2011 Q4 Form 10-K Financial Statement
#000119312513062738 Filed on February 15, 2013
Income Statement
Concept | 2011 Q4 | 2011 Q3 | 2011 Q2 |
---|---|---|---|
Revenue | $404.9M | $407.7M | $393.4M |
YoY Change | 9.88% | 16.12% | 12.69% |
Cost Of Revenue | |||
YoY Change | |||
Gross Profit | |||
YoY Change | |||
Gross Profit Margin | |||
Selling, General & Admin | $287.4M | $289.7M | $278.0M |
YoY Change | 10.37% | 16.16% | 12.14% |
% of Gross Profit | |||
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $7.266M | $6.213M | $6.032M |
YoY Change | 23.15% | -1.38% | 20.64% |
% of Gross Profit | |||
Operating Expenses | $313.4M | $312.6M | $300.3M |
YoY Change | 10.89% | 15.92% | 12.46% |
Operating Profit | $91.51M | $95.04M | $93.12M |
YoY Change | |||
Interest Expense | $684.0K | $1.056M | $988.0K |
YoY Change | -214.0% | -209.78% | |
% of Operating Profit | 0.75% | 1.11% | 1.06% |
Other Income/Expense, Net | |||
YoY Change | |||
Pretax Income | $91.33M | $94.32M | $92.46M |
YoY Change | 7.07% | 16.01% | 13.87% |
Income Tax | $32.97M | $36.08M | $36.52M |
% Of Pretax Income | 36.1% | 38.25% | 39.5% |
Net Earnings | $58.36M | $58.24M | $55.94M |
YoY Change | 8.47% | -4.99% | 13.24% |
Net Earnings / Revenue | 14.41% | 14.29% | 14.22% |
Basic Earnings Per Share | $1.21 | $1.21 | $1.18 |
Diluted Earnings Per Share | $1.19 | $1.19 | $1.15 |
COMMON SHARES | |||
Basic Shares Outstanding | 48.13M shares | 47.99M shares | 47.53M shares |
Diluted Shares Outstanding | 49.13M shares | 48.94M shares | 48.73M shares |
Balance Sheet
Concept | 2011 Q4 | 2011 Q3 | 2011 Q2 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $22.70M | $43.00M | $34.90M |
YoY Change | -47.94% | -43.12% | -5.93% |
Cash & Equivalents | $18.60M | $35.75M | $23.96M |
Short-Term Investments | $4.100M | $7.200M | $11.00M |
Other Short-Term Assets | $7.531M | $84.00M | $76.30M |
YoY Change | -89.39% | 0.36% | -7.85% |
Inventory | |||
Prepaid Expenses | $6.305M | ||
Receivables | $230.4M | $207.1M | $194.0M |
Other Receivables | $0.00 | $0.00 | $0.00 |
Total Short-Term Assets | $337.3M | $334.0M | $305.3M |
YoY Change | 13.94% | 0.0% | 2.18% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $60.53M | $61.60M | $60.10M |
YoY Change | 41.43% | 40.0% | 35.06% |
Goodwill | $1.747B | ||
YoY Change | |||
Intangibles | |||
YoY Change | |||
Long-Term Investments | $45.00M | $35.00M | $25.70M |
YoY Change | 64.23% | 18.64% | 7.08% |
Other Assets | $83.09M | $65.80M | $66.80M |
YoY Change | 18.36% | 24.15% | 22.57% |
Total Long-Term Assets | $1.935B | $1.846B | $1.767B |
YoY Change | 11.13% | 25.82% | 20.98% |
TOTAL ASSETS | |||
Total Short-Term Assets | $337.3M | $334.0M | $305.3M |
Total Long-Term Assets | $1.935B | $1.846B | $1.767B |
Total Assets | $2.273B | $2.180B | $2.073B |
YoY Change | 11.54% | 21.03% | 17.79% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $12.26M | $9.800M | $10.80M |
YoY Change | 27.75% | 19.51% | 44.0% |
Accrued Expenses | $222.3M | $190.2M | $148.3M |
YoY Change | 12.05% | -34.64% | -44.93% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $100.0K | $200.0K | $200.0K |
YoY Change | 0.0% | 0.0% | 0.0% |
Total Short-Term Liabilities | $254.3M | $215.1M | $174.8M |
YoY Change | 15.02% | -30.88% | -38.75% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $29.30M | $50.40M | $66.40M |
YoY Change | -80.01% | 50300.0% | 14.29% |
Other Long-Term Liabilities | $54.54M | $163.3M | $157.7M |
YoY Change | -63.27% | 225.95% | 206.21% |
Total Long-Term Liabilities | $54.54M | $213.7M | $224.1M |
YoY Change | -81.52% | 325.7% | 104.47% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $254.3M | $215.1M | $174.8M |
Total Long-Term Liabilities | $54.54M | $213.7M | $224.1M |
Total Liabilities | $541.6M | $517.6M | $482.5M |
YoY Change | -8.23% | 21.02% | 5.03% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | $1.006B | ||
YoY Change | |||
Common Stock | $489.0K | ||
YoY Change | |||
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | |||
Shareholders Equity | $1.731B | $1.662B | $1.590B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $2.273B | $2.180B | $2.073B |
YoY Change | 11.54% | 21.03% | 17.79% |
Cashflow Statement
Concept | 2011 Q4 | 2011 Q3 | 2011 Q2 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | $58.36M | $58.24M | $55.94M |
YoY Change | 8.47% | -4.99% | 13.24% |
Depreciation, Depletion And Amortization | $7.266M | $6.213M | $6.032M |
YoY Change | 23.15% | -1.38% | 20.64% |
Cash From Operating Activities | $89.80M | $100.1M | $95.30M |
YoY Change | 5.52% | -5.03% | 3.93% |
INVESTING ACTIVITIES | |||
Capital Expenditures | -$2.700M | -$5.200M | -$3.100M |
YoY Change | 35.0% | 79.31% | 0.0% |
Acquisitions | |||
YoY Change | |||
Other Investing Activities | -$81.80M | -$74.00M | $9.400M |
YoY Change | -70.31% | 413.89% | -146.53% |
Cash From Investing Activities | -$84.60M | -$79.20M | $6.300M |
YoY Change | -69.52% | 363.16% | -126.92% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | |||
YoY Change | |||
Debt Paid & Issued, Net | |||
YoY Change | |||
Cash From Financing Activities | -22.40M | -9.100M | -92.60M |
YoY Change | -114.23% | -82.83% | 40.09% |
NET CHANGE | |||
Cash From Operating Activities | 89.80M | 100.1M | 95.30M |
Cash From Investing Activities | -84.60M | -79.20M | 6.300M |
Cash From Financing Activities | -22.40M | -9.100M | -92.60M |
Net Change In Cash | -17.20M | 11.80M | 9.000M |
YoY Change | -51.0% | -66.57% | 309.09% |
FREE CASH FLOW | |||
Cash From Operating Activities | $89.80M | $100.1M | $95.30M |
Capital Expenditures | -$2.700M | -$5.200M | -$3.100M |
Free Cash Flow | $92.50M | $105.3M | $98.40M |
YoY Change | 6.2% | -2.77% | 3.8% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
CY2012Q2 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
|
5029717 | shares |
CY2012Q4 | us-gaap |
Line Of Credit Facility Maximum Borrowing Capacity
LineOfCreditFacilityMaximumBorrowingCapacity
|
500000000 | |
CY2011Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
576030000 | |
CY2013Q1 | dei |
Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
|
50078638 | shares |
CY2012Q2 | dei |
Entity Public Float
EntityPublicFloat
|
3338146800 | |
CY2009Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
49416000 | |
CY2009Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
26503000 | |
CY2009Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
109628000 | |
CY2009Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
377506000 | |
CY2009Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
1190098000 | |
CY2010Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
22290000 | |
CY2010Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
26251000 | |
CY2010Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
111662000 | |
CY2010Q4 | us-gaap |
Sales Revenue Goods Net Percentage
SalesRevenueGoodsNetPercentage
|
1.00 | pure |
CY2010Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
421977000 | |
CY2010Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
1447454000 | |
CY2010Q4 | us-gaap |
Operating Loss Carryforwards
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|
20700000 | |
CY2011Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
100000000 | shares |
CY2011Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
7531000 | |
CY2011Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
147613000 | |
CY2011Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
16165000 | |
CY2011Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | shares |
CY2011Q4 | us-gaap |
Business Acquisition Cost Of Acquired Entity Purchase Price
BusinessAcquisitionCostOfAcquiredEntityPurchasePrice
|
159500000 | |
CY2011Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
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CY2011Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
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254301000 | |
CY2011Q4 | us-gaap |
Other Employee Related Liabilities Current
OtherEmployeeRelatedLiabilitiesCurrent
|
29443000 | |
CY2011Q4 | us-gaap |
Other Intangible Assets Net
OtherIntangibleAssetsNet
|
65264000 | |
CY2011Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
134456000 | |
CY2011Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
1005881000 | |
CY2011Q4 | us-gaap |
Assets
Assets
|
2272648000 | |
CY2011Q4 | us-gaap |
Business Acquisition Cost Of Acquired Entity Cash Paid
BusinessAcquisitionCostOfAcquiredEntityCashPaid
|
146500000 | |
CY2011Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
18596000 | |
CY2011Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
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|
234535000 | |
CY2011Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
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|
128000 | |
CY2011Q4 | us-gaap |
Accounts Receivable Gross Current
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|
806418000 | |
CY2011Q4 | us-gaap |
Short Term Investments
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|
4139000 | |
