2013 Q3 Form 10-Q Financial Statement
#000119312513420886 Filed on October 31, 2013
Income Statement
Concept | 2013 Q3 | 2012 Q3 |
---|---|---|
Revenue | $554.7M | $473.1M |
YoY Change | 17.25% | 16.04% |
Cost Of Revenue | ||
YoY Change | ||
Gross Profit | ||
YoY Change | ||
Gross Profit Margin | ||
Selling, General & Admin | $401.5M | $340.2M |
YoY Change | 18.02% | 17.43% |
% of Gross Profit | ||
Research & Development | ||
YoY Change | ||
% of Gross Profit | ||
Depreciation & Amortization | $10.46M | $7.925M |
YoY Change | 32.0% | 27.56% |
% of Gross Profit | ||
Operating Expenses | $431.4M | $365.8M |
YoY Change | 17.96% | 17.0% |
Operating Profit | $123.3M | $107.4M |
YoY Change | 14.82% | 12.98% |
Interest Expense | $1.507M | $624.0K |
YoY Change | 141.51% | -40.91% |
% of Operating Profit | 1.22% | 0.58% |
Other Income/Expense, Net | -$1.135M | |
YoY Change | ||
Pretax Income | $122.2M | $107.2M |
YoY Change | 13.98% | 13.63% |
Income Tax | $45.20M | $41.26M |
% Of Pretax Income | 37.0% | 38.5% |
Net Earnings | $76.96M | $65.91M |
YoY Change | 16.76% | 13.17% |
Net Earnings / Revenue | 13.87% | 13.93% |
Basic Earnings Per Share | $0.77 | $0.67 |
Diluted Earnings Per Share | $0.76 | $0.66 |
COMMON SHARES | ||
Basic Shares Outstanding | 99.51M shares | 97.88M shares |
Diluted Shares Outstanding | 101.2M shares | 99.62M shares |
Balance Sheet
Concept | 2013 Q3 | 2012 Q3 |
---|---|---|
SHORT-TERM ASSETS | ||
Cash & Short-Term Investments | $21.20M | $71.90M |
YoY Change | -70.51% | 67.21% |
Cash & Equivalents | $16.24M | $66.12M |
Short-Term Investments | $4.900M | $5.800M |
Other Short-Term Assets | $9.415M | $6.898M |
YoY Change | 36.49% | -91.79% |
Inventory | ||
Prepaid Expenses | $6.076M | $5.149M |
Receivables | $272.8M | $250.5M |
Other Receivables | $0.00 | $0.00 |
Total Short-Term Assets | $373.0M | $402.8M |
YoY Change | -7.41% | 20.6% |
LONG-TERM ASSETS | ||
Property, Plant & Equipment | $60.93M | $59.21M |
YoY Change | 2.91% | -3.88% |
Goodwill | $2.354B | $1.940B |
YoY Change | 21.36% | |
Intangibles | ||
YoY Change | ||
Long-Term Investments | $61.80M | $40.50M |
YoY Change | 52.59% | 15.71% |
Other Assets | $130.0M | $90.67M |
YoY Change | 43.34% | 37.8% |
Total Long-Term Assets | $2.607B | $2.130B |
YoY Change | 22.38% | 15.41% |
TOTAL ASSETS | ||
Total Short-Term Assets | $373.0M | $402.8M |
Total Long-Term Assets | $2.607B | $2.130B |
Total Assets | $2.980B | $2.533B |
YoY Change | 17.64% | 16.2% |
SHORT-TERM LIABILITIES | ||
YoY Change | ||
Accounts Payable | $11.47M | $9.970M |
YoY Change | 15.09% | 1.73% |
Accrued Expenses | $245.1M | $214.9M |
YoY Change | 14.05% | 12.99% |
Deferred Revenue | ||
YoY Change | ||
Short-Term Debt | $0.00 | $0.00 |
YoY Change | ||
Long-Term Debt Due | $100.0K | $100.0K |
YoY Change | 0.0% | -50.0% |
Total Short-Term Liabilities | $274.0M | $244.9M |
YoY Change | 11.89% | 13.85% |
LONG-TERM LIABILITIES | ||
Long-Term Debt | $123.7M | $48.30M |
YoY Change | 156.11% | -4.17% |
Other Long-Term Liabilities | $63.32M | $55.86M |
YoY Change | 13.35% | -65.79% |
Total Long-Term Liabilities | $63.32M | $55.86M |
YoY Change | 13.35% | -73.86% |
TOTAL LIABILITIES | ||
Total Short-Term Liabilities | $274.0M | $244.9M |
Total Long-Term Liabilities | $63.32M | $55.86M |
Total Liabilities | $745.8M | $583.9M |
YoY Change | 27.73% | 12.8% |
SHAREHOLDERS EQUITY | ||
Retained Earnings | $1.405B | $1.181B |
YoY Change | 19.0% | |
Common Stock | $502.0K | $498.0K |
YoY Change | 0.8% | |
Preferred Stock | ||
YoY Change | ||
Treasury Stock (at cost) | ||
YoY Change | ||
Treasury Stock Shares | ||
Shareholders Equity | $2.234B | $1.949B |
YoY Change | ||
Total Liabilities & Shareholders Equity | $2.980B | $2.533B |
YoY Change | 17.64% | 16.2% |
Cashflow Statement
Concept | 2013 Q3 | 2012 Q3 |
---|---|---|
OPERATING ACTIVITIES | ||
Net Income | $76.96M | $65.91M |
YoY Change | 16.76% | 13.17% |
Depreciation, Depletion And Amortization | $10.46M | $7.925M |
YoY Change | 32.0% | 27.56% |
Cash From Operating Activities | $157.9M | $134.7M |
YoY Change | 17.22% | 34.57% |
INVESTING ACTIVITIES | ||
Capital Expenditures | -$3.400M | -$3.100M |
YoY Change | 9.68% | -40.38% |
Acquisitions | ||
YoY Change | ||
Other Investing Activities | -$76.50M | -$131.3M |
YoY Change | -41.74% | 77.43% |
Cash From Investing Activities | -$79.80M | -$134.4M |
YoY Change | -40.62% | 69.7% |
FINANCING ACTIVITIES | ||
Cash Dividend Paid | ||
YoY Change | ||
Common Stock Issuance & Retirement, Net | ||
YoY Change | ||
Debt Paid & Issued, Net | ||
YoY Change | ||
Cash From Financing Activities | -75.00M | 53.70M |
YoY Change | -239.66% | -690.11% |
NET CHANGE | ||
Cash From Operating Activities | 157.9M | 134.7M |
Cash From Investing Activities | -79.80M | -134.4M |
Cash From Financing Activities | -75.00M | 53.70M |
Net Change In Cash | 3.100M | 54.00M |
YoY Change | -94.26% | 357.63% |
FREE CASH FLOW | ||
Cash From Operating Activities | $157.9M | $134.7M |
Capital Expenditures | -$3.400M | -$3.100M |
Free Cash Flow | $161.3M | $137.8M |
YoY Change | 17.05% | 30.86% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
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Preferred Stock Shares Issued
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|
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Preferred Stock Value
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|
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Cash And Cash Equivalents At Carrying Value
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|
