2015 Q4 Form 10-K Financial Statement
#000119312517038250 Filed on February 10, 2017
Income Statement
Concept | 2015 Q4 | 2015 Q3 | 2015 Q2 |
---|---|---|---|
Revenue | $741.7M | $722.3M | $676.6M |
YoY Change | 14.02% | 15.29% | 13.61% |
Cost Of Revenue | |||
YoY Change | |||
Gross Profit | |||
YoY Change | |||
Gross Profit Margin | |||
Selling, General & Admin | $546.5M | $530.2M | $495.2M |
YoY Change | 15.78% | 16.43% | 14.36% |
% of Gross Profit | |||
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $18.15M | $16.92M | $15.55M |
YoY Change | 30.54% | 48.98% | 50.07% |
% of Gross Profit | |||
Operating Expenses | $590.8M | $571.1M | $535.6M |
YoY Change | 15.97% | 16.95% | 14.97% |
Operating Profit | $151.0M | $151.1M | $141.0M |
YoY Change | 7.0% | 9.4% | 8.7% |
Interest Expense | $8.493M | $6.201M | $5.149M |
YoY Change | 156.35% | 207.13% | 135.33% |
% of Operating Profit | 5.63% | 4.1% | 3.65% |
Other Income/Expense, Net | -$6.965M | -$4.850M | -$4.020M |
YoY Change | 214.73% | 563.47% | 136.05% |
Pretax Income | $144.0M | $146.3M | $136.9M |
YoY Change | 3.69% | 6.45% | 7.01% |
Income Tax | $51.58M | $55.64M | $52.89M |
% Of Pretax Income | 35.82% | 38.04% | 38.62% |
Net Earnings | $92.70M | $90.78M | $84.13M |
YoY Change | 4.87% | 5.31% | 6.47% |
Net Earnings / Revenue | 12.5% | 12.57% | 12.43% |
Basic Earnings Per Share | $1.00 | $0.98 | $0.91 |
Diluted Earnings Per Share | $0.99 | $0.97 | $0.90 |
COMMON SHARES | |||
Basic Shares Outstanding | 92.79M shares | 92.95M shares | 92.50M shares |
Diluted Shares Outstanding | 93.54M shares | 93.65M shares | 93.50M shares |
Balance Sheet
Concept | 2015 Q4 | 2015 Q3 | 2015 Q2 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $60.40M | $68.90M | $70.40M |
YoY Change | 11.85% | -12.9% | 178.26% |
Cash & Equivalents | $51.57M | $60.92M | $65.32M |
Short-Term Investments | $8.900M | $8.000M | $5.100M |
Other Short-Term Assets | $12.97M | $11.98M | $10.72M |
YoY Change | 64.13% | 10.76% | -1.48% |
Inventory | |||
Prepaid Expenses | $9.639M | $10.04M | $9.256M |
Receivables | $444.7M | $406.8M | $380.5M |
Other Receivables | $0.00 | $0.00 | $0.00 |
Total Short-Term Assets | $527.8M | $573.2M | $525.5M |
YoY Change | 13.0% | 19.15% | 28.9% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $83.63M | $82.87M | $81.36M |
YoY Change | 26.63% | 30.31% | 35.2% |
Goodwill | $3.366B | $3.348B | $3.164B |
YoY Change | 21.25% | 25.89% | 25.74% |
Intangibles | $424.2M | ||
YoY Change | 114.1% | ||
Long-Term Investments | $63.30M | $59.30M | $61.90M |
YoY Change | -1.25% | -4.05% | 6.54% |
Other Assets | $82.15M | $483.4M | $442.5M |
YoY Change | 123.6% | 127.53% | 234.46% |
Total Long-Term Assets | $4.019B | $3.973B | $3.750B |
YoY Change | 27.96% | 32.57% | 35.52% |
TOTAL ASSETS | |||
Total Short-Term Assets | $527.8M | $573.2M | $525.5M |
Total Long-Term Assets | $4.019B | $3.973B | $3.750B |
Total Assets | $4.547B | $4.546B | $4.275B |
YoY Change | 26.02% | 30.71% | 34.67% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $21.97M | $22.34M | $25.19M |
YoY Change | -32.99% | 0.75% | -0.77% |
Accrued Expenses | $373.8M | $329.3M | $261.5M |
YoY Change | 7.44% | 18.41% | 20.84% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $10.00M | $11.80M | $12.00M |
YoY Change | 0.0% | 3833.33% | 11900.0% |
Total Short-Term Liabilities | $428.8M | $404.6M | $311.8M |
YoY Change | 3.0% | 22.87% | 18.65% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $1.260B | $1.351B | $1.285B |
YoY Change | 126.1% | 368.6% | 619.43% |
Other Long-Term Liabilities | $52.29M | $57.22M | $64.42M |
YoY Change | -11.32% | 4.98% | 8.94% |
Total Long-Term Liabilities | $1.313B | $57.22M | $64.42M |
YoY Change | 112.96% | 4.98% | 8.94% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $428.8M | $404.6M | $311.8M |
Total Long-Term Liabilities | $1.313B | $57.22M | $64.42M |
Total Liabilities | $2.109B | $2.213B | $2.055B |
YoY Change | 57.1% | 127.39% | 166.96% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | $1.510B | $1.415B | $1.321B |
YoY Change | 9.7% | -11.83% | -12.99% |
Common Stock | $927.2M | $918.5M | $898.5M |
YoY Change | 4.43% | 91473.38% | 89573.65% |
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | |||
Shareholders Equity | $2.438B | $2.333B | $2.220B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $4.547B | $4.546B | $4.275B |
YoY Change | 26.02% | 30.71% | 34.67% |
Cashflow Statement
Concept | 2015 Q4 | 2015 Q3 | 2015 Q2 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | $92.70M | $90.78M | $84.13M |
YoY Change | 4.87% | 5.31% | 6.47% |
Depreciation, Depletion And Amortization | $18.15M | $16.92M | $15.55M |
YoY Change | 30.54% | 48.98% | 50.07% |
Cash From Operating Activities | $104.1M | $172.2M | $146.1M |
YoY Change | -41.78% | 8.03% | 8.87% |
INVESTING ACTIVITIES | |||
Capital Expenditures | -$7.200M | -$7.200M | -$7.300M |
YoY Change | 7.46% | 100.0% | 128.12% |
Acquisitions | |||
YoY Change | |||
Other Investing Activities | -$17.40M | -$237.1M | -$528.2M |
YoY Change | -87.04% | 10.79% | 681.36% |
Cash From Investing Activities | -$24.60M | -$244.3M | -$535.5M |
YoY Change | -82.55% | 12.22% | 657.43% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | |||
YoY Change | |||
Debt Paid & Issued, Net | |||
YoY Change | |||
Cash From Financing Activities | -88.90M | 67.80M | 404.5M |
YoY Change | 44.32% | -39.63% | -716.62% |
NET CHANGE | |||
Cash From Operating Activities | 104.1M | 172.2M | 146.1M |
Cash From Investing Activities | -24.60M | -244.3M | -535.5M |
Cash From Financing Activities | -88.90M | 67.80M | 404.5M |
Net Change In Cash | -9.400M | -4.300M | 15.10M |
YoY Change | -60.5% | -107.96% | -819.05% |
FREE CASH FLOW | |||
Cash From Operating Activities | $104.1M | $172.2M | $146.1M |
Capital Expenditures | -$7.200M | -$7.200M | -$7.300M |
Free Cash Flow | $111.3M | $179.4M | $153.4M |
YoY Change | -40.0% | 10.06% | 11.64% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
CY2014Q4 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
600000000 | |
CY2017Q1 | dei |
Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
|
93793665 | shares |
CY2016Q2 | dei |
Entity Public Float
EntityPublicFloat
|
6630916089 | |
CY2016Q3 | md |
Unrecognized Tax Benefits Impact Effective Tax Rate
UnrecognizedTaxBenefitsImpactEffectiveTaxRate
|
10600000 | |
CY2013Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
31137000 | |
CY2013Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
158691000 | |
CY2013Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2342988000 | |
CY2013Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
14902000 | |
CY2013Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
712285 | |
CY2014Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
47928000 | |
CY2014Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
29000000 | |
CY2014Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
168369000 | |
CY2014Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2265566000 | |
CY2014Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
17165000 | |
CY2014Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
848767 | |
CY2015Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
395807000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
567195000 | |
CY2015Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities Deferred Expense Reserves And Accruals
DeferredTaxLiabilitiesDeferredExpenseReservesAndAccruals
|
55046000 | |
CY2015Q4 | us-gaap |
Accrued Income Taxes Current
AccruedIncomeTaxesCurrent
|
21081000 | |
CY2015Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
26382000 | |
CY2015Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
119334000 | |
CY2015Q4 | us-gaap |
Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
|
1283500000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
13662000 | |
CY2015Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2015Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
93739000 | shares |
CY2015Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
93739000 | shares |
CY2015Q4 | us-gaap |
Assets
Assets
|
4547214000 | |
CY2015Q4 | us-gaap |
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Liabilities Other
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentLiabilitiesOther
|
400000 | |
CY2015Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
373042000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
6693000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Other
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|
2723000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
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|
66655000 | |
CY2015Q4 | us-gaap |
Assets Current
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|