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Buildings And Improvements Gross
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22243000 | |
CY2011Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
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Long Term Line Of Credit
LongTermLineOfCredit
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CY2011Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
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Money Market Funds At Carrying Value
MoneyMarketFundsAtCarryingValue
|
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CY2011Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Noncurrent
MalpracticeLossContingencyAccrualUndiscountedNoncurrent
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Accounts Receivable Net Current
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Liability For Uncertain Tax Positions Current
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Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
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Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
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Property Plant And Equipment Gross
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Deferred Tax Assets Net
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Other Assets Noncurrent
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Prepaid Expense Current
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Deferred Tax Assets Operating Loss Carryforwards
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Liabilities And Stockholders Equity
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Cash Surrender Value Fair Value Disclosure
CashSurrenderValueFairValueDisclosure
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CY2011Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
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CY2011Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
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CY2011Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
489000 | |
CY2011Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
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|
31300000 | |
CY2011Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2011Q4 | us-gaap |
Goodwill
Goodwill
|
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CY2011Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
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Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
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Liabilities
Liabilities
|
541632000 | |
CY2011Q4 | us-gaap |
Sales Revenue Goods Net Percentage
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1.00 | pure |
CY2011Q4 | us-gaap |
Capital Lease Obligations
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Deferred Tax Assets Net Current
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Self Insurance Reserve Current
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Income Tax Examination Penalties And Interest Accrued
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Deferred Tax Assets Other
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|
483000 | |
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|
59.64 | |
CY2011Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
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0.01 | |
CY2011Q4 | us-gaap |
Capital Lease Obligations Current
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|
143000 | |
CY2011Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
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CY2011Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
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Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
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Commitments And Contingencies
CommitmentsAndContingencies
|
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Common Stock Shares Outstanding
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|
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CY2011Q4 | us-gaap |
Long Term Investments
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|
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CY2011Q4 | us-gaap |
Valuation Allowances And Reserves Balance
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|
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CY2011Q4 | us-gaap |
Assets Current
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|
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Additional Paid In Capital
AdditionalPaidInCapital
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Business Acquisition Contingent Consideration At Fair Value
BusinessAcquisitionContingentConsiderationAtFairValue
|
13000000 | |
CY2011Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
4139000 | |
CY2011Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
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|
13218000 | |
CY2012Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
13072000 | |
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Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | shares |
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Longterm Debt Weighted Average Interest Rate
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0.013 | pure |
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Business Acquisition Cost Of Acquired Entity Purchase Price
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|
451100000 | |
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|
144800000 | |
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Operating Leases Future Minimum Payments Due Thereafter
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|
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Liabilities Current
LiabilitiesCurrent
|
268338000 | |
CY2012Q4 | us-gaap |
Other Employee Related Liabilities Current
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|
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Malpractice Loss Contingency Accrual Undiscounted Noncurrent
MalpracticeLossContingencyAccrualUndiscountedNoncurrent
|
119570000 | |
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Capital Leases Future Minimum Payments Due In Three Years
CapitalLeasesFutureMinimumPaymentsDueInThreeYears
|
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Accounts Receivable Net Current
AccountsReceivableNetCurrent
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CY2011Q4 | us-gaap |
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16666000 | |
CY2011Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2011Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
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|
65191000 | |
CY2011Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
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CY2011Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
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CY2011Q4 | us-gaap |
Capital Lease Obligations Noncurrent
CapitalLeaseObligationsNoncurrent
|
327000 | |
CY2011Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillAmount
|
138600000 | |
CY2011Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
54544000 | |
CY2011Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
9400000 | |
CY2011Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
12264000 | |
CY2011Q4 | md |
Accrued Contingent Consideration
AccruedContingentConsideration
|
-12089000 | |
CY2011Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
43300000 | |
CY2011Q4 | md |
Allowance For Uncollectable Accounts
AllowanceForUncollectableAccounts
|
47459000 | |
CY2011Q4 | md |
Deferred Tax Liabilities Accrual To Cash Adjustment
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|
28575000 | |
CY2011Q4 | md |
Deferred Tax Liabilities Amortization
DeferredTaxLiabilitiesAmortization
|
105753000 | |
CY2011Q4 | md |
Equipment And Furniture
EquipmentAndFurniture
|
96795000 | |
CY2012Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
|
49400000 | |
CY2012Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
|
46.46 | |
CY2012Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
100000000 | shares |
CY2012Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
9228000 | |
CY2012Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
160495000 | |
CY2012Q4 | us-gaap |
Other Intangible Assets Net
OtherIntangibleAssetsNet
|
98503000 | |
CY2012Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
6900000 | |
CY2012Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
169799000 | |
CY2012Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
1246788000 | |
CY2012Q4 | us-gaap |
Assets
Assets
|
2750337000 | |
CY2012Q4 | us-gaap |
Business Acquisition Cost Of Acquired Entity Cash Paid
BusinessAcquisitionCostOfAcquiredEntityCashPaid
|
436400000 | |
CY2012Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
21280000 | |
CY2012Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
255661000 | |
