2024 Q1 Form 10-K Financial Statement

#000095017024016794 Filed on February 20, 2024

View on sec.gov

Income Statement

Concept 2024 Q1 2023 Q4 2023
Revenue $495.1M $496.4M $1.995B
YoY Change 0.83% -3.39% 1.15%
Cost Of Revenue
YoY Change
Gross Profit
YoY Change
Gross Profit Margin
Selling, General & Admin $429.3M $416.7M $1.676B
YoY Change 1.91% -0.23% 3.78%
% of Gross Profit
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $10.31M $9.062M $36.17M
YoY Change 15.13% -0.81% 1.5%
% of Gross Profit
Operating Expenses $479.2M $457.4M $1.987B
YoY Change 3.96% -0.18% 10.45%
Operating Profit $15.89M $7.321M
YoY Change -47.1% -95.76%
Interest Expense $10.60M -$7.360M $42.08M
YoY Change 2.01% -10.4% 6.0%
% of Operating Profit 66.69% 574.72%
Other Income/Expense, Net -$8.068M -$55.68M
YoY Change -13.52% -39.03%
Pretax Income $7.824M -$138.9M -$48.36M
YoY Change -62.22% -599.03% -159.43%
Income Tax $3.789M -$14.56M $12.05M
% Of Pretax Income 48.43%
Net Earnings $4.035M -$124.3M -$60.41M
YoY Change -71.6% -519.05% -191.07%
Net Earnings / Revenue 0.81% -25.04% -3.03%
Basic Earnings Per Share $0.05 $0.73
Diluted Earnings Per Share $0.05 -$1.51 $0.73
COMMON SHARES
Basic Shares Outstanding 84.12M 84.02M 82.20M
Diluted Shares Outstanding 83.28M 82.20M

Balance Sheet

Concept 2024 Q1 2023 Q4 2023
SHORT-TERM ASSETS
Cash & Short-Term Investments $115.5M $177.7M $177.7M
YoY Change 12.29% 72.46% 72.46%
Cash & Equivalents $7.998M $73.26M $73.26M
Short-Term Investments $107.5M $104.5M $104.5M
Other Short-Term Assets $9.578M $12.31M $25.83M
YoY Change -20.64% -7.19% -8.2%
Inventory
Prepaid Expenses $12.53M $13.53M
Receivables $283.7M $272.3M $272.3M
Other Receivables $5.193M $7.565M $7.565M
Total Short-Term Assets $426.5M $483.5M $483.5M
YoY Change 4.39% 12.96% 12.96%
LONG-TERM ASSETS
Property, Plant & Equipment $74.34M $75.64M $145.9M
YoY Change 1.94% 3.21% 4.08%
Goodwill $1.393B $1.380B
YoY Change -9.06% -9.8%
Intangibles
YoY Change
Long-Term Investments
YoY Change
Other Assets $83.07M $82.17M $185.0M
YoY Change -30.41% -33.29% -19.24%
Total Long-Term Assets $1.742B $1.736B $1.736B
YoY Change -8.88% -9.56% -9.56%
TOTAL ASSETS
Total Short-Term Assets $426.5M $483.5M $483.5M
Total Long-Term Assets $1.742B $1.736B $1.736B
Total Assets $2.168B $2.220B $2.220B
YoY Change -6.55% -5.45% -5.45%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $31.64M $34.59M $34.59M
YoY Change -10.46% 8.57% 8.57%
Accrued Expenses $196.4M $337.3M $337.3M
YoY Change -7.52% -7.33% -7.33%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $16.41M $14.91M $14.91M
YoY Change 10.02% 0.1% 0.1%
Total Short-Term Liabilities $247.3M $388.9M $388.9M
YoY Change -13.0% -8.91% -8.91%
LONG-TERM LIABILITIES
Long-Term Debt $693.3M $618.4M $618.4M
YoY Change -6.66% -2.82% -2.82%
Other Long-Term Liabilities $33.49M $30.55M $329.1M
YoY Change -11.03% -22.48% -8.4%
Total Long-Term Liabilities $33.49M $30.55M $947.5M
YoY Change -11.03% -22.48% -4.84%
TOTAL LIABILITIES
Total Short-Term Liabilities $247.3M $388.9M $388.9M
Total Long-Term Liabilities $33.49M $30.55M $947.5M
Total Liabilities $1.312B $1.371B $1.371B
YoY Change -6.97% -5.87% -5.87%
SHAREHOLDERS EQUITY
Retained Earnings -$145.4M $149.5M
YoY Change 94.29% -267.83%
Common Stock $1.004B $1.001B
YoY Change 1.62% 1.66%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $856.2M $849.1M $849.1M
YoY Change
Total Liabilities & Shareholders Equity $2.168B $2.220B $2.220B
YoY Change -6.55% -5.45% -5.45%

Cashflow Statement

Concept 2024 Q1 2023 Q4 2023
OPERATING ACTIVITIES
Net Income $4.035M -$124.3M -$60.41M
YoY Change -71.6% -519.05% -191.07%
Depreciation, Depletion And Amortization $10.31M $9.062M $36.17M
YoY Change 15.13% -0.81% 1.5%
Cash From Operating Activities -$125.2M $69.25M $137.3M
YoY Change 24.09% -29.83% -17.74%
INVESTING ACTIVITIES
Capital Expenditures $5.330M $9.044M $33.33M
YoY Change -23.85% -0.15% 12.19%
Acquisitions $8.167M $6.667M
YoY Change 389.92% -76.33%
Other Investing Activities -$10.91M -$3.380M -$14.85M
YoY Change 150.7% 54.83% -45.5%
Cash From Investing Activities -$16.24M -$12.42M -$48.18M
YoY Change 43.07% 10.52% -15.41%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net -$4.012M
YoY Change -104.83%
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 76.20M -4.747M -25.72M
YoY Change -29.81% -94.5% -94.73%
NET CHANGE
Cash From Operating Activities -125.2M 69.25M 137.3M
Cash From Investing Activities -16.24M -12.42M -48.18M
Cash From Financing Activities 76.20M -4.747M -25.72M
Net Change In Cash -65.26M 52.08M 63.43M
YoY Change 1663.78% 4405.1% -116.8%
FREE CASH FLOW
Cash From Operating Activities -$125.2M $69.25M $137.3M
Capital Expenditures $5.330M $9.044M $33.33M
Free Cash Flow -$130.6M $60.21M $104.0M
YoY Change 20.98% -32.83% -24.22%

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CY2021 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
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CY2023 us-gaap Profit Loss
ProfitLoss
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CY2022 us-gaap Profit Loss
ProfitLoss
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CY2021 us-gaap Profit Loss
ProfitLoss
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CY2023 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
0
CY2022 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
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CY2021 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
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CY2023 us-gaap Net Income Loss
NetIncomeLoss
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CY2022 us-gaap Net Income Loss
NetIncomeLoss
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CY2021 us-gaap Net Income Loss
NetIncomeLoss
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CY2023 md Net Of Tax Unrealized Holding Gain Loss On Investments
NetOfTaxUnrealizedHoldingGainLossOnInvestments
527000
CY2022 md Net Of Tax Unrealized Holding Gain Loss On Investments
NetOfTaxUnrealizedHoldingGainLossOnInvestments
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CY2021 md Net Of Tax Unrealized Holding Gain Loss On Investments
NetOfTaxUnrealizedHoldingGainLossOnInvestments
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CY2021 us-gaap Unrealized Gain Loss On Investments
UnrealizedGainLossOnInvestments
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CY2023 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
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CY2022 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
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CY2021 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
128751000
