27000 | |
CY2021 | us-gaap |
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Net Of Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax
|
2213000 | |
CY2021 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
6852000 | |
CY2021 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
18118000 | |
CY2021 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
4719000 | |
CY2021Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
896692000 | |
CY2020 | us-gaap |
Other Noncash Income Expense
OtherNoncashIncomeExpense
|
198000 | |
CY2019 | us-gaap |
Other Noncash Income Expense
OtherNoncashIncomeExpense
|
-6553000 | |
CY2021 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
72731000 | |
CY2020 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
-37937000 | |
CY2019 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
74091000 | |
CY2021 | us-gaap |
Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
|
-37023000 | |
CY2020 | us-gaap |
Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
|
50732000 | |
CY2020 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-13916000 | |
CY2019 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-32121000 | |
CY2021 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
21326000 | |
CY2020 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
47908000 | |
CY2019 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
46196000 | |
CY2021 | us-gaap |
Net Income Loss
NetIncomeLoss
|
130964000 | |
CY2020 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-796488000 | |
CY2019 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-1497702000 | |
CY2021 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
22950000 | |
CY2020 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
-786908000 | |
CY2019 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
-6512000 | |
CY2021 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-2285000 | |
CY2021 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-41530000 | |
CY2020 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
47956000 | |
CY2019 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
24621000 | |
CY2021 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-9799000 | |
CY2020 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-6931000 | |
CY2019 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-24120000 | |
CY2021 | us-gaap |
Payment For Contingent Consideration Liability Operating Activities
PaymentForContingentConsiderationLiabilityOperatingActivities
|
11000 | |
CY2021 | us-gaap |
Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
|
1523000 | |
CY2020 | us-gaap |
Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
|
4336000 | |
CY2019 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
-1539910000 | |
CY2021 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
32147000 | |
CY2020 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
28441000 | |
CY2019 | us-gaap |
Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
|
5413000 | |
CY2021 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
-22518000 | |
CY2020 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
3518000 | |
CY2019 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
-25469000 | |
CY2021 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
113760000 | |
CY2020 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
153888000 | |
CY2020 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
7163000 | |
CY2019 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
5672000 | |
CY2021 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-14532000 | |
CY2021 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
18968000 | |
CY2020 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
39042000 | |
CY2019 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
33410000 | |
CY2021 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-31239000 | |
CY2020 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
36292000 | |
CY2019 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-55715000 | |
CY2021 | us-gaap |
Gain Loss On Sale Of Properties
GainLossOnSaleOfProperties
|
-7280000 | |
CY2021 | us-gaap |
Other Noncash Income Expense
OtherNoncashIncomeExpense
|
2350000 | |
CY2019 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
25931000 | |
CY2021 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
4335000 | |
CY2019 | us-gaap |
Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
|
283620000 | |
CY2021 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
76737000 | |
CY2020 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
204620000 | |
CY2019 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
357711000 | |
CY2021 | us-gaap |
Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
|
2350000 | |
CY2020 | us-gaap |
Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
|
873857000 | |
CY2019 | us-gaap |
Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
|
152695000 | |
CY2021 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-53073000 | |
CY2020 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
815511000 | |
CY2019 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
102455000 | |
CY2021 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
4719000 | |
CY2020 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
8493000 | |
CY2019 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
145280000 | |
CY2021 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
-29930000 | |
CY2020 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
-2225000 | |
CY2019 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
11258000 | |
CY2019 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
-46975000 | |
CY2021 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
15052000 | |
CY2020 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