527769000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
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|
1552000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
311303000 | |
CY2015Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
3800000 | |
CY2015Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
200000000 | shares |
CY2015Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
82928000 | |
CY2015Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
926235000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
154005000 | |
CY2015Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
1129301000 | |
CY2015Q4 | us-gaap |
Capital Lease Obligations
CapitalLeaseObligations
|
4299000 | |
CY2015Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
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|
51572000 | |
CY2015Q4 | us-gaap |
Cash Surrender Value Fair Value Disclosure
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|
14500000 | |
CY2015Q4 | us-gaap |
Accounts Receivable Net Current
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|
444737000 | |
CY2015Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
937000 | |
CY2015Q4 | us-gaap |
Business Combination Liabilities Arising From Contingencies Amount Recognized
BusinessCombinationLiabilitiesArisingFromContingenciesAmountRecognized
|
24900000 | |
CY2015Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
21969000 | |
CY2015Q4 | us-gaap |
Accrued Salaries Current
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|
233499000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
219037000 | |
CY2015Q4 | us-gaap |
Business Acquisition Equity Interest Issued Or Issuable Value Assigned
BusinessAcquisitionEquityInterestIssuedOrIssuableValueAssigned
|
7800000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
220589000 | |
CY2015Q4 | us-gaap |
Capital Lease Obligations Current
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|
1883000 | |
CY2015Q4 | us-gaap |
Capital Lease Obligations Noncurrent
CapitalLeaseObligationsNoncurrent
|
2416000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
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|
51505000 | |
CY2015Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
188956000 | |
CY2015Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
1574038000 | |
CY2015Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2015Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
136600000 | |
CY2015Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | shares |
CY2015Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
63288000 | |
CY2015Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
1260404000 | |
CY2015Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
1270404000 | |
CY2015Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Noncurrent
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|
176532000 | |
CY2015Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
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|
142976000 | |
CY2015Q4 | us-gaap |
Long Term Debt Current
LongTermDebtCurrent
|
10000000 | |
CY2015Q4 | us-gaap |
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|
12968000 | |
CY2015Q4 | us-gaap |
Held To Maturity Securities Debt Maturities After One Through Five Years Net Carrying Amount
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|
60383000 | |
CY2015Q4 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
343500000 | |
CY2015Q4 | us-gaap |
Liability For Uncertain Tax Positions Current
LiabilityForUncertainTaxPositionsCurrent
|
7000000 | |
CY2015Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2015Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
9300000 | |
CY2015Q4 | us-gaap |
Liabilities
Liabilities
|
2109368000 | |
CY2015Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
4547214000 | |
CY2015Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
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|
25995000 | |
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 |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
52289000 | |
CY2015Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
428771000 | |
CY2015Q4 | us-gaap |
Minority Interest
MinorityInterest
|
318000 | |
CY2015Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
9639000 | |
CY2015Q4 | us-gaap |
Line Of Credit Facility Remaining Borrowing Capacity
LineOfCreditFacilityRemainingBorrowingCapacity
|
916100000 | |
CY2015Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
32145000 | |
CY2015Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
11883000 | |
CY2015Q4 | us-gaap |
Letters Of Credit Outstanding Amount
LettersOfCreditOutstandingAmount
|
400000 | |
CY2015Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
82154000 | |
CY2015Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2015Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
202527000 | |
CY2015Q4 | us-gaap |
Held To Maturity Securities Debt Maturities After Five Through Ten Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterFiveThroughTenYearsNetCarryingAmount
|
2905000 | |
CY2015Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
83634000 | |
CY2015Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
202968000 | |
CY2015Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
2437528000 | |
CY2015Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
3116000 | |
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 |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2437846000 | |
CY2015Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
18447000 | |
CY2015Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
1510356000 | |
CY2015Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2015Q4 | us-gaap |
Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
|
13096000 | |
CY2015Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
1129301 | |
CY2015Q4 | us-gaap |
Self Insurance Reserve Current
SelfInsuranceReserveCurrent
|
135100000 | |
CY2015Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
2655000 | |
CY2015Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
585387 | shares |
CY2015Q4 | md |
Unamortized Debt Issuance Expense Current
UnamortizedDebtIssuanceExpenseCurrent
|
0 | |
CY2015Q4 | md |
Debt Instrument Carrying Amount Non Current
DebtInstrumentCarryingAmountNonCurrent
|
1273500000 | |
CY2015Q4 | md |
Money Market Funds At Fair Value
MoneyMarketFundsAtFairValue
|
13900000 | |
CY2015Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
67400000 | |
CY2015Q4 | md |
Unamortized Debt Issuance Expense Noncurrent
UnamortizedDebtIssuanceExpenseNoncurrent
|
13096000 | |
CY2015Q4 | md |
Accounts Payable And Accrued Liabilities Excluding Accrued Income Taxes Current
AccountsPayableAndAccruedLiabilitiesExcludingAccruedIncomeTaxesCurrent
|
395807000 | |
CY2015Q4 | md |
Debt Instrument Carrying Amount Current
DebtInstrumentCarryingAmountCurrent
|
10000000 | |
CY2015Q4 | md |
Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
|
58979000 | |
CY2015Q4 | md |
Long Term Debt And Capital Lease Obligations Excluding Long Term Line Of Credit
LongTermDebtAndCapitalLeaseObligationsExcludingLongTermLineOfCredit
|
919320000 | |
CY2015Q4 | md |
Accrued Contingent Consideration Liability Current
AccruedContingentConsiderationLiabilityCurrent
|
13565000 | |
CY2016Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
407938000 | |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
871821000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Two Years
CapitalLeasesFutureMinimumPaymentsDueInTwoYears
|
1193000 | |
CY2016Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Deferred Expense Reserves And Accruals
DeferredTaxLiabilitiesDeferredExpenseReservesAndAccruals
|
53771000 | |
CY2016Q4 | us-gaap |
Accrued Income Taxes Current
AccruedIncomeTaxesCurrent
|
18957000 | |
CY2016Q4 | us-gaap |
Buildings And Improvements Gross
BuildingsAndImprovementsGross
|
26572000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due Current
CapitalLeasesFutureMinimumPaymentsDueCurrent
|
2054000 | |
CY2016Q4 | us-gaap |
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
|
143708000 | |
CY2016Q4 | us-gaap |
Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
|
1713500000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
|
13726000 | |
CY2016Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2016Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
93718000 | shares |
CY2016Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
93718000 | shares |
CY2016Q4 | us-gaap |
Assets
Assets
|
5339400000 | |
CY2016Q4 | us-gaap |
Business Acquisition Purchase Price Allocation Goodwill Expected Tax Deductible Amount
BusinessAcquisitionPurchasePriceAllocationGoodwillExpectedTaxDeductibleAmount
|
179800000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Four Years
