2013 Q4 Form 10-K Financial Statement
#000119312515039201 Filed on February 09, 2015
Income Statement
Concept | 2013 Q4 | 2013 Q3 | 2013 Q2 |
---|---|---|---|
Revenue | $567.4M | $554.7M | $529.2M |
YoY Change | 20.39% | 17.25% | 17.73% |
Cost Of Revenue | |||
YoY Change | |||
Gross Profit | |||
YoY Change | |||
Gross Profit Margin | |||
Selling, General & Admin | $409.0M | $401.5M | $386.5M |
YoY Change | 19.98% | 18.02% | 19.22% |
% of Gross Profit | |||
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $10.49M | $10.46M | $9.870M |
YoY Change | 29.66% | 32.0% | 28.4% |
% of Gross Profit | |||
Operating Expenses | $443.5M | $431.4M | $415.8M |
YoY Change | 20.41% | 17.96% | 18.87% |
Operating Profit | $123.9M | $123.3M | $113.4M |
YoY Change | 20.28% | 14.82% | 13.67% |
Interest Expense | $1.046M | $1.507M | $1.673M |
YoY Change | -14.19% | 141.51% | 97.29% |
% of Operating Profit | 0.84% | 1.22% | 1.48% |
Other Income/Expense, Net | -$1.135M | -$1.277M | |
YoY Change | |||
Pretax Income | $123.4M | $122.2M | $112.1M |
YoY Change | 20.4% | 13.98% | 12.94% |
Income Tax | $44.42M | $45.20M | $42.88M |
% Of Pretax Income | 36.0% | 37.0% | 38.25% |
Net Earnings | $78.97M | $76.96M | $69.22M |
YoY Change | 19.47% | 16.76% | 14.33% |
Net Earnings / Revenue | 13.92% | 13.87% | 13.08% |
Basic Earnings Per Share | $0.79 | $0.77 | $0.70 |
Diluted Earnings Per Share | $0.78 | $0.76 | $0.68 |
COMMON SHARES | |||
Basic Shares Outstanding | 99.47M shares | 99.51M shares | 99.12M shares |
Diluted Shares Outstanding | 101.1M shares | 101.2M shares | 101.1M shares |
Balance Sheet
Concept | 2013 Q4 | 2013 Q3 | 2013 Q2 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $37.60M | $21.20M | $20.20M |
YoY Change | 34.77% | -70.51% | 30.32% |
Cash & Equivalents | $31.14M | $16.24M | $13.16M |
Short-Term Investments | $6.500M | $4.900M | $7.000M |
Other Short-Term Assets | $8.007M | $9.415M | $9.776M |
YoY Change | -13.23% | 36.49% | 43.74% |
Inventory | |||
Prepaid Expenses | $6.361M | $6.076M | $7.055M |
Receivables | $285.4M | $272.8M | $269.8M |
Other Receivables | $0.00 | $0.00 | $0.00 |
Total Short-Term Assets | $368.1M | $373.0M | $367.7M |
YoY Change | 2.53% | -7.41% | 8.07% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $59.91M | $60.93M | $61.41M |
YoY Change | 0.29% | 2.91% | 2.56% |
Goodwill | $2.394B | $2.354B | $2.273B |
YoY Change | 10.53% | 21.36% | 25.76% |
Intangibles | |||
YoY Change | |||
Long-Term Investments | $57.50M | $61.80M | $59.90M |
YoY Change | 20.8% | 52.59% | 22.0% |
Other Assets | $129.4M | $130.0M | $127.2M |
YoY Change | 9.42% | 43.34% | 41.1% |
Total Long-Term Assets | $2.641B | $2.607B | $2.522B |
YoY Change | 10.43% | 22.38% | 25.66% |
TOTAL ASSETS | |||
Total Short-Term Assets | $368.1M | $373.0M | $367.7M |
Total Long-Term Assets | $2.641B | $2.607B | $2.522B |
Total Assets | $3.009B | $2.980B | $2.889B |
YoY Change | 9.39% | 17.64% | 23.11% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $18.61M | $11.47M | $11.74M |
YoY Change | 34.7% | 15.09% | -3.01% |
Accrued Expenses | $290.1M | $245.1M | $192.4M |
YoY Change | 19.98% | 14.05% | 14.32% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $100.0K | $100.0K | $100.0K |
YoY Change | 0.0% | 0.0% | 0.0% |
Total Short-Term Liabilities | $326.8M | $274.0M | $212.8M |
YoY Change | 21.78% | 11.89% | 7.89% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $27.00M | $123.7M | $154.0M |
YoY Change | -81.28% | 156.11% | 51233.33% |
Other Long-Term Liabilities | $60.99M | $63.32M | $57.34M |
YoY Change | 7.08% | 13.35% | -1.91% |
Total Long-Term Liabilities | $87.99M | $63.32M | $57.34M |
YoY Change | 54.49% | 13.35% | -1.91% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $326.8M | $274.0M | $212.8M |
Total Long-Term Liabilities | $87.99M | $63.32M | $57.34M |
Total Liabilities | $665.7M | $745.8M | $696.2M |
YoY Change | -6.89% | 27.73% | 46.01% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | $1.484B | $1.405B | $1.371B |
YoY Change | 19.03% | 19.0% | 23.02% |
Common Stock | $1.012M | $502.0K | $506.0K |
YoY Change | 1.2% | 0.8% | 1.81% |
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | |||
Shareholders Equity | $2.343B | $2.234B | $2.193B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $3.009B | $2.980B | $2.889B |
YoY Change | 9.39% | 17.64% | 23.11% |
Cashflow Statement
Concept | 2013 Q4 | 2013 Q3 | 2013 Q2 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | $78.97M | $76.96M | $69.22M |
YoY Change | 19.47% | 16.76% | 14.33% |
Depreciation, Depletion And Amortization | $10.49M | $10.46M | $9.870M |
YoY Change | 29.66% | 32.0% | 28.4% |
Cash From Operating Activities | $139.3M | $157.9M | $126.6M |
YoY Change | 32.41% | 17.22% | 8.11% |
INVESTING ACTIVITIES | |||
Capital Expenditures | -$3.000M | -$3.400M | -$5.000M |
YoY Change | -34.78% | 9.68% | 28.21% |
Acquisitions | |||
YoY Change | |||
Other Investing Activities | -$41.70M | -$76.50M | -$118.3M |
YoY Change | -83.09% | -41.74% | 183.69% |
Cash From Investing Activities | -$44.70M | -$79.80M | -$123.4M |
YoY Change | -82.2% | -40.62% | 170.61% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | |||
YoY Change | |||
Debt Paid & Issued, Net | |||
YoY Change | |||
Cash From Financing Activities | -79.70M | -75.00M | -24.60M |
YoY Change | -178.83% | -239.66% | -69.93% |
NET CHANGE | |||
Cash From Operating Activities | 139.3M | 157.9M | 126.6M |
Cash From Investing Activities | -44.70M | -79.80M | -123.4M |
Cash From Financing Activities | -79.70M | -75.00M | -24.60M |
Net Change In Cash | 14.90M | 3.100M | -21.40M |
YoY Change | -133.26% | -94.26% | 107.77% |
FREE CASH FLOW | |||
Cash From Operating Activities | $139.3M | $157.9M | $126.6M |
Capital Expenditures | -$3.000M | -$3.400M | -$5.000M |
Free Cash Flow | $142.3M | $161.3M | $131.6M |
YoY Change | 29.6% | 17.05% | 8.76% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
CY2014Q4 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
600000000 | |
CY2014Q2 | us-gaap |
Minority Interest Ownership Percentage By Parent
MinorityInterestOwnershipPercentageByParent
|
0.75 | pure |
CY2014Q2 | us-gaap |
Equity Method Investment Ownership Percentage
EquityMethodInvestmentOwnershipPercentage
|
0.375 | pure |
CY2014Q2 | md |
Number Of Joint Ventures
NumberOfJointVentures
|
2 | JointVenture |
CY2014Q2 | dei |
Entity Public Float
EntityPublicFloat
|
5710786536 | |
CY2011Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
1731016000 | |
CY2011Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
122847000 | |
CY2011Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
16165000 | |
CY2011Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
576030 | |
CY2011Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
18596000 | |
CY2012Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2035368000 | |
CY2012Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
137036000 | |
CY2012Q4 | us-gaap |
Income Tax Examination Increase Decrease In Liability From Prior Year
IncomeTaxExaminationIncreaseDecreaseInLiabilityFromPriorYear
|
300000 | |
CY2012Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
13072000 | |
CY2012Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
624896 | |
CY2012Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
21280000 | |
CY2012Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
14900000 | |
CY2013Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
101207000 | shares |
CY2013Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
101207000 | shares |
CY2013Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
|
37.78 | |
CY2013Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
200000000 | shares |
CY2013Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
26.74 | |
CY2013Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2013Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | shares |
CY2013Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
|
1519976 | shares |
CY2013Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2013Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2013Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
1966170 | shares |
CY2013Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2342988000 | |
CY2013Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