61845000 | |
CY2019 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
35101000 | |
CY2021 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
16496000 | |
CY2020 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
33432000 | |
CY2019 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
51105000 | |
CY2021 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
32249000 | |
CY2020 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
28788000 | |
CY2019 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
19269000 | |
CY2021 | us-gaap |
Proceeds From Sale Of Buildings
ProceedsFromSaleOfBuildings
|
24728000 | |
CY2021 | md |
Strategic Investments
StrategicInvestments
|
-20000000 | |
CY2021 | us-gaap |
Proceeds From Sale Of Other Productive Assets
ProceedsFromSaleOfOtherProductiveAssets
|
584000 | |
CY2020 | us-gaap |
Proceeds From Sale Of Other Productive Assets
ProceedsFromSaleOfOtherProductiveAssets
|
1080000 | |
CY2019 | us-gaap |
Proceeds From Sale Of Other Productive Assets
ProceedsFromSaleOfOtherProductiveAssets
|
0 | |
CY2021 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-55423000 | |
CY2020 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-58346000 | |
CY2019 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-50240000 | |
CY2020 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
527500000 | |
CY2019 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
1247300000 | |
CY2020 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
527500000 | |
CY2019 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
1986800000 | |
CY2021 | us-gaap |
Repayments Of Senior Debt
RepaymentsOfSeniorDebt
|
759848000 | |
CY2019 | us-gaap |
Proceeds From Issuance Of Senior Long Term Debt
ProceedsFromIssuanceOfSeniorLongTermDebt
|
500000000 | |
CY2020 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
510000 | |
CY2019 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
9194000 | |
CY2021 | us-gaap |
Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
|
189000 | |
CY2019 | us-gaap |
Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
|
1394000 | |
CY2021 | md |
Repayments Of Long Term Capital Lease Obligation
RepaymentsOfLongTermCapitalLeaseObligation
|
2809000 | |
CY2020 | md |
Repayments Of Long Term Capital Lease Obligation
RepaymentsOfLongTermCapitalLeaseObligation
|
1161000 | |
CY2021 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
6853000 | |
CY2020 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
7009000 | |
CY2020 | us-gaap |
Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
|
245000 | |
CY2021 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
596000 | |
CY2021 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
-760116000 | |
CY2020 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
-2910000 | |
CY2019 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
-384110000 | |
CY2020 | us-gaap |
Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
|
-1248000 | |
CY2019 | us-gaap |
Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
|
-8960000 | |
CY2021 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-760116000 | |
CY2020 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-4158000 | |
CY2019 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-393070000 | |
CY2021 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
-736452000 | |
CY2020 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
1015973000 | |
CY2019 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
67096000 | |
CY2020Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
1123843000 | |
CY2019Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
107870000 | |
CY2018Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
40774000 | |
CY2021Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
387391000 | |
CY2020Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
1123843000 | |
CY2019Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
107870000 | |
CY2021 | us-gaap |
Interest Paid Net
InterestPaidNet
|
86537000 | |
CY2020 | us-gaap |
Interest Paid Net
InterestPaidNet
|
110488000 | |
CY2019 | us-gaap |
Interest Paid Net
InterestPaidNet
|
95444000 | |
CY2021 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
54728000 | |
CY2020 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
-27775000 | |
CY2019 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
86268000 | |
CY2021 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
6762000 | |
CY2020 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
12507000 | |
CY2021 | us-gaap |
Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
|
2300000 | |
CY2020 | us-gaap |
Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
|
2305000 | |
CY2019 | us-gaap |
Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
|
2400000 | |
CY2021 | us-gaap |
Nature Of Operations
NatureOfOperations
|
<p style="text-indent:0.0%;font-size:10.0pt;margin-top:0.0pt;line-height:1.15;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:bold;font-size:10.0pt;font-family:Times New Roman;">1. General:</span><span style="color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:bold;font-size:10.0pt;font-family:Times New Roman;"> </span></p><p style="text-indent:0.0%;font-size:10.0pt;margin-top:0.0pt;line-height:1.15;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="white-space:pre-wrap;font-size:10.0pt;font-family:Times New Roman;"> </span></p><p style="text-indent:6.667%;font-size:10.0pt;margin-top:0.0pt;line-height:1.15;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:Times New Roman;">The principal business activity of Mednax, Inc. (“Mednax” or the “Company”) and its subsidiaries is to provide neonatal, maternal-fetal and other pediatric subspecialty physician services. The Company has contracts with affiliated business corporations or professional associations, limited liability companies and partnerships (“affiliated professional contractors”), which are separate legal entities that provide physician services in certain states and Puerto Rico. The Company and its affiliated professional contractors also have contracts with hospitals and other healthcare facilities to provide physician services, which include (i) fee-for-service contracts, whereby hospitals and other customers agree, in exchange for the Company’s services, to authorize the Company and its healthcare professionals to bill and collect the charges for medical services rendered by the Company’s affiliated healthcare professionals, and (ii) administrative fee contracts, whereby the Company is assured a minimum revenue level.</span></p> | |
