2019 Q2 Form 10-Q Financial Statement
#000119312519135054 Filed on May 02, 2019
Income Statement
Concept | 2019 Q2 | 2019 Q1 | 2018 Q4 |
---|---|---|---|
Revenue | $561.2M | $851.2M | $932.7M |
YoY Change | -38.73% | -5.62% | 2.4% |
Cost Of Revenue | |||
YoY Change | |||
Gross Profit | |||
YoY Change | |||
Gross Profit Margin | |||
Selling, General & Admin | $445.4M | $451.9M | -$736.8M |
YoY Change | -35.82% | -35.96% | -226.01% |
% of Gross Profit | |||
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $7.600M | $20.03M | $29.89M |
YoY Change | -71.34% | 0.6% | 13.16% |
% of Gross Profit | |||
Operating Expenses | $484.0M | $772.7M | $829.1M |
YoY Change | -38.52% | 2.62% | 5.6% |
Operating Profit | $78.46M | $103.6M | |
YoY Change | -21.28% | -17.6% | |
Interest Expense | -$27.90M | $30.72M | $25.45M |
YoY Change | -229.14% | 54.12% | 28.24% |
% of Operating Profit | 39.16% | 24.57% | |
Other Income/Expense, Net | -$27.84M | -$22.20M | |
YoY Change | 64.38% | 27.9% | |
Pretax Income | $31.50M | $50.62M | $81.37M |
YoY Change | -71.24% | -38.82% | -24.9% |
Income Tax | $11.50M | $8.962M | $21.16M |
% Of Pretax Income | 36.51% | 17.71% | 26.0% |
Net Earnings | -$8.200M | -$242.9M | $60.21M |
YoY Change | -110.33% | -482.91% | -55.76% |
Net Earnings / Revenue | -1.46% | -28.53% | 6.46% |
Basic Earnings Per Share | -$2.82 | $0.69 | |
Diluted Earnings Per Share | -$98.56K | -$2.81 | $0.68 |
COMMON SHARES | |||
Basic Shares Outstanding | 86.54M | 86.07M | 87.81M shares |
Diluted Shares Outstanding | 83.69M | 86.55M | 88.26M |
Balance Sheet
Concept | 2019 Q2 | 2019 Q1 | 2018 Q4 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $107.3M | $112.7M | $47.40M |
YoY Change | 123.54% | 117.57% | -32.77% |
Cash & Equivalents | $24.50M | $26.48M | $40.77M |
Short-Term Investments | $82.80M | $86.20M | $21.90M |
Other Short-Term Assets | $374.0M | $16.68M | $17.17M |
YoY Change | 2529.54% | 0.53% | -53.81% |
Inventory | |||
Prepaid Expenses | $12.86M | $17.12M | |
Receivables | $504.2M | $522.6M | $506.7M |
Other Receivables | $0.00 | $0.00 | $0.00 |
Total Short-Term Assets | $985.5M | $1.057B | $660.0M |
YoY Change | 57.7% | 69.82% | 5.22% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $182.6M | $89.04M | $90.43M |
YoY Change | 38.42% | -29.92% | -26.8% |
Goodwill | $4.066B | $4.061B | |
YoY Change | -5.49% | -5.19% | |
Intangibles | |||
YoY Change | |||
Long-Term Investments | $0.00 | $0.00 | $69.70M |
YoY Change | -100.0% | -100.0% | -13.63% |
Other Assets | $115.0M | $102.7M | $103.1M |
YoY Change | 24.14% | 11.3% | 12.18% |
Total Long-Term Assets | $4.653B | $4.649B | $5.278B |
YoY Change | -11.11% | -11.63% | 0.71% |
TOTAL ASSETS | |||
Total Short-Term Assets | $985.5M | $1.057B | $660.0M |
Total Long-Term Assets | $4.653B | $4.649B | $5.278B |
Total Assets | $5.639B | $5.706B | $5.937B |
YoY Change | -3.77% | -3.01% | 1.2% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $32.40M | $32.15M | $31.06M |
YoY Change | 14.18% | 1.55% | -10.32% |
Accrued Expenses | $378.5M | $305.5M | $417.5M |
YoY Change | 14.73% | 12.77% | 3.5% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $200.0K | $200.0K | $300.0K |
YoY Change | -77.78% | -81.82% | -78.57% |
Total Short-Term Liabilities | $441.0M | $415.2M | $502.8M |
YoY Change | 7.24% | 16.3% | -5.39% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $2.080B | $2.120B | $1.974B |
YoY Change | 9.98% | 7.85% | 6.64% |
Other Long-Term Liabilities | $308.2M | $21.58M | $31.83M |
YoY Change | 751.4% | -61.82% | -45.03% |
Total Long-Term Liabilities | $2.388B | $21.58M | $31.83M |
YoY Change | 6497.14% | -61.82% | -45.03% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $441.0M | $415.2M | $502.8M |
Total Long-Term Liabilities | $2.388B | $21.58M | $31.83M |
Total Liabilities | $2.914B | $2.926B | $2.850B |
YoY Change | 9.02% | 6.82% | 1.74% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | $1.801B | $2.094B | |
YoY Change | -14.7% | 2.25% | |
Common Stock | $978.7M | $993.5M | |
YoY Change | -5.15% | -2.43% | |
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | |||
Shareholders Equity | $2.725B | $2.780B | $3.088B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $5.639B | $5.706B | $5.937B |
YoY Change | -3.77% | -3.01% | 1.2% |
Cashflow Statement
Concept | 2019 Q2 | 2019 Q1 | 2018 Q4 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | -$8.200M | -$242.9M | $60.21M |
YoY Change | -110.33% | -482.91% | -55.76% |
Depreciation, Depletion And Amortization | $7.600M | $20.03M | $29.89M |
YoY Change | -71.34% | 0.6% | 13.16% |
Cash From Operating Activities | $131.4M | -$56.82M | $163.8M |
YoY Change | -3.52% | -50.0% | -9.9% |
INVESTING ACTIVITIES | |||
Capital Expenditures | -$10.10M | -$5.800M | $7.700M |
YoY Change | 3.06% | -31.76% | 32.76% |
Acquisitions | $4.250M | ||
YoY Change | -80.66% | ||
Other Investing Activities | -$8.800M | -$2.900M | -$102.6M |
YoY Change | 25.71% | -78.83% | -47.38% |
Cash From Investing Activities | -$18.90M | -$8.691M | -$95.00M |
YoY Change | 12.5% | -60.81% | -49.76% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | $76.11M | ||
YoY Change | 1939.83% | ||
Debt Paid & Issued, Net | |||
YoY Change | |||
Cash From Financing Activities | -107.1M | 66.66M | -30.30M |
YoY Change | -11.71% | -42.8% | -219.76% |
NET CHANGE | |||
Cash From Operating Activities | 131.4M | -56.82M | 163.8M |
Cash From Investing Activities | -18.90M | -8.691M | -95.00M |