86999000 | |
CY2013Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2013Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
326792000 | |
CY2013Q4 | us-gaap |
Capital Lease Obligations
CapitalLeaseObligations
|
235000 | |
CY2013Q4 | us-gaap |
Capital Lease Obligations Noncurrent
CapitalLeaseObligationsNoncurrent
|
143000 | |
CY2013Q4 | us-gaap |
Business Combination Liabilities Arising From Contingencies Amount Recognized
BusinessCombinationLiabilitiesArisingFromContingenciesAmountRecognized
|
43000000 | |
CY2013Q4 | us-gaap |
Accrued Income Taxes Current
AccruedIncomeTaxesCurrent
|
17946000 | |
CY2013Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
158691000 | |
CY2013Q4 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
27000000 | |
CY2013Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
143000 | |
CY2013Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
8400000 | |
CY2013Q4 | us-gaap |
Income Tax Examination Increase Decrease In Liability From Prior Year
IncomeTaxExaminationIncreaseDecreaseInLiabilityFromPriorYear
|
-600000 | |
CY2013Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
1012000 | |
CY2013Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2013Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
18605000 | |
CY2013Q4 | us-gaap |
Self Insurance Reserve Current
SelfInsuranceReserveCurrent
|
110300000 | |
CY2013Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
1484023000 | |
CY2013Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
19324000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
111441000 | |
CY2013Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
13400000 | |
CY2013Q4 | us-gaap |
Accrued Salaries Current
AccruedSalariesCurrent
|
189439000 | |
CY2013Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
308754000 | |
CY2013Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
2342988000 | |
CY2013Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
60985000 | |
CY2013Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
18150000 | |
CY2013Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
27000000 | |
CY2013Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
92000 | |
CY2013Q4 | us-gaap |
Liability For Uncertain Tax Positions Current
LiabilityForUncertainTaxPositionsCurrent
|
23300000 | |
CY2013Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
3008716000 | |
CY2013Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
70800000 | |
CY2013Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
200217000 | |
CY2013Q4 | us-gaap |
Additional Paid In Capital
AdditionalPaidInCapital
|
857953000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities Deferred Expense Reserves And Accruals
DeferredTaxLiabilitiesDeferredExpenseReservesAndAccruals
|
37818000 | |
CY2013Q4 | us-gaap |
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Noncurrent Liabilities Other
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNoncurrentLiabilitiesOther
|
8100000 | |
CY2013Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
14902000 | |
CY2013Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Noncurrent
MalpracticeLossContingencyAccrualUndiscountedNoncurrent
|
139367000 | |
CY2013Q4 | us-gaap |
Liabilities
Liabilities
|
665728000 | |
CY2013Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
43403000 | |
CY2013Q4 | us-gaap |
Capital Lease Obligations Current
CapitalLeaseObligationsCurrent
|
92000 | |
CY2013Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
712285 | |
CY2013Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
27000000 | |
CY2013Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
80675000 | |
CY2013Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
712285000 | |
CY2013Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
31137000 | |
CY2013Q4 | us-gaap |
Cash Surrender Value Of Life Insurance
CashSurrenderValueOfLifeInsurance
|
17100000 | |
CY2013Q4 | us-gaap |
Goodwill
Goodwill
|
2393731000 | |
CY2013Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2013Q4 | us-gaap |
Money Market Funds At Carrying Value
MoneyMarketFundsAtCarryingValue
|
5300000 | |
CY2013Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
59911000 | |
CY2013Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
57511000 | |
CY2013Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
22981000 | |
CY2013Q4 | us-gaap |
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Intangibles
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibles
|
29600000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
446000 | |
CY2013Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
6457000 | |
CY2013Q4 | us-gaap |
Held To Maturity Securities Debt Maturities After One Through Five Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterOneThroughFiveYearsNetCarryingAmount
|
41655000 | |
CY2013Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
997682000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
16457000 | |
CY2013Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
146910000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
6385000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
1310000 | |
CY2013Q4 | us-gaap |
Fixtures And Equipment Gross
FixturesAndEquipmentGross
|
117246000 | |
CY2013Q4 | us-gaap |
Other Assets Miscellaneous Noncurrent
OtherAssetsMiscellaneousNoncurrent
|
25799000 | |
CY2013Q4 | us-gaap |
Assets
Assets
|
3008716000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
119542000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Net Current
DeferredTaxAssetsNetCurrent
|
30766000 | |
CY2013Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
16900000 | |
CY2013Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
285397000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
42425000 | |
CY2013Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
8007000 | |
CY2013Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
129438000 | |
CY2013Q4 | us-gaap |
Assets Current
AssetsCurrent
|
368125000 | |
CY2013Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsReserves
|
52519000 | |
CY2013Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
174400000 | |
CY2013Q4 | us-gaap |
Other Intangible Assets Net
OtherIntangibleAssetsNet
|
103639000 | |
CY2013Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
6361000 | |
CY2013Q4 | md |
Deferred Tax Liabilities Amortization
DeferredTaxLiabilitiesAmortization
|
162399000 | |
CY2013Q4 | md |
Accrued Contingent Consideration Liability
AccruedContingentConsiderationLiability
|
19833000 | |
CY2013Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
48400000 | |
CY2013Q4 | md |
Held To Maturity Securities Debt Maturities After Five Through Seven Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterFiveThroughSevenYearsNetCarryingAmount
|
15856000 | |
CY2014Q4 | us-gaap |
Business Combination Step Acquisition Equity Interest In Acquiree Including Subsequent Acquisition Percentage
BusinessCombinationStepAcquisitionEquityInterestInAcquireeIncludingSubsequentAcquisitionPercentage
|
0.75 | pure |
CY2014Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
96030000 | shares |
CY2014Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
96030000 | shares |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
|
46.80 | |
CY2014Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
200000000 | shares |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
27.57 | |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
|
814094 | shares |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
|
27.57 | |
CY2014Q4 | us-gaap |
Stock Repurchase Program Number Of Shares Authorized To Be Repurchased
StockRepurchaseProgramNumberOfSharesAuthorizedToBeRepurchased
|
7100000 | shares |
CY2014Q4 | us-gaap |
Equity Method Investment Ownership Percentage
EquityMethodInvestmentOwnershipPercentage
|
0.375 | pure |
CY2014Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2014Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | shares |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
|
1271044 | shares |
CY2014Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2014Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
|
6300000 | shares |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
