2015 Form 10-K Financial Statement
#000119312516459842 Filed on February 11, 2016
Income Statement
Concept | 2015 | 2014 Q4 | 2014 Q3 |
---|---|---|---|
Revenue | $2.780B | $650.5M | $626.5M |
YoY Change | 13.99% | 14.65% | 12.94% |
Cost Of Revenue | |||
YoY Change | |||
Gross Profit | |||
YoY Change | |||
Gross Profit Margin | |||
Selling, General & Admin | $2.059B | $472.0M | $455.4M |
YoY Change | 14.99% | 15.4% | 13.42% |
% of Gross Profit | |||
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $64.23M | $13.90M | $11.36M |
YoY Change | 39.66% | 32.52% | 8.56% |
% of Gross Profit | |||
Operating Expenses | $2.222B | $509.4M | $488.4M |
YoY Change | 15.38% | 14.88% | 13.19% |
Operating Profit | $557.9M | $141.1M | $138.1M |
YoY Change | 8.75% | 13.86% | 12.05% |
Interest Expense | $23.11M | $3.313M | $2.019M |
YoY Change | 159.93% | 216.73% | 33.97% |
% of Operating Profit | 4.14% | 2.35% | 1.46% |
Other Income/Expense, Net | -$18.14M | -$2.213M | -$731.0K |
YoY Change | 313.85% | -35.59% | |
Pretax Income | $539.7M | $138.9M | $137.4M |
YoY Change | 6.12% | 12.54% | 12.49% |
Income Tax | $204.0M | $50.59M | $51.17M |
% Of Pretax Income | 37.8% | 36.43% | 37.24% |
Net Earnings | $336.3M | $88.40M | $86.21M |
YoY Change | 6.0% | 11.93% | 12.02% |
Net Earnings / Revenue | 12.1% | 13.59% | 13.76% |
Basic Earnings Per Share | $3.61 | $0.90 | $0.87 |
Diluted Earnings Per Share | $3.58 | $0.89 | $0.86 |
COMMON SHARES | |||
Basic Shares Outstanding | 93.08M shares | 98.07M shares | 99.09M shares |
Diluted Shares Outstanding | 93.96M shares | 99.13M shares | 100.1M shares |
Balance Sheet
Concept | 2015 | 2014 Q4 | 2014 Q3 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $60.40M | $54.00M | $79.10M |
YoY Change | 11.85% | 43.62% | 273.11% |
Cash & Equivalents | $51.60M | $47.93M | $71.82M |
Short-Term Investments | $8.900M | $6.000M | $7.300M |
Other Short-Term Assets | $22.60M | $7.901M | $10.82M |
YoY Change | -62.89% | -1.32% | 14.9% |
Inventory | |||
Prepaid Expenses | $7.036M | $8.778M | |
Receivables | $444.7M | $352.2M | $345.2M |
Other Receivables | $0.00 | $0.00 | $0.00 |
Total Short-Term Assets | $527.8M | $467.1M | $481.1M |
YoY Change | 13.0% | 26.87% | 28.98% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $83.60M | $66.05M | $63.60M |
YoY Change | 26.67% | 10.24% | 4.37% |
Goodwill | $2.776B | $2.659B | |
YoY Change | 15.98% | 12.96% | |
Intangibles | $198.1M | ||
YoY Change | |||
Long-Term Investments | $63.30M | $64.10M | $61.80M |
YoY Change | -1.25% | 11.48% | 0.0% |
Other Assets | $82.20M | $36.74M | $212.4M |
YoY Change | 123.98% | -71.61% | 63.45% |
Total Long-Term Assets | $4.019B | $3.141B | $2.997B |
YoY Change | 27.96% | 18.96% | 14.97% |
TOTAL ASSETS | |||
Total Short-Term Assets | $527.8M | $467.1M | $481.1M |
Total Long-Term Assets | $4.019B | $3.141B | $2.997B |
Total Assets | $4.547B | $3.608B | $3.478B |
YoY Change | 26.02% | 19.93% | 16.72% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $22.00M | $32.78M | $22.17M |
YoY Change | -32.93% | 76.21% | 93.25% |
Accrued Expenses | $373.8M | $347.9M | $278.1M |
YoY Change | 7.44% | 19.92% | 13.46% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $11.90M | $10.00M | $300.0K |
YoY Change | 13.33% | 9900.0% | 200.0% |
Total Short-Term Liabilities | $428.8M | $416.3M | $329.3M |
YoY Change | 3.0% | 27.38% | 20.18% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $1.263B | $557.5M | $288.2M |
YoY Change | 126.19% | 1964.64% | 132.98% |
Other Long-Term Liabilities | $228.8M | $58.96M | $54.51M |
YoY Change | 10.21% | -3.32% | -13.91% |
Total Long-Term Liabilities | $1.492B | $616.4M | $54.51M |
YoY Change | 94.75% | 600.59% | -13.91% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $428.8M | $416.3M | $329.3M |
Total Long-Term Liabilities | $1.492B | $616.4M | $54.51M |
Total Liabilities | $2.110B | $1.343B | $973.1M |
YoY Change | 57.02% | 101.69% | 30.48% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | $1.377B | $1.604B | |
YoY Change | -7.23% | 14.19% | |
Common Stock | $887.8M | $1.003M | |
YoY Change | 87630.93% | 99.8% | |
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | |||
Shareholders Equity | $2.438B | $2.265B | $2.504B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $4.547B | $3.608B | $3.478B |
YoY Change | 26.02% | 19.93% | 16.72% |
Cashflow Statement
Concept | 2015 | 2014 Q4 | 2014 Q3 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | $336.3M | $88.40M | $86.21M |
YoY Change | 6.0% | 11.93% | 12.02% |
Depreciation, Depletion And Amortization | $64.23M | $13.90M | $11.36M |
YoY Change | 39.66% | 32.52% | 8.56% |
Cash From Operating Activities | $368.7M | $178.8M | $159.4M |
YoY Change | -12.75% | 28.36% | 0.95% |
INVESTING ACTIVITIES | |||
Capital Expenditures | -$27.10M | -$6.700M | -$3.600M |
YoY Change | 49.72% | 123.33% | 5.88% |
Acquisitions | $818.9M | ||
YoY Change | 70.82% | ||
Other Investing Activities | -$820.9M | -$134.3M | -$214.0M |
YoY Change | 69.08% | 222.06% | 179.74% |
Cash From Investing Activities | -$848.0M | -$141.0M | -$217.7M |
YoY Change | 68.39% | 215.44% | 172.81% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | $214.9M | ||
YoY Change | -51.76% | ||
Debt Paid & Issued, Net | |||
YoY Change | |||
Cash From Financing Activities | 482.9M | -61.60M | 112.3M |
YoY Change | 393.76% | -22.71% | -249.73% |
NET CHANGE | |||
Cash From Operating Activities | 368.7M | 178.8M | 159.4M |
Cash From Investing Activities | -848.0M | -141.0M | -217.7M |
Cash From Financing Activities | 482.9M | -61.60M | 112.3M |
Net Change In Cash | 3.600M | -23.80M | 54.00M |
YoY Change | -78.57% | -259.73% | 1641.94% |
FREE CASH FLOW | |||
Cash From Operating Activities | $368.7M | $178.8M | $159.4M |
Capital Expenditures | -$27.10M | -$6.700M | -$3.600M |
Free Cash Flow | $395.8M | $185.5M | $163.0M |
YoY Change | -10.19% | 30.36% | 1.05% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
CY2014Q4 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
600000000 | |
CY2014Q2 | md |
Number Of Joint Ventures
NumberOfJointVentures
|
2 | JointVenture |
CY2015Q1 | us-gaap |
Accelerated Share Repurchases Settlement Payment Or Receipt
AcceleratedShareRepurchasesSettlementPaymentOrReceipt
|
200000000 | |
CY2015Q2 | dei |
Entity Public Float
EntityPublicFloat
|
6829814854 | |
CY2015Q2 | md |
Line Of Credit Facility Potential Increase In Borrowing Capacity
LineOfCreditFacilityPotentialIncreaseInBorrowingCapacity
|
2200000000 | |
CY2012Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
13072000 | |
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 |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
21280000 | |
CY2013Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
14902000 | |
CY2013Q4 | us-gaap |
Income Tax Examination Increase Decrease In Liability From Prior Year
IncomeTaxExaminationIncreaseDecreaseInLiabilityFromPriorYear
|
-600000 | |
CY2013Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2342988000 | |
CY2013Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
158691000 | |
CY2013Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
16900000 | |
CY2013Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
31137000 | |
CY2014Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
814094 | shares |
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 Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
|
1271044 | 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 Outstanding
CommonStockSharesOutstanding
|
96030000 | shares |
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 |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2014Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
96030000 | shares |
CY2014Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2014Q4 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
368000000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
114526000 | |
CY2014Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
886877000 | |
CY2014Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
29899000 | |
CY2014Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
2264619000 | |
CY2014Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
557453000 | |
CY2014Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
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10465000 | |