Cash From Financing Activities | -107.1M | 66.66M | -30.30M |
Net Change In Cash | 5.400M | 1.156M | 38.50M |
YoY Change | -384.21% | -106.0% | 113.89% |
FREE CASH FLOW | |||
Cash From Operating Activities | $131.4M | -$56.82M | $163.8M |
Capital Expenditures | -$10.10M | -$5.800M | $7.700M |
Free Cash Flow | $141.5M | -$51.02M | $156.1M |
YoY Change | -3.08% | -51.47% | -11.31% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
CY2018Q1 | md |
Percentage Of Net Patient Service Revenue By Type Of Payor
PercentageOfNetPatientServiceRevenueByTypeOfPayor
|
1.00 | |
CY2019Q1 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
15915000 | |
CY2019Q1 | md |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Discontinued Operations Ending Balance
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsDiscontinuedOperationsEndingBalance
|
-11425000 | |
CY2019Q1 | us-gaap |
Short Term Investments
ShortTermInvestments
|
0 | |
CY2019Q1 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
0 | |
CY2018Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
0 | |
CY2019Q1 | us-gaap |
Common Stock Value
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|
864000 | |
CY2018Q4 | us-gaap |
Common Stock Value
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|
878000 | |
CY2019Q1 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
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CY2018Q4 | us-gaap |
Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
|
992647000 | |
CY2019Q1 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
1801270000 | |
CY2018Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
2094359000 | |
CY2019Q1 | us-gaap |
Stockholders Equity
StockholdersEquity
|
2779812000 | |
CY2019Q1 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
392000000 | |
CY2018Q4 | us-gaap |
Long Term Line Of Credit
LongTermLineOfCredit
|
739500000 | |
CY2019Q1 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
522638000 | |
CY2018Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
506723000 | |
CY2019Q1 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
12862000 | |
CY2018Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
17123000 | |
CY2019Q1 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
16680000 | |
CY2018Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
17166000 | |
CY2019Q1 | us-gaap |
Assets Current
AssetsCurrent
|
1057416000 | |
CY2018Q4 | us-gaap |
Assets Current
AssetsCurrent
|
659977000 | |
CY2018Q4 | md |
Accounts Payable And Accrued Liabilities Excluding Accrued Income Taxes Current
AccountsPayableAndAccruedLiabilitiesExcludingAccruedIncomeTaxesCurrent
|
448567000 | |
CY2019Q1 | us-gaap |
Accrued Income Taxes Current
AccruedIncomeTaxesCurrent
|
44971000 | |
CY2018Q4 | us-gaap |
Accrued Income Taxes Current
AccruedIncomeTaxesCurrent
|
30598000 | |
CY2019Q1 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
415183000 | |
CY2018Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
502762000 | |
CY2018Q3 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
500000000 | |
CY2019Q1 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
11000000 | |
CY2019Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
86073000 | |
CY2018Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
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|
92859000 | |
CY2019Q1 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
472000 | |
CY2018Q1 | us-gaap |
Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
|
646000 | |
CY2019Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
86545000 | |
CY2018Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93505000 | |
CY2019Q1 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
504000 | |
CY2018Q1 | us-gaap |
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
|
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Cash And Cash Equivalents At Carrying Value
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Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
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CY2019Q1 | us-gaap |
Restricted Cash Current
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|
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CY2018Q4 | us-gaap |
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RestrictedCashCurrent
|
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CY2019Q1 | us-gaap |
Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
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Held To Maturity Securities Current
HeldToMaturitySecuritiesCurrent
|
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CY2018Q4 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
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CY2019Q1 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
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CY2018Q4 | us-gaap |
Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
|
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CY2019Q1 | us-gaap |
Goodwill
Goodwill
|
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CY2018Q4 | us-gaap |
Goodwill
Goodwill
|
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CY2019Q1 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
300662000 | |
CY2018Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
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CY2019Q1 | us-gaap |
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|