814094 | shares |
CY2014Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2265566000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Three Years
CapitalLeasesFutureMinimumPaymentsDueInThreeYears
|
332000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Two Years
CapitalLeasesFutureMinimumPaymentsDueInTwoYears
|
414000 | |
CY2014Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
96895000 | |
CY2014Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
|
10928000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
|
20000000 | |
CY2014Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
416273000 | |
CY2014Q4 | us-gaap |
Capital Lease Obligations
CapitalLeaseObligations
|
1320000 | |
CY2014Q4 | us-gaap |
Capital Lease Obligations Noncurrent
CapitalLeaseObligationsNoncurrent
|
855000 | |
CY2014Q4 | us-gaap |
Business Combination Contingent Consideration Arrangements Range Of Outcomes Value Low
BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueLow
|
0 | |
CY2014Q4 | us-gaap |
Business Combination Liabilities Arising From Contingencies Amount Recognized
BusinessCombinationLiabilitiesArisingFromContingenciesAmountRecognized
|
35300000 | |
CY2014Q4 | us-gaap |
Accrued Income Taxes Current
AccruedIncomeTaxesCurrent
|
25150000 | |
CY2014Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
16100000 | |
CY2014Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
168369000 | |
CY2014Q4 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
368000000 | |
CY2014Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
190855000 | |
CY2014Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
8700000 | |
CY2014Q4 | us-gaap |
Income Tax Examination Increase Decrease In Liability From Prior Year
IncomeTaxExaminationIncreaseDecreaseInLiabilityFromPriorYear
|
300000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
192000 | |
CY2014Q4 | us-gaap |
Contingent Consideration Classified As Equity Fair Value Disclosure
ContingentConsiderationClassifiedAsEquityFairValueDisclosure
|
700000 | |
CY2014Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
960000 | |
CY2014Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Five Years
CapitalLeasesFutureMinimumPaymentsDueInFiveYears
|
42000 | |
CY2014Q4 | us-gaap |
Business Combination Contingent Consideration Arrangements Range Of Outcomes Value High
BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh
|
10300000 | |
CY2014Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
32783000 | |
CY2014Q4 | us-gaap |
Self Insurance Reserve Current
SelfInsuranceReserveCurrent
|
120600000 | |
CY2014Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
1376782000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
|
12347000 | |
CY2014Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
19718000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
|
130000000 | |
CY2014Q4 | us-gaap |
Long Term Debt Current
LongTermDebtCurrent
|
10000000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
160487000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due Current
CapitalLeasesFutureMinimumPaymentsDueCurrent
|
465000 | |
CY2014Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
9200000 | |
CY2014Q4 | us-gaap |
Accrued Salaries Current
AccruedSalariesCurrent
|
231390000 | |
CY2014Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
380658000 | |
CY2014Q4 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
488400000 | |
CY2014Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
2264619000 | |
CY2014Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
58963000 | |
CY2014Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
29899000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
|
96620000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
|
7600000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
|
16894000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
|
30000000 | |
CY2014Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
558000000 | |
CY2014Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
10465000 | |
CY2014Q4 | us-gaap |
Liability For Uncertain Tax Positions Current
LiabilityForUncertainTaxPositionsCurrent
|
25900000 | |
CY2014Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
3608795000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
100900000 | |
CY2014Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
253684000 | |
CY2014Q4 | us-gaap |
Additional Paid In Capital
AdditionalPaidInCapital
|
886877000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
|
10000000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Deferred Expense Reserves And Accruals
DeferredTaxLiabilitiesDeferredExpenseReservesAndAccruals
|
38524000 | |
CY2014Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
17165000 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
|
21579000 | |
CY2014Q4 | us-gaap |
Minority Interest
MinorityInterest
|
947000 | |
CY2014Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Noncurrent
MalpracticeLossContingencyAccrualUndiscountedNoncurrent
|
148651000 | |
CY2014Q4 | us-gaap |
Liabilities
Liabilities
|
1343229000 | |
CY2014Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
49858000 | |
CY2014Q4 | us-gaap |
Capital Lease Obligations Current
CapitalLeaseObligationsCurrent
|
465000 | |
CY2014Q4 | us-gaap |
Business Combination Contingent Consideration Liability Noncurrent
BusinessCombinationContingentConsiderationLiabilityNoncurrent
|
8500000 | |
CY2014Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
848767 | |
CY2014Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
|
27272000 | |
CY2014Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
|
10000000 | |
CY2014Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
568000000 | |
CY2014Q4 | us-gaap |
Line Of Credit Facility Remaining Borrowing Capacity
LineOfCreditFacilityRemainingBorrowingCapacity
|
931800000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
114526000 | |
CY2014Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Four Years
CapitalLeasesFutureMinimumPaymentsDueInFourYears
|
67000 | |
CY2014Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
848767000 | |
CY2014Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
47928000 | |
CY2014Q4 | us-gaap |
Cash Surrender Value Of Life Insurance
CashSurrenderValueOfLifeInsurance
|
16000000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
20190000 | |
CY2014Q4 | us-gaap |
Goodwill
Goodwill
|
2776188000 | |
CY2014Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2014Q4 | us-gaap |
Money Market Funds At Carrying Value
MoneyMarketFundsAtCarryingValue
|
5100000 | |
CY2014Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
66048000 | |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
|
31400000 | |
CY2014Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
64082000 | |
CY2014Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
22981000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
1461000 | |
CY2014Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Share Based Awards Other Than Options
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedShareBasedAwardsOtherThanOptions
|
26100000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
69100000 | |
CY2014Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
6035000 | |
CY2014Q4 | us-gaap |
Held To Maturity Securities Debt Maturities After One Through Five Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterOneThroughFiveYearsNetCarryingAmount
|
54959000 | |
CY2014Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
1200958000 | |
CY2014Q4 | us-gaap |
Fixtures And Equipment Gross
FixturesAndEquipmentGross
|
133279000 | |
CY2014Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
|
31400000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
10933000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
1524000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
14354000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
16059000 | |
CY2014Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
162943000 | |
CY2014Q4 | us-gaap |
Other Assets Miscellaneous Noncurrent
OtherAssetsMiscellaneousNoncurrent
|
37289000 | |
CY2014Q4 | us-gaap |
Assets
Assets
|
3608795000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
