7Baggers

MEDNAX, Inc
(NYSE:MD) 

MD stock logo

MEDNAX, Inc., together with its subsidiaries, provides newborn, maternal-fetal, pediatric cardiology, and other pediatric subspecialty care services in the United States and Puerto Rico. It offers neonatal care services, such as clinical care to babies born prematurely or with complications within s...

Founded: 1979
Full Time Employees: 9,480
Sector: Healthcare
Industry: Medical Care Facilities

Share this website to your friends
• Market Cap:
• Exchange:
• Shs Outstanding:
• Employees:
• Beta:
• Return on Equity (ROE) ttm:
• Return on Assets (ROA) ttm:
• EPS ttm:
• Book value per Share:
• Cash per Share:
• Current ast per Share:
• P/E ttm:
• P/E forward:
• P/E ttm high:
• P/E ttm low:
• P/S ttm:
• P/B ttm:
• P/FCF ttm:
• PEG ratio:
• Cash Ratio ttm:
• Quick Ratio ttm:
• Current Ratio ttm:
• Gross Mgn ttm:
• EBITDA Mgn ttm:
• Operating Mgn ttm:
• Net Income Mgn ttm:
• Trailing Div yield:
• Forward Div yield:
• Payout Ratio ttm:
• Ex-Dividend date:
• Target Price High:
• Target Price Low:
• Target Price Mean:
• Number of Analysts:
• Debt Ratio ttm:
• Debt to Equity ttm:
• Total Net Debt:
At a glance:
Bull Thesis:
Bear Thesis:
Main Competitors:
Moat:
Income Statements:
Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-12-31 2003-09-30 2003-06-30 2003-03-31 2002-09-30 
                                                                                                  
      net revenue
    476,196,000 493,771,000 492,875,000 468,844,000 458,359,000 502,364,000 511,158,000 504,296,000 495,101,000 496,443,000 506,612,000 500,577,000 491,008,000 513,844,000 489,915,000 486,033,000 482,229,000 498,530,000 492,949,000 472,959,000 446,753,000 416,630,000 460,635,000 509,203,000 845,918,000 905,375,000 888,675,000 868,309,000 851,183,000 932,696,000 896,652,000 915,918,000 901,857,000 910,820,000 868,951,000 842,944,000 835,597,000 830,770,000 828,006,000 771,759,000 752,624,000 741,740,000 722,273,000 676,588,000 639,395,000 650,524,000 626,506,000                                                
      operating expenses:
                                                                                                  