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CY2018Q4 | us-gaap |
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OtherAssetsNoncurrent
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CY2019Q1 | us-gaap |
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Assets
|
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CY2018Q4 | us-gaap |
Assets
Assets
|
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CY2019Q1 | md |
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|
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Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
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Malpractice Loss Contingency Accrual Undiscounted Noncurrent
MalpracticeLossContingencyAccrualUndiscountedNoncurrent
|
208564000 | |
CY2018Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Noncurrent
MalpracticeLossContingencyAccrualUndiscountedNoncurrent
|
209060000 | |
CY2019Q1 | us-gaap |
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OtherLiabilitiesNoncurrent
|
21581000 | |
CY2018Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
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CY2019Q1 | us-gaap |
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|
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Liabilities And Stockholders Equity
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|
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|
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OperatingLeaseRightOfUseAsset
|
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CY2019Q1 | us-gaap |
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|
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CY2018Q4 | us-gaap |
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|
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CY2019Q1 | us-gaap |
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|
24726000 | |
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Long Term Debt And Capital Lease Obligations Excluding Long Term Line Of Credit
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|
1727482000 | |
CY2018Q4 | md |
Long Term Debt And Capital Lease Obligations Excluding Long Term Line Of Credit
LongTermDebtAndCapitalLeaseObligationsExcludingLongTermLineOfCredit
|
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CY2019Q1 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
71162000 | |
CY2019Q1 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
-194000 | |
CY2019Q1 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
1000000 | |
CY2018Q4 | us-gaap |
Preferred Stock Shares Authorized
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|
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CY2019Q1 | us-gaap |
Preferred Stock Shares Issued
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|
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|
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CY2019Q1 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
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Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2019Q1 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
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CY2018Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
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CY2019Q1 | us-gaap |
Common Stock Shares Issued
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|
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Common Stock Shares Issued
CommonStockSharesIssued
|
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CY2019Q1 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
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CY2018Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
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CY2019Q1 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
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CY2019Q1 | us-gaap |
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|
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CY2019Q1 | us-gaap |
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OperatingLeaseLiabilityNoncurrent
|
71162000 | |
CY2019Q1 | us-gaap |
Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
|
0.051 | |
CY2019Q1 | us-gaap |
Operating Lease Weighted Average Remaining Lease Term1
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|
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Practice Salaries And Benefits
PracticeSalariesAndBenefits
|
621539000 | |
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Practice Salaries And Benefits
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|
603955000 | |
CY2019Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
25791000 | |
CY2018Q1 | md |
Practice Supplies And Other Operating Expenses
PracticeSuppliesAndOtherOperatingExpenses
|
27403000 | |
CY2019Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
101821000 | |
CY2018Q1 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
101693000 | |
CY2019Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
772728000 | |
CY2018Q1 | us-gaap |
Operating Expenses
OperatingExpenses
|
752965000 | |
CY2019Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
78455000 | |
CY2018Q1 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
99663000 | |
CY2018Q1 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
38444000 | |