CY2012Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
872962000 | |
CY2012Q4 | us-gaap |
Short Term Investments
ShortTermInvestments
|
6584000 | |
CY2012Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
22957000 | |
CY2012Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
-56843000 | |
CY2012Q4 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
144000000 | |
CY2012Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Share Based Awards Other Than Options
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedShareBasedAwardsOtherThanOptions
|
27200000 | |
CY2012Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
|
5420000 | |
CY2012Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
47.02 | |
CY2012Q4 | us-gaap |
Line Of Credit Facility Maximum Borrowing Capacity
LineOfCreditFacilityMaximumBorrowingCapacity
|
800000000 | |
CY2012Q4 | us-gaap |
Money Market Funds At Carrying Value
MoneyMarketFundsAtCarryingValue
|
11100000 | |
CY2012Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
|
980898 | shares |
CY2012Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
500000 | |
CY2012Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
46300000 | |
CY2012Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2012Q4 | us-gaap |
Goodwill
Goodwill
|
2165672000 | |
CY2012Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
18700000 | |
CY2012Q4 | us-gaap |
Business Acquisition Contingent Consideration Potential Cash Payment
BusinessAcquisitionContingentConsiderationPotentialCashPayment
|
0 | |
CY2012Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
624896000 | |
CY2012Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsReserves
|
43345000 | |
CY2012Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
802000 | |
CY2012Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
1519644 | shares |
CY2012Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
133789000 | |
CY2012Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
112956000 | |
CY2012Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Property Plant And Equipment
BusinessAcquisitionPurchasePriceAllocationPropertyPlantAndEquipment
|
600000 | |
CY2012Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
|
4300000 | shares |
CY2012Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
118290000 | |
CY2012Q4 | us-gaap |
Accrued Income Taxes Current
AccruedIncomeTaxesCurrent
|
12576000 | |
CY2012Q4 | us-gaap |
Line Of Credit Facility Amount Outstanding
LineOfCreditFacilityAmountOutstanding
|
144000000 | |
CY2012Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
4852000 | |
CY2012Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Two Years
CapitalLeasesFutureMinimumPaymentsDueInTwoYears
|
108000 | |
CY2012Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
5624000 | |
CY2012Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
21000000 | |
CY2012Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
125877000 | |
CY2012Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
2750337000 | |
CY2012Q4 | us-gaap |
Cash Surrender Value Fair Value Disclosure
CashSurrenderValueFairValueDisclosure
|
13800000 | |
CY2012Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
50019000 | shares |
CY2012Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
137036000 | |
CY2012Q4 | us-gaap |
Other Assets Miscellaneous Noncurrent
OtherAssetsMiscellaneousNoncurrent
|
19787000 | |
CY2012Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
|
1474539 | shares |
CY2012Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
|
12052000 | |
CY2012Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
18444000 | |
CY2012Q4 | us-gaap |
Liabilities
Liabilities
|
714969000 | |
CY2012Q4 | us-gaap |
Sales Revenue Goods Net Percentage
SalesRevenueGoodsNetPercentage
|
1.00 | pure |
CY2012Q4 | us-gaap |
Capital Lease Obligations
CapitalLeaseObligations
|
334000 | |
CY2012Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
11400000 | |
CY2012Q4 | us-gaap |
Deferred Tax Assets Net Current
DeferredTaxAssetsNetCurrent
|
69034000 | |
CY2012Q4 | us-gaap |
Self Insurance Reserve Current
SelfInsuranceReserveCurrent
|
90600000 | |
CY2012Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedStockOptions
|
200000 | |
CY2012Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
9000000 | |
CY2012Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
|
16268000 | |
CY2012Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
509000 | |
CY2012Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
|
61.94 | |
CY2012Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
59738000 | |
CY2012Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
|
20960000 | |
CY2012Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2012Q4 | us-gaap |
Capital Lease Obligations Current
CapitalLeaseObligationsCurrent
|
101000 | |
CY2012Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
73200000 | |
CY2012Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Amortizable Intangible Assets
BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets
|
48200000 | |
CY2012Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2012Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2012Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2012Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
50019000 | shares |
CY2012Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
12700000 | |
CY2012Q4 | us-gaap |
Capital Leases Future Minimum Payments Due
CapitalLeasesFutureMinimumPaymentsDue
|
334000 | |
CY2012Q4 | us-gaap |
Long Term Investments
LongTermInvestments
|
47593000 | |
CY2012Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
624896000 | |
CY2012Q4 | us-gaap |
Business Combination Contingent Consideration Arrangements Range Of Outcomes Value High
BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh
|
15900000 | |
CY2012Q4 | us-gaap |
Assets Current
AssetsCurrent
|
359044000 | |
CY2012Q4 | us-gaap |
Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
|
73952000 | |
CY2012Q4 | us-gaap |
Additional Paid In Capital
AdditionalPaidInCapital
|
788080000 | |
CY2012Q4 | us-gaap |
Business Acquisition Contingent Consideration At Fair Value
BusinessAcquisitionContingentConsiderationAtFairValue
|
14700000 | |
CY2012Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
15500000 | |
CY2012Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
6584000 | |
CY2012Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
17466000 | |
CY2012Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
11603000 | |
CY2012Q4 | us-gaap |
Capital Leases Future Minimum Payments Due Current
CapitalLeasesFutureMinimumPaymentsDueCurrent
|
101000 | |
CY2012Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Other Liabilities
BusinessAcquisitionPurchasePriceAllocationOtherLiabilities
|
12000000 | |
CY2012Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2012Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
74051000 | |
CY2012Q4 | us-gaap |
Business Combination Contingent Consideration Arrangements Range Of Outcomes Value Low
BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueLow
|
0 | |
CY2012Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
47593000 | |
CY2012Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
2035368000 | |
CY2012Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
25000000 | |
CY2012Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
|
48800000 | |
CY2012Q4 | us-gaap |
Capital Lease Obligations Noncurrent
CapitalLeaseObligationsNoncurrent
|
233000 | |
CY2012Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillAmount
|
414300000 | |
CY2012Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
56951000 | |
CY2012Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
14900000 | |
CY2012Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
|
8337000 | |
CY2012Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
13812000 | |
CY2012Q4 | md |
Accrued Contingent Consideration
AccruedContingentConsideration
|
-16109000 | |
CY2012Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
46400000 | |
CY2012Q4 | md |
Allowance For Uncollectable Accounts
AllowanceForUncollectableAccounts
|
44232000 | |
CY2012Q4 | md |
Deferred Tax Liabilities Accrual To Cash Adjustment
DeferredTaxLiabilitiesAccrualToCashAdjustment
|
33129000 | |
CY2012Q4 | md |
Deferred Tax Liabilities Amortization
DeferredTaxLiabilitiesAmortization
|
136670000 | |
CY2012Q4 | md |
Equipment And Furniture
EquipmentAndFurniture
|
104149000 | |
CY2012Q4 | md |
Line Of Credit Facility Potential Increase In Borrowing Capacity
LineOfCreditFacilityPotentialIncreaseInBorrowingCapacity
|
1000000000 | |
CY2012Q4 | md |
Line Of Credit Facility Reduction In Available Balance
LineOfCreditFacilityReductionInAvailableBalance
|
5500000 | |
CY2009Q1 | md |
Business Combination Contingent Consideration Arrangements Time Period
BusinessCombinationContingentConsiderationArrangementsTimePeriod
|
P5Y | |
CY2010 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
684000000 | |
CY2010 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate Minimum