CY2023 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
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CY2022 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
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CY2021 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
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CY2023 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
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CY2022 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
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CY2021 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
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CY2023 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
0
CY2022 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
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CY2021 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
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CY2023 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
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CY2022 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
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CY2021 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
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CY2023 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
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CY2022 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
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CY2021 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
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CY2023 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
0.73
CY2022 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
0.79
CY2021 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
1.53
CY2023 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
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CY2022 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
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CY2021 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
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CY2023 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
82201000
CY2022 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
84121000
CY2021 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
85828000
CY2020Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
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CY2021 us-gaap Net Income Loss
NetIncomeLoss
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CY2021 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
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CY2021 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Net Of Tax
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CY2021 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
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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
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CY2021Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
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CY2022 us-gaap Net Income Loss
NetIncomeLoss
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CY2022 md Dissolution Of And Net Income Loss Attributable To Noncontrolling Interest
DissolutionOfAndNetIncomeLossAttributableToNoncontrollingInterest
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CY2022 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Net Of Tax
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CY2022 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
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CY2022 us-gaap Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
16977000
CY2022 us-gaap Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
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CY2022Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
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CY2023 us-gaap Net Income Loss
NetIncomeLoss
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CY2023 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Net Of Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax
1521000
CY2023 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
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CY2023 us-gaap Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
12323000
CY2023 us-gaap Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
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CY2023Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
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CY2023 us-gaap Net Income Loss
NetIncomeLoss
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CY2022 us-gaap Net Income Loss
NetIncomeLoss
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CY2021 us-gaap Net Income Loss
NetIncomeLoss
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CY2023 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
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CY2022 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
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CY2021 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
22950000
CY2023 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
36171000
CY2022 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
35636000
CY2021 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
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CY2023 us-gaap Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
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CY2022 us-gaap Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
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CY2021 us-gaap Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
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CY2023 us-gaap Goodwill And Intangible Asset Impairment
GoodwillAndIntangibleAssetImpairment
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CY2022 us-gaap Goodwill And Intangible Asset Impairment
GoodwillAndIntangibleAssetImpairment
0
CY2021 us-gaap Goodwill And Intangible Asset Impairment
GoodwillAndIntangibleAssetImpairment
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CY2023 us-gaap Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
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CY2022 us-gaap Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
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CY2021 us-gaap Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
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CY2023 us-gaap Share Based Compensation