CY2021Q4 | us-gaap |
Investment Owned At Cost
InvestmentOwnedAtCost
|
20000000.0 | |
CY2021 | us-gaap |
Use Of Estimates
UseOfEstimates
|
<p style="text-indent:0.0%;font-size:10.0pt;margin-top:0.0pt;line-height:1.15;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:bold;font-size:10.0pt;font-family:Times New Roman;">Accounting Estimates and Assumptions</span><span style="color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:bold;font-size:10.0pt;font-family:Times New Roman;"> </span></p><p style="margin-left:6.667%;text-indent:0.0%;font-size:10.0pt;margin-top:0.0pt;line-height:1.15;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="white-space:pre-wrap;font-size:10.0pt;font-family:Times New Roman;"> </span></p><p style="text-indent:6.667%;font-size:10.0pt;margin-top:0.0pt;line-height:1.15;font-family:Times New Roman;margin-bottom:0.0pt;text-align:justify;"><span style="background-color:rgba(0,0,0,0);color:rgba(0,0,0,1);white-space:pre-wrap;font-weight:normal;font-size:10.0pt;font-family:Times New Roman;">The preparation of financial statements in conformity with accounting principles generally accepted in the United States (“GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Significant estimates and assumptions are involved in the calculation of the Company's allowance for contractual adjustments and uncollectibles on accounts receivable, liabilities for self-insured amounts and claims incurred but not reported related to the Company’s professional liability risks and the fair value of goodwill. Actual results could differ from those estimates.</span></p> | |
CY2021 | md |
Cash And Cash Equivalents Maturity Description
CashAndCashEquivalentsMaturityDescription
|
90 | |
CY2021 | md |
Business Combination Contingent Consideration Arrangements Time Period
BusinessCombinationContingentConsiderationArrangementsTimePeriod
|
P5Y | |
CY2020Q4 | us-gaap |
Available For Sale Securities Debt Securities
AvailableForSaleSecuritiesDebtSecurities
|
104870000 | |
CY2020 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1733951000 | |
CY2019 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1779759000 | |
CY2021Q4 | us-gaap |
Available For Sale Securities Debt Securities
AvailableForSaleSecuritiesDebtSecurities
|
99715000 | |
CY2021Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
1393584000 | |
CY2020Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
1106394000 | |
CY2021Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
1091809000 | |
CY2020Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
864463000 | |
CY2021Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
301775000 | |
CY2020Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
241931000 | |
CY2021 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1911191000 | |
CY2021 | md |
Percentage Of Net Patient Service Revenue By Type Of Payor
PercentageOfNetPatientServiceRevenueByTypeOfPayor
|
1 | |
CY2020 | md |
Percentage Of Net Patient Service Revenue By Type Of Payor
PercentageOfNetPatientServiceRevenueByTypeOfPayor
|
1 | |
CY2019 | md |
Percentage Of Net Patient Service Revenue By Type Of Payor
PercentageOfNetPatientServiceRevenueByTypeOfPayor
|
1 | |
CY2021 | md |
Number Of Physician Group Practices Acquired
NumberOfPhysicianGroupPracticesAcquired
|
9 | |
CY2021 | md |
Number Of Pediatric Subspecialty Practices Acquired
NumberOfPediatricSubspecialtyPracticesAcquired
|
1 | |
CY2021 | md |
Number Of Pediatric Cardiology Acquired
NumberOfPediatricCardiologyAcquired
|
1 | |
CY2021 | md |
Number Of Pediatric Neurology Practices Acquired
NumberOfPediatricNeurologyPracticesAcquired
|
2 | |
CY2021Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
8286000 | |
CY2020Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
26934000 | |
CY2021Q4 | us-gaap |
Land
Land
|
2032000 | |
CY2020Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2021Q4 | us-gaap |
Fixtures And Equipment Gross
FixturesAndEquipmentGross
|
224524000 | |
CY2020Q4 | us-gaap |
Fixtures And Equipment Gross
FixturesAndEquipmentGross
|
203017000 | |
CY2021Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
234842000 | |
CY2020Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
236634000 | |
CY2021Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
164688000 | |
CY2020Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
160443000 | |
CY2021Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
70154000 | |
CY2020Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
76191000 | |
CY2021 | us-gaap |
Depreciation
Depreciation
|
21600000 | |
CY2020 | us-gaap |
Depreciation
Depreciation
|
19300000 | |
CY2019 | us-gaap |
Depreciation
Depreciation
|
18700000 | |
CY2021 | md |
Number Of Maternal Fetal Medicine Practices Acquired
NumberOfMaternalFetalMedicinePracticesAcquired
|
1 | |
CY2021 | md |
Number Of Obstetrics And Gynecology Practices Acquired
NumberOfObstetricsAndGynecologyPracticesAcquired
|
1 | |
CY2021 | md |
Number Of Pediatric Intensivist Practice Acquired
NumberOfPediatricIntensivistPracticeAcquired
|
1 | |
CY2021 | md |