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRateMinimum
|
0.021 | pure |
CY2010 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
587500000 | |
CY2010 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
1561000 | |
CY2010 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
21950000 | |
CY2010 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
-151000 | |
CY2010 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
96570000 | |
CY2010 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
338596000 | |
CY2010 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
3601000 | |
CY2010 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-361612000 | |
CY2010 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromCurrentPeriodTaxPositions
|
19035000 | |
CY2010 | us-gaap |
Accretion Expense
AccretionExpense
|
967000 | |
CY2010 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
54.90 | |
CY2010 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
3000000 | |
CY2010 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
46630000 | shares |
CY2010 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1434000 | |
CY2010 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3486 | pure |
CY2010 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
1915000 | |
CY2010 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
16951000 | |
CY2010 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
311152000 | |
CY2010 | us-gaap |
Income Tax Expense Benefit Continuing Operations
IncomeTaxExpenseBenefitContinuingOperations
|
108461000 | |
CY2010 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
9100000 | |
CY2010 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
26478000 | |
CY2010 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
13910000 | |
CY2010 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0035 | pure |
CY2010 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
25693000 | |
CY2010 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0010 | pure |
CY2010 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
16400000 | |
CY2010 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
940000 | shares |
CY2010 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
-252000 | |
CY2010 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
10330000 | |
CY2010 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
312911000 | |
CY2010 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
25693000 | |
CY2010 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
|
-0.0281 | pure |
CY2010 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
4.35 | |
CY2010 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1401559000 | |
CY2010 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
15575000 | |
CY2010 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
262000 | |
CY2010 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
11891000 | |
CY2010 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardForfeitures
|
||
CY2010 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
24375000 | |
CY2010 | us-gaap |
Net Income Loss
NetIncomeLoss
|
202691000 | |
CY2010 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
3046000 | |
CY2010 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
4.26 | |
CY2010 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
9569000 | |
CY2010 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
154267000 | |
CY2010 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
47570000 | shares |
CY2010 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
120802000 | |
CY2010 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
|
0.35 | pure |
CY2010 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2010 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
2334000 | |
CY2010 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1304000 | |
CY2010 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
73756000 | |
CY2010 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-3882000 | |
CY2010 | us-gaap |
Operating Expenses
OperatingExpenses
|
1088648000 | |
CY2010 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
948000 | |
CY2010 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate Maximum
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRateMaximum
|
0.023 | pure |
CY2010 | us-gaap |
Income Tax Examination Penalties And Interest Expense
IncomeTaxExaminationPenaltiesAndInterestExpense
|
1700000 | |
CY2010 | us-gaap |
Interest Paid Net
InterestPaidNet
|
2559000 | |
CY2010 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
108461000 | |
CY2010 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
13357000 | |
CY2010 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
-38918000 | |
CY2010 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
14400000 | |
CY2010 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
18200000 | |
CY2010 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
854920000 | |
CY2010 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-2781356000 | |
CY2010 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
3043000 | |
CY2010 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
500000 | |
CY2010 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
8500000 | |
CY2010 | us-gaap |
Depreciation
Depreciation
|
13500000 | |
CY2010 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
88601000 | |
CY2010 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
25700000 | |
CY2010 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
464000 | shares |
CY2010 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
19800000 | |
CY2010 | us-gaap |
Interest Expense
InterestExpense
|
3193000 | |
CY2010 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
18.89 | |
CY2010 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
18706000 | |
CY2010 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
553000 | |
CY2010 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
22532000 | |
CY2010 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
2825827000 | |
CY2010 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
|
0.00 | pure |
CY2010 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
22814000 | |
CY2010 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
240558000 | |
CY2010 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
12113000 | |
CY2010 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0242 | pure |
CY2010 | md |
Excess Tax Benefit Related To Resolution Of Income Tax Matters
ExcessTaxBenefitRelatedToResolutionOfIncomeTaxMatters
|
3394000 | |
CY2010 | md |
Health Care Organization Patient Service Revenue Gross
HealthCareOrganizationPatientServiceRevenueGross
|
4140312000 | |
CY2010 | md |
Payments Of Contingent Consideration Liabilities
PaymentsOfContingentConsiderationLiabilities
|
4405000 | |
CY2010 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
57511000 | |
CY2010 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
-27086000 | |
CY2010 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
11142000 | |
CY2010 | md |
Reduction In Its Income Tax Provision Resulting From Resolution Of Tax Matters
ReductionInItsIncomeTaxProvisionResultingFromResolutionOfTaxMatters
|
10900000 | |
CY2010 | md |
Stock Issued During Period Value Stock Options Exercised And Stock Purchase Plans
StockIssuedDuringPeriodValueStockOptionsExercisedAndStockPurchasePlans
|
22532000 | |
CY2010 | md |
Total Provision For Losses
TotalProvisionForLosses
|
-15944000 | |
CY2010 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
2825827000 | |
CY2010 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
-87074000 | |
CY2011 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
512500000 | |
CY2011 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
630000000 | |
CY2011 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
577000 | |
CY2011 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
25292000 | |
CY2011 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
1959000 | |
CY2011 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
120776000 | |
CY2011 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
154885000 | |
CY2011 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
-3932000 | |
CY2011 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-190573000 | |
CY2011 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromCurrentPeriodTaxPositions
|
7203000 | |
CY2011 | us-gaap |
Accretion Expense
AccretionExpense
|
1083000 | |
CY2011 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
70.99 | |
CY2011 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
7100000 | |
CY2011 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
47706000 | shares |
CY2011 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
5.35 | |
CY2011 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1495000 | |
CY2011 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3829 | pure |
CY2011 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
9843000 | |
CY2011 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