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Common Stock Shares Outstanding
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Preferred Stock Shares Authorized
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|
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Common Stock Par Or Stated Value Per Share
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0.01 | |
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Preferred Stock Par Or Stated Value Per Share
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|
0.01 | |
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Other Accrued Liabilities Current
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|
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Capital Lease Obligations Noncurrent
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|
159000 | |
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Stockholders Equity
StockholdersEquity
|
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AssetsCurrent
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Goodwill
Goodwill
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Assets
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Cash And Cash Equivalents At Carrying Value
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Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Noncurrent Liabilities Other
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Business Combination Liabilities Arising From Contingencies Amount Recognized
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Assets
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|
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15357000 | ||
us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-218782000 | ||
us-gaap |
Accretion Expense
AccretionExpense
|
1316000 | ||
us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1170000 | ||
us-gaap |
Net Income Loss
NetIncomeLoss
|
201543000 | ||
us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
76000 | ||
us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1586625000 | ||
us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
51863000 | ||
us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
10500000 | ||
us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
-3343000 | ||
us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
17700000 | ||
us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
162573000 | ||
us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-53035000 | ||
us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
6313000 | ||
us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
19340000 | ||
us-gaap |
Share Based Compensation
ShareBasedCompensation
|
23189000 | ||
us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
-5038000 | ||
us-gaap |
Interest Expense
InterestExpense
|
4369000 | ||
us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
4866000 | ||
us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
1711000 | ||
us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
832000000 | ||
us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
29475000 | ||
us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
10357000 | ||
us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
23200000 | ||
us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
1008002000 | ||
us-gaap |
Operating Expenses
OperatingExpenses
|
1258411000 | ||
us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
123472000 | ||
md |
Number Of Physician Group Practices
NumberOfPhysicianGroupPractices
|
8 | Company | |
md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
58361000 | ||
md |
Time Period For Achievement Of Certain Performance Measures For Payment Of Contingent Consideration
TimePeriodForAchievementOfCertainPerformanceMeasuresForPaymentOfContingentConsideration
|
P5Y | ||
md |
Assumed Payment Probability Of Contingent Consideration Payment
AssumedPaymentProbabilityOfContingentConsiderationPayment
|
1.00 | pure | |
md |
Payments Of Contingent Consideration Liabilities
PaymentsOfContingentConsiderationLiabilities
|
6310000 | ||
md |
Non Employee Directors Compensation With Restricted Shares Combination
NonEmployeeDirectorsCompensationWithRestrictedSharesCombination
|
9450 | shares | |
md |
Contingent Consideration Payments Related To Prior Period Acquisitions
ContingentConsiderationPaymentsRelatedToPriorPeriodAcquisitions
|
13400000 | ||
us-gaap |
Effective Income Tax Rate Reconciliation Prior Year Income Taxes
EffectiveIncomeTaxRateReconciliationPriorYearIncomeTaxes
|
0.388 | pure | |
us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
3.53 | ||
us-gaap |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
48569000 | shares | |
us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
49570000 | shares | |
us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
49570000 | shares | |
us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
3.60 | ||
us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
4.16 | ||
us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.388 | pure | |
us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
14063000 | ||
us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1001000 | shares | |
us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
4.08 | ||
us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
219735000 | ||
us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48569000 | shares | |
us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
1600939000 | ||
us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
35000 | shares | |