      practice salaries and benefits
    345,744,000 348,015,000 332,326,000 323,502,000 337,031,000 348,993,000 364,888,000 357,808,000 369,138,000 363,604,000 368,404,000 354,032,000 362,235,000 366,557,000 342,850,000 330,757,000 343,155,000 332,671,000 328,759,000 317,035,000 319,012,000 284,772,000 309,904,000 349,258,000 652,721,000 647,968,000 630,309,000 608,962,000 621,539,000 657,061,000 625,717,000 620,980,000 631,830,000 617,455,000 586,476,000 561,418,000 572,385,000 532,952,000 521,832,000 484,625,000 491,811,000 461,074,000 450,033,000 422,803,000 419,595,000 404,345,000 394,794,000 372,216,000 372,040,000 353,316,000 346,879,000 331,922,000 329,201,000 290,671,000 292,030,000 275,951,000 272,261,000 244,523,000 246,687,000 235,292,000 243,894,000 220,872,000 211,884,000 208,762,000 213,402,000 199,500,000 198,229,000 191,756,000 194,008,000 181,590,000 159,799,000 150,696,000 151,360,000 143,774,000 131,925,000 126,662,000 130,945,000 120,674,000 120,836,000 114,419,000 112,483,000 98,115,000 99,062,000 98,157,000 97,803,000 91,407,000 88,592,000 83,881,000 86,475,000 80,318,000 80,196,000 75,648,000 74,616,000 68,232,000 
      practice supplies and other operating expenses
    17,488,000 19,772,000 20,200,000 20,614,000 18,686,000 24,845,000 29,449,000 32,369,000 31,085,000 31,672,000 31,319,000 31,089,000 30,720,000 31,480,000 31,857,000 29,843,000 28,489,000 27,956,000 26,122,000 24,182,000 22,212,000 24,235,000 22,440,000 21,433,000 25,264,000 32,009,000 26,950,000 28,016,000 25,791,000 29,381,000 30,159,000 31,833,000 30,655,000 32,353,000 29,497,000 30,872,000 27,796,000 32,737,000 31,641,000 26,992,000 27,046,000 26,164,000 24,007,000 24,878,000 23,431,000 23,550,000 21,570,000 22,466,000 21,417,000 24,027,000 19,445,000 19,416,000 19,500,000 19,276,000 17,606,000 17,956,000 16,985,000 18,754,000 16,718,000 16,253,000 15,090,000 16,374,000 13,980,000 14,062,000 13,095,000 13,693,000 13,100,000 12,798,000 12,641,000 13,379,000 11,145,000 10,529,000 9,714,000 6,179,000 9,395,000 9,604,000 8,900,000 8,557,000 8,092,000 8,604,000 7,802,000 7,569,000 7,015,000 6,844,000 6,250,000 7,048,000 5,895,000 5,960,000 5,351,000 5,027,000 4,778,000 4,718,000 4,065,000 3,997,000 
      general and administrative expenses
    60,266,000 65,680,000 60,793,000 55,714,000 58,604,000 63,553,000 58,121,000 56,565,000 60,198,000 53,064,000 57,406,000 58,013,000 59,059,000 51,057,000 57,888,000 61,165,000 61,287,000 58,981,000 66,892,000 70,968,000 66,516,000 54,671,000 66,346,000 77,674,000 105,235,000 96,926,000 102,356,000 103,540,000 101,821,000 112,789,000 102,905,000 107,908,000 108,776,000 108,895,000 101,430,000 103,015,000 103,765,000 97,049,000 93,457,000 92,116,000 89,950,000 85,393,000 80,185,000 72,401,000 67,936,000 67,641,000 60,643,000 60,829,000 58,414,000 55,636,000 54,654,000 54,601,000 53,318,000 50,271,000 48,200,000 48,200,000 46,869,000 42,846,000 43,010,000 42,702,000 41,798,000 39,505,000 37,499,000 39,164,000 38,099,000 36,569,000 37,648,000 36,295,000 36,650,000 33,444,000 30,749,000 31,016,000 29,756,000 26,475,000 29,837,000 29,839,000 33,615,000 28,874,000 27,971,000 24,820,000 27,238,000 39,956,000 24,870,000 22,349,000 28,129,000 19,990,000 20,002,000 19,606,000 19,847,000 19,387,000 19,843,000 19,006,000 18,301,000 17,483,000 
      depreciation and amortization