48993000 | |
CY2011 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
353245000 | |
CY2011 | us-gaap |
Income Tax Expense Benefit Continuing Operations
IncomeTaxExpenseBenefitContinuingOperations
|
135248000 | |
CY2011 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
14100000 | |
CY2011 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
42526000 | |
CY2011 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
11747000 | |
CY2011 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0032 | pure |
CY2011 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
27092000 | |
CY2011 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
1950972000 | |
CY2011 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0013 | pure |
CY2011 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
24500000 | |
CY2011 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1090000 | shares |
CY2011 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
-7655000 | |
CY2011 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
13895000 | |
CY2011 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
255183000 | |
CY2011 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
355389000 | |
CY2011 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
27092000 | |
CY2011 | us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
48796000 | shares |
CY2011 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
|
0.0044 | pure |
CY2011 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
4.57 | |
CY2011 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1588248000 | |
CY2011 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
38170000 | |
CY2011 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
463000 | |
CY2011 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
14472000 | |
CY2011 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardForfeitures
|
||
CY2011 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
8063000 | |
CY2011 | us-gaap |
Net Income Loss
NetIncomeLoss
|
217997000 | |
CY2011 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
|
0.019 | pure |
CY2011 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
7111000 | |
CY2011 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
4.47 | |
CY2011 | us-gaap |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
47706000 | shares |
CY2011 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-88101000 | |
CY2011 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
|
0.35 | pure |
CY2011 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
170356000 | |
CY2011 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
48796000 | shares |
CY2011 | md |
Line Of Credit Facility Payments For Amendment
LineOfCreditFacilityPaymentsForAmendment
|
1970000 | |
CY2011 | md |
Number Of Physician Group Practices
NumberOfPhysicianGroupPractices
|
10 | Company |
CY2011 | md |
Payments Of Contingent Consideration Liabilities
PaymentsOfContingentConsiderationLiabilities
|
6561000 | |
CY2011 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2011 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
2541000 | |
CY2011 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1520000 | |
CY2011 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
113290000 | |
CY2011 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
3433000 | |
CY2011 | us-gaap |
Operating Expenses
OperatingExpenses
|
1232859000 | |
CY2011 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
44000 | |
CY2011 | us-gaap |
Income Tax Examination Penalties And Interest Expense
IncomeTaxExaminationPenaltiesAndInterestExpense
|
400000 | |
CY2011 | us-gaap |
Interest Paid Net
InterestPaidNet
|
2569000 | |
CY2011 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
135248000 | |
CY2011 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
11526000 | |
CY2011 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
21480000 | |
CY2011 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
19000000 | |
CY2011 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
20300000 | |
CY2011 | us-gaap |
Effective Income Tax Rate Reconciliation Prior Year Income Taxes
EffectiveIncomeTaxRateReconciliationPriorYearIncomeTaxes
|
0.3829 | pure |
CY2011 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
7031000 | |
CY2011 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
-13000 | |
CY2011 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
10300000 | |
CY2011 | us-gaap |
Depreciation
Depreciation
|
15000000 | |
CY2011 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
119261000 | |
CY2011 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability
|
32400000 | |
CY2011 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
27100000 | |
CY2011 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
45000 | shares |
CY2011 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
20800000 | |
CY2011 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
970396000 | |
CY2011 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
751000 | |
CY2011 | us-gaap |
Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
|
145400000 | |
CY2011 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-3208028000 | |
CY2011 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
5.23 | |
CY2011 | us-gaap |
Interest Expense
InterestExpense
|
3639000 | |
CY2011 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
23.27 | |
CY2011 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
6704000 | |
CY2011 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
221000 | |
CY2011 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
31362000 | |
CY2011 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
3362081000 | |
CY2011 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
|
0.00 | pure |
CY2011 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
7486000 | |
CY2011 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
271019000 | |
CY2011 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
31332000 | |
CY2011 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0266 | pure |
CY2011 | md |
Decrease In Uncertain Tax Position
DecreaseInUncertainTaxPosition
|
6100000 | |
CY2011 | md |
Health Care Organization Patient Service Revenue Gross
HealthCareOrganizationPatientServiceRevenueGross
|
4851500000 | |
CY2011 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
66815000 | |
CY2011 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
-33031000 | |
CY2011 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
10099000 | |
CY2011 | md |
Stock Issued During Period Value Stock Options Exercised And Stock Purchase Plans
StockIssuedDuringPeriodValueStockOptionsExercisedAndStockPurchasePlans
|
31362000 | |
CY2011 | md |
Total Provision For Losses
TotalProvisionForLosses
|
-22932000 | |
CY2011 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
3362081000 | |
CY2011 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
-98829000 | |
CY2012 | dei |
Document Fiscal Period Focus
DocumentFiscalPeriodFocus
|
FY | |
CY2012 | dei |
Entity Voluntary Filers
EntityVoluntaryFilers
|
No | |
CY2012 | dei |
Document Fiscal Year Focus
DocumentFiscalYearFocus
|
2012 | |
CY2012 | dei |
Document Type
DocumentType
|
10-K | |
CY2012 | dei |
Document Period End Date
DocumentPeriodEndDate
|
2012-12-31 | |
CY2012 | dei |
Entity Central Index Key
EntityCentralIndexKey
|
0000893949 | |
CY2012 | dei |
Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
|
Yes | |
CY2012 | dei |
Current Fiscal Year End Date
CurrentFiscalYearEndDate
|
--12-31 | |
CY2012 | dei |
Trading Symbol
TradingSymbol
|
MD | |
CY2012 | dei |
Entity Registrant Name
EntityRegistrantName
|
MEDNAX, INC. | |
CY2012 | dei |
Entity Current Reporting Status
EntityCurrentReportingStatus
|
Yes | |
CY2012 | dei |
Amendment Flag
AmendmentFlag
|
false | |
CY2012 | dei |
Entity Filer Category
EntityFilerCategory
|
Large Accelerated Filer | |
CY2012 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
517500000 | |
CY2012 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested And Expected To Vest Outstanding Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageRemainingContractualTerm1
|
P10M24D | |
CY2012 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
402500000 | |
CY2012 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
528135 | shares |
CY2012 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
1530000 | |
CY2012 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
30816000 | |
CY2012 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
411000 | |
CY2012 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
131754000 | |
CY2012 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
441006000 | |
CY2012 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
-1153000 | |
CY2012 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-460548000 | |
CY2012 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromCurrentPeriodTaxPositions
|
3671000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
39.33 | |
CY2012 | us-gaap |
Accretion Expense
AccretionExpense
|