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Capital Lease Obligations
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OtherLiabilitiesNoncurrent
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Business Combination Liabilities Arising From Contingencies Amount Recognized
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|
35300000 | |
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Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
100932000 | |
CY2014Q4 | us-gaap |
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|
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CY2014Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
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Unrecognized Tax Benefits
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|
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Long Term Debt Current
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|
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|
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Accrued Salaries Current
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|
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|
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Income Tax Examination Increase Decrease In Liability From Prior Year
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Deferred Tax Liabilities Deferred Expense Reserves And Accruals
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Self Insurance Reserve Current
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Retained Earnings Accumulated Deficit
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Malpractice Loss Contingency Accrual Undiscounted Current
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Liabilities
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|
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CY2014Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
3608248000 | |
CY2014Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
8700000 | |
CY2014Q4 | us-gaap |
Debt Instrument Face Amount
DebtInstrumentFaceAmount
|
568000000 | |
CY2014Q4 | us-gaap |
Common Stock Value
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|
960000 | |
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Commitments And Contingencies
CommitmentsAndContingencies
|
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Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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|
2265566000 | |
CY2014Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
253684000 | |
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
192000 | |
CY2014Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
96895000 | |
CY2014Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
9200000 | |
CY2014Q4 | us-gaap |
Minority Interest
MinorityInterest
|
947000 | |
CY2014Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
416273000 | |
CY2014Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2014Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
160487000 | |
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|
465000 | |
CY2014Q4 | us-gaap |
Capital Lease Obligations Noncurrent
CapitalLeaseObligationsNoncurrent
|
855000 | |
CY2014Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
168369000 | |
CY2014Q4 | us-gaap |
Cash Surrender Value Of Life Insurance
CashSurrenderValueOfLifeInsurance
|
16000000 | |
CY2014Q4 | us-gaap |
Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
|
547000 | |
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Deferred Tax Assets Operating Loss Carryforwards
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|
10933000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
1524000 | |
CY2014Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
36742000 | |
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Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
14354000 | |
CY2014Q4 | us-gaap |
Assets
Assets
|
3608248000 | |
CY2014Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
198136000 | |
CY2014Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
352191000 | |
CY2014Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
66048000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
139158000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense After Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
|
69100000 | |
CY2014Q4 | us-gaap |
Assets Current
AssetsCurrent
|
467052000 | |
CY2014Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
7901000 | |
CY2014Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2014Q4 | us-gaap |
Accelerated Share Repurchases Settlement Payment Or Receipt
AcceleratedShareRepurchasesSettlementPaymentOrReceipt
|
200000000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
48178000 | |
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Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
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CY2014Q4 | us-gaap |
Operating Loss Carryforwards
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|
29000000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
1461000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsReserves
|
62708000 | |
CY2014Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
22981000 | |
CY2014Q4 | us-gaap |
Money Market Funds At Carrying Value
MoneyMarketFundsAtCarryingValue
|
5100000 | |
CY2014Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
198136000 | |
CY2014Q4 | us-gaap |
Fixtures And Equipment Gross
FixturesAndEquipmentGross
|
133279000 | |
CY2014Q4 | us-gaap |
Goodwill
Goodwill
|
2776188000 | |
CY2014Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
6035000 | |
CY2014Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
7036000 | |
CY2014Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
47928000 | |
CY2014Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
64082000 | |
CY2014Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
162943000 | |
CY2014Q4 | us-gaap |
Deferred Tax Assets Net Current
DeferredTaxAssetsNetCurrent
|
45961000 | |
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 |
Held To Maturity Securities Debt Maturities After Five Through Ten Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterFiveThroughTenYearsNetCarryingAmount
|
9123000 | |
CY2014Q4 | md |
Unamortized Debt Issuance Expense Noncurrent
UnamortizedDebtIssuanceExpenseNoncurrent
|
547000 | |
CY2014Q4 | md |
Debt Instrument Face Amount Non Current
DebtInstrumentFaceAmountNonCurrent
|
558000000 | |
CY2014Q4 | md |
Debt Instrument Face Amount Current
DebtInstrumentFaceAmountCurrent
|
10000000 | |
CY2014Q4 | md |
Deferred Tax Liabilities Amortization
DeferredTaxLiabilitiesAmortization
|
214968000 | |
CY2014Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
47800000 | |
CY2014Q4 | md |
Unamortized Debt Issuance Expense Current
UnamortizedDebtIssuanceExpenseCurrent
|
0 | |
CY2014Q4 | md |
Intangible Assets And Other Assets Noncurrent
IntangibleAssetsAndOtherAssetsNoncurrent
|
234878000 | |
CY2014Q4 | md |
Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
|
49858000 | |
CY2014Q4 | md |
Accrued Contingent Consideration Liability Current
AccruedContingentConsiderationLiabilityCurrent
|
17010000 | |
CY2014Q4 | md |
Accounts Payable And Accrued Liabilities Excluding Accrued Income Taxes Current
AccountsPayableAndAccruedLiabilitiesExcludingAccruedIncomeTaxesCurrent
|
380658000 | |
CY2014Q4 | md |
Long Term Debt And Capital Lease Obligations Excluding Long Term Line Of Credit
LongTermDebtAndCapitalLeaseObligationsExcludingLongTermLineOfCredit
|
190308000 | |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
585387 | shares |
CY2015Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
200000000 | shares |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
27.96 | |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
|
1013791 | shares |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
|
61.50 | |
CY2015Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
93739000 | shares |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
|
5400000 | shares |
CY2015Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
|
585387 | shares |
CY2015Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | shares |
CY2015Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2015Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