CapitalLeasesFutureMinimumPaymentsDueInFourYears
|
84000 | |
CY2016Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
435388000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
1023000 | |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
57060000 | |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
61374000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
1610000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Reserves
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsReserves
|
62212000 | |
CY2016Q4 | us-gaap |
Assets Current
AssetsCurrent
|
587128000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
4014000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
380594000 | |
CY2016Q4 | us-gaap |
Business Combination Contingent Consideration Liability
BusinessCombinationContingentConsiderationLiability
|
3500000 | |
CY2016Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
200000000 | shares |
CY2016Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
103525000 | |
CY2016Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
974304000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities
DeferredTaxLiabilities
|
207552000 | |
CY2016Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
1224366000 | |
CY2016Q4 | us-gaap |
Capital Lease Obligations
CapitalLeaseObligations
|
3550000 | |
CY2016Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
55698000 | |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
51298000 | |
CY2016Q4 | us-gaap |
Cash Surrender Value Fair Value Disclosure
CashSurrenderValueFairValueDisclosure
|
15800000 | |
CY2016Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
495276000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Five Years
CapitalLeasesFutureMinimumPaymentsDueInFiveYears
|
63000 | |
CY2016Q4 | us-gaap |
Common Stock Value
CommonStockValue
|
937000 | |
CY2016Q4 | us-gaap |
Business Combination Liabilities Arising From Contingencies Amount Recognized
BusinessCombinationLiabilitiesArisingFromContingenciesAmountRecognized
|
17300000 | |
CY2016Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
28474000 | |
CY2016Q4 | us-gaap |
Accrued Salaries Current
AccruedSalariesCurrent
|
220635000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
227836000 | |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
44896000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
231850000 | |
CY2016Q4 | us-gaap |
Capital Lease Obligations Current
CapitalLeaseObligationsCurrent
|
2054000 | |
CY2016Q4 | us-gaap |
Capital Lease Obligations Noncurrent
CapitalLeaseObligationsNoncurrent
|
1496000 | |
CY2016Q4 | us-gaap |
Capital Leases Future Minimum Payments Due In Three Years
CapitalLeasesFutureMinimumPaymentsDueInThreeYears
|
156000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
49156000 | |
CY2016Q4 | us-gaap |
Deferred Tax Liabilities Noncurrent
DeferredTaxLiabilitiesNoncurrent
|
227802000 | |
CY2016Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
1719642000 | |
CY2016Q4 | us-gaap |
Decrease In Unrecognized Tax Benefits Is Reasonably Possible
DecreaseInUnrecognizedTaxBenefitsIsReasonablyPossible
|
2100000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
|
122371000 | |
CY2016Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2016Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
|
750000000 | |
CY2016Q4 | us-gaap |
Operating Loss Carryforwards
OperatingLossCarryforwards
|
130000000 | |
CY2016Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | shares |
CY2016Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
78975000 | |
CY2016Q4 | us-gaap |
Long Term Debt Noncurrent
LongTermDebtNoncurrent
|
1682132000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
|
8960000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
|
13132000 | |
CY2016Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
1702132000 | |
CY2016Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
|
0 | |
CY2016Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Noncurrent
MalpracticeLossContingencyAccrualUndiscountedNoncurrent
|
173080000 | |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
203292000 | |
CY2016Q4 | us-gaap |
Long Term Debt Current
LongTermDebtCurrent
|
20000000 | |
CY2016Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
13817000 | |
CY2016Q4 | us-gaap |
Held To Maturity Securities Debt Maturities After One Through Five Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterOneThroughFiveYearsNetCarryingAmount
|
70005000 | |
CY2016Q4 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
783500000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
|
35465000 | |
CY2016Q4 | us-gaap |
Land
Land
|
6683000 | |
CY2016Q4 | us-gaap |
Income Tax Examination Penalties And Interest Accrued
IncomeTaxExaminationPenaltiesAndInterestAccrued
|
1400000 | |
CY2016Q4 | us-gaap |
Liabilities
Liabilities
|
2578633000 | |
CY2016Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
5339400000 | |
CY2016Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
28972000 | |
CY2016Q4 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
11286000 | |
CY2016Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
45174000 | |
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
668529000 | |
CY2016Q4 | us-gaap |
Fixtures And Equipment Gross
FixturesAndEquipmentGross
|
213521000 | |
CY2016Q4 | us-gaap |
Goodwill
Goodwill
|
3845157000 | |
CY2016Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
448949000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
|
17602000 | |
CY2016Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
|
130000000 | |
CY2016Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
11051000 | |
CY2016Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
50950000 | |
CY2016Q4 | us-gaap |
Increase In Unrecognized Tax Benefits Is Reasonably Possible
IncreaseInUnrecognizedTaxBenefitsIsReasonablyPossible
|
2200000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
|
19791000 | |
CY2016Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
22054000 | |
CY2016Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
|
30000000 | |
CY2016Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
56543000 | |
CY2016Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
||
CY2016Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
65560000 | |
CY2016Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted
MalpracticeLossContingencyAccrualUndiscounted
|
202052000 | |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
|
15700000 | |
CY2016Q4 | us-gaap |
Held To Maturity Securities Debt Maturities After Five Through Ten Years Net Carrying Amount
HeldToMaturitySecuritiesDebtMaturitiesAfterFiveThroughTenYearsNetCarryingAmount
|
8970000 | |
CY2016Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
|
20000000 | |
CY2016Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
|
27421000 | |
CY2016Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
103068000 | |
CY2016Q4 | us-gaap |
Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
|
246776000 | |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
|
28.33 | |
CY2016Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
2760767000 | |
CY2016Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
1621000 | |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
28.33 | |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
|
410286 | shares |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
|
946329 | shares |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
|
66.98 | |
CY2016Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2760767000 | |
CY2016Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
9469000 | |
CY2016Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
1785526000 | |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
|
4500000 | shares |
CY2016Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
9500000 | |
CY2016Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2016Q4 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
|
15700000 | |
CY2016Q4 | us-gaap |
Unamortized Debt Issuance Expense
UnamortizedDebtIssuanceExpense
|
11368000 | |
CY2016Q4 | us-gaap |
Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
|
1224366 | |
CY2016Q4 | us-gaap |
Self Insurance Reserve Current
SelfInsuranceReserveCurrent
|
128100000 | |
CY2016Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
4511000 | |
CY2016Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
410286 | shares |
CY2016Q4 | md |
Unamortized Debt Issuance Expense Current
UnamortizedDebtIssuanceExpenseCurrent
|
0 | |
CY2016Q4 | md |
Debt Instrument Carrying Amount Non Current
DebtInstrumentCarryingAmountNonCurrent
|
1693500000 | |
CY2016Q4 | md |
Money Market Funds At Fair Value
MoneyMarketFundsAtFairValue