CY2019Q1 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
26516000 | |
CY2019Q1 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-4790000 | |
CY2018Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
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CY2018Q1 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-16936000 | |
CY2019Q1 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
10989000 | |
CY2019Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1647000 | |
CY2018Q1 | us-gaap |
Investment Income Net
InvestmentIncomeNet
|
1474000 | |
CY2019Q1 | us-gaap |
Interest Expense
InterestExpense
|
30723000 | |
CY2018Q1 | us-gaap |
Interest Expense
InterestExpense
|
19935000 | |
CY2019Q1 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
1236000 | |
CY2018Q1 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
1525000 | |
CY2019Q1 | us-gaap |
Nonoperating Income Expense
NonoperatingIncomeExpense
|
-27840000 | |
CY2019Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
50615000 | |
CY2018Q1 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
|
82727000 | |
CY2019Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
8962000 | |
CY2018Q1 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
22720000 | |
CY2019Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-2.82 | |
CY2018Q1 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
0.68 | |
CY2019Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-2.81 | |
CY2018Q1 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
0.68 | |
CY2019Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
86073000 | |
CY2018Q1 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
92859000 | |
CY2019Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
86545000 | |
CY2018Q1 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
93505000 | |
CY2018 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
250000000 | |
CY2019Q1 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
32149000 | |
CY2018Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
31059000 | |
CY2019Q1 | us-gaap |
Accrued Salaries Current
AccruedSalariesCurrent
|
105565000 | |
CY2018Q4 | us-gaap |
Accrued Salaries Current
AccruedSalariesCurrent
|
242888000 | |
CY2019Q1 | md |
Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
|
52385000 | |
CY2018Q4 | md |
Accrued Payroll Taxes And Benefits Current
AccruedPayrollTaxesAndBenefitsCurrent
|
78415000 | |
CY2019Q1 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
41198000 | |
CY2018Q4 | us-gaap |
Malpractice Loss Contingency Accrual Undiscounted Current
MalpracticeLossContingencyAccrualUndiscountedCurrent
|
34931000 | |
CY2019Q1 | md |
Accrued Contingent Consideration Liability Current
AccruedContingentConsiderationLiabilityCurrent
|
15069000 | |
CY2018Q4 | md |
Accrued Contingent Consideration Liability Current
AccruedContingentConsiderationLiabilityCurrent
|
18760000 | |
CY2019Q1 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
40075000 | |
CY2018Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
33037000 | |
CY2019Q1 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
312957000 | |
CY2018Q4 | us-gaap |
Accounts Payable And Accrued Liabilities Current
AccountsPayableAndAccruedLiabilitiesCurrent
|
448567000 | |
CY2019Q1 | us-gaap |
Restructuring Charges
RestructuringCharges
|
3544000 | |
CY2019Q1 | md |
Increase Decrease In Accrued Payroll Taxes And Benefits
IncreaseDecreaseInAccruedPayrollTaxesAndBenefits
|
137300000 | |
CY2018Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
3087884000 | |
CY2019Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-242872000 | |
CY2019Q1 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
3542000 | |
CY2019Q1 | md |
Stock Issued During Period Value Stock Swaps
StockIssuedDuringPeriodValueStockSwaps
|
-666000 | |
CY2019Q1 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
11100000 | |
CY2019Q1 | us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
78982000 | |
CY2019Q1 | us-gaap |
Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Net Of Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax
|
-194000 | |
CY2019Q1 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2779812000 | |
CY2019Q1 | us-gaap |
Profit Loss
ProfitLoss
|
-242872000 | |
CY2018Q1 | us-gaap |
Profit Loss
ProfitLoss
|
63428000 | |
CY2019Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
20033000 | |
CY2018Q1 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
19914000 | |
CY2019Q1 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
1520000 | |
CY2018Q1 | us-gaap |
Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
|
1089000 | |
CY2018Q1 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
-38785000 | |
CY2018Q1 | us-gaap |
Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
|
-634000 | |
CY2018Q4 | us-gaap |
Short Term Investments
ShortTermInvestments
|
21923000 | |
CY2018Q4 | md |
Short Term Investments Fair Value Disclosure
ShortTermInvestmentsFairValueDisclosure
|
21858000 | |
CY2019Q1 | us-gaap |
Payment For Contingent Consideration Liability Operating Activities
PaymentForContingentConsiderationLiabilityOperatingActivities
|
42000 | |
CY2018Q1 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
9686000 | |
CY2019Q1 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-5108000 | |
CY2018Q1 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-399000 | |
CY2019Q1 | us-gaap |
Other Noncash Income Expense
OtherNoncashIncomeExpense
|