93739000 | shares |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
|
27.96 | |
CY2015Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2015Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
|
23045000 | |
CY2015Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
|
10000000 | |
CY2015Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
|
29856000 | |
CY2015Q4 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
343500000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
154005000 | |
CY2015Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
926235000 | |
CY2015Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
|
20000000 | |
CY2015Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
34800000 | |
CY2015Q4 | us-gaap |
Line Of Credit Facility Remaining Borrowing Capacity
LineOfCreditFacilityRemainingBorrowingCapacity
|
1400000000 | |
CY2015Q4 | us-gaap |
Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
|
101761000 | |
CY2015Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
2437528000 | |
CY2015Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
|
7402000 | |
CY2015Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
1260404000 | |
CY2015Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
11883000 | |
CY2015Q4 | us-gaap |
Capital Lease Obligations
CapitalLeaseObligations
|
4299000 | |
CY2015Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
|
30000000 | |
CY2015Q4 | us-gaap |
Business Combination Contingent Consideration Arrangements Range Of Outcomes Value High
BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh
|
4000000 | |
CY2015Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
52289000 | |
CY2015Q4 | us-gaap |
Business Combination Liabilities Arising From Contingencies Amount Recognized
BusinessCombinationLiabilitiesArisingFromContingenciesAmountRecognized
|
24900000 | |
CY2015Q4 | us-gaap |
Increase In Unrecognized Tax Benefits Is Reasonably Possible
IncreaseInUnrecognizedTaxBenefitsIsReasonablyPossible
|
2500000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
142976000 | |
CY2015Q4 | us-gaap |
Accrued Income Taxes Current
AccruedIncomeTaxesCurrent
|
21081000 | |
CY2015Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
|
130000000 | |
CY2015Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
1270404000 | |
CY2015Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
395807000 | |
CY2015Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
18447000 | |
CY2015Q4 | us-gaap |
Long Term Debt Current
LongTermDebtCurrent
|
10000000 | |
CY2015Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
17100000 | |
CY2015Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
21969000 | |
CY2015Q4 | us-gaap |
Accrued Salaries Current
AccruedSalariesCurrent
|
233499000 | |
CY2015Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Noncurrent
MalpracticeLossContingencyAccrualUndiscountedNoncurrent
|
176532000 | |
CY2015Q4 | us-gaap |
Income Tax Examination Increase Decrease In Liability From Prior Year
IncomeTaxExaminationIncreaseDecreaseInLiabilityFromPriorYear
|
600000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities Deferred Expense Reserves And Accruals
DeferredTaxLiabilitiesDeferredExpenseReservesAndAccruals
|
55046000 | |
CY2015Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Two Years
CapitalLeasesFutureMinimumPaymentsDueInTwoYears
|
1632000 | |
CY2015Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
1129301000 | |
CY2015Q4 | us-gaap |
Self Insurance Reserve Current
SelfInsuranceReserveCurrent
|
142400000 | |
CY2015Q4 | us-gaap |
Business Combination Contingent Consideration Arrangements Range Of Outcomes Value Low
BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueLow
|
0 | |
CY2015Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
1510356000 | |
CY2015Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
25995000 | |
CY2015Q4 | us-gaap |
Liabilities
Liabilities
|
2109368000 | |
CY2015Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
4547214000 | |
CY2015Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
9300000 | |
CY2015Q4 | us-gaap |
Debt Instrument Face Amount
DebtInstrumentFaceAmount
|
1283500000 | |
CY2015Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
937000 | |
CY2015Q4 | us-gaap |
Liability For Uncertain Tax Positions Current
LiabilityForUncertainTaxPositionsCurrent
|
7000000 | |
CY2015Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2015Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2437846000 | |
CY2015Q4 | us-gaap |
Capital Leases Future Minimum Payments Due Current
CapitalLeasesFutureMinimumPaymentsDueCurrent
|
1883000 | |
CY2015Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
373042000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
6693000 | |
CY2015Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Four Years
CapitalLeasesFutureMinimumPaymentsDueInFourYears
|
46000 | |
CY2015Q4 | us-gaap |
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Liabilities Other
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentLiabilitiesOther
|
400000 | |
CY2015Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
|
11691000 | |
CY2015Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
119334000 | |
CY2015Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
3800000 | |
CY2015Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
|
11911000 | |
CY2015Q4 | us-gaap |
Minority Interest
MinorityInterest
|
318000 | |
CY2015Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
428771000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
1552000 | |
CY2015Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2015Q4 | us-gaap |
Business Acquisition Equity Interest Issued Or Issuable Value Assigned
BusinessAcquisitionEquityInterestIssuedOrIssuableValueAssigned
|
7800000 | |
CY2015Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
|
17856000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
188956000 | |
CY2015Q4 | us-gaap |
Capital Lease Obligations Current
CapitalLeaseObligationsCurrent
|
1883000 | |
CY2015Q4 | us-gaap |
Capital Lease Obligations Noncurrent
CapitalLeaseObligationsNoncurrent
|
2416000 | |
CY2015Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Three Years
CapitalLeasesFutureMinimumPaymentsDueInThreeYears
|
738000 | |
CY2015Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
202527000 | |
CY2015Q4 | us-gaap |
Cash Surrender Value Of Life Insurance
CashSurrenderValueOfLifeInsurance
|
14500000 | |
CY2015Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
|
25600000 | |
CY2015Q4 | us-gaap |
Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
|
13096000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
51505000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
3116000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
220589000 | |
CY2015Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
82154000 | |
CY2015Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Share Based Awards Other Than Options
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedShareBasedAwardsOtherThanOptions
|
28700000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
13662000 | |
CY2015Q4 | us-gaap |
Assets
Assets
|
4547214000 | |
CY2015Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
83700000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
38639000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
43173000 | |
CY2015Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
424219000 | |
CY2015Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
444737000 | |
CY2015Q4 | us-gaap |
Decrease In Unrecognized Tax Benefits Is Reasonably Possible
DecreaseInUnrecognizedTaxBenefitsIsReasonablyPossible
|
1900000 | |
CY2015Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
83634000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
48967000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
219037000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense After Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
|
229300000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
29535000 | |
CY2015Q4 | us-gaap |
Assets Current
AssetsCurrent
|
527769000 | |
CY2015Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
12968000 | |
CY2015Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
82928000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
567195000 | |