|
12400000 | |
CY2016Q4 | md |
Line Of Credit Facility Potential Increase In Borrowing Capacity
LineOfCreditFacilityPotentialIncreaseInBorrowingCapacity
|
2200000000 | |
CY2016Q4 | md |
Accrued Professional Liability
AccruedProfessionalLiability
|
74000000 | |
CY2016Q4 | md |
Unamortized Debt Issuance Expense Noncurrent
UnamortizedDebtIssuanceExpenseNoncurrent
|
11368000 | |
CY2014 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
45990000 | |
CY2014 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
170007000 | |
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 |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0059 | pure |
CY2014 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
30100000 | |
CY2014 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
21109000 | |
CY2014 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
17500000 | |
CY2016Q4 | md |
Accounts Payable And Accrued Liabilities Excluding Accrued Income Taxes Current
AccountsPayableAndAccruedLiabilitiesExcludingAccruedIncomeTaxesCurrent
|
407938000 | |
CY2016Q4 | md |
Debt Instrument Carrying Amount Current
DebtInstrumentCarryingAmountCurrent
|
20000000 | |
CY2016Q4 | md |
Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
|
67830000 | |
CY2016Q4 | md |
Long Term Debt And Capital Lease Obligations Excluding Long Term Line Of Credit
LongTermDebtAndCapitalLeaseObligationsExcludingLongTermLineOfCredit
|
900128000 | |
CY2016Q4 | md |
Accrued Contingent Consideration Liability Current
AccruedContingentConsiderationLiabilityCurrent
|
6566000 | |
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 |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
1000 | shares |
CY2014 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
1230000 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0033 | pure |
CY2014 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
31719000 | |
CY2014 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
16791000 | |
CY2014 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0274 | pure |
CY2014 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
31700000 | |
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 |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
247527000 | |
CY2014 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
3.22 | |
CY2014 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
34300000 | |
CY2014 | us-gaap |
Depreciation
Depreciation
|
15900000 | |
CY2014 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
1244000 | |
CY2014 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3763 | pure |
CY2014 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
17479000 | |
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 |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2014 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
30100000 | |
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 |
Lease And Rental Expense
LeaseAndRentalExpense
|
27800000 | |
CY2014 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-4383000 | |
CY2014 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
26884000 | |
CY2014 | us-gaap |
Proceeds From Minority Shareholders
ProceedsFromMinorityShareholders
|
1025000 | |
CY2014 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
2492000 | |
CY2014 | us-gaap |
Operating Expenses
OperatingExpenses
|
1925914000 | |
CY2014 | us-gaap |
Net Income Loss
NetIncomeLoss
|
317281000 | |
CY2014 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-78000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-503604000 | |
CY2014 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
508616000 | |
CY2014 | us-gaap |
Interest Expense
InterestExpense
|
8891000 | |
CY2014 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
4281000 | |
CY2014 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
20735000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
57018000 | |
CY2014 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
1754500000 | |
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 |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-1506000 | |
CY2014 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
1299000 | shares |
CY2014 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
512999000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
13290000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
97754000 | |
CY2014 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
2438913000 | |
CY2014 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
66039000 | |
CY2014 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-907000 | |
CY2014 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
2728000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
9284000 | |
CY2014 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
161841000 | |
CY2014 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
293000 | |
CY2014 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
1780000 | |
CY2014 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
191413000 | |
CY2014 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
422641000 | |
CY2014 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
18061000 | |
CY2014 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
42876000 | |
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 |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
42876000 | |
CY2014 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
99887000 | shares |
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 |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
40000 | |
CY2014 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-5266955 | |
CY2014 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
488429000 | |
CY2014 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
3750000 | |
CY2014 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
98588000 | shares |
CY2014 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1527000 | |
CY2014 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
38800000 | |
CY2014 | us-gaap |
Profit Loss
ProfitLoss
|
317203000 | |
CY2014 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
21406000 | |
CY2014 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
1213500000 | |
CY2014 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
31719000 | |
CY2014 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
159000 | |
CY2014 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
5403437 | |
CY2014 | us-gaap |
Interest Paid Net
InterestPaidNet
|
7323000 | |
CY2014 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
11740000 | |
CY2014 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
7662556000 | |
CY2014 | md |
Contributions From Noncontrolling Interest
ContributionsFromNoncontrollingInterest
|
1025000 | |
CY2014 | md |
Stock Issued During Period Value Restricted Stock Contingent Consideration
StockIssuedDuringPeriodValueRestrictedStockContingentConsideration
|
705000 | |
CY2014 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
4071000 | |
CY2014 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
39386000 | |
CY2014 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
23261000 | |
CY2014 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-16125000 | |
CY2014 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
1543395000 | |
CY2014 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
5403437000 | |
CY2014 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
89002000 | |
CY2014 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
179794000 | |
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 |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
1541000 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0034 | pure |
CY2015 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
32129000 | |
CY2015 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
3644000 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0297 | pure |
CY2015 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
32100000 | |
CY2015 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.0029 | pure |
CY2015 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
3.75 | |
CY2015 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
3276266000 | |
CY2015 | us-gaap |
Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
|
1800000 | |
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 |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
305915000 | |
CY2015 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
3.61 | |
CY2015 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
39700000 | |
CY2015 | us-gaap |
Business Acquisition Equity Interests Issued Or Issuable Number Of Shares Issued
BusinessAcquisitionEquityInterestsIssuedOrIssuableNumberOfSharesIssued