-2767000 | |
CY2018Q1 | us-gaap |
Other Noncash Income Expense
OtherNoncashIncomeExpense
|
1216000 | |
CY2019Q1 | us-gaap |
Long Term Investments
LongTermInvestments
|
0 | |
CY2019Q1 | md |
Long Term Investments Fair Value Disclosure
LongTermInvestmentsFairValueDisclosure
|
0 | |
CY2019Q1 | us-gaap |
Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
|
1308000 | |
CY2018Q1 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
852628000 | |
CY2019Q1 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
-9580000 | |
CY2018Q1 | us-gaap |
Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
|
486000 | |
CY2019Q1 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
-132559000 | |
CY2018Q1 | us-gaap |
Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
|
-129185000 | |
CY2019Q1 | us-gaap |
Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
|
14373000 | |
CY2018Q1 | us-gaap |
Payment For Contingent Consideration Liability Operating Activities
PaymentForContingentConsiderationLiabilityOperatingActivities
|
65000 | |
CY2019Q1 | us-gaap |
Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
|
-496000 | |
CY2018Q1 | us-gaap |
Increase Decrease In Liability For Claims And Claims Adjustment Expense Reserve
IncreaseDecreaseInLiabilityForClaimsAndClaimsAdjustmentExpenseReserve
|
-643000 | |
CY2019Q1 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
-11993000 | |
CY2018Q1 | us-gaap |
Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
|
1016000 | |
CY2019Q1 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
-60408000 | |
CY2018Q1 | us-gaap |
Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
|
-116877000 | |
CY2019Q1 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
4250000 | |
CY2018Q1 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
21975000 | |
CY2018Q1 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
14039000 | |
CY2019Q1 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
4800000 | |
CY2018Q1 | us-gaap |
Proceeds From Sale Maturity And Collections Of Investments
ProceedsFromSaleMaturityAndCollectionsOfInvestments
|
3500000 | |
CY2019Q1 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
5821000 | |
CY2018Q1 | us-gaap |
Payments To Acquire Other Property Plant And Equipment
PaymentsToAcquireOtherPropertyPlantAndEquipment
|
8463000 | |
CY2018Q1 | us-gaap |
Proceeds From Sales Of Business Affiliate And Productive Assets
ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets
|
22764000 | |
CY2019Q1 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-5271000 | |
CY2018Q1 | us-gaap |
Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
|
-18213000 | |
CY2019Q1 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
518500000 | |
CY2018Q1 | us-gaap |
Proceeds From Lines Of Credit
ProceedsFromLinesOfCredit
|
506000000 | |
CY2019Q1 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
866000000 | |
CY2018Q1 | us-gaap |
Repayments Of Lines Of Credit
RepaymentsOfLinesOfCredit
|
392500000 | |
CY2019Q1 | us-gaap |
Proceeds From Issuance Of Senior Long Term Debt
ProceedsFromIssuanceOfSeniorLongTermDebt
|
500000000 | |
CY2019Q1 | us-gaap |
Payments Of Financing Costs
PaymentsOfFinancingCosts
|
8380000 | |
CY2018Q1 | us-gaap |
Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
|
367000 | |
CY2019Q1 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
42000 | |
CY2018Q1 | us-gaap |
Repayments Of Long Term Capital Lease Obligations
RepaymentsOfLongTermCapitalLeaseObligations
|
308000 | |
CY2019Q1 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
2876000 | |
CY2018Q1 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
3731000 | |
CY2019Q1 | us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
78982000 | |
CY2019Q1 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
66664000 | |
CY2018Q1 | us-gaap |
Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
|
116556000 | |
CY2019Q1 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
1156000 | |
CY2018Q1 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
-19261000 | |
CY2018Q4 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
|
56745000 | |
CY2017Q4 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
|
80200000 | |
CY2019Q1 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
|
46476000 | |
CY2018Q1 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
|
47823000 | |
CY2019Q1 | us-gaap |
Business Combination Consideration Transferred1
BusinessCombinationConsiderationTransferred1
|
4300000 | |
CY2019Q1 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
1966918000 | |
CY2018Q4 | us-gaap |
Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
|
1993395000 | |
CY2019Q1 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
1444280000 | |
CY2018Q4 | us-gaap |
Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
|
1486672000 | |
CY2019Q1 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
522638000 | |
CY2018Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
506723000 | |
CY2019Q1 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
851183000 | |
CY2019Q1 | md |
Percentage Of Net Patient Service Revenue By Type Of Payor
PercentageOfNetPatientServiceRevenueByTypeOfPayor
|
1.00 | |
CY2018Q4 | us-gaap |
Long Term Investments
LongTermInvestments
|
69699000 | |
CY2018Q4 | md |
Long Term Investments Fair Value Disclosure
LongTermInvestmentsFairValueDisclosure
|
69090000 | |
CY2019Q1 | us-gaap |
Available For Sale Securities Current