    6,119,000 5,631,000 5,551,000 5,313,000 5,332,000 6,873,000 6,254,000 8,791,000 10,308,000 9,062,000 9,211,000 8,945,000 8,953,000 9,136,000 8,956,000 8,775,000 8,769,000 7,859,000 8,151,000 8,106,000 8,031,000 7,692,000 7,195,000 14,393,000 18,673,000 19,410,000 19,608,000 19,809,000 20,033,000 29,891,000 28,709,000 26,518,000 26,163,000 26,414,000 25,116,000 25,735,000 25,614,000 25,254,000 24,185,000 20,241,000 19,584,000 18,149,000 16,918,000 15,549,000 13,612,000 13,902,000 11,356,000 10,361,000 10,370,000 10,491,000 10,461,000 9,870,000 9,144,000 8,091,000 7,925,000 7,687,000 7,113,000 7,266,000 6,213,000 6,032,000 5,781,000 5,843,000 6,321,000 5,006,000 4,780,000 4,342,000 3,956,000 4,187,000 3,963,000 4,020,000 3,296,000 2,939,000 2,816,000 2,078,000 2,577,000 2,466,000 2,473,000 2,410,000 2,308,000 2,404,000 2,348,000 2,400,000 2,339,000 2,529,000 2,647,000   2,337,000 2,363,000 2,357,000 2,495,000 1,903,000 1,650,000 1,520,000 
      transformational and restructuring related expenses
    4,922,000 5,879,000 5,954,000 3,834,000 6,605,000 23,641,000 18,560,000 13,579,000 8,480,000     19,576,000 977,000 5,338,000 1,421,000 3,058,000 4,232,000 9,932,000 4,878,000 12,955,000 34,291,000 11,537,000 30,907,000 44,311,000 19,992,000 27,482,000 3,544,000                                                                  
      total operating expenses
    434,539,000 444,977,000 424,824,000 408,977,000 426,258,000 463,073,000 477,331,000 662,019,000 479,209,000 607,933,000 466,340,000 452,079,000 460,967,000 477,806,000 442,528,000 435,878,000 443,121,000 430,525,000 434,156,000 422,943,000 420,649,000 384,325,000 440,176,000 474,295,000 832,800,000 840,624,000 2,248,430,000 787,809,000 772,728,000 829,122,000 787,490,000 787,239,000 797,424,000 785,117,000 742,519,000 721,040,000 729,560,000 687,992,000 671,115,000 623,974,000 628,391,000 590,780,000 571,143,000 535,631,000 524,574,000 509,438,000 488,363,000 465,872,000 462,241,000 443,470,000 431,439,000 415,809,000 411,163,000 368,309,000 365,761,000 349,794,000 343,228,000 313,389,000 312,628,000 300,279,000 306,563,000 282,594,000 269,684,000 266,994,000 269,376,000 254,104,000 252,933,000 245,036,000 247,262,000 232,433,000 204,989,000 195,180,000 193,646,000 178,506,000 173,734,000 168,571,000 175,933,000 160,515,000 159,207,000 150,247,000 149,871,000 148,040,000 133,286,000 129,879,000 134,829,000 85,651,750 116,787,000 111,784,000 114,036,000      
      income from operations
    41,657,000 48,794,000 68,051,000 59,867,000 32,101,000 39,291,000 33,827,000 -157,723,000 15,892,000 -111,490,000 40,272,000 48,498,000 30,041,000 36,038,000 47,387,000 50,155,000 39,108,000 68,005,000 58,793,000 50,016,000 26,104,000 32,305,000 20,459,000 34,908,000 13,118,000 64,751,000 -1,359,755,000 80,500,000 78,455,000 103,574,000 109,162,000 128,679,000 104,433,000 125,703,000 126,432,000 121,904,000 106,037,000 142,778,000 156,891,000 147,785,000 124,233,000 150,960,000 151,130,000 140,957,000 114,821,000 141,086,000 138,143,000 129,672,000 104,097,000 123,917,000 123,291,000 113,371,000 91,552,000 103,023,000 107,373,000 99,736,000 79,388,000 91,509,000 95,037,000 93,123,000 75,720,000 85,886,000 81,374,000 82,100,000 63,551,000 79,184,000 78,343,000 74,779,000 56,623,000 65,382,000 62,196,000 62,524,000 51,927,000 60,996,000 63,142,000 58,239,000 38,523,000 50,798,000 56,548,000 53,560,000 37,808,000 29,655,000 44,813,000 43,877,000 29,321,000 29,007,250 41,546,000 40,403,000 34,080,000      
      yoy
    29.77% 24.19% 101.17% -137.96% 101.99% -135.24% -16.00% -425.22% -47.10% -409.37% -15.01% -3.30% -23.18% -47.01% -19.40% 0.28% 49.82% 110.51% 187.37% 43.28% 98.99% -50.11% -101.50% -56.64% -83.28% -37.48% -1345.63% -37.44% -24.88% -17.60% -13.66% 5.56% -1.51% -11.96% -19.41% -17.51% -14.65% -5.42% 3.81% 4.84% 8.20% 7.00% 9.40% 8.70% 10.30% 13.86% 12.05% 14.38% 13.70% 20.28% 14.82% 13.67% 15.32% 12.58% 12.98% 7.10% 4.84% 6.55% 16.79% 13.43% 19.15% 8.46% 3.87% 9.79% 12.24% 21.11% 25.96% 19.60% 9.04% 7.19% -1.50% 7.36% 34.79% 20.08% 11.66% 8.74% 1.89% 71.30% 26.19% 22.07% 28.95% 2.23% 7.86% 8.60% -13.96%          