ShareBasedCompensation
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CY2022 us-gaap Share Based Compensation
ShareBasedCompensation
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CY2021 us-gaap Share Based Compensation
ShareBasedCompensation
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CY2023 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
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CY2022 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
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CY2021 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
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CY2023 us-gaap Gain Loss On Sale Of Properties
GainLossOnSaleOfProperties
0
CY2022 us-gaap Gain Loss On Sale Of Properties
GainLossOnSaleOfProperties
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CY2021 us-gaap Gain Loss On Sale Of Properties
GainLossOnSaleOfProperties
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CY2023 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
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CY2022 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
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CY2021 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
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CY2023 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
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CY2022 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
5543000
CY2021 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
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CY2023 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
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CY2022 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
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CY2021 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
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CY2023 us-gaap Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
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CY2022 us-gaap Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
-17196000
CY2021 us-gaap Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
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CY2023 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
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CY2022 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
420000
CY2021 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
21326000
CY2023 us-gaap Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
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CY2022 us-gaap Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
18225000
CY2021 us-gaap Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
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CY2023 us-gaap Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
837000
CY2022 us-gaap Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
5600000
CY2021 us-gaap Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
1523000
CY2023 us-gaap Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
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CY2022 us-gaap Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
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CY2021 us-gaap Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
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CY2023 us-gaap Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
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CY2022 us-gaap Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
182312000
CY2021 us-gaap Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
113760000
CY2023 us-gaap Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
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CY2022 us-gaap Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
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CY2021 us-gaap Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
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CY2023 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
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CY2022 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
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CY2021 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
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CY2023 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
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CY2022 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
28167000
CY2021 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
29930000
CY2023 us-gaap Payments To Acquire Investments
PaymentsToAcquireInvestments
31893000
CY2022 us-gaap Payments To Acquire Investments
PaymentsToAcquireInvestments
17346000
CY2021 us-gaap Payments To Acquire Investments
PaymentsToAcquireInvestments
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CY2023 us-gaap Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
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CY2022 us-gaap Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
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CY2021 us-gaap Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
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CY2023 us-gaap Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
33328000
CY2022 us-gaap Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
29708000
CY2021 us-gaap Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
32249000
CY2023 us-gaap Proceeds From Sale Of Buildings
ProceedsFromSaleOfBuildings
0
CY2022 us-gaap Proceeds From Sale Of Buildings
ProceedsFromSaleOfBuildings
0
CY2021 us-gaap Proceeds From Sale Of Buildings
ProceedsFromSaleOfBuildings
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CY2023 md Strategic Investments
StrategicInvestments
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CY2022 md Strategic Investments
StrategicInvestments
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CY2021 md Strategic Investments
StrategicInvestments
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CY2023 us-gaap Proceeds From Sale Of Other Productive Assets
ProceedsFromSaleOfOtherProductiveAssets
807000
CY2022 us-gaap Proceeds From Sale Of Other Productive Assets
ProceedsFromSaleOfOtherProductiveAssets
1378000
CY2021 us-gaap Proceeds From Sale Of Other Productive Assets
ProceedsFromSaleOfOtherProductiveAssets
584000
CY2023 us-gaap Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
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CY2022 us-gaap Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