995000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
60.11 | |
CY2012 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
6200000 | |
CY2012 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48693000 | shares |
CY2012 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
|
P3Y10M24D | |
CY2012 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
5.35 | |
CY2012 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1896000 | |
CY2012 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3794 | pure |
CY2012 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
9941000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue
|
54.30 | |
CY2012 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
17678000 | |
CY2012 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
388171000 | |
CY2012 | us-gaap |
Income Tax Expense Benefit Continuing Operations
IncomeTaxExpenseBenefitContinuingOperations
|
147264000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
18100000 | |
CY2012 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
33120000 | |
CY2012 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
13133000 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0036 | pure |
CY2012 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
28437000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
|
||
CY2012 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
2015167000 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
0.0013 | pure |
CY2012 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
20800000 | |
CY2012 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
998000 | shares |
CY2012 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
2684000 | |
CY2012 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
13980000 | |
CY2012 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
260485000 | |
CY2012 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
389520000 | |
CY2012 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
28437000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
|
68.56 | |
CY2012 | us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
49691000 | shares |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
EffectiveIncomeTaxRateReconciliationChangeInEnactedTaxRate
|
-0.0015 | pure |
CY2012 | us-gaap |
Line Of Credit Facility Maximum Amount Outstanding During Period
LineOfCreditFacilityMaximumAmountOutstandingDuringPeriod
|
650500000 | |
CY2012 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
4.95 | |
CY2012 | us-gaap |
Nature Of Operations
NatureOfOperations
|
<div> <p style="MARGIN-TOP: 12px; MARGIN-BOTTOM: 0px"><font style="FONT-FAMILY: Times New Roman" size="2"><b>1.     General:</b></font></p> <p style="MARGIN-TOP: 6px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2">The principal business activity of MEDNAX, Inc. (“MEDNAX” or the “Company”) and its subsidiaries is to provide neonatal, maternal-fetal, other pediatric subspecialties and anesthesia physician services. The Company has contracts with affiliated professional associations, corporations 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 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.</font></p> </div> | |
CY2012 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1816612000 | |
CY2012 | us-gaap |
Line Of Credit Facility Expiration Date1
LineOfCreditFacilityExpirationDate1
|
2017-11-17 | |
CY2012 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P4Y1M6D | |
CY2012 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
28073000 | |
CY2012 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
136000 | |
CY2012 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
15510000 | |
CY2012 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardForfeitures
|
||
CY2012 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
21344000 | |
CY2012 | us-gaap |
Net Income Loss
NetIncomeLoss
|
240907000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod
|
shares | |
CY2012 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
6198000 | |
CY2012 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
4.85 | |
CY2012 | us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
12900000 | |
CY2012 | us-gaap |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
48693000 | shares |
CY2012 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
193540000 | |
CY2012 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
49691000 | shares |
CY2012 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
137540000 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2012 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
12564000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
|
465317 | shares |
CY2012 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
16953000 | |
CY2012 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
2478000 | |
CY2012 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
2002000 | |
CY2012 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
111940000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
|
423331 | shares |
CY2012 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
244000 | |
CY2012 | us-gaap |
Operating Expenses
OperatingExpenses
|
1427092000 | |
CY2012 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
102000 | |
CY2012 | us-gaap |
Income Tax Examination Penalties And Interest Expense
IncomeTaxExaminationPenaltiesAndInterestExpense
|
300000 | |
CY2012 | us-gaap |
Interest Paid Net
InterestPaidNet
|
2044000 | |
CY2012 | us-gaap |
Finite Lived Intangible Asset Useful Life
FiniteLivedIntangibleAssetUsefulLife
|
P1Y10M24D | |
CY2012 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
147264000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod
|
39441 | shares |
CY2012 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
24800000 | |
CY2012 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
1130913000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
23000000 | |
CY2012 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
6494000 | |
CY2012 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
15000000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
|
5794 | shares |
CY2012 | us-gaap |
Depreciation
Depreciation
|
15800000 | |
CY2012 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
129636000 | |
CY2012 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability
|
37700000 | |
CY2012 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
28400000 | |
CY2012 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
29000 | shares |
CY2012 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
23900000 | |
CY2012 | us-gaap |
Use Of Estimates
UseOfEstimates
|
<div> <p style="MARGIN-TOP: 18px; MARGIN-BOTTOM: 0px"><font style="FONT-FAMILY: Times New Roman" size="2"><b>Accounting Estimates and Assumptions</b></font></p> <p style="MARGIN-TOP: 6px; TEXT-INDENT: 4%; MARGIN-BOTTOM: 0px"> <font style="FONT-FAMILY: Times New Roman" size="2">The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America (“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, the fair value of goodwill, and liabilities for uncertain tax positions. Actual results could differ from those estimates.</font></p> </div> | |
CY2012 | us-gaap |
Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
|
418900000 | |
CY2012 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-3946058000 | |
CY2012 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-7343000 | |
CY2012 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
569000 | |
CY2012 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
28810000 | |
CY2012 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
3994924000 | |
CY2012 | md |
Number Of Physician Group Practices
NumberOfPhysicianGroupPractices
|
16 | Company |
CY2012 | md |
Long Term Investment Maturity Maximum
LongTermInvestmentMaturityMaximum
|
6 | Y |
CY2012 | md |
Long Term Investment Maturity Minimum
LongTermInvestmentMaturityMinimum
|
1 | Y |
CY2012 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
5.24 | |
CY2012 | us-gaap |
Interest Expense
InterestExpense
|
3245000 | |
CY2012 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
19814000 | |
CY2012 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
325692000 | |
CY2012 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
14495000 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0260 | pure |
CY2012 | md |
Assumed Payment Probability Of Contingent Consideration Payment
AssumedPaymentProbabilityOfContingentConsiderationPayment
|
1.00 | pure |
CY2012 | md |
Contingent Consideration Payments Related To Prior Period Acquisitions
ContingentConsiderationPaymentsRelatedToPriorPeriodAcquisitions
|
14700000 | |
CY2012 | md |
Decrease In Uncertain Tax Position
DecreaseInUncertainTaxPosition
|
3100000 | |
CY2012 | md |
Health Care Organization Patient Service Revenue Gross
HealthCareOrganizationPatientServiceRevenueGross
|
5691790000 | |
CY2012 | md |
Increase In Uncertain Tax Position
IncreaseInUncertainTaxPosition
|
1100000 | |
CY2012 | md |
Line Of Credit Facility Payments For Amendment