us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-1789000 | ||
us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
202362000 | ||
us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
382500000 | ||
us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
-754000 | ||
us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
9947000 | ||
us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
286497000 | ||
us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
202085000 | ||
us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
21099000 | ||
us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
285686000 | ||
us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
20119000 | ||
us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1215000 | ||
us-gaap |
Net Income Loss
NetIncomeLoss
|
174804000 | ||
us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
121000 | ||
us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
1345280000 | ||
us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
|||
us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
-14699000 | ||
us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
143269000 | ||
us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
37238000 | ||
us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
23963000 | ||
us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
16731000 | ||
us-gaap |
Share Based Compensation
ShareBasedCompensation
|
20441000 | ||
us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
47528000 | ||
us-gaap |
Interest Expense
InterestExpense
|
2026000 | ||
us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-158000 | ||
us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
18827000 | ||
us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-209445000 | ||
us-gaap |
Accretion Expense
AccretionExpense
|
763000 | ||
us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
2641000 | ||
us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
401500000 | ||
us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
22725000 | ||
us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
4435000 | ||
us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
20400000 | ||
us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
840242000 | ||
us-gaap |
Operating Expenses
OperatingExpenses
|
1058783000 | ||
us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
110882000 | ||
md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
52547000 | ||
md |
Payments Of Contingent Consideration Liabilities
PaymentsOfContingentConsiderationLiabilities
|
4903000 | ||
CY2012Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.32 | |
CY2012Q3 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
49809000 | shares |
CY2012Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.35 | |
CY2012Q3 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
871000 | shares |
CY2012Q3 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48938000 | shares |
CY2012Q3 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
38000 | shares |
CY2012Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
107373000 | |
CY2012Q3 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
292030000 | |
CY2012Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
365761000 | |
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 |
Investment Income Net
InvestmentIncomeNet
|
422000 | |
CY2012Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
65910000 | |
CY2012Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
473134000 | |
CY2012Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
48200000 | |
CY2012Q3 | us-gaap |
Interest Expense
InterestExpense
|
624000 | |
CY2012Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
7925000 | |
CY2012Q3 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
7300000 | |
CY2012Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
41261000 | |
CY2012Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
17606000 | |
CY2013Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.52 | |
CY2013Q3 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
50589000 | shares |
CY2013Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.55 | |
CY2013Q3 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
836000 | shares |
CY2013Q3 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
49753000 | shares |
CY2013Q3 | us-gaap |
Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
|
528000 | shares |
CY2013Q3 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
shares | |
CY2013Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
123291000 | |
CY2013Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
|
122156000 | |
CY2013Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
372000 | |
CY2013Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
76958000 | |
CY2013Q3 | us-gaap |
Health Care Organization Patient Service Revenue
HealthCareOrganizationPatientServiceRevenue
|
554730000 | |
CY2013Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
54654000 | |
CY2013Q3 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
51900000 | |
CY2013Q3 | us-gaap |
Interest Expense
InterestExpense
|
1507000 | |
CY2013Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
10461000 | |
CY2013Q3 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
8100000 | |
CY2013Q3 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
346879000 | |
CY2013Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
431439000 | |
CY2013Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
45198000 | |
CY2013Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
19445000 |