139158000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Net Current
DeferredTaxAssetsNetCurrent
|
45961000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
30985000 | |
CY2014Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
29000000 | |
CY2014Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
352191000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
48178000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
36874000 | |
CY2014Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
7901000 | |
CY2014Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
235425000 | |
CY2014Q4 | us-gaap |
Assets Current
AssetsCurrent
|
467052000 | |
CY2014Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
229300000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsReserves
|
62708000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
24919000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
299000000 | |
CY2014Q4 | us-gaap |
Other Intangible Assets Net
OtherIntangibleAssetsNet
|
198136000 | |
CY2014Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
7036000 | |
CY2014Q4 | md |
Deferred Tax Liabilities Amortization
DeferredTaxLiabilitiesAmortization
|
214968000 | |
CY2014Q4 | md |
Line Of Credit Facility Reduction In Available Balance
LineOfCreditFacilityReductionInAvailableBalance
|
200000 | |
CY2014Q4 | md |
Joint Venture Investment
JointVentureInvestment
|
9500000 | |
CY2014Q4 | md |
Line Of Credit Facility Potential Increase In Borrowing Capacity
LineOfCreditFacilityPotentialIncreaseInBorrowingCapacity
|
1800000000 | |
CY2014Q4 | md |
Accrued Contingent Consideration Liability
AccruedContingentConsiderationLiability
|
17010000 | |
CY2014Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
47800000 | |
CY2014Q4 | md |
Number Acquisitions Completed
NumberAcquisitionsCompleted
|
13 | Acquisition |
CY2014Q4 | md |
Held To Maturity Securities Debt Maturities After Five Through Seven Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterFiveThroughSevenYearsNetCarryingAmount
|
9123000 | |
CY2015Q1 | dei |
Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
|
96083342 | shares |
CY2013Q4 | us-gaap |
Stockholders Equity Note Stock Split Conversion Ratio1
StockholdersEquityNoteStockSplitConversionRatio1
|
2 | pure |
CY2014Q4 | us-gaap |
Line Of Credit Facility Expiration Date1
LineOfCreditFacilityExpirationDate1
|
2019-10-29 | |
CY2013 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
2.78 | |
CY2013 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3744 | pure |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0027 | pure |
CY2013 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1857000 | shares |
CY2013 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
405398000 | |
CY2013 | 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
|
46.48 | |
CY2013 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
2.98 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0263 | pure |
CY2013 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
19797000 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0048 | pure |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.0002 | pure |
CY2013 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
100969000 | shares |
CY2013 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
2.83 | |
CY2013 | us-gaap |
Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
|
228100000 | |
CY2013 | us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
100969000 | shares |
CY2013 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
3.04 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2013 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
35000 | shares |
CY2013 | us-gaap |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
99112000 | shares |
CY2013 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99112000 | shares |
CY2013 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
338000 | |
CY2013 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
15654000 | |
CY2013 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
126411000 | |
CY2013 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
2154012000 | |
CY2013 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
28697000 | |
CY2013 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
99000 | |
CY2013 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
20802000 | |
CY2013 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
4695232 | |
CY2013 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
1028500000 | |
CY2013 | us-gaap |
Profit Loss
ProfitLoss
|
280517000 | |
CY2013 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-212000 | |
CY2013 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
3541000 | |
CY2013 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
448412000 | |
CY2013 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
238045000 | |
CY2013 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
452131000 | |
CY2013 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-3719000 | |
CY2013 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
301076000 | |
CY2013 | us-gaap |
Business Combination Consideration Transferred1
BusinessCombinationConsiderationTransferred1
|
250100000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
2955000 | |
CY2013 | us-gaap |
Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
|
236700000 | |
CY2013 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
51863000 | |
CY2013 | us-gaap |
Interest Paid Net
InterestPaidNet
|
3312000 | |
CY2013 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-4607843 | |
CY2013 | us-gaap |
Net Income Loss
NetIncomeLoss
|
280517000 | |
CY2013 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1696000 | |
CY2013 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
37331000 | |
CY2013 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
31288000 | |
CY2013 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
18981000 | |
CY2013 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
2494968000 | |
CY2013 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
19000000 | |
CY2013 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
31300000 | |
CY2013 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
15920000 | |
CY2013 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
39966000 | |
CY2013 | us-gaap |
Interest Expense
InterestExpense
|
5415000 | |
CY2013 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
10739000 | |
CY2013 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardForfeitures
|
0 | |
CY2013 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
11480000 | |
CY2013 | us-gaap |
Operating Expenses
OperatingExpenses
|
1701881000 | |
CY2013 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
33300000 | |
CY2013 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
|
3656000 | |
CY2013 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
1136000 | |
CY2013 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
18579000 | |
CY2013 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
149722000 | |
CY2013 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
5772000 | |
CY2013 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
1361318000 | |
CY2013 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
51863000 | |
CY2013 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
24500000 | |
CY2013 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
9857000 | |
CY2013 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
167895000 | |
CY2013 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
134938000 | |
CY2013 | us-gaap |
Depreciation
Depreciation
|
15500000 | |
CY2013 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
741000 | |
CY2013 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
-132051000 | |
CY2013 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
28697000 | |
CY2013 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
18900000 | |
CY2013 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
18173000 | |
CY2013 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
17037000 | |
CY2013 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
29800000 | |
CY2013 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-263490000 | |
CY2013 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