      qoq
    -14.63% -28.30% 13.67% 86.50% -18.30% 16.15% -121.45% -1092.47% -114.25% -376.84% -16.96% 61.44% -16.64% -23.95% -5.52% 28.25% -42.49% 15.67% 17.55% 91.60% -19.20% 57.90% -41.39% 166.11% -79.74% -104.76% -1789.14% 2.61% -24.25% -5.12% -15.17% 23.22% -16.92% -0.58% 3.71% 14.96% -25.73% -9.00% 6.16% 18.96% -17.70% -0.11% 7.22% 22.76% -18.62% 2.13% 6.53% 24.57% -15.99% 0.51% 8.75% 23.83% -11.13% -4.05% 7.66% 25.63% -13.25% -3.71% 2.06% 22.98% -11.84% 5.54% -0.88% 29.19% -19.74% 1.07% 4.77% 32.06% -13.40% 5.12% -0.52% 20.41% -14.87% -3.40% 8.42% 51.18% -24.16% -10.17% 5.58% 41.66% 27.49% -33.83% 2.13% 49.64% 1.08% -30.18% 2.83% 18.55%       
      investment and other income
    4,760,000 4,698,000 5,883,000 3,727,000 4,737,000 2,830,000 1,089,000 -161,000 2,013,000 2,242,000 273,000 1,189,000 634,000 1,335,000 617,000 844,000 875,000 1,823,000 1,686,000 4,176,000 5,967,000 4,849,000 10,534,000 3,851,000 -679,000 1,429,000 1,373,000 1,222,000 1,647,000 967,000 1,302,000 1,202,000 1,464,000 2,777,000 235,000 365,000 576,000     751,000 567,000 384,000  633,250 563,000 335,000 1,635,000                                              
      interest expense
    -8,265,000 -8,740,000 -8,941,000 -9,130,000 -9,154,000 -9,710,000 -10,126,000 -10,308,000 -10,599,000 -10,081,000 -10,374,000 -11,230,000 -10,390,000 -9,952,000 -9,516,000 -8,409,000 -11,818,000 -16,603,000 -17,595,000 -16,879,000 -17,645,000 -27,302,000 -27,250,000 -28,265,000 -27,608,000 -27,677,000 -29,901,000 -31,080,000 -30,723,000 -25,448,000 -21,782,000 -21,604,000 -19,935,000 -19,844,000 -18,428,000 -18,535,000 -17,752,000 -16,356,000 -17,215,000 -15,058,000 -14,463,000 -8,493,000 -6,201,000 -5,149,000 -3,267,000 -3,313,000 -2,019,000 -2,188,000 -1,371,000 -1,046,000 -1,507,000 -1,673,000 -1,189,000 -1,219,000 -624,000 -848,000 -554,000 -684,000 -1,056,000 -988,000 -911,000 -884,000 -481,000 -1,118,000 -710,000 -506,000 -570,000 -824,000 -1,011,000 -1,747,000 -1,126,000 -335,000 -385,000 -259,000 -147,000 -122,000 -221,000 -90,000 -122,000 -411,000 -409,000 -209,000 -367,000 -846,000 -840,000 -441,000 -298,000 -300,000 -256,000 -230,000 -417,000 -435,000 -290,000 -288,000 
      equity in earnings of unconsolidated affiliate
    692,000 843,000 1,879,000 505,000 406,000 356,750 445,000 464,000 518,000 394,500 661,000 490,000 427,000 329,750 371,000 443,000 505,000 405,500 550,000 577,000 495,000             311,500 -240,000 689,000 797,000 806,000 796,000 789,000 794,000 777,000 784,000 745,000 821,000 905,000 725,000 150,000                                               
      total non-operating expenses
    -2,813,000   -4,898,000 -4,011,000 -5,963,000 -8,592,000 -10,005,000 -8,068,000 -27,360,000 -9,440,000 -9,551,000 -9,329,000 -8,214,000 -8,528,000 -7,122,000 -67,454,000 -14,490,000 -15,359,000 -12,126,000 -25,715,000 -17,258,750 -16,434,000 -23,935,000 -26,942,000 -23,944,000 -26,279,000 -27,868,000 -27,840,000 -22,204,000 -18,714,000 -19,145,000 -16,946,000 -17,361,000 -18,433,000 -17,481,000 -16,379,000 -14,780,000 -16,198,000 -13,859,000 -13,051,000 -6,965,000 -4,850,000 -4,020,000  -2,213,000 -731,000 -1,703,000                                               
      income before income taxes
    38,844,000 45,595,000 87,778,000 54,969,000 28,090,000 -33,667,250 25,235,000 -167,728,000 7,824,000                     81,370,000 90,448,000 109,534,000 87,487,000 108,342,000 107,999,000 104,423,000 89,658,000 127,998,000 140,693,000 133,926,000 111,182,000 143,995,000 146,280,000 136,937,000 112,517,000 138,873,000 137,412,000 127,969,000 104,361,000 123,397,000 122,156,000 112,094,000 90,765,000 102,485,000 107,171,000 99,253,000 79,262,000 91,329,000 94,318,000 92,464,000 75,134,000 56,455,750 81,331,000 81,247,000 63,245,000         41,265,000 65,116,000 59,778,000 40,166,000 52,443,000 57,599,000 53,627,000 37,849,000 29,980,000 44,713,000 43,230,000 28,658,000 28,882,250 41,344,000 40,215,000 33,970,000      