CY2015Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
136600000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
2723000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsReserves
|
66655000 | |
CY2015Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
26382000 | |
CY2015Q4 | us-gaap |
Money Market Funds At Carrying Value
MoneyMarketFundsAtCarryingValue
|
13900000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
424219000 | |
CY2015Q4 | us-gaap |
Fixtures And Equipment Gross
FixturesAndEquipmentGross
|
169903000 | |
CY2015Q4 | us-gaap |
Goodwill
Goodwill
|
3366150000 | |
CY2015Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
8853000 | |
CY2015Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
9639000 | |
CY2015Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
51572000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
34600000 | |
CY2015Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
63288000 | |
CY2015Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
202968000 | |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
|
25600000 | |
CY2015Q4 | us-gaap |
Held To Maturity Securities Debt Maturities After One Through Five Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterOneThroughFiveYearsNetCarryingAmount
|
60383000 | |
CY2015Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
1574038000 | |
CY2015Q4 | us-gaap |
Held To Maturity Securities Debt Maturities After Five Through Ten Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterFiveThroughTenYearsNetCarryingAmount
|
2905000 | |
CY2015Q4 | md |
Unamortized Debt Issuance Expense Noncurrent
UnamortizedDebtIssuanceExpenseNoncurrent
|
13096000 | |
CY2015Q4 | md |
Debt Instrument Face Amount Non Current
DebtInstrumentFaceAmountNonCurrent
|
1273500000 | |
CY2015Q4 | md |
Debt Instrument Face Amount Current
DebtInstrumentFaceAmountCurrent
|
10000000 | |
CY2015Q4 | md |
Deferred Tax Liabilities Amortization
DeferredTaxLiabilitiesAmortization
|
311303000 | |
CY2015Q4 | md |
Line Of Credit Facility Reduction In Available Balance
LineOfCreditFacilityReductionInAvailableBalance
|
200000 | |
CY2015Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
60100000 | |
CY2015Q4 | md |
Unamortized Debt Issuance Expense Current
UnamortizedDebtIssuanceExpenseCurrent
|
0 | |
CY2015Q4 | md |
Long Term Debt Maturities Repayments Of Principal After Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFour
|
750000000 | |
CY2015Q4 | md |
Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
|
58979000 | |
CY2015Q4 | md |
Accrued Contingent Consideration Liability Current
AccruedContingentConsiderationLiabilityCurrent
|
13565000 | |
CY2015Q4 | md |
Accounts Payable And Accrued Liabilities Excluding Accrued Income Taxes Current
AccountsPayableAndAccruedLiabilitiesExcludingAccruedIncomeTaxesCurrent
|
395807000 | |
CY2015Q4 | md |
Long Term Debt And Capital Lease Obligations Excluding Long Term Line Of Credit
LongTermDebtAndCapitalLeaseObligationsExcludingLongTermLineOfCredit
|
919320000 | |
CY2016Q1 | dei |
Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
|
93800921 | shares |
CY2015Q4 | us-gaap |
Stock Issued During Period Shares Employee Stock Purchase Plans
StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
|
2500000 | shares |
CY2013 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
2.78 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.0002 | pure |
CY2013 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
405398000 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0027 | pure |
CY2013 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
35000 | shares |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0048 | pure |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2013 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
19797000 | |
CY2013 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0263 | pure |
CY2013 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
100969000 | shares |
CY2013 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1857000 | shares |
CY2013 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99112000 | shares |
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 |
Earnings Per Share Basic
EarningsPerShareBasic
|
2.83 | |
CY2013 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3744 | pure |
CY2013 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
99000 | |
CY2013 | us-gaap |
Net Income Loss
NetIncomeLoss
|
280517000 | |
CY2013 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
31288000 | |
CY2013 | us-gaap |
Profit Loss
ProfitLoss
|
280517000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
338000 | |
CY2013 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
448412000 | |
CY2013 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
28697000 | |
CY2013 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-212000 | |
CY2013 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
51863000 | |
CY2013 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
238045000 | |
CY2013 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
452131000 | |
CY2013 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
3541000 | |
CY2013 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
20802000 | |
CY2013 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-3719000 | |
CY2013 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
37331000 | |
CY2013 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1696000 | |
CY2013 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
2154012000 | |
CY2013 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
18981000 | |
CY2013 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
126411000 | |
CY2013 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
19000000 | |
CY2013 | us-gaap |
Interest Paid Net
InterestPaidNet
|
3312000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
2955000 | |
CY2013 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
1028500000 | |
CY2013 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
15654000 | |
CY2013 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
167895000 | |
CY2013 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
31288000 | |
CY2013 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
10739000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
38000 | |
CY2013 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
14784000 | |
CY2013 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
1136000 | |
CY2013 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
18173000 | |
CY2013 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
26400000 | |
CY2013 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
9857000 | |
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 |
Interest Expense
InterestExpense
|
5415000 | |
CY2013 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-263490000 | |
CY2013 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
11011000 | |
CY2013 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
-132051000 | |
CY2013 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
49239000 | |
CY2013 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
18579000 | |
CY2013 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
35400000 | |
CY2013 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
24500000 | |
CY2013 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
|
3656000 | |
CY2013 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
15920000 | |
CY2013 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
28697000 | |
CY2013 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
29800000 | |
CY2013 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
1211000 | |
CY2013 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
17037000 | |
CY2013 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
31300000 | |
CY2013 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
218209000 | |
CY2013 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
911500000 | |
CY2013 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
5772000 | |
CY2013 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
11480000 | |
CY2013 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
134938000 | |
CY2013 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
51863000 | |
CY2013 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
18900000 | |
CY2013 | us-gaap |