AvailableForSaleSecuritiesCurrent
|
86223000 | |
CY2019Q1 | md |
Disposal Group Including Discontinued Operation Cost Of Service Supplies And Other Operating Expenses
DisposalGroupIncludingDiscontinuedOperationCostOfServiceSuppliesAndOtherOperatingExpenses
|
5567000 | |
CY2018Q1 | md |
Disposal Group Including Discontinued Operation Cost Of Service Supplies And Other Operating Expenses
DisposalGroupIncludingDiscontinuedOperationCostOfServiceSuppliesAndOtherOperatingExpenses
|
5969000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation General And Administrative Expense
DisposalGroupIncludingDiscontinuedOperationGeneralAndAdministrativeExpense
|
11023000 | |
CY2018Q1 | us-gaap |
Disposal Group Including Discontinued Operation General And Administrative Expense
DisposalGroupIncludingDiscontinuedOperationGeneralAndAdministrativeExpense
|
11226000 | |
CY2018Q1 | us-gaap |
Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
|
3243000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Depreciation And Amortization
DisposalGroupIncludingDiscontinuedOperationDepreciationAndAmortization
|
7262000 | |
CY2019Q1 | us-gaap |
Available For Sale Securities Noncurrent
AvailableForSaleSecuritiesNoncurrent
|
||
CY2018Q4 | us-gaap |
Available For Sale Securities Current
AvailableForSaleSecuritiesCurrent
|
21923000 | |
CY2018Q4 | us-gaap |
Available For Sale Securities Noncurrent
AvailableForSaleSecuritiesNoncurrent
|
69699000 | |
CY2018Q1 | us-gaap |
Restructuring Charges
RestructuringCharges
|
0 | |
CY2018Q1 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
9700000 | |
CY2018Q1 | md |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Discontinued Operations Ending Balance
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsDiscontinuedOperationsEndingBalance
|
-13116000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Revenue
DisposalGroupIncludingDiscontinuedOperationRevenue
|
51222000 | |
CY2018Q1 | us-gaap |
Disposal Group Including Discontinued Operation Revenue
DisposalGroupIncludingDiscontinuedOperationRevenue
|
56089000 | |
CY2019Q1 | md |
Disposal Group Including Discontinued Operation Cost Of Salaries And Benefits
DisposalGroupIncludingDiscontinuedOperationCostOfSalariesAndBenefits
|
25928000 | |
CY2018Q1 | md |
Disposal Group Including Discontinued Operation Cost Of Salaries And Benefits
DisposalGroupIncludingDiscontinuedOperationCostOfSalariesAndBenefits
|
27876000 | |
CY2018Q1 | us-gaap |
Disposal Group Including Discontinued Operation Depreciation And Amortization
DisposalGroupIncludingDiscontinuedOperationDepreciationAndAmortization
|
6249000 | |
CY2019Q1 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
-56817000 | |
CY2019Q1 | md |
Disposal Group Including Discontinued Operation Transaction Costs
DisposalGroupIncludingDiscontinuedOperationTransactionCosts
|
1100000 | |
CY2018Q1 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
-113634000 | |
CY2019Q1 | md |
Disposal Group Including Discontinued Operation Gain Or Loss On Assets Held For Sale
DisposalGroupIncludingDiscontinuedOperationGainOrLossOnAssetsHeldForSale
|
-321556000 | |
CY2019Q1 | us-gaap |
Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
|
3591000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Operating Expense
DisposalGroupIncludingDiscontinuedOperationOperatingExpense
|
372436000 | |
CY2018Q1 | us-gaap |
Disposal Group Including Discontinued Operation Operating Expense
DisposalGroupIncludingDiscontinuedOperationOperatingExpense
|
51320000 | |
CY2018Q1 | us-gaap |
Disposal Group Including Discontinued Operation Operating Income Loss
DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss
|
4769000 | |
CY2018Q1 | us-gaap |
Disposal Group Including Discontinued Operation Other Expense
DisposalGroupIncludingDiscontinuedOperationOtherExpense
|
9000 | |
CY2019Q1 | us-gaap |
Discontinued Operation Income Loss From Discontinued Operation Before Income Tax
DiscontinuedOperationIncomeLossFromDiscontinuedOperationBeforeIncomeTax
|
-321230000 | |
CY2018Q1 | us-gaap |
Discontinued Operation Income Loss From Discontinued Operation Before Income Tax
DiscontinuedOperationIncomeLossFromDiscontinuedOperationBeforeIncomeTax
|
4760000 | |
CY2019Q1 | us-gaap |
Discontinued Operation Tax Effect Of Discontinued Operation
DiscontinuedOperationTaxEffectOfDiscontinuedOperation
|
-36705000 | |
CY2018Q1 | us-gaap |
Discontinued Operation Tax Effect Of Discontinued Operation
DiscontinuedOperationTaxEffectOfDiscontinuedOperation
|
1339000 | |
CY2019Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
-284525000 | |
CY2018Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
3421000 | |
CY2019Q1 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
285000000 | |
CY2019Q1 | us-gaap |
Assets Of Disposal Group Including Discontinued Operation Current
AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent
|
372537000 | |
CY2018Q4 | us-gaap |
Assets Of Disposal Group Including Discontinued Operation Current
AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent
|
51551000 | |
CY2019Q1 | us-gaap |
Liabilities Of Disposal Group Including Discontinued Operation Current
LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent
|
32289000 | |
CY2018Q4 | us-gaap |
Liabilities Of Disposal Group Including Discontinued Operation Current
LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationCurrent
|
23344000 | |
CY2019Q1 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.48 | |