|
114306 | shares |
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 |
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 |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0043 | pure |
CY2015 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
42000000 | |
CY2015 | us-gaap |
Cash Acquired From Acquisition
CashAcquiredFromAcquisition
|
23000000 | |
CY2015 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
20948000 | |
CY2015 | us-gaap |
Business Combination Consideration Transferred1
BusinessCombinationConsiderationTransferred1
|
853300000 | |
CY2015 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
348788000 | |
CY2015 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
11600000 | |
CY2015 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
3135000 | |
CY2015 | us-gaap |
Equity Method Investment Dividends Or Distributions
EquityMethodInvestmentDividendsOrDistributions
|
2062000 | |
CY2015 | us-gaap |
Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
|
590000000 | |
CY2015 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3776 | pure |
CY2015 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
11583000 | |
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 |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2015 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
6100000 | |
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 |
Proceeds From Issuance Of Senior Long Term Debt
ProceedsFromIssuanceOfSeniorLongTermDebt
|
750000000 | |
CY2015 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
31600000 | |
CY2015 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-18139000 | |
CY2015 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
33980000 | |
CY2015 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
-2654000 | |
CY2015 | us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
93960000 | shares |
CY2015 | us-gaap |
Operating Expenses
OperatingExpenses
|
2222128000 | |
CY2015 | us-gaap |
Net Income Loss
NetIncomeLoss
|
336320000 | |
CY2015 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-629000 | |
CY2015 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
539729000 | |
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 |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
14190000 | |
CY2015 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
31956000 | |
CY2015 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
55391000 | |
CY2015 | us-gaap |
Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
|
818300000 | |
CY2015 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
2121500000 | |
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 |
Number Of Businesses Acquired
NumberOfBusinessesAcquired
|
12 | Acquisition |
CY2015 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
4905000 | |
CY2015 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
883000 | shares |
CY2015 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
557868000 | |
CY2015 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
13835000 | |
CY2015 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
482943000 | |
CY2015 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
2779996000 | |
CY2015 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
-7874000 | |
CY2015 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-98000 | |
CY2015 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1844000 | |
CY2015 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
-2064000 | |
CY2015 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
181005000 | |
CY2015 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
1382000 | |
CY2015 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
3127000 | |
CY2015 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
204038000 | |
CY2015 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
368701000 | |
CY2015 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
27073000 | |
CY2015 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
20128000 | |
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 |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
3.71 | |
CY2015 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
20128000 | |
CY2015 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93960000 | shares |
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 |
Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
|
3400000 | shares |
CY2015 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
467000 | |
CY2015 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-6108661 | |
CY2015 | us-gaap |
Stock Issued1
StockIssued1
|
7800000 | |
CY2015 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
235051000 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
3675000 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Period Increase Decrease
UnrecognizedTaxBenefitsPeriodIncreaseDecrease
|
1200000 | |
CY2015 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
93077000 | shares |
CY2015 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1692000 | |
CY2015 | us-gaap |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
93077000 | shares |
CY2015 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
11300000 | |
CY2015 | us-gaap |
Profit Loss
ProfitLoss
|
335691000 | |
CY2015 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
22576000 | |
CY2015 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
2156000000 | |
CY2015 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
32129000 | |
CY2015 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
2171000 | |
CY2015 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
6389195 | |
CY2015 | us-gaap |
Interest Paid Net
InterestPaidNet
|
20367000 | |
CY2015 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
1168000 | |
CY2015 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
12856000 | |
CY2015 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
8942957000 | |
CY2015 | md |
Effective Income Tax Rate Continuing Operations Excluding Impact Of Tax Settlement
EffectiveIncomeTaxRateContinuingOperationsExcludingImpactOfTaxSettlement
|
0.3776 | pure |
CY2015 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
1439000 | |
CY2015 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
39204000 | |
CY2015 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
13407000 | |
CY2015 | md |
Number Of Physician Group Practices Acquired
NumberOfPhysicianGroupPracticesAcquired
|
10 | Company |
CY2015 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-25797000 | |
CY2015 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
1753505000 | |
CY2015 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
6389195000 | |
CY2015 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
98480000 | |
CY2015 | md |
Stock Issued During Period Value Restricted Stock Acquisition Consideration
StockIssuedDuringPeriodValueRestrictedStockAcquisitionConsideration
|
7800000 | |
CY2015 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
226234000 | |
CY2015 | md |
Accrued Professional Liabilities Assumed Through Acquisition
AccruedProfessionalLiabilitiesAssumedThroughAcquisition
|
35968000 | |
CY2015 | md |
Number Of Thirdparty Receivables Companies Acquired
NumberOfThirdpartyReceivablesCompaniesAcquired
|
1 | Company |
CY2015 | md |
Number Of Teleradiology Physician Services Acquired
NumberOfTeleradiologyPhysicianServicesAcquired
|
1 | Company |
CY2016 | dei |
Entity Registrant Name
EntityRegistrantName
|
MEDNAX, INC. | |
CY2016 | us-gaap |
Excess Tax Benefit From Share Based Compensation Financing Activities
ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
|
4241000 | |
CY2016 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
2000 | shares |
CY2016 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
166758000 | |
CY2016 | dei |
Document Type
DocumentType
|
10-K | |
CY2016 | dei |
Entity Central Index Key
EntityCentralIndexKey
|
0000893949 | |
CY2016 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
4816000 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Nondeductible Expense
EffectiveIncomeTaxRateReconciliationNondeductibleExpense
|
0.0043 | pure |
CY2016 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
34000000 | |
CY2016 | dei |
Document Period End Date
DocumentPeriodEndDate
|
2016-12-31 | |
CY2016 | us-gaap |
Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
|
4126000 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
|
0.0294 | pure |
CY2016 | dei |
Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
|
Yes | |
CY2016 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
34000000 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
0.0048 | pure |
CY2016 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Basic
BusinessAcquisitionProFormaEarningsPerShareBasic