LineOfCreditFacilityPaymentsForAmendment
|
2397000 | |
CY2012 | md |
Payments Of Contingent Consideration Liabilities
PaymentsOfContingentConsiderationLiabilities
|
10231000 | |
CY2012 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
71823000 | |
CY2012 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
-35441000 | |
CY2012 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
8119000 | |
CY2011Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
75134000 | |
CY2011Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
75720000 | |
CY2011Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.96 | |
CY2011Q1 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
382283000 | |
CY2011Q2 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
48730000 | shares |
CY2012 | md |
Schedule Of Differences Between Federal Statutory Tax Rate And Effective Tax Rate
ScheduleOfDifferencesBetweenFederalStatutoryTaxRateAndEffectiveTaxRate
|
<div> <p style="margin-top:0px;margin-bottom:0px; text-indent:4%"> <font style="font-family:Times New Roman" size="2">The differences between the effective rate and the United States federal income tax statutory rate are as follows:</font></p> <p style="font-size:12px;margin-top:0px;margin-bottom:0px">  </p> <table cellspacing="0" cellpadding="0" width="84%" border="0" style="BORDER-COLLAPSE:COLLAPSE" align="center"> <tr> <td width="75%"></td> <td valign="bottom" width="5%"></td> <td></td> <td></td> <td></td> <td valign="bottom" width="4%"></td> <td></td> <td></td> <td></td> <td valign="bottom" width="4%"></td> <td></td> <td></td> <td></td> </tr> <tr> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font size="1">  </font></td> <td valign="bottom" colspan="10" align="center" style="border-bottom:1px solid #000000"><font style="font-family:Times New Roman" size="1"><b>December 31,</b></font></td> <td valign="bottom"><font size="1"> </font></td> </tr> <tr> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font size="1">  </font></td> <td valign="bottom" colspan="2" align="center" style="border-bottom:1px solid #000000"><font style="font-family:Times New Roman" size="1"><b>2012</b></font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom" colspan="2" align="center" style="border-bottom:1px solid #000000"><font style="font-family:Times New Roman" size="1"><b>2011</b></font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom" colspan="2" align="center" style="border-bottom:1px solid #000000"><font style="font-family:Times New Roman" size="1"><b>2010</b></font></td> <td valign="bottom"><font size="1"> </font></td> </tr> <tr bgcolor="#CCEEFF"> <td valign="top"> <p style="margin-left:1.00em; text-indent:-1.00em"><font style="font-family:Times New Roman" size="2">Tax at statutory rate</font></p> </td> <td valign="bottom"><font size="1">  </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">35.00</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">% </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">35.00</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">% </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">35.00</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">% </font></td> </tr> <tr> <td valign="top"> <p style="margin-left:1.00em; text-indent:-1.00em"><font style="font-family:Times New Roman" size="2">State income tax, net of federal benefit</font></p> </td> <td valign="bottom"><font size="1">  </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">2.60</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">  </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">2.66</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">  </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">2.42</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">  </font></td> </tr> <tr bgcolor="#CCEEFF"> <td valign="top"> <p style="margin-left:1.00em; text-indent:-1.00em"><font style="font-family:Times New Roman" size="2">Non-deductible expenses</font></p> </td> <td valign="bottom"><font size="1">  </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">0.36</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">  </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">0.32</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">  </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">0.35</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">  </font></td> </tr> <tr> <td valign="top"> <p style="margin-left:1.00em; text-indent:-1.00em"><font style="font-family:Times New Roman" size="2">Change in accrual estimates relating to uncertain tax positions</font></p> </td> <td valign="bottom"><font size="1">  </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">(0.15</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">) </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">0.44</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">  </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">(2.81</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">) </font></td> </tr> <tr bgcolor="#CCEEFF"> <td valign="top"> <p style="margin-left:1.00em; text-indent:-1.00em"><font style="font-family:Times New Roman" size="2">Other, net</font></p> </td> <td valign="bottom"><font size="1">  </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">0.13</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">  </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">(0.13</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">) </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">(0.10</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">) </font></td> </tr> <tr style="font-size:1px"> <td valign="bottom"></td> <td valign="bottom">  </td> <td valign="bottom"> <p style="border-top:1px solid #000000"> </p> </td> <td valign="bottom"> <p style="border-top:1px solid #000000"> </p> </td> <td> </td> <td valign="bottom"> </td> <td valign="bottom"> <p style="border-top:1px solid #000000"> </p> </td> <td valign="bottom"> <p style="border-top:1px solid #000000"> </p> </td> <td> </td> <td valign="bottom"> </td> <td valign="bottom"> <p style="border-top:1px solid #000000"> </p> </td> <td valign="bottom"> <p style="border-top:1px solid #000000"> </p> </td> <td> </td> </tr> <tr> <td valign="top"> <p style="margin-left:1.00em; text-indent:-1.00em"><font style="font-family:Times New Roman" size="2">Income tax provision</font></p> </td> <td valign="bottom"><font size="1">  </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">37.94</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">% </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">38.29</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">% </font></td> <td valign="bottom"><font size="1"> </font></td> <td valign="bottom"><font style="font-family:Times New Roman" size="2"> </font></td> <td valign="bottom" align="right"><font style="font-family:Times New Roman" size="2">34.86</font></td> <td nowrap="nowrap" valign="bottom"><font style="font-family:Times New Roman" size="2">% </font></td> </tr> <tr style="font-size:1px"> <td valign="bottom"></td> <td valign="bottom">  </td> <td valign="bottom"> <p style="border-top:3px double #000000"> </p> </td> <td valign="bottom"> <p style="border-top:3px double #000000"> </p> </td> <td> </td> <td valign="bottom"> </td> <td valign="bottom"> <p style="border-top:3px double #000000"> </p> </td> <td valign="bottom"> <p style="border-top:3px double #000000"> </p> </td> <td> </td> <td valign="bottom"> </td> <td valign="bottom"> <p style="border-top:3px double #000000"> </p> </td> <td valign="bottom"> <p style="border-top:3px double #000000"> </p> </td> <td> </td> </tr> </table> </div> | |
CY2012 | md |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Non Vested Weighted Average Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonVestedWeightedAveragePeriod
|
1.4 | Y |
CY2012 | md |
Stock Issued During Period Value Stock Options Exercised And Stock Purchase Plans
StockIssuedDuringPeriodValueStockOptionsExercisedAndStockPurchasePlans
|
28810000 | |
CY2012 | md |
Time Period For Achievement Of Certain Performance Measures For Payment Of Contingent Consideration
TimePeriodForAchievementOfCertainPerformanceMeasuresForPaymentOfContingentConsideration
|
5 | Y |
CY2012 | md |
Time Taken For Contingent Purchase Price Provisions Payments Due
TimeTakenForContingentPurchasePriceProvisionsPaymentsDue
|
2017 | |
CY2012 | md |
Total Provision For Losses
TotalProvisionForLosses
|
-27322000 | |
CY2012 | md |
Additional Contingent Consideration For Business Acquisition
AdditionalContingentConsiderationForBusinessAcquisition
|
5000000 | |
CY2012 | md |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period Weighted Average Grant Date Fair Value One
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriodWeightedAverageGrantDateFairValueOne
|
65.06 | |
CY2012 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
3994924000 | |
CY2012 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
-119746000 | |
CY2011Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