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CY2021 us-gaap Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
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CY2023 us-gaap Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
0
CY2022 us-gaap Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
0
CY2021 us-gaap Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
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CY2023 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
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CY2022 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
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CY2021 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
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CY2023 us-gaap Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
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CY2022 us-gaap Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
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CY2021 us-gaap Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
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CY2023 us-gaap Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
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CY2022 us-gaap Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
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CY2021 us-gaap Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
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CY2023 us-gaap Repayments Of Senior Debt
RepaymentsOfSeniorDebt
0
CY2022 us-gaap Repayments Of Senior Debt
RepaymentsOfSeniorDebt
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CY2021 us-gaap Repayments Of Senior Debt
RepaymentsOfSeniorDebt
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CY2023 us-gaap Proceeds From Issuance Of Senior Long Term Debt
ProceedsFromIssuanceOfSeniorLongTermDebt
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CY2022 us-gaap Proceeds From Issuance Of Senior Long Term Debt
ProceedsFromIssuanceOfSeniorLongTermDebt
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CY2021 us-gaap Proceeds From Issuance Of Senior Long Term Debt
ProceedsFromIssuanceOfSeniorLongTermDebt
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CY2023 md Payments To Term Loan
PaymentsToTermLoan
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CY2022 md Payments To Term Loan
PaymentsToTermLoan
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CY2021 md Payments To Term Loan
PaymentsToTermLoan
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CY2023 us-gaap Payments Of Financing Costs
PaymentsOfFinancingCosts
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CY2022 us-gaap Payments Of Financing Costs
PaymentsOfFinancingCosts
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CY2021 us-gaap Payments Of Financing Costs
PaymentsOfFinancingCosts
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CY2023 us-gaap Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
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CY2022 us-gaap Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
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CY2021 us-gaap Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
189000
CY2023 md Repayments Of Long Term Capital Lease Obligation
RepaymentsOfLongTermCapitalLeaseObligation
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CY2022 md Repayments Of Long Term Capital Lease Obligation
RepaymentsOfLongTermCapitalLeaseObligation
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CY2021 md Repayments Of Long Term Capital Lease Obligation
RepaymentsOfLongTermCapitalLeaseObligation
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CY2023 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
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CY2022 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
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CY2021 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
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CY2023 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
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CY2022 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
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CY2021 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
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CY2023 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
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CY2022 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
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CY2021 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
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CY2023 us-gaap Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
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CY2022 us-gaap Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
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CY2021 us-gaap Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
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CY2023 us-gaap Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
0
CY2022 us-gaap Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
0
CY2021 us-gaap Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
0
CY2023 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
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CY2022 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
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CY2021 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
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CY2023 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
63434000
CY2022 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
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CY2021 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
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CY2022Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
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CY2021Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
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CY2020Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
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CY2023Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
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CY2022Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
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CY2021Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
387391000
CY2023 us-gaap Interest Paid Net
InterestPaidNet