|
3.57 | |
CY2016 | us-gaap |
Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
|
3336120000 | |
CY2016 | us-gaap |
Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
|
2673000 | |
CY2016 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
15596000 | |
CY2016 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
2553000 | |
CY2016 | dei |
Document Fiscal Year Focus
DocumentFiscalYearFocus
|
2016 | |
CY2016 | dei |
Amendment Flag
AmendmentFlag
|
false | |
CY2016 | dei |
Current Fiscal Year End Date
CurrentFiscalYearEndDate
|
--12-31 | |
CY2016 | dei |
Entity Current Reporting Status
EntityCurrentReportingStatus
|
Yes | |
CY2016 | us-gaap |
Finitelived Intangible Assets Acquired1
FinitelivedIntangibleAssetsAcquired1
|
304600000 | |
CY2016 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
372572000 | |
CY2016 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
3.52 | |
CY2016 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
45200000 | |
CY2016 | us-gaap |
Depreciation
Depreciation
|
29000000 | |
CY2016 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
89264000 | |
CY2016 | us-gaap |
Federal Income Tax Expense Benefit Continuing Operations
FederalIncomeTaxExpenseBenefitContinuingOperations
|
182354000 | |
CY2016 | dei |
Document Fiscal Period Focus
DocumentFiscalPeriodFocus
|
FY | |
CY2016 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
3.49 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Other Reconciling Items Percent
EffectiveIncomeTaxRateReconciliationOtherReconcilingItemsPercent
|
0.0006 | pure |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
|
-0.0211 | pure |
CY2016 | dei |
Entity Filer Category
EntityFilerCategory
|
Large Accelerated Filer | |
CY2016 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
60300000 | |
CY2016 | us-gaap |
Cash Acquired From Acquisition
CashAcquiredFromAcquisition
|
15000000 | |
CY2016 | dei |
Entity Voluntary Filers
EntityVoluntaryFilers
|
No | |
CY2016 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
4296000 | |
CY2016 | us-gaap |
Business Combination Consideration Transferred1
BusinessCombinationConsiderationTransferred1
|
759600000 | |
CY2016 | us-gaap |
Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
|
329720000 | |
CY2016 | us-gaap |
Adjustment To Additional Paid In Capital Income Tax Effect From Share Based Compensation Net
AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
|
4200000 | |
CY2016 | us-gaap |
Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
|
1619000 | |
CY2016 | us-gaap |
Equity Method Investment Dividends Or Distributions
EquityMethodInvestmentDividendsOrDistributions
|
2625000 | |
CY2016 | us-gaap |
Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
|
479000000 | |
CY2016 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.3680 | pure |
CY2016 | us-gaap |
Adjustments To Additional Paid In Capital Tax Effect From Share Based Compensation
AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
|
4131000 | |
CY2016 | us-gaap |
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
|
772000 | |
CY2016 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
18149000 | |
CY2016 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.3500 | pure |
CY2016 | us-gaap |
Proceeds And Excess Tax Benefit From Sharebased Compensation
ProceedsAndExcessTaxBenefitFromSharebasedCompensation
|
4700000 | |
CY2016 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-2234000 | |
CY2016 | us-gaap |
Malpractice Loss Contingency Claims Incurred Net
MalpracticeLossContingencyClaimsIncurredNet
|
13176000 | |
CY2016 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
38000000 | |
CY2016 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-57888000 | |
CY2016 | us-gaap |
Payments For Previous Acquisition
PaymentsForPreviousAcquisition
|
11800000 | |
CY2016 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
60976000 | |
CY2016 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
-7405000 | |
CY2016 | us-gaap |
Pro Forma Weighted Average Shares Outstanding Diluted
ProFormaWeightedAverageSharesOutstandingDiluted
|
93109000 | shares |
CY2016 | us-gaap |
Operating Expenses
OperatingExpenses
|
2611472000 | |
CY2016 | us-gaap |
Net Income Loss
NetIncomeLoss
|
324914000 | |
CY2016 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-318000 | |
CY2016 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
513799000 | |
CY2016 | us-gaap |
Interest Expense
InterestExpense
|
63092000 | |
CY2016 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-821217000 | |
CY2016 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
41325000 | |
CY2016 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
34000000 | |
CY2016 | us-gaap |
Line Of Credit Facility Expiration Date1
LineOfCreditFacilityExpirationDate1
|
2019-10-29 | |
CY2016 | us-gaap |
Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
|
756100000 | |
CY2016 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
1940000000 | |
CY2016 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
61828000 | |
CY2016 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
762302000 | |
CY2016 | us-gaap |
Number Of Businesses Acquired
NumberOfBusinessesAcquired
|
15 | Acquisition |
CY2016 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
783000 | |
CY2016 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
687000 | shares |
CY2016 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
571687000 | |
CY2016 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Prior Periods
MalpracticeLossContingencyClaimsIncurredInPriorPeriods
|
12410000 | |
CY2016 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
381565000 | |
CY2016 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
3183159000 | |
CY2016 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
11617000 | |
CY2016 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-10035000 | |
CY2016 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
2019000 | |
CY2016 | us-gaap |
Malpractice Loss Contingency Period Increase Decrease
MalpracticeLossContingencyPeriodIncreaseDecrease
|
-3452000 | |
CY2016 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
175962000 | |
CY2016 | us-gaap |
Malpractice Loss Contingency Claims Incurred In Period
MalpracticeLossContingencyClaimsIncurredInPeriod
|
766000 | |
CY2016 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
3185000 | |
CY2016 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
189203000 | |
CY2016 | us-gaap |
Nature Of Operations
NatureOfOperations
|
<div> <p style="MARGIN-BOTTOM: 0px; FONT-SIZE: medium; FONT-FAMILY: "Times New Roman"; WHITE-SPACE: normal; WORD-SPACING: 0px; TEXT-TRANSFORM: none; FONT-WEIGHT: normal; COLOR: rgb(0,0,0); FONT-STYLE: normal; ORPHANS: 2; WIDOWS: 2; MARGIN-TOP: 6px; LETTER-SPACING: normal; TEXT-INDENT: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px"> <font style="FONT-FAMILY: "Times New Roman"" size="2"><b>1.    General:</b></font></p> <p style="MARGIN-BOTTOM: 0px; FONT-SIZE: medium; FONT-FAMILY: "Times New Roman"; WHITE-SPACE: normal; WORD-SPACING: 0px; TEXT-TRANSFORM: none; FONT-WEIGHT: normal; COLOR: rgb(0,0,0); FONT-STYLE: normal; ORPHANS: 2; WIDOWS: 2; MARGIN-TOP: 6px; LETTER-SPACING: normal; TEXT-INDENT: 4%; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px"> <font style="FONT-FAMILY: "Times New Roman"" size="2">The principal business activity of MEDNAX, Inc. (“MEDNAX” or the “Company”) and its subsidiaries is to provide neonatal, 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"><font style="WHITE-SPACE: nowrap">(i) fee-for-service</font></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; FONT-SIZE: medium; FONT-FAMILY: "Times New Roman"; WHITE-SPACE: normal; WORD-SPACING: 0px; TEXT-TRANSFORM: none; FONT-WEIGHT: normal; COLOR: rgb(0,0,0); FONT-STYLE: normal; ORPHANS: 2; WIDOWS: 2; MARGIN-TOP: 12px; LETTER-SPACING: normal; TEXT-INDENT: 4%; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px"> <font style="FONT-FAMILY: "Times New Roman"" size="2">MEDNAX also provides teleradiology services to hospital, health system and radiology group facilities in all 50 states, the District of Columbia and Puerto Rico through a network of affiliated radiologists. In addition to its national physician network, the Company also provides services nationwide to healthcare providers, including its own, through complementary businesses including a management services organization specializing in full-service revenue cycle management and a consulting services company.</font></p> </div> | |
CY2016 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
443778000 | |
CY2016 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
39264000 | |
CY2016 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
22022000 | |