Number Of Neonatology Practices Acquired
NumberOfNeonatologyPracticesAcquired
|
1 | |
CY2020 | md |
Number Of Pediatric Subspecialty Practices Acquired
NumberOfPediatricSubspecialtyPracticesAcquired
|
1 | |
CY2021Q4 | us-gaap |
Goodwill
Goodwill
|
1510000000 | |
CY2020Q4 | us-gaap |
Goodwill
Goodwill
|
1480000000 | |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
109343000 | |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
87778000 | |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
21565000 | |
CY2020Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
112443000 | |
CY2020Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
85801000 | |
CY2020Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
26642000 | |
CY2021 | us-gaap |
Finitelived Intangible Assets Acquired1
FinitelivedIntangibleAssetsAcquired1
|
3500000 | |
CY2021 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
8000000.0 | |
CY2020 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
7600000 | |
CY2019 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
7300000 | |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
5591000 | |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
4787000 | |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
3019000 | |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
1814000 | |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
1158000 | |
CY2020Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
44926000 | |
CY2021Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
19684000 | |
CY2021Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
36645000 | |
CY2020Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
59771000 | |
CY2021Q4 | md |
Accrued Salaries And Incentive Compensation Current
AccruedSalariesAndIncentiveCompensationCurrent
|
213974000 | |
CY2020Q4 | md |
Accrued Salaries And Incentive Compensation Current
AccruedSalariesAndIncentiveCompensationCurrent
|
184849000 | |
CY2021Q4 | md |
Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
|
34994000 | |
CY2020Q4 | md |
Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
|
43945000 | |
CY2021Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
37729000 | |
CY2020Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
50607000 | |
CY2021Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
29052000 | |
CY2020Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
32721000 | |
CY2021Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
41724000 | |
CY2020Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
51290000 | |
CY2021Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
394118000 | |
CY2020Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
423183000 | |
CY2021Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
51283000 | |
CY2020Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
18933000 | |
CY2021Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
41396000 | |
CY2020Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
40970000 | |
CY2021Q4 | us-gaap |
Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
|
P3Y8M12D | |
CY2020Q4 | us-gaap |
Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
|
P4Y | |
CY2021Q4 | us-gaap |
Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
|
0.047 | |
CY2020Q4 | us-gaap |
Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
|
0.050 | |
CY2021Q4 | us-gaap |
Insurance Settlements Receivable
InsuranceSettlementsReceivable
|
58100000 | |
CY2021 | us-gaap |
Operating Lease Cost
OperatingLeaseCost
|
19907000 | |
CY2020 | us-gaap |
Operating Lease Cost
OperatingLeaseCost
|
20972000 | |
CY2021 | us-gaap |
Variable Lease Cost
VariableLeaseCost
|
5060000 | |
CY2020 | us-gaap |
Variable Lease Cost
VariableLeaseCost
|
4519000 | |
CY2021 | md |
Operating Leases Other Costs
OperatingLeasesOtherCosts
|
4235000 | |
CY2020 | md |
Operating Leases Other Costs
OperatingLeasesOtherCosts
|
4812000 | |
CY2021 | us-gaap |
Lease Cost
LeaseCost
|
29202000 | |
CY2020 | us-gaap |
Lease Cost
LeaseCost
|
30303000 | |
CY2021 | us-gaap |
Operating Lease Payments
OperatingLeasePayments
|
34054000 | |
CY2020 | us-gaap |
Operating Lease Payments
OperatingLeasePayments
|
27933000 | |
CY2021Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
|
20339000 | |
CY2021Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
|
18110000 | |
CY2021Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
|
13488000 | |
CY2021Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
|
8100000 | |
CY2021Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
|
4373000 | |
CY2021Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
|
9249000 | |
CY2021Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
|
73659000 | |
CY2021Q4 | us-gaap |
Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
|
12579000 | |
CY2021Q4 | us-gaap |
Operating Lease Liability
OperatingLeaseLiability
|
61080000 | |
CY2021Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
19684000 | |
CY2021Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
41396000 | |
CY2021Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
308800000 | |
CY2020Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
315900000 | |
CY2021Q4 | us-gaap |
Self Insurance Reserve Current
SelfInsuranceReserveCurrent
|
211200000 | |
CY2020Q4 | us-gaap |
Self Insurance Reserve Current
SelfInsuranceReserveCurrent
|
222900000 | |
CY2021Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
97600000 | |
CY2020Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
93000000.0 | |
CY2021Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
37700000 | |
CY2020Q4 | md |
Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
|
174803000 | |
CY2020Q4 | md |
Long Term Debt Net
LongTermDebtNet
|
1731397000 | |
CY2021Q4 | us-gaap |
Line Of Credit Facility Remaining Borrowing Capacity