26400000 | |
CY2013 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
11011000 | |
CY2013 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
218209000 | |
CY2013 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
49239000 | |
CY2013 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
911500000 | |
CY2013 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
31288000 | |
CY2013 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
35400000 | |
CY2013 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
14784000 | |
CY2013 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
1211000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
38000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1425000 | |
CY2013 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
41235000 | |
CY2013 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-8100000 | |
CY2013 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
146760000 | |
CY2013 | md |
Increase In Uncertain Tax Position
IncreaseInUncertainTaxPosition
|
1800000 | |
CY2013 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
82388000 | |
CY2013 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
33135000 | |
CY2013 | md |
Number Of Physician Group Practices
NumberOfPhysicianGroupPractices
|
11 | Company |
CY2013 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
4695232000 | |
CY2013 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
6702484000 | |
CY2013 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
1308000 | |
CY2013 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
10365000 | |
CY2014 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
3.18 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod
|
33569 | shares |
CY2014 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
26.16 | |
CY2014 | dei |
Document Type
DocumentType
|
10-K | |
CY2014 | dei |
Entity Registrant Name
EntityRegistrantName
|
MEDNAX, INC. | |
CY2014 | dei |
Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
|
Yes | |
CY2014 | dei |
Trading Symbol
TradingSymbol
|
MD | |
CY2014 | dei |
Entity Filer Category
EntityFilerCategory
|
Large Accelerated Filer | |
CY2014 | dei |
Entity Voluntary Filers
EntityVoluntaryFilers
|
No | |
CY2014 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3763 | pure |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0033 | pure |
CY2014 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1
|
P1Y4M24D | |
CY2014 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1299000 | shares |
CY2014 | us-gaap |
Nature Of Operations
NatureOfOperations
|
<div> <p style="MARGIN-BOTTOM: 0px; MARGIN-TOP: 12px"><font style="FONT-FAMILY: Times New Roman" size="2"><b>1.    General:</b></font></p> <!-- xbrl,body --> <p style="MARGIN-BOTTOM: 0px; MARGIN-TOP: 6px; TEXT-INDENT: 4%"> <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, anesthesia, maternal-fetal and other pediatric subspecialties physician services. The Company has contracts with affiliated business corporations or professional associations, limited liability companies and partnerships (“affiliated professional contractors”), which are separate legal entities that provide physician services in certain states and Puerto Rico. The Company and its affiliated professional contractors also have contracts with hospitals and other healthcare facilities to provide physician services, which include (i) fee-for-service contracts, whereby hospitals 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> <p style="MARGIN-BOTTOM: 0px; MARGIN-TOP: 12px; TEXT-INDENT: 4%"> <font style="FONT-FAMILY: Times New Roman" size="2">In addition to the Company’s national physician network, during 2014 the Company acquired two complementary businesses that offer services to medical providers, including its own, consisting of a revenue cycle management company and a consulting services company. The Company expects that the development of these service offerings will function as support for its own physician practices as well as an outsourced services capability.</font></p> </div> | |
CY2014 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
422641000 | |
CY2014 | us-gaap |
Number Of Businesses Acquired
NumberOfBusinessesAcquired
|
2 | Business |
CY2014 | 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
|
57.73 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
|
744794 | shares |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
|
500 | shares |
CY2014 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
3.27 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0274 | pure |
CY2014 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
9284000 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
|
529431 | shares |
CY2014 | us-gaap |
Use Of Estimates
UseOfEstimates
|
<div> <p style="MARGIN-BOTTOM: 0px; MARGIN-TOP: 18px"><font style="FONT-FAMILY: Times New Roman" size="2"><b>Accounting Estimates and Assumptions</b></font></p> <p style="MARGIN-BOTTOM: 0px; MARGIN-TOP: 6px; TEXT-INDENT: 4%"> <font style="FONT-FAMILY: Times New Roman" size="2">The preparation of financial statements in conformity with 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> | |
CY2014 | dei |
Document Period End Date
DocumentPeriodEndDate
|
2014-12-31 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0059 | pure |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.0015 | pure |
CY2014 | 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
|
37.90 | |
CY2014 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P3Y7M6D | |
CY2014 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
|
27.72 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue
|
42.19 | |
CY2014 | dei |
Amendment Flag
AmendmentFlag
|
false | |
CY2014 | dei |
Current Fiscal Year End Date
CurrentFiscalYearEndDate
|
--12-31 | |
CY2014 | dei |
Document Fiscal Year Focus
DocumentFiscalYearFocus
|
2014 | |
CY2014 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
99887000 | shares |
CY2014 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
3.22 | |
CY2014 | us-gaap |
Finite Lived Intangible Asset Useful Life
FiniteLivedIntangibleAssetUsefulLife
|
P8Y8M12D | |
CY2014 | us-gaap |
Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
|
382500000 | |
CY2014 | us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
99887000 | shares |
CY2014 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
|
P3Y7M6D | |
CY2014 | dei |
Entity Central Index Key
EntityCentralIndexKey
|
0000893949 | |
CY2014 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
3.31 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2014 | us-gaap |
Line Of Credit Facility Description
LineOfCreditFacilityDescription
|
At the Company’s option, borrowings under the Credit Agreement (other than swingline loans) will bear interest at (i) the Alternate Base Rate (defined as the higher of (a) the prime rate, (b) the Federal Funds Rate plus 1/2 of 1.00% and (c) LIBOR for an interest period of one month plus 1.00%) plus an applicable margin rate ranging from 0.125% to 0.750% based on the Company’s consolidated leverage ratio or (ii) the LIBOR rate plus an applicable margin rate ranging from 1.125% to 1.750% based on the Company’s consolidated leverage ratio. Swingline loans will bear interest at the alternate base rate plus the applicable margin. | |
CY2014 | us-gaap |
Business Combination Separately Recognized Transactions Net Gains And Losses
BusinessCombinationSeparatelyRecognizedTransactionsNetGainsAndLosses
|
0 | |
CY2014 | us-gaap |
Profit Loss
ProfitLoss
|
317203000 | |
CY2014 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-1506000 | |
CY2014 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
-2137000 | |
CY2014 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
508616000 | |
CY2014 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-4383000 | |
CY2014 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
326216000 | |
CY2014 | us-gaap |
Business Combination Consideration Transferred1
BusinessCombinationConsiderationTransferred1
|
488600000 | |
CY2014 | dei |
Document Fiscal Period Focus
DocumentFiscalPeriodFocus
|
FY | |
CY2014 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
1000 | shares |
CY2014 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