      income tax provision
    -9,272,000    -7,353,000    -3,789,000 14,563,000 -9,441,000 -10,665,000  -3,824,000 -10,051,000 -12,332,000  -13,239,000 -11,594,000 -7,363,000  -5,869,000 -6,677,000 -3,373,000 -2,286,000   -17,116,000 -8,962,000 -21,156,000 -24,873,000 -30,122,000 -24,059,000 -207,861,000 42,119,000 40,725,000 34,967,000 49,919,000 44,272,000 51,601,000 43,411,000 51,581,000 55,640,000 52,889,000 43,928,000 50,593,000 51,174,000 48,944,000 40,701,000 44,423,000 45,198,000 42,876,000 35,398,000 36,382,000 41,261,000 38,709,000 30,912,000 32,970,000 36,077,000 36,523,000 29,678,000 31,529,000 20,061,000 31,889,000 24,982,000 28,659,000 30,069,000 31,167,000 22,001,000 25,187,000 24,161,000 24,662,000 20,726,000 23,382,000 25,558,000 23,463,000 14,584,000 20,028,000 22,434,000 20,169,000 14,099,000 14,110,000 16,656,000 16,103,000 10,675,000 14,507,000 15,401,000 14,980,000 12,654,000 14,678,000 14,388,000 12,187,000 10,418,000 11,857,000 
      net income
    29,572,000 33,683,000 71,708,000 39,260,000 20,737,000 30,480,000 19,441,000 -153,025,000 4,035,000 -124,287,000 21,391,000 28,282,000 14,206,000 29,659,000 30,728,000 27,136,000 -21,192,000 47,510,000 30,788,000 35,005,000 17,634,000 -64,296,000 -41,044,000 -672,436,000 -18,712,000 9,331,000 -1,255,916,000 -8,245,000 -242,872,000 60,214,000 65,575,000 79,412,000 63,428,000 136,103,000 65,880,000 63,698,000 54,691,000 78,079,000 96,421,000 82,325,000 67,771,000 92,414,000 90,640,000 84,048,000 68,589,000 88,280,000 86,238,000 79,025,000 63,660,000 78,974,000 76,958,000 69,218,000 55,367,000 66,103,000 65,910,000 60,544,000 48,350,000 58,359,000 58,241,000 55,941,000 45,456,000 53,800,000 61,270,000 49,358,000 38,263,000 50,401,000 48,134,000 43,217,000 34,052,000 38,985,000 37,396,000 37,014,000 55,806,000 41,267,000 39,558,000 36,315,000 25,582,000 32,415,000 35,165,000 33,458,000 23,750,000 15,870,000 28,057,000 27,127,000 17,983,000 18,123,500 25,943,000 25,235,000 21,316,000    16,999,000  
      yoy
    42.61% 10.51% 268.85% -125.66% 413.93% -124.52% -9.12% -641.07% -71.60% -519.05% -30.39% 4.22% -167.03% -37.57% -0.19% -22.48% -220.18% -173.89% -175.01% -105.21% -194.24% -789.06% -96.73% 8055.68% -92.30% -84.50% -2015.24% -110.38% -482.91% -55.76% -0.46% 24.67% 15.98% 74.31% -31.67% -22.63% -19.30% -15.51% 6.38% -2.05% -1.19% 4.68% 5.10% 6.36% 7.74% 11.78% 12.06% 14.17% 14.98% 19.47% 16.76% 14.33% 14.51% 13.27% 13.17% 8.23% 6.37% 8.47% -4.94% 13.34% 18.80% 6.74% 27.29% 14.21% 12.37% 29.28% 28.71% 16.76% -38.98% -5.53% -5.47% 1.92% 118.15% 27.31% 12.49% 8.54% 7.71% 104.25% 25.33% 23.34% 32.07% -12.43% 8.15% 7.50% -15.64%    25.40%      
      qoq
    -12.20% -53.03% 82.65% 89.32% -31.97% 56.78% -112.70% -3892.44% -103.25% -681.02% -24.37% 99.08% -52.10% -3.48% 13.24% -228.05% -144.61% 54.31% -12.05% 98.51% -127.43% 56.65% -93.90% 3493.61% -300.54% -100.74% 15132.46% -96.61% -503.35% -8.18% -17.42% 25.20% -53.40% 106.59% 3.43% 16.47% -29.95% -19.02% 17.12% 21.48% -26.67% 1.96% 7.84% 22.54% -22.31% 2.37% 9.13% 24.14% -19.39% 2.62% 11.18% 25.02% -16.24% 0.29% 8.86% 25.22% -17.15% 0.20% 4.11% 23.07% -15.51% -12.19% 24.13% 29.00% -24.08% 4.71% 11.38% 26.91% -12.65% 4.25% 1.03% -33.67% 35.23% 4.32% 8.93% 41.96% -21.08% -7.82% 5.10% 40.88% 49.65% -43.44% 3.43% 50.85% -0.78% -30.14% 2.81% 18.39%       
      other comprehensive income, net of tax
                                                                                                  