LineOfCreditFacilityRemainingBorrowingCapacity
|
599900000 | |
CY2020 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
2.340 | |
CY2019 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.282 | |
CY2021 | us-gaap |
Deferred Other Tax Expense Benefit
DeferredOtherTaxExpenseBenefit
|
10800000 | |
CY2021 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.2100 | |
CY2020 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.2100 | |
CY2021Q4 | md |
Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
|
190127000 | |
CY2020Q4 | md |
Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
|
174803000 | |
CY2019Q4 | md |
Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
|
151397000 | |
CY2019 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.2100 | |
CY2019Q4 | md |
Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
|
151397000 | |
CY2018Q4 | md |
Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
|
128799000 | |
CY2021 | md |
Accrued Professional Liabilities Assumed Through Acquisition
AccruedProfessionalLiabilitiesAssumedThroughAcquisition
|
-2299000 | |
CY2020 | md |
Accrued Professional Liabilities Assumed Through Acquisition
AccruedProfessionalLiabilitiesAssumedThroughAcquisition
|
3922000 | |
CY2019 | md |
Accrued Professional Liabilities Assumed Through Acquisition
AccruedProfessionalLiabilitiesAssumedThroughAcquisition
|
10354000 | |
CY2021 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
56016000 | |
CY2020 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
45674000 | |
CY2019 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
42733000 | |
CY2021 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-14231000 | |
CY2020 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-1551000 | |
CY2019 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-7766000 | |
CY2021 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
41785000 | |
CY2020 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
44123000 | |
CY2019 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
34967000 | |
CY2021 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
59000 | |
CY2020 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
59000 | |
CY2019 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
33000 | |
CY2021 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
24103000 | |
CY2020 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
24580000 | |
CY2019 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
22690000 | |
CY2021 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
24162000 | |
CY2020 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
24639000 | |
CY2019 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
22723000 | |
CY2021 | us-gaap |
Debt Instrument Maturity Date Description
DebtInstrumentMaturityDateDescription
|
payable semi-annually in arrears on January 15 and July 15 | |
CY2021Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
989700000 | |
CY2020Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
1700000000 | |
CY2021Q4 | us-gaap |
Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
|
1000000000 | |
CY2021Q4 | us-gaap |
Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
|
10340000 | |
CY2021Q4 | md |
Long Term Debt Net
LongTermDebtNet
|
989660000 | |
CY2020Q4 | us-gaap |
Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
|
1750000000 | |
CY2020Q4 | us-gaap |
Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
|
18603000 | |
CY2021 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
41592000 | |
CY2020 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
-16610000 | |
CY2019 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
63697000 | |
CY2021Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
14178000 | |
CY2020Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
11118000 | |
CY2021Q4 | us-gaap |
Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
|
2490000 | |
CY2020Q4 | us-gaap |
Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
|
2219000 | |
CY2021Q4 | us-gaap |
Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
|
11688000 | |
CY2020Q4 | us-gaap |
Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
|
8899000 | |
CY2021 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
-20373000 | |
CY2020 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
28719000 | |
CY2019 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
-45660000 | |
CY2021 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
21219000 | |
CY2020 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
12109000 | |
CY2019 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
18037000 | |
CY2021 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
16888000 | |
CY2020 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
-2954000 | |
CY2019 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
8561000 | |
CY2021 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
-10866000 | |
CY2020 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
7573000 | |
CY2019 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
-10022000 | |
CY2021 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
6022000 | |
CY2020 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
4619000 | |
CY2019 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
-1461000 | |
CY2021 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
27241000 | |
CY2020 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
16728000 | |
CY2019 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
16576000 | |
CY2021 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.201 | |
CY2021 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0472 | |
CY2020 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.2434 | |
CY2019 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0645 | |
CY2021 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0342 | |