479394000 | |
CY2014 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
512999000 | |
CY2014 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
1151576 | shares |
CY2014 | dei |
Entity Current Reporting Status
EntityCurrentReportingStatus
|
Yes | |
CY2014 | us-gaap |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
98588000 | shares |
CY2014 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
98588000 | shares |
CY2014 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
40000 | |
CY2014 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
18061000 | |
CY2014 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
161841000 | |
CY2014 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
2438913000 | |
CY2014 | us-gaap |
Business Combination Step Acquisition Equity Interest In Acquiree Fair Value1
BusinessCombinationStepAcquisitionEquityInterestInAcquireeFairValue1
|
7700000 | |
CY2014 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
42876000 | |
CY2014 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
159000 | |
CY2014 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
26884000 | |
CY2014 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
5403437 | |
CY2014 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
1213500000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
3750000 | |
CY2014 | us-gaap |
Restricted Stock Value Shares Issued Net Of Tax Withholdings
RestrictedStockValueSharesIssuedNetOfTaxWithholdings
|
1100000 | |
CY2014 | us-gaap |
Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
|
479400000 | |
CY2014 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
488429000 | |
CY2014 | us-gaap |
Payments For Previous Acquisition
PaymentsForPreviousAcquisition
|
15800000 | |
CY2014 | us-gaap |
Interest Paid Net
InterestPaidNet
|
7323000 | |
CY2014 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-5266955 | |
CY2014 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
4281000 | |
CY2014 | us-gaap |
Net Income Loss
NetIncomeLoss
|
317281000 | |
CY2014 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
2728000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
57018000 | |
CY2014 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
31719000 | |
CY2014 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
17479000 | |
CY2014 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
1780000 | |
CY2014 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
1244000 | |
CY2014 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
2590384000 | |
CY2014 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
17500000 | |
CY2014 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
31700000 | |
CY2014 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
2559000 | |
CY2014 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
45990000 | |
CY2014 | us-gaap |
Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
|
42000000 | |
CY2014 | us-gaap |
Interest Expense
InterestExpense
|
8891000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
13290000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
13583000 | |
CY2014 | us-gaap |
Operating Expenses
OperatingExpenses
|
1925914000 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
28200000 | |
CY2014 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
|
-417000 | |
CY2014 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
297000 | |
CY2014 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
17462000 | |
CY2014 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
170007000 | |
CY2014 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
6998000 | |
CY2014 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
1543395000 | |
CY2014 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
488429000 | |
CY2014 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
30100000 | |
CY2014 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
16791000 | |
CY2014 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
191413000 | |
CY2014 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardForfeitures
|
0 | |
CY2014 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
167745000 | |
CY2014 | us-gaap |
Depreciation
Depreciation
|
15900000 | |
CY2014 | us-gaap |
Goodwill Transfers
GoodwillTransfers
|
7200000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
293000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
97754000 | |
CY2014 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
42876000 | |
CY2014 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
30100000 | |
CY2014 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
21406000 | |
CY2014 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
21109000 | |
CY2014 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
34300000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-503604000 | |
CY2014 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
500000 | |
CY2014 | us-gaap |
Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
|
1025000 | |
CY2014 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
27800000 | |
CY2014 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
20735000 | |
CY2014 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
247527000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
66039000 | |
CY2014 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-78000 | |
CY2014 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
1754500000 | |
CY2014 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
31719000 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
38800000 | |
CY2014 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
2262000 | |
CY2014 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
2492000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1527000 | |
CY2014 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
39386000 | |
CY2014 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-16125000 | |
CY2014 | md |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value Forfeited
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValueForfeited
|
0 | |
CY2014 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
179794000 | |
CY2014 | md |
Increase In Uncertain Tax Position
IncreaseInUncertainTaxPosition
|
2300000 | |
CY2014 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
89002000 | |
CY2014 | md |
Contributions From Noncontrolling Interest
ContributionsFromNoncontrollingInterest
|
1025000 | |
CY2014 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
23261000 | |
CY2012 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
58000 | shares |
CY2012 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
97386000 | shares |
CY2012 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
102000 | |
CY2012 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
14495000 | |
CY2012 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
129636000 | |
CY2012 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
-1153000 | |
CY2012 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
388171000 | |
CY2012 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
441006000 | |
CY2014 | md |
Contingent Consideration Payments Related To Prior Period Acquisitions
ContingentConsiderationPaymentsRelatedToPriorPeriodAcquisitions
|
37500000 | |
CY2014 | md |
Number Of Physician Group Practices
NumberOfPhysicianGroupPractices
|
11 | Company |
CY2014 | md |
Business Acquisition Contingent Consideration At Fair Value Decrease
BusinessAcquisitionContingentConsiderationAtFairValueDecrease
|
1600000 | |
CY2014 | md |
Assumed Payment Probability Of Contingent Consideration Payment
AssumedPaymentProbabilityOfContingentConsiderationPayment
|
1.00 | pure |
CY2014 | md |
Business Combination Contingent Consideration Arrangements Time Period
BusinessCombinationContingentConsiderationArrangementsTimePeriod
|
P5Y | |
CY2014 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
5403437000 | |
CY2014 | md |
Stock Issued During Period Value Restricted Stock Contingent Consideration
StockIssuedDuringPeriodValueRestrictedStockContingentConsideration
|
705000 | |
CY2014 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
7662556000 | |
CY2014 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
4071000 | |