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CY2022 us-gaap Interest Paid Net
InterestPaidNet
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CY2021 us-gaap Interest Paid Net
InterestPaidNet
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CY2023 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
30835000
CY2022 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
26908000
CY2021 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
54728000
CY2023 us-gaap Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
132000
CY2022 us-gaap Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
282000
CY2021 us-gaap Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
6762000
CY2023 us-gaap Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
2874000
CY2022 us-gaap Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
2589000
CY2021 us-gaap Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
2300000
CY2023 us-gaap Nature Of Operations
NatureOfOperations
<p style="font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="color:#000000;white-space:pre-wrap;font-weight:bold;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">1. General:</span><span style="color:#000000;white-space:pre-wrap;font-weight:bold;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> </span></p><p style="font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> </span></p><p style="text-indent:6.667%;font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">On July 1, 2022, effective after the close of the market, the Company changed its corporate name from “Mednax, Inc.” to “Pediatrix Medical Group, Inc.” signifying the Company's return to its core focus in caring for women, babies and children. The Company’s common stock continues to trade on the New York Stock Exchange under the ticker symbol “MD.”</span></p><p style="text-indent:6.667%;font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> </span></p><p style="text-indent:6.667%;font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">The principal business activity of Pediatrix Medical Group, Inc. (“Pediatrix” 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 ceased providing services in Puerto Rico effective December 31, 2022. 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>
CY2023 us-gaap Use Of Estimates
UseOfEstimates
<p style="font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="color:#000000;white-space:pre-wrap;font-weight:bold;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">Accounting Estimates and Assumptions</span><span style="color:#000000;white-space:pre-wrap;font-weight:bold;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> </span></p><p style="margin-left:6.667%;font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> </span></p><p style="text-indent:6.667%;font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">The </span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">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</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> </span></p><p style="font-size:10pt;margin-top:0;font-family:Times New Roman;margin-bottom:0;text-align:justify;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">involved </span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">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>
CY2023Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
218354000
CY2022Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
245508000
CY2023 md Cash And Cash Equivalents Maturity Description
CashAndCashEquivalentsMaturityDescription
90
CY2023Q4 us-gaap Asset Impairment Charges
AssetImpairmentCharges
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CY2023 md Business Combination Contingent Consideration Arrangements Time Period
BusinessCombinationContingentConsiderationArrangementsTimePeriod
P5Y
CY2023 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
148300000
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CY2023Q4 us-gaap Available For Sale Securities Debt Securities
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CY2022Q4 us-gaap Available For Sale Securities Debt Securities
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CY2022Q4 us-gaap Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
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CY2023Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
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CY2022Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
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CY2023Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
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CY2022Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
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CY2023 us-gaap Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
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CY2022 us-gaap Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
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CY2021 us-gaap Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
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CY2023 md Percentage Of Net Patient Service Revenue By Type Of Payor
PercentageOfNetPatientServiceRevenueByTypeOfPayor
1
CY2022 md Percentage Of Net Patient Service Revenue By Type Of Payor
PercentageOfNetPatientServiceRevenueByTypeOfPayor
1
CY2021 md Percentage Of Net Patient Service Revenue By Type Of Payor
PercentageOfNetPatientServiceRevenueByTypeOfPayor
1
CY2023Q4 us-gaap Buildings And Improvements Gross
BuildingsAndImprovementsGross
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CY2022Q4 us-gaap Buildings And Improvements Gross
BuildingsAndImprovementsGross
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CY2023Q4 us-gaap Land
Land
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CY2022Q4 us-gaap Land
Land
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CY2023Q4 us-gaap Fixtures And Equipment Gross
FixturesAndEquipmentGross
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CY2022Q4 us-gaap Fixtures And Equipment Gross
FixturesAndEquipmentGross
235190000
CY2022Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
172218000
CY2023Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
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CY2022Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
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CY2023 us-gaap Depreciation
Depreciation
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CY2022 us-gaap Depreciation
Depreciation
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CY2021 us-gaap Depreciation
Depreciation