      unrealized holding gain on investments, net of tax of 152 and 255
    -533,000                                                                                              
      total comprehensive income
    29,039,000 33,847,000 72,017,000 39,689,000 21,516,000 -31,886,000 21,186,000 -152,825,000 4,095,000                                                                                      
      per common and common equivalent share data:
                                                                                                  
      net income:
                                                                                                  
      basic
    370 410 850 460 250 -390 230 -1,840 50                 30 -15,240 -100 -2,820 565 720 850 680                640 -1,240 1,550 1,400 1,120 1,350 1,350 1,250 1,000 1,210 1,210 1,180 960 1,150 1,310 1,060 830 1,100 1,050 950 750 860 830 800 1,170                      
      diluted
    360 400 840 460 240 -390 230 -1,840 50                 30 -15,240 -100 -2,810 562.5 720 850 680                630 -1,210 1,520 1,370 1,100 1,320 1,320 1,220 980 1,190 1,190 1,150 940 1,120 1,290 1,040 810 1,070 1,030 930 740 850 810 780 1,140                      
      weighted-average common shares:
                                                                                                  
      basic
    80,881,000 84,080,000 84,609,000 84,797,000 84,435,000 83,330,000 83,891,000 83,332,000 82,863,000 82,201,000 82,543,000 82,399,000 81,894,000 83,467,000 82,126,000 85,078,000 85,405,000 84,832,000 85,065,000 84,912,000 84,526,000 83,395,000 83,862,000 83,490,000 82,799,000 83,495,000 82,441,000 83,234,000 86,073,000 91,104,000 90,984,000 92,987,000 92,859,000 92,431,000 92,589,000 92,181,000 92,360,000 92,422,000 92,604,000 92,182,000 92,269,000 93,077,000 92,949,000 92,500,000 94,231,000 98,588,000 99,088,000 98,411,000 99,076,000 99,112,000 49,753,000 49,558,000 49,309,000 48,693,000 48,938,000 48,543,000 48,269,000 47,706,000 47,990,000 47,531,000 47,149,000 46,630,000 46,788,000 46,516,000  45,573,000 45,663,000 45,446,000  46,121,000 45,207,000 46,481,000  48,458,000 48,912 48,537 48,366 47,924 48,184 48,003 47,268 23,242 23,438 23,116 22,690  24,043 24,476 24,075 23,742     
      diluted
    83,075,000 85,268,000 85,613,000 85,529,000 85,430,000 83,330,000 84,523,000 83,332,000 83,275,000 82,201,000 82,950,000 82,664,000 82,318,000 84,121,000 82,776,000 85,619,000 85,405,000 85,828,000 86,096,000 85,933,000 85,491,000 83,395,000 83,862,000 83,745,000 82,799,000 83,495,000 82,441,000 83,689,000 86,545,000 91,606,000 91,359,000 93,529,000 93,505,000 92,958,000 92,881,000 92,812,000 93,143,000 93,109,000 93,146,000 92,945,000 93,091,000 93,960,000 93,646,000 93,495,000 95,325,000 99,887,000 100,145,000 99,866,000 100,696,000 100,969,000 50,589,000 50,549,000 50,392,000 49,691,000 49,809,000 49,545,000 49,399,000 48,796,000 48,935,000 48,730,000 48,361,000 47,570,000 47,482,000 47,528,000  46,471,000 46,664,000 46,253,000  47,161,000 46,178,000 47,654,000  49,904,000 50,264 50,125 49,910 49,387 49,515 49,461 48,844 23,930 24,089 23,822 23,455  24,980 25,457 25,105 24,577     
      goodwill impairment
         -3,599,000  154,243,000                   1,449,215,000                                                                    
      long-lived asset impairments
                                                                                                  