CY2014 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
11740000 | |
CY2012 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
2.42 | |
CY2012 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3794 | pure |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0036 | pure |
CY2012 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1996000 | shares |
CY2012 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
324906000 | |
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
|
30.06 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0260 | pure |
CY2012 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
9941000 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0015 | pure |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.0013 | pure |
CY2012 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
99382000 | shares |
CY2012 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
2.47 | |
CY2012 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2012 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
1816612000 | |
CY2012 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
28810000 | |
CY2012 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
136000 | |
CY2012 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
33120000 | |
CY2012 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
3994924 | |
CY2012 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
402500000 | |
CY2012 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
389520000 | |
CY2012 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-1349000 | |
CY2012 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
2478000 | |
CY2012 | us-gaap |
Interest Paid Net
InterestPaidNet
|
2044000 | |
CY2012 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-3946058 | |
CY2012 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
2397000 | |
CY2012 | us-gaap |
Profit Loss
ProfitLoss
|
240907000 | |
CY2012 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
244000 | |
CY2012 | us-gaap |
Net Income Loss
NetIncomeLoss
|
240907000 | |
CY2012 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1896000 | |
CY2012 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
17678000 | |
CY2012 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
28437000 | |
CY2012 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
6198000 | |
CY2012 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
6200000 | |
CY2012 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
28400000 | |
CY2012 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
21344000 | |
CY2012 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
30816000 | |
CY2012 | us-gaap |
Interest Expense
InterestExpense
|
3245000 | |
CY2012 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
12564000 | |
CY2012 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
13133000 | |
CY2012 | us-gaap |
Operating Expenses
OperatingExpenses
|
1427092000 | |
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 |
Unrecognized Tax Benefits Decreases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromCurrentPeriodTaxPositions
|
3671000 | |
CY2012 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
|
995000 | |
CY2012 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
1530000 | |
CY2012 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
6494000 | |
CY2012 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
131754000 | |
CY2012 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-7343000 | |
CY2012 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
1130913000 | |
CY2012 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
15000000 | |
CY2012 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
2684000 | |
CY2012 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
147264000 | |
CY2012 | us-gaap |
Stock Issued During Period Value Restricted Stock Award Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardForfeitures
|
0 | |
CY2012 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
111940000 | |
CY2012 | us-gaap |
Depreciation
Depreciation
|
15800000 | |
CY2012 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
569000 | |
CY2012 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
138326000 | |
CY2012 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
28810000 | |
CY2012 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
20800000 | |
CY2012 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
15510000 | |
CY2012 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
13980000 | |
CY2012 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
24800000 | |
CY2012 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-460548000 | |
CY2012 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
23900000 | |
CY2012 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
28073000 | |
CY2012 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
193540000 | |
CY2012 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
16953000 | |
CY2012 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
517500000 | |
CY2012 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
28437000 | |
CY2012 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
18100000 | |
CY2012 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
19814000 | |
CY2012 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
411000 | |
CY2012 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
2002000 | |
CY2012 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
35441000 | |
CY2012 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-8119000 | |
CY2012 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
119746000 | |
CY2012 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
71823000 | |
CY2012 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
27322000 | |
CY2012 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
3994924000 | |
CY2012 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
5691790000 | |
CY2012 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
786000 | |
CY2012 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
9445000 | |
CY2013Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.55 | |
CY2013Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
100784000 | shares |
CY2013Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.56 | |
CY2013Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
98618000 | shares |
CY2013Q1 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
502715000 | |
CY2013Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
90765000 | |
CY2013Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
91552000 | |
CY2013Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
55367000 | |
CY2013Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
402000 | |
CY2013Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
9144000 | |
CY2013Q1 | us-gaap |
Interest Expense
InterestExpense
|
1189000 | |
CY2013Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
411163000 | |
CY2013Q1 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
329201000 | |
CY2013Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
35398000 | |
CY2013Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
53318000 | |
CY2013Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
19500000 | |
CY2014Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.63 | |
CY2014Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
100696000 | shares |
CY2014Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.64 | |
CY2014Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99076000 | shares |
CY2014Q1 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
566338000 | |
CY2014Q1 | us-gaap |
Profit Loss
ProfitLoss
|
63660000 | |
CY2014Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
104361000 | |
CY2014Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
104097000 | |
CY2014Q1 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
264000 | |
CY2014Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
63660000 | |
CY2014Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1635000 | |
CY2014Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
10370000 | |
CY2014Q1 | us-gaap |
Interest Expense
InterestExpense
|
1371000 | |
CY2014Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
462241000 | |