CY2020 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.6044 | |
CY2019 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0398 | |
CY2021 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
|
0.0077 | |
CY2020 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
|
0.9861 | |
CY2019 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
|
0.0645 | |
CY2021 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0108 | |
CY2020 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
0.0422 | |
CY2019 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0963 | |
CY2021 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
-0.0026 | |
CY2020 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.2367 | |
CY2019 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.0039 | |
CY2021 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
-0.0046 | |
CY2020 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.0171 | |
CY2019 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
-0.0045 | |
CY2021 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
|
-0.0797 | |
CY2021 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.2014 | |
CY2020 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
2.3399 | |
CY2019 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.2819 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
135280000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
79755000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsReserves
|
55549000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsReserves
|
64445000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
3303000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
7517000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
29045000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
16767000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Capital Loss Carryforwards
DeferredTaxAssetsCapitalLossCarryforwards
|
428805000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Capital Loss Carryforwards
DeferredTaxAssetsCapitalLossCarryforwards
|
447854000 | |
CY2021Q4 | md |
Deferred Tax Assets Operating Lease Assets
DeferredTaxAssetsOperatingLeaseAssets
|
18960000 | |
CY2020Q4 | md |
Deferred Tax Assets Operating Lease Assets
DeferredTaxAssetsOperatingLeaseAssets
|
15042000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
1967000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
3044000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
686000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
571000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
673595000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
634995000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
441529000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
458708000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
232066000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
176287000 | |
CY2021Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
168505000 | |
CY2020Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
152969000 | |
CY2021Q4 | md |
Deferred Tax Liabilities Change In Accounting Method
DeferredTaxLiabilitiesChangeInAccountingMethod
|
0 | |
CY2020Q4 | md |
Deferred Tax Liabilities Change In Accounting Method
DeferredTaxLiabilitiesChangeInAccountingMethod
|
16352000 | |
CY2021Q4 | us-gaap |
Deferred Tax Liabilities Leasing Arrangements
DeferredTaxLiabilitiesLeasingArrangements
|
16439000 | |
CY2020Q4 | us-gaap |
Deferred Tax Liabilities Leasing Arrangements
DeferredTaxLiabilitiesLeasingArrangements
|
14057000 | |
CY2021Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
187000 | |
CY2020Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
183000 | |
CY2021Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
185131000 | |
CY2020Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
183561000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
46935000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
7274000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
46900000 | |
CY2020Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
7300000 | |
CY2021 | md |
Increase Decrease In Deferred Tax Assets
IncreaseDecreaseInDeferredTaxAssets
|
54200000 | |
CY2021 | md |
Income Tax Expense For Excess Tax Deficiencies
IncomeTaxExpenseForExcessTaxDeficiencies
|
1000000.0 | |
CY2020 | md |
Income Tax Expense For Excess Tax Deficiencies
IncomeTaxExpenseForExcessTaxDeficiencies
|
7100000 | |
CY2019 | md |
Income Tax Expense For Excess Tax Deficiencies
IncomeTaxExpenseForExcessTaxDeficiencies
|
3800000 | |
CY2020 | md |
Capital Losses Incurred
CapitalLossesIncurred
|
1610000000 | |
CY2021Q4 | md |
Capital Loss Carryforwards
CapitalLossCarryforwards
|
1680000000 | |
CY2021Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
61700000 | |
CY2020Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
35400000 | |
CY2019Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
31500000 | |
CY2021Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards Subject To Expiration
DeferredTaxAssetsOperatingLossCarryforwardsSubjectToExpiration
|
25100000 | |
CY2020Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards Not Subject To Expiration
DeferredTaxAssetsOperatingLossCarryforwardsNotSubjectToExpiration
|
36600000 | |
CY2021Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
4900000 | |
CY2020Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
6200000 | |
CY2019Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
7400000 | |
CY2021Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
4900000 | |
CY2020Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
6168000 | |
CY2019Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
7409000 | |
CY2018Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
11185000 | |