CY2016 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue
|
66.18 | |
CY2016 | 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
|
67.90 | |
CY2016 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
175101 | shares |
CY2016 | us-gaap |
Use Of Estimates
UseOfEstimates
|
<div> <p style="MARGIN-BOTTOM: 0px; FONT-SIZE: medium; FONT-FAMILY: "Times New Roman"; WHITE-SPACE: normal; WORD-SPACING: 0px; TEXT-TRANSFORM: none; FONT-WEIGHT: normal; COLOR: rgb(0,0,0); FONT-STYLE: normal; ORPHANS: 2; WIDOWS: 2; MARGIN-TOP: 18px; LETTER-SPACING: normal; TEXT-INDENT: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px"> <font style="FONT-FAMILY: "Times New Roman"" size="2"><b>Accounting Estimates and Assumptions</b></font></p> <p style="MARGIN-BOTTOM: 0px; FONT-SIZE: medium; FONT-FAMILY: "Times New Roman"; WHITE-SPACE: normal; WORD-SPACING: 0px; TEXT-TRANSFORM: none; FONT-WEIGHT: normal; COLOR: rgb(0,0,0); FONT-STYLE: normal; ORPHANS: 2; WIDOWS: 2; MARGIN-TOP: 6px; LETTER-SPACING: normal; TEXT-INDENT: 4%; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px"> <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> | |
CY2016 | us-gaap |
Business Acquisition Pro Forma Earnings Per Share Diluted
BusinessAcquisitionProFormaEarningsPerShareDiluted
|
3.54 | |
CY2016 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
22022000 | |
CY2016 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93109000 | shares |
CY2016 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
|
29800000 | |
CY2016 | us-gaap |
Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
|
900000 | shares |
CY2016 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P2Y | |
CY2016 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
301000 | |
CY2016 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
|
519448 | shares |
CY2016 | us-gaap |
Valuation Allowances And Reserves Adjustments
ValuationAllowancesAndReservesAdjustments
|
-7368965 | |
CY2016 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod
|
52957 | shares |
CY2016 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
|
P2Y | |
CY2016 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
5644000 | |
CY2016 | 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
|
57.31 | |
CY2016 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
61828000 | |
CY2016 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
2258000 | |
CY2016 | us-gaap |
Unrecognized Tax Benefits Period Increase Decrease
UnrecognizedTaxBenefitsPeriodIncreaseDecrease
|
-9000000 | |
CY2016 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
27.08 | |
CY2016 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92422000 | shares |
CY2016 | dei |
Trading Symbol
TradingSymbol
|
MD | |
CY2016 | us-gaap |
Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
|
1966000 | |
CY2016 | us-gaap |
Weighted Average Basic Shares Outstanding Pro Forma
WeightedAverageBasicSharesOutstandingProForma
|
92422000 | shares |
CY2016 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
|
504943 | shares |
CY2016 | us-gaap |
State And Local Income Tax Expense Benefit Continuing Operations
StateAndLocalIncomeTaxExpenseBenefitContinuingOperations
|
6849000 | |
CY2016 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
1510000000 | |
CY2016 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
34000000 | |
CY2016 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
|
6800000 | |
CY2016 | us-gaap |
Profit Loss
ProfitLoss
|
324596000 | |
CY2016 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
2130000 | |
CY2016 | us-gaap |
Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
|
7464030 | |
CY2016 | us-gaap |
Interest Paid Net
InterestPaidNet
|
60453000 | |
CY2016 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
3927000 | |
CY2016 | md |
Payment Of Contingent Consideration Liability Financing
PaymentOfContingentConsiderationLiabilityFinancing
|
10740000 | |
CY2016 | md |
Health Organization Revenue Gross
HealthOrganizationRevenueGross
|
10374813000 | |
CY2016 | md |
Effective Income Tax Rate Continuing Operations Excluding Impact Of Tax Settlement
EffectiveIncomeTaxRateContinuingOperationsExcludingImpactOfTaxSettlement
|
0.3887 | pure |
CY2016 | md |
Payment Of Contingent Consideration Liability Operating
PaymentOfContingentConsiderationLiabilityOperating
|
1037000 | |
CY2016 | md |
Business Combination Contingent Consideration Arrangements Time Period
BusinessCombinationContingentConsiderationArrangementsTimePeriod
|
P5Y | |
CY2016 | md |
Provision Adjustment For Losses Related To Current Year
ProvisionAdjustmentForLossesRelatedToCurrentYear
|
38129000 | |
CY2016 | md |
Malpractice Loss Contingency Provision For Losses
MalpracticeLossContingencyProvisionForLosses
|
12701000 | |
CY2016 | md |
Number Of Anesthesiology Practices Acquired
NumberOfAnesthesiologyPracticesAcquired
|
8 | Company |
CY2016 | md |
Number Of Physician Group Practices Acquired
NumberOfPhysicianGroupPracticesAcquired
|
13 | Company |
CY2016 | md |
Provision Adjustment For Losses Related To Prior Year
ProvisionAdjustmentForLossesRelatedToPriorYear
|
-25428000 | |
CY2016 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
2031220000 | |
CY2016 | md |
Cash And Cash Equivalents Maturity Description
CashAndCashEquivalentsMaturityDescription
|
90 days or less | |
CY2016 | md |
Number Of Neonatology Practices Acquired
NumberOfNeonatologyPracticesAcquired
|
1 | Company |
CY2016 | md |
Contractual Adjustments And Uncollectibles
ContractualAdjustmentsAndUncollectibles
|
7464030000 | |
CY2016 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
118416000 | |
CY2016 | md |
Hospital Contract Administrative Fees
HospitalContractAdministrativeFees
|
272376000 | |
CY2016 | md |
Number Of Patient Engagement Software Company Acquired
NumberOfPatientEngagementSoftwareCompanyAcquired
|
1 | Company |
CY2016 | md |
Number Of Pediatric Subspecialty Practices Acquired
NumberOfPediatricSubspecialtyPracticesAcquired
|
2 | Company |
CY2016 | md |
Number Of Maternalfetal Medicine Practices Acquired
NumberOfMaternalfetalMedicinePracticesAcquired
|
1 | Company |
CY2016 | md |
Number Of Pediatric Cardiology Practices Acquired
NumberOfPediatricCardiologyPracticesAcquired
|
1 | Company |
CY2016 | md |
Number Of Thirdparty Receivables Companies Acquired
NumberOfThirdpartyReceivablesCompaniesAcquired
|
1 | Company |
CY2015Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
67936000 | |
CY2015Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.73 | |
CY2015Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
13612000 | |
CY2015Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.72 | |
CY2015Q1 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-2304000 | |
CY2015Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
524574000 | |
CY2015Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
68707000 | |
CY2015Q1 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-118000 | |
CY2015Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
112517000 | |
CY2015Q1 | us-gaap |
Interest Expense
InterestExpense
|
3267000 | |
CY2015Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
114821000 | |
CY2015Q1 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
639395000 | |
CY2015Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
142000 | |
CY2015Q1 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
821000 | |
CY2015Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
43928000 | |
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 |
Profit Loss
ProfitLoss
|
68589000 | |
CY2015Q1 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
419595000 | |
CY2015Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
23431000 | |
CY2015Q2 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
72401000 | |
CY2015Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.91 | |
CY2015Q2 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
15549000 | |
CY2015Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.90 | |
CY2015Q2 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-4020000 | |
CY2015Q2 | us-gaap |
Operating Expenses
OperatingExpenses
|
535631000 | |
CY2015Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
84130000 | |
CY2015Q2 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-82000 | |
CY2015Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
136937000 | |
CY2015Q2 | us-gaap |
Interest Expense
InterestExpense
|
5149000 | |
CY2015Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
140957000 | |
CY2015Q2 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
676588000 | |
CY2015Q2 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
384000 | |
CY2015Q2 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
745000 | |
CY2015Q2 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
52889000 | |