CY2018Q1 | us-gaap |
Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
|
0.65 | |
CY2019Q1 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.48 | |
CY2018Q1 | us-gaap |
Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
|
0.64 | |
CY2019Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
|
-3.31 | |
CY2018Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
|
0.04 | |
CY2019Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
|
-3.29 | |
CY2018Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
|
0.04 | |
CY2019Q1 | us-gaap |
Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
|
-3420000 | |
CY2018Q1 | us-gaap |
Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
|
-3963000 | |
CY2019Q1 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-8691000 | |
CY2018Q1 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-22176000 | |
CY2018Q1 | us-gaap |
Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
|
-7000 | |
CY2019Q1 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
66664000 | |
CY2018Q1 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
116549000 | |
CY2019Q1 | md |
Number Of Neonatology Practices Acquired
NumberOfNeonatologyPracticesAcquired
|
1 | |
CY2019Q1 | dei |
Document Type
DocumentType
|
10-Q | |
CY2019Q1 | dei |
Amendment Flag
AmendmentFlag
|
false | |
CY2019Q1 | dei |
Document Period End Date
DocumentPeriodEndDate
|
2019-03-31 | |
CY2019Q1 | dei |
Document Fiscal Year Focus
DocumentFiscalYearFocus
|
2019 | |
CY2019Q1 | dei |
Document Fiscal Period Focus
DocumentFiscalPeriodFocus
|
Q1 | |
CY2019Q1 | dei |
Entity Registrant Name
EntityRegistrantName
|
MEDNAX, INC. | |
CY2019Q1 | dei |
Entity Central Index Key
EntityCentralIndexKey
|
0000893949 | |
CY2019Q1 | dei |
Current Fiscal Year End Date
CurrentFiscalYearEndDate
|
--12-31 | |
CY2019Q1 | dei |
Entity Filer Category
EntityFilerCategory
|
Large Accelerated Filer | |
CY2019Q1 | dei |
Trading Symbol
TradingSymbol
|
MD | |
CY2019Q1 | dei |
Entity Emerging Growth Company
EntityEmergingGrowthCompany
|
false | |
CY2019Q1 | dei |
Entity Small Business
EntitySmallBusiness
|
false | |
CY2019Q1 | us-gaap |
Held To Maturity Securities Noncurrent
HeldToMaturitySecuritiesNoncurrent
|
0 | |
CY2018Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
0 | |
CY2018Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
0 | |
CY2018Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
0 | |
CY2019Q1 | us-gaap |
Liabilities
Liabilities
|
2926445000 | |
CY2018Q4 | us-gaap |
Liabilities
Liabilities
|
2849597000 | |
CY2019Q1 | us-gaap |
Lease Cost
LeaseCost
|
9998000 | |
CY2018Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2019Q2 | dei |
Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
|
86537633 | |
CY2019Q1 | us-gaap |
Lessee Operating Lease Liability Payments Remainder Of Fiscal Year
LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear
|
19417000 | |
CY2019Q1 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
|
24418000 | |
CY2019Q1 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
|
20331000 | |
CY2019Q1 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
|
15731000 | |
CY2019Q1 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
|
11694000 | |
CY2019Q1 | us-gaap |
Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
|
14636000 | |
CY2019Q1 | us-gaap |
Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
|
106227000 | |
CY2019Q1 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
24726000 | |
CY2019Q1 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
71162000 | |
CY2019Q1 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2019Q1 | us-gaap |
Operating Lease Cost
OperatingLeaseCost
|
7643000 | |
CY2019Q1 | us-gaap |
Variable Lease Cost
VariableLeaseCost
|
722000 | |
CY2019Q1 | md |
Operating Leases Other Costs
OperatingLeasesOtherCosts
|
1633000 | |
CY2019Q1 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2018Q4 | us-gaap |
Commitments And Contingencies
CommitmentsAndContingencies
|
||
CY2018Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
0 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Operating Income Loss
DisposalGroupIncludingDiscontinuedOperationOperatingIncomeLoss
|
-321214000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Other Expense
DisposalGroupIncludingDiscontinuedOperationOtherExpense
|
16000 | |
CY2017Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
3066454000 | |
CY2018Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
63428000 | |
CY2018Q1 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
4027000 | |
CY2018Q1 | md |
Stock Issued During Period Value Stock Swaps
StockIssuedDuringPeriodValueStockSwaps
|
-296000 | |
CY2018Q1 | us-gaap |
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
|
9875000 | |
CY2018Q1 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
3143488000 | |
CY2019Q1 | us-gaap |
Payments For Previous Acquisition
PaymentsForPreviousAcquisition
|
1400000 | |
CY2019Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
-284525000 | |
CY2018Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
3421000 | |
CY2019Q1 | us-gaap |
Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
|
41653000 | |
CY2018Q1 | us-gaap |
Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
|
60007000 | |
CY2019Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-242872000 | |
CY2018Q1 | us-gaap |
Net Income Loss
NetIncomeLoss
|
63428000 | |
CY2019Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