Depreciation
Depreciation
|
15500000 | |
CY2013 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
39966000 | |
CY2013 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
149722000 | |
CY2013 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1425000 | |
CY2013 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
741000 | |
CY2013 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
41235000 | |
CY2013 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
33135000 | |
CY2013 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
4695232000 | |
CY2013 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-8100000 | |
CY2013 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
146760000 | |
CY2013 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
10365000 | |
CY2013 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
1308000 | |
CY2013 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
6702484000 | |
CY2013 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
82388000 | |
CY2013 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
1361318000 | |
CY2014 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
3.18 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.0015 | pure |
CY2014 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
422641000 | |
CY2014 | us-gaap |
Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
|
382500000 | |
CY2014 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
3.46 | |
CY2014 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
3.50 | |
CY2014 | us-gaap |
Number Of Businesses Acquired
NumberOfBusinessesAcquired
|
13 | Acquisition |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0033 | pure |
CY2014 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
1000 | shares |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0059 | pure |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2014 | us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
99887000 | shares |
CY2014 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
9284000 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0274 | pure |
CY2014 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
99887000 | shares |
CY2014 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1299000 | shares |
CY2014 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
98588000 | shares |
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 |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
98588000 | shares |
CY2014 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
3.22 | |
CY2014 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3763 | pure |
CY2014 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
159000 | |
CY2014 | us-gaap |
Net Income Loss
NetIncomeLoss
|
317281000 | |
CY2014 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
345517000 | |
CY2014 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
31719000 | |
CY2014 | us-gaap |
Profit Loss
ProfitLoss
|
317203000 | |
CY2014 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-1506000 | |
CY2014 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
488429000 | |
CY2014 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
479394000 | |
CY2014 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
512999000 | |
CY2014 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
-2137000 | |
CY2014 | us-gaap |
Business Combination Consideration Transferred1
BusinessCombinationConsiderationTransferred1
|
488600000 | |
CY2014 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
26884000 | |
CY2014 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-4383000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
57018000 | |
CY2014 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
2728000 | |
CY2014 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
2438913000 | |
CY2014 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
17479000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
40000 | |
CY2014 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
4281000 | |
CY2014 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
508616000 | |
CY2014 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
42876000 | |
CY2014 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
161841000 | |
CY2014 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
2945493000 | |
CY2014 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
1244000 | |
CY2014 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
17500000 | |
CY2014 | us-gaap |
Interest Paid Net
InterestPaidNet
|
7323000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
3750000 | |
CY2014 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
1213500000 | |
CY2014 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
18061000 | |
CY2014 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
1780000 | |
CY2014 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
191413000 | |
CY2014 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
31719000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
13290000 | |
CY2014 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
2262000 | |
CY2014 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
297000 | |
CY2014 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
21406000 | |
CY2014 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
27800000 | |
CY2014 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
16791000 | |
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 |
Interest Expense
InterestExpense
|
8891000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-503604000 | |
CY2014 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
20735000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
97754000 | |
CY2014 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
|
-417000 | |
CY2014 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
2559000 | |
CY2014 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
42876000 | |
CY2014 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
34300000 | |
CY2014 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
2492000 | |
CY2014 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
21109000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
66039000 | |
CY2014 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
31700000 | |
CY2014 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
247527000 | |
CY2014 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
1754500000 | |
CY2014 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
6998000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
13583000 | |
CY2014 | us-gaap |
Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
|
1025000 | |
CY2014 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
167745000 | |
CY2014 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
17462000 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
38800000 | |
CY2014 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
30100000 | |
CY2014 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
488429000 | |
CY2014 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
30100000 | |
CY2014 | us-gaap |
Depreciation
Depreciation
|
15900000 | |
CY2014 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
45990000 | |
CY2014 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
170007000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1527000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
293000 | |
CY2014 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-78000 | |
CY2014 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
39386000 | |
CY2014 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
23261000 | |
CY2014 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
5403437000 | |
CY2014 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-16125000 | |
CY2014 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
179794000 | |
CY2014 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
11740000 | |
CY2014 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
4071000 | |
CY2014 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
7662556000 | |
CY2014 | md |
Contributions From Noncontrolling Interest
ContributionsFromNoncontrollingInterest
|
1025000 | |
CY2014 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
89002000 | |
CY2014 | md |
Increase In Uncertain Tax Position
IncreaseInUncertainTaxPosition
|