CY2019 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
369000 | |
CY2020 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
1041000 | |
CY2021 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
900000 | |
CY2020 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
100000 | |
CY2019 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
1700000 | |
CY2020 | md |
Unrecognized Tax Benefits Decrease Resulting From Divestitures
UnrecognizedTaxBenefitsDecreaseResultingFromDivestitures
|
-300000 | |
CY2021 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
2140000 | |
CY2019 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
5845000 | |
CY2021Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
4928000 | |
CY2020Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
6168000 | |
CY2019Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
7409000 | |
CY2021 | us-gaap |
Unrecognized Tax Benefits Period Increase Decrease
UnrecognizedTaxBenefitsPeriodIncreaseDecrease
|
1200000 | |
CY2020 | us-gaap |
Unrecognized Tax Benefits Period Increase Decrease
UnrecognizedTaxBenefitsPeriodIncreaseDecrease
|
1200000 | |
CY2021 | us-gaap |
Income Tax Examination Penalties And Interest Expense
IncomeTaxExaminationPenaltiesAndInterestExpense
|
400000 | |
CY2020 | us-gaap |
Income Tax Examination Penalties And Interest Expense
IncomeTaxExaminationPenaltiesAndInterestExpense
|
500000 | |
CY2021Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
800000 | |
CY2020Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
1000000.0 | |
CY2021 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
84832000 | |
CY2020 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
83395000 | |
CY2019 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
83495000 | |
CY2021 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
996000 | |
CY2020 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
0 | |
CY2019 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
516000 | |
CY2021 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
85828000 | |
CY2020 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
83395000 | |
CY2019 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
84011000 | |
CY2021 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
11000 | |
CY2020 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
1034000 | |
CY2019 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
516000 | |
CY2021 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
19000000.0 | |
CY2020 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
21100000 | |
CY2019 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
33400000 | |
CY2020Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
|
1211117 | |
CY2020Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
|
30.97 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
|
736477 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
25.17 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod
|
55378 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue
|
28.20 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
|
748410 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue
|
33.55 | |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
|
1143806 | |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
|
25.68 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
25100000 | |
CY2020 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
59300000 | |
CY2019 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
31500000 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
25.17 | |
CY2020 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
23.54 | |
CY2019 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
33.28 | |
CY2020Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
999291 | |
CY2020Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
17.30 | |
CY2021 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
95000 | |
CY2021 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
17.65 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Expirations In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod
|
16560 | |
CY2021 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Expirations In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExpirationsInPeriodWeightedAverageExercisePrice
|
36.25 | |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
887731 | |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
16.91 | |
CY2021 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P1Y10M17D | |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
|
9100 | |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
|
887731 | |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
|
16.91 | |
CY2021 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
|
P1Y10M17D | |
CY2021Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
|
9100 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
1700000 | |
CY2019 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
600000 | |
CY2020Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedStockOptions
|
0 | |
CY2021 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
1700000 | |
CY2019 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
100000 | |
CY2018Q3 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
500000000.0 | |
CY2018Q4 | us-gaap |
Stock Repurchase Program Remaining Authorized Repurchase Amount1
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount1
|
94000000.0 | |
CY2021 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
4700000 | |
CY2020 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
8500000 | |
CY2021 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
21000000.0 | |
CY2020 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
19900000 | |
CY2019 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
20400000 |