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 |
Profit Loss
ProfitLoss
|
84048000 | |
CY2015Q2 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
422803000 | |
CY2015Q2 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
24878000 | |
CY2016Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
89950000 | |
CY2016Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.74 | |
CY2016Q2 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92182000 | shares |
CY2016Q2 | us-gaap |
Profit Loss
ProfitLoss
|
82325000 | |
CY2016Q2 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
484625000 | |
CY2016Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
19584000 | |
CY2016Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.73 | |
CY2016Q1 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-13051000 | |
CY2016Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
628391000 | |
CY2016Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
67899000 | |
CY2016Q1 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-128000 | |
CY2016Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
111182000 | |
CY2016Q1 | us-gaap |
Interest Expense
InterestExpense
|
14463000 | |
CY2016Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
124233000 | |
CY2016Q1 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
752624000 | |
CY2016Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
618000 | |
CY2016Q1 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
794000 | |
CY2016Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
43411000 | |
CY2016Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93091000 | shares |
CY2016Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92269000 | shares |
CY2016Q1 | us-gaap |
Profit Loss
ProfitLoss
|
67771000 | |
CY2016Q1 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
491811000 | |
CY2016Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
27046000 | |
CY2016Q2 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
92116000 | |
CY2016Q2 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.89 | |
CY2016Q2 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
20241000 | |
CY2016Q2 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.89 | |
CY2016Q2 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-13859000 | |
CY2016Q2 | us-gaap |
Operating Expenses
OperatingExpenses
|
623974000 | |
CY2016Q2 | us-gaap |
Net Income Loss
NetIncomeLoss
|
82427000 | |
CY2016Q2 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-102000 | |
CY2016Q2 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
133926000 | |
CY2016Q2 | us-gaap |
Interest Expense
InterestExpense
|
15058000 | |
CY2016Q2 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
147785000 | |
CY2016Q2 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
771759000 | |
CY2016Q2 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
410000 | |
CY2016Q2 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
789000 | |
CY2016Q2 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
51601000 | |
CY2016Q2 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
92945000 | shares |
CY2016Q2 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
26992000 | |
CY2015Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
80185000 | |
CY2015Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.98 | |
CY2015Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
16918000 | |
CY2015Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.97 | |
CY2015Q3 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-4850000 | |
CY2015Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
571143000 | |
CY2015Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
90781000 | |
CY2015Q3 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-141000 | |
CY2015Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
146280000 | |
CY2015Q3 | us-gaap |
Interest Expense
InterestExpense
|
6201000 | |
CY2015Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
151130000 | |
CY2015Q3 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
722273000 | |
CY2015Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
567000 | |
CY2015Q3 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
784000 | |
CY2015Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
55640000 | |
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 |
Profit Loss
ProfitLoss
|
90640000 | |
CY2015Q3 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
450033000 | |
CY2015Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
24007000 | |
CY2016Q3 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
93457000 | |
CY2016Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.04 | |
CY2016Q3 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
24185000 | |
CY2016Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
1.04 | |
CY2016Q3 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-16198000 | |
CY2016Q3 | us-gaap |
Operating Expenses
OperatingExpenses
|
671115000 | |
CY2016Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
96509000 | |
CY2016Q3 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-88000 | |
CY2016Q3 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
140693000 | |
CY2016Q3 | us-gaap |
Interest Expense
InterestExpense
|
17215000 | |
CY2016Q3 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
156891000 | |
CY2016Q3 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
828006000 | |
CY2016Q3 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
221000 | |
CY2016Q3 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
796000 | |
CY2016Q3 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
44272000 | |
CY2016Q3 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93146000 | shares |
CY2016Q3 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92604000 | shares |
CY2016Q3 | us-gaap |
Profit Loss
ProfitLoss
|
96421000 | |
CY2016Q3 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
521832000 | |
CY2016Q3 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
31641000 | |
CY2015Q4 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
85393000 | |
CY2015Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
1.00 | |
CY2015Q4 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
18149000 | |
CY2015Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.99 | |
CY2015Q4 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-6965000 | |
CY2015Q4 | us-gaap |
Operating Expenses
OperatingExpenses
|
590780000 | |
CY2015Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
92702000 | |
CY2015Q4 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
-288000 | |
CY2015Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
143995000 | |
CY2015Q4 | us-gaap |
Interest Expense
InterestExpense
|
8493000 | |
CY2015Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
150960000 | |
CY2015Q4 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
741740000 | |
CY2015Q4 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
751000 | |
CY2015Q4 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
777000 | |
CY2015Q4 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
51581000 | |
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 |
Profit Loss
ProfitLoss
|
92414000 | |
CY2015Q4 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
461074000 | |
CY2015Q4 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
26164000 | |
CY2016Q4 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
97049000 | |
CY2016Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.84 | |
CY2016Q4 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
25254000 | |
CY2016Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.84 | |
CY2016Q4 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-14780000 | |
CY2016Q4 | us-gaap |
Operating Expenses
OperatingExpenses
|
687992000 | |
CY2016Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
78079000 | |
CY2016Q4 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
127998000 | |
CY2016Q4 | us-gaap |
Interest Expense
InterestExpense
|
16356000 | |
CY2016Q4 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
142778000 | |
CY2016Q4 | us-gaap |
Health Care Organization Revenue
HealthCareOrganizationRevenue
|
830770000 | |
CY2016Q4 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
770000 | |
CY2016Q4 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
806000 | |
CY2016Q4 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
49919000 | |
CY2016Q4 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93347000 | shares |
CY2016Q4 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92728000 | shares |
CY2016Q4 | us-gaap |
Profit Loss
ProfitLoss
|
78079000 | |
CY2016Q4 | md |
Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
532952000 | |
CY2016Q4 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
32737000 |