2300000 | |
CY2014 | md |
Stock Issued During Period Value Restricted Stock Contingent Consideration
StockIssuedDuringPeriodValueRestrictedStockContingentConsideration
|
705000 | |
CY2014 | md |
Number Of Physician Group Practices Acquired
NumberOfPhysicianGroupPracticesAcquired
|
11 | Company |
CY2014 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
1543395000 | |
CY2014 | md |
Payments To Acquire Businesses Net Of Cash Acquired Excluding Prior Period Adjustments
PaymentsToAcquireBusinessesNetOfCashAcquiredExcludingPriorPeriodAdjustments
|
479400000 | |
CY2015 | dei |
Document Fiscal Period Focus
DocumentFiscalPeriodFocus
|
FY | |
CY2015 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
3.58 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
-0.0041 | pure |
CY2015 | 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> <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 <font style="WHITE-SPACE: nowrap">(i) fee-for-service</font> 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 2015 the Company acquired a radiology physician services and telemedicine company that provides outsourced radiology and telemedicine services to hospital, health system and radiology group facilities as well as a third-party receivables company that specializes in revenue recovery on accounts that require heightened expertise, labor and capital. 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.</font></p> </div> | |
CY2015 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
368701000 | |
CY2015 | us-gaap |
Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
|
590000000 | |
CY2015 | 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. | |
CY2015 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
3.66 | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
|
483423 | shares |
CY2015 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
3.69 | |
CY2015 | dei |
Document Fiscal Year Focus
DocumentFiscalYearFocus
|
2015 | |
CY2015 | us-gaap |
Number Of Businesses Acquired
NumberOfBusinessesAcquired
|
12 | Acquisition |
CY2015 | dei |
Amendment Flag
AmendmentFlag
|
false | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0034 | pure |
CY2015 | dei |
Document Type
DocumentType
|
10-K | |
CY2015 | dei |
Entity Central Index Key
EntityCentralIndexKey
|
0000893949 | |
CY2015 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P2Y8M12D | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod
|
29974 | shares |
CY2015 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
|
P2Y8M12D | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0043 | pure |
CY2015 | dei |
Entity Filer Category
EntityFilerCategory
|
Large Accelerated Filer | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
|
710702 | shares |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2015 | us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
93960000 | shares |
CY2015 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
-2064000 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.0029 | pure |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0297 | pure |
CY2015 | dei |
Current Fiscal Year End Date
CurrentFiscalYearEndDate
|
--12-31 | |
CY2015 | dei |
Entity Current Reporting Status
EntityCurrentReportingStatus
|
Yes | |
CY2015 | us-gaap |
Line Of Credit Facility Expiration Date1
LineOfCreditFacilityExpirationDate1
|
2019-10-29 | |
CY2015 | dei |
Entity Registrant Name
EntityRegistrantName
|
MEDNAX, INC. | |
CY2015 | dei |
Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
|
Yes | |
CY2015 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93960000 | shares |
CY2015 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
883000 | shares |
CY2015 | dei |
Entity Voluntary Filers
EntityVoluntaryFilers
|
No | |
CY2015 | 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
|
44.43 | |
CY2015 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
26.58 | |
CY2015 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
93077000 | shares |
CY2015 | us-gaap |
Business Acquisition Equity Interests Issued Or Issuable Number Of Shares Issued
BusinessAcquisitionEquityInterestsIssuedOrIssuableNumberOfSharesIssued
|
114306 | shares |
CY2015 | dei |
Document Period End Date
DocumentPeriodEndDate
|
2015-12-31 | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue
|
55.77 | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
|
70.44 | |
CY2015 | 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> | |
CY2015 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
228707 | shares |
CY2015 | us-gaap |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
93077000 | shares |
CY2015 | dei |
Trading Symbol
TradingSymbol
|
MD | |
CY2015 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
3.61 | |
CY2015 | us-gaap |
Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
|
3400000 | shares |
CY2015 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3776 | pure |
CY2015 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1
|
P1Y6M | |
CY2015 | us-gaap |
Finite Lived Intangible Assets Period Increase Decrease
FiniteLivedIntangibleAssetsPeriodIncreaseDecrease
|
226100000 | |
CY2015 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
2171000 | |
CY2015 | us-gaap |
Net Income Loss
NetIncomeLoss
|
336320000 | |
CY2015 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
343575000 | |
CY2015 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
32129000 | |
CY2015 | us-gaap |
Profit Loss
ProfitLoss
|
335691000 | |
CY2015 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
4905000 | |
CY2015 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
235051000 | |
CY2015 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
818903000 | |
CY2015 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
557868000 | |
CY2015 | us-gaap |
Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
|
-1639000 | |
CY2015 | us-gaap |
Business Combination Consideration Transferred1
BusinessCombinationConsiderationTransferred1
|
853300000 | |
CY2015 | us-gaap |
Payments For Previous Acquisition
PaymentsForPreviousAcquisition
|
14300000 | |
CY2015 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
33980000 | |
CY2015 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-18139000 | |
CY2015 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
55391000 | |
CY2015 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1844000 | |
CY2015 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
2779996000 | |
CY2015 | us-gaap |
Business Combination Step Acquisition Equity Interest In Acquiree Fair Value1
BusinessCombinationStepAcquisitionEquityInterestInAcquireeFairValue1
|
7700000 | |
CY2015 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
11583000 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
467000 | |
CY2015 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
14190000 | |
CY2015 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
539729000 | |
CY2015 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
20128000 | |
CY2015 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
181005000 | |
CY2015 | us-gaap |
Stock Issued1
StockIssued1
|
7800000 | |
CY2015 | us-gaap |
Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
|
1800000 | |
CY2015 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
2946467000 | |
CY2015 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
3135000 | |
CY2015 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
11600000 | |
CY2015 | us-gaap |
Interest Paid Net
InterestPaidNet
|
20367000 | |
CY2015 | us-gaap |
Business Combination Separately Recognized Transactions Net Gains And Losses
BusinessCombinationSeparatelyRecognizedTransactionsNetGainsAndLosses
|
0 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
3675000 | |
CY2015 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
2156000000 | |
CY2015 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
27073000 | |
CY2015 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
3127000 | |
CY2015 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
204038000 | |
CY2015 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
32129000 | |
CY2015 | us-gaap |
Goodwill Transfers
GoodwillTransfers
|
7200000 | |
CY2015 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
13835000 | |
CY2015 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