      loss on disposal of businesses
         -1,233,000 59,000 10,873,000                                                                                       
      net gain on investments in divested businesses
      20,906,000                                                                                            
      total non-operating income
     -3,199,000 19,727,000                                                                                            
      income tax benefit
     -11,912,000 -16,070,000 -15,709,000  -2,848,000 -5,794,000 14,703,000     -6,506,000    7,401,000    4,955,000     -7,824,000 125,788,000                                                                    
      unrealized holding gain on investments, net of tax of 101, 571, 496 and 657
     379,250 309,000                                                                                            
      unrealized holding gain on investments, net of tax of 140, 66, 395 and 86
       429,000                                                                                           
      unrealized holding gain on investments, net of tax of 255 and 20
        779,000                                                                                          
      fixed assets impairments
         5,028,000  20,112,000                                                                                       
      intangible assets impairments
         1,919,750  7,679,000                                                                                       
      unrealized holding gain on investments, net of tax of 571, -, 657 and 100
         501,250 1,745,000                                                                                        
      unrealized holding gain on investments, net of tax of 66, 126, 86 and 353
           200,000                                                                                       
      unrealized holding gain on investments, net of tax of 20 and 227
            60,000                                                                                      
      loss on early extinguishment of debt
                    -57,016,000    -14,532,000                                                                          
      income from continuing operations before income taxes
             -138,850,000 30,832,000 38,947,000 20,712,000 27,824,000 38,859,000 43,033,000 -28,346,000 53,515,000 43,434,000 37,890,000 389,000 10,356,000 4,025,000 10,973,000 -13,824,000 40,807,000 -1,386,034,000 52,632,000 50,615,000                                     79,060,000 78,203,000 74,384,000 56,053,000 64,172,000 61,557,000 62,834,000 52,855,000                      
      income from continuing operations
             -124,287,000 21,391,000 28,282,000 14,206,000 24,000,000 28,808,000 30,701,000 -20,945,000 40,276,000 31,840,000 30,527,000 5,344,000 4,487,000 -2,652,000 7,600,000 -16,110,000 32,983,000 -1,260,246,000 35,516,000 41,653,000                                     50,401,000 48,134,000 43,217,000 34,052,000 38,985,000 37,396,000 38,172,000 32,129,000                      
      income from discontinued operations, net of tax
                 5,659,000 1,920,000 -3,565,000 -247,000 7,234,000 -1,052,000 4,478,000 12,290,000     -23,652,000 4,330,000 -43,761,000 -284,525,000                                                                  
      net loss attributable to noncontrolling interest
                    4,000 6,000 7,000 6,000 8,000                                                                          
      net income attributable to pediatrix medical group, inc.
             -124,287,000 21,391,000 28,282,000 14,206,000 29,659,000 30,728,000 27,136,000                                                                               
      unrealized holding gain on investments, net of tax of -, 508, 100 and 1,816
             54,500 1,000                                                                                    
      total comprehensive income attributable to pediatrix medical group, inc.
             -122,984,000 21,392,000 27,895,000 14,810,000                                                                                  
      net income attributable to pediatrix medical group, inc.:
                                                                                                  