CY2014Q1 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
372040000 | |
CY2014Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
40701000 | |
CY2014Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
58414000 | |
CY2014Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
21417000 | |
CY2013Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.68 | |
CY2013Q2 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
101098000 | shares |
CY2013Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.70 | |
CY2013Q2 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99116000 | shares |
CY2013Q2 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
529180000 | |
CY2013Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
112094000 | |
CY2013Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
113371000 | |
CY2013Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
69218000 | |
CY2013Q2 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
396000 | |
CY2013Q2 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
9870000 | |
CY2013Q2 | us-gaap |
Interest Expense
InterestExpense
|
1673000 | |
CY2013Q2 | us-gaap |
Operating Expenses
OperatingExpenses
|
415809000 | |
CY2013Q2 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
331922000 | |
CY2013Q2 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
42876000 | |
CY2013Q2 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
54601000 | |
CY2013Q2 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
19416000 | |
CY2014Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.79 | |
CY2014Q2 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
99866000 | shares |
CY2014Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.80 | |
CY2014Q2 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
98411000 | shares |
CY2014Q2 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
595544000 | |
CY2014Q2 | us-gaap |
Profit Loss
ProfitLoss
|
79025000 | |
CY2014Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
127969000 | |
CY2014Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
129672000 | |
CY2014Q2 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-1703000 | |
CY2014Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
79016000 | |
CY2014Q2 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
335000 | |
CY2014Q2 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
150000 | |
CY2014Q2 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
10361000 | |
CY2014Q2 | us-gaap |
Interest Expense
InterestExpense
|
2188000 | |
CY2014Q2 | us-gaap |
Operating Expenses
OperatingExpenses
|
465872000 | |
CY2014Q2 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
372216000 | |
CY2014Q2 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
48944000 | |
CY2014Q2 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
60829000 | |
CY2014Q2 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
9000 | |
CY2014Q2 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
22466000 | |
CY2013Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.76 | |
CY2013Q3 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
101178000 | shares |
CY2013Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.77 | |
CY2013Q3 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99506000 | shares |
CY2013Q3 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
554730000 | |
CY2013Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
122156000 | |
CY2013Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
123291000 | |
CY2013Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
76958000 | |
CY2013Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
372000 | |
CY2013Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
10461000 | |
CY2013Q3 | us-gaap |
Interest Expense
InterestExpense
|
1507000 | |
CY2013Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
431439000 | |
CY2013Q3 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
346879000 | |
CY2013Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
45198000 | |
CY2013Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
54654000 | |
CY2013Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
19445000 | |
CY2014Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.86 | |
CY2014Q3 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
100145000 | shares |
CY2014Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.87 | |
CY2014Q3 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99088000 | shares |
CY2014Q3 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
626506000 | |
CY2014Q3 | us-gaap |
Profit Loss
ProfitLoss
|
86238000 | |
CY2014Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
137412000 | |
CY2014Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
138143000 | |
CY2014Q3 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-731000 | |
CY2014Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
86207000 | |
CY2014Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
563000 | |
CY2014Q3 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
725000 | |
CY2014Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
11356000 | |
CY2014Q3 | us-gaap |
Interest Expense
InterestExpense
|
2019000 | |
CY2014Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
488363000 | |
CY2014Q3 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
394794000 | |
CY2014Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
51174000 | |
CY2014Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
60643000 | |
CY2014Q3 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
31000 | |
CY2014Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
21570000 | |
CY2013Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.78 | |
CY2013Q4 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
101080000 | shares |
CY2013Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.79 | |
CY2013Q4 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99469000 | shares |
CY2013Q4 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
567387000 | |
CY2013Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
123397000 | |
CY2013Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
123917000 | |
CY2013Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
78974000 | |
CY2013Q4 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
526000 | |
CY2013Q4 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
10491000 | |
CY2013Q4 | us-gaap |
Interest Expense
InterestExpense
|
1046000 | |
CY2013Q4 | us-gaap |
Operating Expenses
OperatingExpenses
|
443470000 | |
CY2013Q4 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
353316000 | |
CY2013Q4 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
44423000 | |
CY2013Q4 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
55636000 | |
CY2013Q4 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
24027000 | |
CY2014Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.89 | |
CY2014Q4 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
99129000 | shares |
CY2014Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.90 | |
CY2014Q4 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
98066000 | shares |
CY2014Q4 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
650525000 | |
CY2014Q4 | us-gaap |
Profit Loss
ProfitLoss
|
88280000 | |
CY2014Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
138874000 | |
CY2014Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
141087000 | |
CY2014Q4 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-2213000 | |
CY2014Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
88398000 | |
CY2014Q4 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
195000 | |
CY2014Q4 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
905000 | |
CY2014Q4 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
13903000 | |
CY2014Q4 | us-gaap |
Interest Expense
InterestExpense
|
3313000 | |
CY2014Q4 | us-gaap |
Operating Expenses
OperatingExpenses
|
509438000 | |
CY2014Q4 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
404345000 | |
CY2014Q4 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
50594000 | |
CY2014Q4 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
67641000 | |
CY2014Q4 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-118000 | |
CY2014Q4 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
23549000 |