500000 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
1168000 | |
CY2015 | us-gaap |
Equity Method Investment Dividends Or Distributions
EquityMethodInvestmentDividendsOrDistributions
|
2062000 | |
CY2015 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
12866000 | |
CY2015 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
1628000 | |
CY2015 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
22576000 | |
CY2015 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
31600000 | |
CY2015 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
3644000 | |
CY2015 | us-gaap |
Operating Expenses
OperatingExpenses
|
2222128000 | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
31600000 | |
CY2015 | us-gaap |
Interest Expense
InterestExpense
|
23110000 | |
CY2015 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-848000000 | |
CY2015 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
31956000 | |
CY2015 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
482943000 | |
CY2015 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
|
13000 | |
CY2015 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
14494000 | |
CY2015 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
20128000 | |
CY2015 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
39700000 | |
CY2015 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
-2654000 | |
CY2015 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
20948000 | |
CY2015 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
-7874000 | |
CY2015 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
32100000 | |
CY2015 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
305915000 | |
CY2015 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
2121500000 | |
CY2015 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-4101000 | |
CY2015 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
15217000 | |
CY2015 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
168596000 | |
CY2015 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
11583000 | |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
11300000 | |
CY2015 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
42000000 | |
CY2015 | us-gaap |
Cash Acquired From Acquisition
CashAcquiredFromAcquisition
|
23000000 | |
CY2015 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
235051000 | |
CY2015 | us-gaap |
Proceeds From Issuance Of Senior Long Term Debt
ProceedsFromIssuanceOfSeniorLongTermDebt
|
750000000 | |
CY2015 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
6100000 | |
CY2015 | us-gaap |
Depreciation
Depreciation
|
22200000 | |
CY2015 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
64228000 | |
CY2015 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
181462000 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1692000 | |
CY2015 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
1382000 | |
CY2015 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-629000 | |
CY2015 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
39204000 | |
CY2015 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
13407000 | |
CY2015 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
6389195000 | |
CY2015 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-25797000 | |
CY2015 | md |
Business Combination Contingent Consideration Arrangement Time Period Of Measurement
BusinessCombinationContingentConsiderationArrangementTimePeriodOfMeasurement
|
P2Y | |
CY2015 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
226234000 | |
CY2015 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
12856000 | |
CY2015 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
1439000 | |
CY2015 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
8942957000 | |
CY2015 | md |
Business Acquisition Contingent Consideration At Fair Value Decrease
BusinessAcquisitionContingentConsiderationAtFairValueDecrease
|
1000000 | |
CY2015 | md |
Business Combination Contingent Consideration Arrangements Time Period
BusinessCombinationContingentConsiderationArrangementsTimePeriod
|
P5Y | |
CY2015 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
98480000 | |
CY2015 | md |
Increase In Uncertain Tax Position
IncreaseInUncertainTaxPosition
|
1200000 | |
CY2015 | md |
Assumed Payment Probability Of Contingent Consideration Payment
AssumedPaymentProbabilityOfContingentConsiderationPayment
|
1.00 | pure |
CY2015 | md |
Number Of Physician Group Practices Acquired
NumberOfPhysicianGroupPracticesAcquired
|
10 | Company |
CY2015 | md |
Number Of Anesthesiology Practices Acquired
NumberOfAnesthesiologyPracticesAcquired
|
7 | Company |
CY2015 | md |
Number Of Neonatology Practices Acquired
NumberOfNeonatologyPracticesAcquired
|
2 | Company |
CY2015 | md |
Number Of Other Pediatric Subspecialty Practices Acquired
NumberOfOtherPediatricSubspecialtyPracticesAcquired
|
1 | Company |
CY2015 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
1753505000 | |
CY2015 | md |
Payments To Acquire Businesses Net Of Cash Acquired Excluding Prior Period Adjustments
PaymentsToAcquireBusinessesNetOfCashAcquiredExcludingPriorPeriodAdjustments
|
818300000 | |
CY2015 | md |
Stock Issued During Period Value Restricted Stock Acquisition Consideration
StockIssuedDuringPeriodValueRestrictedStockAcquisitionConsideration
|
7800000 | |
CY2015 | md |
Number Of Non Practice Business Acquired
NumberOfNonPracticeBusinessAcquired
|
2 | Acquisition |
CY2015 | md |
Accrued Professional Liabilities Assumed Through Acquisition
AccruedProfessionalLiabilitiesAssumedThroughAcquisition
|
35968000 | |
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 |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99076000 | shares |
CY2014Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.64 | |
CY2014Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
63660000 | |
CY2014Q1 | us-gaap |
Profit Loss
ProfitLoss
|
63660000 | |
CY2014Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
104097000 | |
CY2014Q1 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
264000 | |
CY2014Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1635000 | |
CY2014Q1 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
566338000 | |
CY2014Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
104361000 | |
CY2014Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
40701000 | |
CY2014Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
462241000 | |
CY2014Q1 | us-gaap |
Interest Expense
InterestExpense
|
1371000 | |
CY2014Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
58414000 | |
CY2014Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
10370000 | |
CY2014Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
21417000 | |
CY2014Q1 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
372040000 | |
CY2015Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.72 | |
CY2015Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
95325000 | shares |
CY2015Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
94231000 | shares |
CY2015Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.73 | |
CY2015Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
68707000 | |
CY2015Q1 | us-gaap |
Profit Loss
ProfitLoss
|
68589000 | |
CY2015Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
114821000 | |
CY2015Q1 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-2304000 | |
CY2015Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
142000 | |
CY2015Q1 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
639395000 | |
CY2015Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
112517000 | |
CY2015Q1 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
821000 | |
CY2015Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
43928000 | |
CY2015Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
524574000 | |
CY2015Q1 | us-gaap |
Interest Expense
InterestExpense
|
3267000 | |
CY2015Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
67936000 | |
CY2015Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
13612000 | |
CY2015Q1 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-118000 | |
CY2015Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
23431000 | |
CY2015Q1 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
419595000 | |
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 |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
98411000 | shares |