-284525000 | |
CY2018Q1 | us-gaap |
Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
|
3421000 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Assets Noncurrent
DisposalGroupIncludingDiscontinuedOperationAssetsNoncurrent
|
639633000 | |
CY2018Q4 | us-gaap |
Liabilities Of Disposal Group Including Discontinued Operation Noncurrent
LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationNoncurrent
|
36085000 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Property Plant And Equipment Current
DisposalGroupIncludingDiscontinuedOperationPropertyPlantAndEquipmentCurrent
|
42603000 | |
CY2019Q1 | md |
Disposal Group Including Discontinued Operation Operating Lease Right Of Use Asset
DisposalGroupIncludingDiscontinuedOperationOperatingLeaseRightOfUseAsset
|
4843000 | |
CY2018 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
321600000 | |
CY2019Q1 | md |
Incremental Non Cash Charge On Goodwill
IncrementalNonCashChargeOnGoodwill
|
36600000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Assets Noncurrent
DisposalGroupIncludingDiscontinuedOperationAssetsNoncurrent
|
0 | |
CY2019Q1 | us-gaap |
Liabilities Of Disposal Group Including Discontinued Operation Noncurrent
LiabilitiesOfDisposalGroupIncludingDiscontinuedOperationNoncurrent
|
0 | |
CY2019Q1 | us-gaap |
Payments To Acquire Investments
PaymentsToAcquireInvestments
|
0 | |
CY2019Q1 | us-gaap |
Proceeds From Sales Of Business Affiliate And Productive Assets
ProceedsFromSalesOfBusinessAffiliateAndProductiveAssets
|
0 | |
CY2019Q1 | us-gaap |
Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
|
0 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Cash And Cash Equivalents
DisposalGroupIncludingDiscontinuedOperationCashAndCashEquivalents
|
11425000 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Cash And Cash Equivalents
DisposalGroupIncludingDiscontinuedOperationCashAndCashEquivalents
|
11254000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Accounts Notes And Loans Receivable Net
DisposalGroupIncludingDiscontinuedOperationAccountsNotesAndLoansReceivableNet
|
39619000 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Accounts Notes And Loans Receivable Net
DisposalGroupIncludingDiscontinuedOperationAccountsNotesAndLoansReceivableNet
|
38118000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Prepaid And Other Assets Current
DisposalGroupIncludingDiscontinuedOperationPrepaidAndOtherAssetsCurrent
|
2741000 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Prepaid And Other Assets Current
DisposalGroupIncludingDiscontinuedOperationPrepaidAndOtherAssetsCurrent
|
2505000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Property Plant And Equipment Current
DisposalGroupIncludingDiscontinuedOperationPropertyPlantAndEquipmentCurrent
|
43440000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Goodwill Current
DisposalGroupIncludingDiscontinuedOperationGoodwillCurrent
|
0 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Goodwill Current
DisposalGroupIncludingDiscontinuedOperationGoodwillCurrent
|
321556000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Intangible Assets Current
DisposalGroupIncludingDiscontinuedOperationIntangibleAssetsCurrent
|
270469000 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Intangible Assets Current
DisposalGroupIncludingDiscontinuedOperationIntangibleAssetsCurrent
|
275148000 | |
CY2019Q1 | us-gaap |
Assets Of Disposal Group Including Discontinued Operation
AssetsOfDisposalGroupIncludingDiscontinuedOperation
|
372537000 | |
CY2018Q4 | us-gaap |
Assets Of Disposal Group Including Discontinued Operation
AssetsOfDisposalGroupIncludingDiscontinuedOperation
|
691184000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Accounts Payable And Accrued Liabilities Current
DisposalGroupIncludingDiscontinuedOperationAccountsPayableAndAccruedLiabilitiesCurrent
|
23896000 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Accounts Payable And Accrued Liabilities Current
DisposalGroupIncludingDiscontinuedOperationAccountsPayableAndAccruedLiabilitiesCurrent
|
23770000 | |
CY2019Q1 | md |
Disposal Group Including Discontinued Operation Lease Liabilities
DisposalGroupIncludingDiscontinuedOperationLeaseLiabilities
|
7231000 | |
CY2019Q1 | us-gaap |
Disposal Group Including Discontinued Operation Deferred Tax Liabilities Current
DisposalGroupIncludingDiscontinuedOperationDeferredTaxLiabilitiesCurrent
|
1163000 | |
CY2019Q1 | us-gaap |
Operating Lease Payments
OperatingLeasePayments
|
10648000 | |
CY2019Q1 | us-gaap |
Deferred Tax Assets Goodwill And Intangible Assets
DeferredTaxAssetsGoodwillAndIntangibleAssets
|
36600000 | |
CY2019Q1 | us-gaap |
Liabilities Of Disposal Group Including Discontinued Operation
LiabilitiesOfDisposalGroupIncludingDiscontinuedOperation
|
32290000 | |
CY2018Q4 | us-gaap |
Liabilities Of Disposal Group Including Discontinued Operation
LiabilitiesOfDisposalGroupIncludingDiscontinuedOperation
|
59429000 | |
CY2018Q4 | us-gaap |
Disposal Group Including Discontinued Operation Deferred Tax Liabilities Current
DisposalGroupIncludingDiscontinuedOperationDeferredTaxLiabilitiesCurrent
|
35659000 | |
CY2019Q1 | md |
Short Term Investments Fair Value Disclosure
ShortTermInvestmentsFairValueDisclosure
|
0 | |
CY2019Q1 | us-gaap |
Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
|
10339000 | |
CY2019Q1 | us-gaap |
Operating Lease Liability
OperatingLeaseLiability
|
95888000 |