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CY2023Q4 us-gaap Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
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CY2023Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Intangibles
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4500000
CY2023Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Property Plant And Equipment
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100000
CY2022Q4 us-gaap Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
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26700000
CY2022Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Intangibles
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles
2300000
CY2022Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Property Plant And Equipment
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedPropertyPlantAndEquipment
2200000
CY2023Q4 us-gaap Goodwill
Goodwill
1380000000
CY2022Q4 us-gaap Goodwill
Goodwill
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CY2023 md Good Will Impairment Loss Excluding Deferred Tax Assets Charge
GoodWillImpairmentLossExcludingDeferredTaxAssetsCharge
125000000
CY2023Q4 us-gaap Deferred Tax Assets Goodwill And Intangible Assets
DeferredTaxAssetsGoodwillAndIntangibleAssets
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CY2023 md Incremental Non Cash Charge
IncrementalNonCashCharge
23300000
CY2023 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
148300000
CY2023 md Change In Rate Of Control Premium
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CY2023 md Change In Non Cash Impairment Charges
ChangeInNonCashImpairmentCharges
9000000
CY2023Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
114168000
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FiniteLivedIntangibleAssetsAccumulatedAmortization
92928000
CY2023Q4 us-gaap Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
21240000
CY2022Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
110020000
CY2022Q4 us-gaap Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
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FiniteLivedIntangibleAssetsNet
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FinitelivedIntangibleAssetsAcquired1
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CY2023 us-gaap Acquired Finite Lived Intangible Assets Weighted Average Useful Life
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P10Y
CY2023 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
5600000
CY2022 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
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CY2021 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
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CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Two
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CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Three
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2928000
CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Four
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CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
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CY2023Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
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CY2022Q4 us-gaap Accounts Payable Current
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AccruedSalariesCurrent
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36545000
CY2022Q4 md Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
34983000
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MalpracticeLossContingencyAccrualUndiscountedCurrent
32039000
CY2022Q4 us-gaap Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
32232000
CY2023Q4 us-gaap Interest Payable Current
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CY2022Q4 us-gaap Interest Payable Current
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CY2023Q4 us-gaap Accounts Payable And Accrued Liabilities Current
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CY2022Q4 us-gaap Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
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CY2023Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
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CY2022Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
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OperatingLeaseLiabilityCurrent
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CY2022Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
21589000
CY2023Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
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CY2022Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
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CY2023Q4 us-gaap Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
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CY2022Q4 us-gaap Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
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CY2023Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
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CY2022Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
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CY2023 us-gaap Operating Lease Cost
OperatingLeaseCost
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CY2022 us-gaap Operating Lease Cost
OperatingLeaseCost
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CY2023 us-gaap Variable Lease Cost
VariableLeaseCost
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CY2022 us-gaap Variable Lease Cost
VariableLeaseCost
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CY2023 md Operating Leases Other Costs
OperatingLeasesOtherCosts
3613000
CY2022 md Operating Leases Other Costs
OperatingLeasesOtherCosts
4218000
CY2023 us-gaap Lease Cost
LeaseCost
32667000
CY2022 us-gaap Lease Cost
LeaseCost
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CY2023 us-gaap Operating Lease Payments
OperatingLeasePayments
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CY2022 us-gaap Operating Lease Payments
OperatingLeasePayments
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CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
22141000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
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CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
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CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
8906000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
5501000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
10142000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