CY2014Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.80 | |
CY2014Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
79016000 | |
CY2014Q2 | us-gaap |
Profit Loss
ProfitLoss
|
79025000 | |
CY2014Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
129672000 | |
CY2014Q2 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-1703000 | |
CY2014Q2 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
335000 | |
CY2014Q2 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
595544000 | |
CY2014Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
127969000 | |
CY2014Q2 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
150000 | |
CY2014Q2 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
48944000 | |
CY2014Q2 | us-gaap |
Operating Expenses
OperatingExpenses
|
465872000 | |
CY2014Q2 | us-gaap |
Interest Expense
InterestExpense
|
2188000 | |
CY2014Q2 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
60829000 | |
CY2014Q2 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
10361000 | |
CY2014Q2 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
9000 | |
CY2014Q2 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
22466000 | |
CY2014Q2 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
372216000 | |
CY2015Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.90 | |
CY2015Q2 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93495000 | shares |
CY2015Q2 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92500000 | shares |
CY2015Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.91 | |
CY2015Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
84130000 | |
CY2015Q2 | us-gaap |
Profit Loss
ProfitLoss
|
84048000 | |
CY2015Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
140957000 | |
CY2015Q2 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-4020000 | |
CY2015Q2 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
384000 | |
CY2015Q2 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
676588000 | |
CY2015Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
136937000 | |
CY2015Q2 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
745000 | |
CY2015Q2 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
52889000 | |
CY2015Q2 | us-gaap |
Operating Expenses
OperatingExpenses
|
535631000 | |
CY2015Q2 | us-gaap |
Interest Expense
InterestExpense
|
5149000 | |
CY2015Q2 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
72401000 | |
CY2015Q2 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
15549000 | |
CY2015Q2 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-82000 | |
CY2015Q2 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
24878000 | |
CY2015Q2 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
422803000 | |
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 |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
99088000 | shares |
CY2014Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.87 | |
CY2014Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
86207000 | |
CY2014Q3 | us-gaap |
Profit Loss
ProfitLoss
|
86238000 | |
CY2014Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
138143000 | |
CY2014Q3 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-731000 | |
CY2014Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
563000 | |
CY2014Q3 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
626506000 | |
CY2014Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
137412000 | |
CY2014Q3 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
725000 | |
CY2014Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
51174000 | |
CY2014Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
488363000 | |
CY2014Q3 | us-gaap |
Interest Expense
InterestExpense
|
2019000 | |
CY2014Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
60643000 | |
CY2014Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
11356000 | |
CY2014Q3 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
31000 | |
CY2014Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
21570000 | |
CY2014Q3 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
394794000 | |
CY2015Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.97 | |
CY2015Q3 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93646000 | shares |
CY2015Q3 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92949000 | shares |
CY2015Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.98 | |
CY2015Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
90781000 | |
CY2015Q3 | us-gaap |
Profit Loss
ProfitLoss
|
90640000 | |
CY2015Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
151130000 | |
CY2015Q3 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-4850000 | |
CY2015Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
567000 | |
CY2015Q3 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
722273000 | |
CY2015Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
146280000 | |
CY2015Q3 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
784000 | |
CY2015Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
55640000 | |
CY2015Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
571143000 | |
CY2015Q3 | us-gaap |
Interest Expense
InterestExpense
|
6201000 | |
CY2015Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
80185000 | |
CY2015Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
16918000 | |
CY2015Q3 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-141000 | |
CY2015Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
24007000 | |
CY2015Q3 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
450033000 | |
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 |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
98066000 | shares |
CY2014Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.90 | |
CY2014Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
88398000 | |
CY2014Q4 | us-gaap |
Profit Loss
ProfitLoss
|
88280000 | |
CY2014Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
141087000 | |
CY2014Q4 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-2213000 | |
CY2014Q4 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
195000 | |
CY2014Q4 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
650525000 | |
CY2014Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
138874000 | |
CY2014Q4 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
905000 | |
CY2014Q4 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
50594000 | |
CY2014Q4 | us-gaap |
Operating Expenses
OperatingExpenses
|
509438000 | |
CY2014Q4 | us-gaap |
Interest Expense
InterestExpense
|
3313000 | |
CY2014Q4 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
67641000 | |
CY2014Q4 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
13903000 | |
CY2014Q4 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-118000 | |
CY2014Q4 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
23549000 | |
CY2014Q4 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
404345000 | |
CY2015Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.99 | |
CY2015Q4 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93536000 | shares |
CY2015Q4 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92790000 | shares |
CY2015Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.00 | |
CY2015Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
92702000 | |
CY2015Q4 | us-gaap |
Profit Loss
ProfitLoss
|
92414000 | |
CY2015Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
150960000 | |
CY2015Q4 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-6965000 | |
CY2015Q4 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
751000 | |
CY2015Q4 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
741740000 | |
CY2015Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
143995000 | |
CY2015Q4 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
777000 | |
CY2015Q4 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
51581000 | |
CY2015Q4 | us-gaap |
Operating Expenses
OperatingExpenses
|
590780000 | |
CY2015Q4 | us-gaap |
Interest Expense
InterestExpense
|
8493000 | |
CY2015Q4 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
85393000 | |
CY2015Q4 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
18149000 | |
CY2015Q4 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-288000 | |
CY2015Q4 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
26164000 | |
CY2015Q4 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
461074000 |