5781000 | |
CY2011Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
47149000 | shares |
CY2011Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
325000 | |
CY2011Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
45456000 | |
CY2011Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.94 | |
CY2011Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
41798000 | |
CY2011Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
48361000 | shares |
CY2011Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
306563000 | |
CY2011Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
29678000 | |
CY2011Q1 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
243894000 | |
CY2011Q1 | us-gaap |
Interest Expense
InterestExpense
|
911000 | |
CY2011Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
15090000 | |
CY2011Q2 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
6032000 | |
CY2011Q2 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
47531000 | shares |
CY2011Q2 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
329000 | |
CY2011Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
92464000 | |
CY2011Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
93123000 | |
CY2011Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.18 | |
CY2011Q2 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
393402000 | |
CY2011Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
55941000 | |
CY2011Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.15 | |
CY2011Q2 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
42702000 | |
CY2011Q2 | us-gaap |
Operating Expenses
OperatingExpenses
|
300279000 | |
CY2011Q2 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
36523000 | |
CY2011Q2 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
235292000 | |
CY2011Q2 | us-gaap |
Interest Expense
InterestExpense
|
988000 | |
CY2011Q2 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
16253000 | |
CY2012Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
7113000 | |
CY2012Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48269000 | shares |
CY2012Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
428000 | |
CY2012Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
79262000 | |
CY2012Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
79388000 | |
CY2012Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.00 | |
CY2012Q1 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
422616000 | |
CY2012Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
48350000 | |
CY2012Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.98 | |
CY2012Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
46869000 | |
CY2012Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
49399000 | shares |
CY2012Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
343228000 | |
CY2012Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
30912000 | |
CY2012Q1 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
272261000 | |
CY2012Q1 | us-gaap |
Interest Expense
InterestExpense
|
554000 | |
CY2012Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
16985000 | |
CY2012Q2 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
7687000 | |
CY2012Q2 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48543000 | shares |
CY2012Q2 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
365000 | |
CY2012Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
99253000 | |
CY2012Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
99736000 | |
CY2012Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.25 | |
CY2012Q2 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
449530000 | |
CY2012Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
60544000 | |
CY2012Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.22 | |
CY2012Q2 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
48200000 | |
CY2012Q2 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
49545000 | shares |
CY2012Q2 | us-gaap |
Operating Expenses
OperatingExpenses
|
349794000 | |
CY2012Q2 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
38709000 | |
CY2012Q2 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
275951000 | |
CY2012Q2 | us-gaap |
Interest Expense
InterestExpense
|
848000 | |
CY2012Q2 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
17956000 | |
CY2011Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
6213000 | |
CY2011Q3 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
47990000 | shares |
CY2011Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
337000 | |
CY2011Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
94318000 | |
CY2011Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
95037000 | |
CY2011Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.21 | |
CY2011Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
407665000 | |
CY2011Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
58241000 | |
CY2011Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.19 | |
CY2011Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
43010000 | |
CY2011Q3 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
48935000 | shares |
CY2011Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
312628000 | |
CY2011Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
36077000 | |
CY2011Q3 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
246687000 | |
CY2011Q3 | us-gaap |
Interest Expense
InterestExpense
|
1056000 | |
CY2011Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
16718000 | |
CY2012Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
7925000 | |
CY2012Q3 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48938000 | shares |
CY2012Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
422000 | |
CY2012Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
107171000 | |
CY2012Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
107373000 | |
CY2012Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.35 | |
CY2012Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
473134000 | |
CY2012Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
65910000 | |
CY2012Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.32 | |
CY2012Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
48200000 | |
CY2012Q3 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
49809000 | shares |
CY2012Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
365761000 | |
CY2012Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
41261000 | |
CY2012Q3 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
292030000 | |
CY2012Q3 | us-gaap |
Interest Expense
InterestExpense
|
624000 | |
CY2012Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
17606000 | |
CY2011Q4 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
7266000 | |
CY2011Q4 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48126000 | shares |
CY2011Q4 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
504000 | |
CY2011Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
91329000 | |
CY2011Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
91509000 | |
CY2011Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.21 | |
CY2011Q4 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
404898000 | |
CY2011Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
58359000 | |
CY2011Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.19 | |
CY2011Q4 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
42846000 | |
CY2011Q4 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
49132000 | shares |
CY2011Q4 | us-gaap |
Operating Expenses
OperatingExpenses
|
313389000 | |
CY2011Q4 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
32970000 | |
CY2011Q4 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
244523000 | |
CY2011Q4 | us-gaap |
Interest Expense
InterestExpense
|
684000 | |
CY2011Q4 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
18754000 | |
CY2012Q4 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
8091000 | |
CY2012Q4 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
49113000 | shares |
CY2012Q4 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
50106000 | shares |
CY2012Q4 | us-gaap |
Operating Expenses
OperatingExpenses
|
368309000 | |
CY2012Q4 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
681000 | |
CY2012Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
102485000 | |
CY2012Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
103023000 | |
CY2012Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.35 | |
CY2012Q4 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
471332000 | |
CY2012Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
66103000 | |
CY2012Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.32 | |
CY2012Q4 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
50271000 | |
CY2012Q4 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
36382000 | |
CY2012Q4 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
290671000 | |
CY2012Q4 | us-gaap |
Interest Expense
InterestExpense
|
1219000 | |
CY2012Q4 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
19276000 |