76547000
CY2023Q4 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
8233000
CY2023Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
68314000
CY2023Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
21076000
CY2023Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
47238000
CY2023Q4 us-gaap Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
283300000
CY2022Q4 us-gaap Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
307900000
CY2023Q4 us-gaap Self Insurance Reserve Current
SelfInsuranceReserveCurrent
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CY2022Q4 us-gaap Self Insurance Reserve Current
SelfInsuranceReserveCurrent
215500000
CY2023Q4 md Accrued Professional Liability
AccruedProfessionalLiability
105200000
CY2022Q4 md Accrued Professional Liability
AccruedProfessionalLiability
92400000
CY2023Q4 us-gaap Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
32000000
CY2023Q4 us-gaap Insurance Settlements Receivable
InsuranceSettlementsReceivable
33200000
CY2022Q4 md Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
199561000
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
CY2023 md Accrued Professional Liabilities Assumed Through Acquisition
AccruedProfessionalLiabilitiesAssumedThroughAcquisition
-5510000
CY2022 md Accrued Professional Liabilities Assumed Through Acquisition
AccruedProfessionalLiabilitiesAssumedThroughAcquisition
-2692000
CY2021 md Accrued Professional Liabilities Assumed Through Acquisition
AccruedProfessionalLiabilitiesAssumedThroughAcquisition
-2299000
CY2023 md Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
55144000
CY2022 md Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
53180000
CY2021 md Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
56016000
CY2023 md Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
-7551000
CY2022 md Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
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CY2021 md Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
-14231000
CY2023 md Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
47593000
CY2022 md Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
49124000
CY2021 md Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
41785000
CY2023 us-gaap Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
97000
CY2022 us-gaap Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
73000
CY2021 us-gaap Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
59000
CY2023 us-gaap Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
38951000
CY2022 us-gaap Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
36925000
CY2021 us-gaap Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
24103000
CY2023 us-gaap Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
39048000
CY2022 us-gaap Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
36998000
CY2021 us-gaap Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
24162000
CY2023Q4 md Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
202596000
CY2022Q4 md Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
199561000
CY2021Q4 md Malpractice Loss Contingency Accrual Undiscounted Excluding Retained Professional Liabilities Related To Anesthesiology And Radiology Operations
MalpracticeLossContingencyAccrualUndiscountedExcludingRetainedProfessionalLiabilitiesRelatedToAnesthesiologyAndRadiologyOperations
190127000
CY2023Q4 us-gaap Debt Instrument Interest Rate Stated Percentage
DebtInstrumentInterestRateStatedPercentage
0.05375
CY2023 us-gaap Debt Instrument Frequency Of Periodic Payment
DebtInstrumentFrequencyOfPeriodicPayment
payable semi-annually in arrears on February 15 and August 15, beginning on August 15, 2022
CY2023 us-gaap Debt Instrument Description
DebtInstrumentDescription
Notes are guaranteed on an unsecured senior basis by the same subsidiaries and affiliated professional contractors that guarantee the Amended Credit Agreement (as defined below). The indenture under which the 2030 Notes are issued, among other things, limits the Company's ability to (1) incur liens and (2) enter into sale and lease-back transactions, and also limits the Company's ability to merge or dispose of all or substantially all of its assets, in all cases, subject to a number of customary exceptions
CY2023Q4 md Purchase Price
PurchasePrice
1.01
CY2023Q4 us-gaap Long Term Debt
LongTermDebt
622200000
CY2022Q4 us-gaap Long Term Debt
LongTermDebt
637200000
CY2023Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
628125000
CY2023Q4 us-gaap Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
5919000
CY2023Q4 md Long Term Debt Net
LongTermDebtNet
622206000
CY2022Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
644625000
CY2022Q4 us-gaap Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
7385000
CY2022Q4 md Long Term Debt Net
LongTermDebtNet
637240000
CY2023Q4 us-gaap Line Of Credit Facility Remaining Borrowing Capacity
LineOfCreditFacilityRemainingBorrowingCapacity
450000000
CY2022 us-gaap Debt Instrument Maturity Date Description
DebtInstrumentMaturityDateDescription
February 2022
CY2023Q4 us-gaap Finance Lease Liability
FinanceLeaseLiability
9241000
CY2022Q4 us-gaap Finance Lease Liability
FinanceLeaseLiability
11128000
CY2023Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
2413000
CY2022Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
2398000
CY2023Q4 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
6828000
CY2022Q4 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
8730000
CY2023 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
8040000
CY2022 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
38877000
CY2021 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
41592000
CY2023 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
1467000
CY2022 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
-19679000
CY2021 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
-20373000
CY2023 us-gaap Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
9507000
CY2022 us-gaap Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
19198000
CY2021 us-gaap Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
21219000
CY2023 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
770000
CY2022 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
2700000
CY2021 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
16888000
CY2023 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
1772000
CY2022 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
-3092000
CY2021 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
-10866000
CY2023 us-gaap State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
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