2021 Q4 Form 10-K Financial Statement

#000095017022001387 Filed on February 17, 2022

View on sec.gov

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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CY2021 us-gaap Nature Of Operations
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<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>
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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
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