      basic
             -1,510 260 340 170 350 370 320 -250 560 360 410 210             1,470 710 690 590 850 1,040 890 740 1,000 980 910 730 900 870 800                                               
      diluted
             -1,500 260 340 170 360 370 320 -250 560 360 410 210             1,470 710 690 590 840 1,040 890 730 990 970 900 720 900 860 790                                               
      loss from discontinued operations, net of tax
                         -179,531,250 -38,392,000 -680,036,000 -2,602,000                                                                      
      unrealized holding gain on investments, net of tax of 126, 414, 353 and 1,308
               -387,000                                                                                   
      unrealized holding gain on investments, net of tax of 227 and 894
                604,000                                                                                  
      gain on sale of building
                       -7,280,000                                                                           
      income from continuing operations:
                                                                                                  
      basic
                 290 350 360 -250 470 370 360 60 60 -30 90 -200 330 -15,290 430 480                                     1,100 1,050 950 750 860 830 820 670                      
      diluted
                 290 350 360 -250 470 370 360 60 60 -30 90 -200 330 -15,290 420 480                                     1,070 1,030 930 740 850 810 800 660                      
      income from discontinued operations:
                                                                                                  
      basic
                 60 20 -40  90 -10 50 150     -300 50 -530 -3,310                                           -20 500                      
      diluted
                 70 20 -40  90 -10 50 150     -300 50 -520 -3,290                                           -20 480                      
      net income attributable to mednax, inc.
                    -21,188,000 47,516,000 30,795,000 35,011,000 17,642,000             136,103,000 65,880,000 63,698,000 54,691,000 78,079,000 96,509,000 82,427,000 67,899,000 92,702,000 90,781,000 84,130,000 68,707,000 88,398,000 86,207,000 79,016,000                                               
      net income attributable to mednax, inc.:
                                                                                                  
      basic
             -1,510 260 340 170 350 370 320 -250 560 360 410 210             1,470 710 690 590 850 1,040 890 740 1,000 980 910 730 900 870 800                                               
      diluted
             -1,500 260 340 170 360 370 320 -250 560 360 410 210             1,470 710 690 590 840 1,040 890 730 990 970 900 720 900 860 790                                               
      equity in earnings of unconsolidated affiliates
                         504,000 282,000 479,000 1,345,000 2,304,000 2,249,000 1,990,000 1,236,000 2,277,000 1,766,000 1,257,000 1,525,000                                                              
      loss from discontinued operations:
                                                                                                  
      basic
                         -2,155 -460 -8,140 -30                                                                      
      diluted
                         -2,155 -460 -8,120 -30                                                                      
      net loss:
                                                                                                  
      basic
                         -2,197.5 -490 -8,050 -230                                                                      
      diluted
                         -2,197.5 -490 -8,030 -230                                                                      
      net loss attributable to noncontrolling interests
                                          88,000 102,000 128,000 288,000 141,000 82,000 118,000                                                  
      investment income and other income
                                         312,250 221,000 410,000 618,000                                                      
      investment income
                                                142,000     526,000 372,000 396,000 402,000 681,000 422,000 365,000 428,000 504,000 337,000 329,000 325,000 327,000 438,000 265,000 404,000 382,000 430,000 429,000 441,000 537,000 487,000 645,000 1,313,000 1,209,000 2,121,000 1,661,000 1,864,000 1,735,000 1,173,000 478,000 450,000 534,000 267,000 199,000 177,000 539,000 96,000 112,000 146,000 186,000 76,000 81,000 139,000 221,000 
      total non-operating (expenses) income
                                                -2,304,000                                                  
      less: net income attributable to noncontrolling interests
                                                 -10,000 -31,000 -9,000                                               
      net patient service revenue
                                                   595,544,000 566,338,000 567,387,000 554,730,000 529,180,000 502,715,000 471,332,000 473,134,000 449,530,000 422,616,000 404,898,000 407,665,000 393,402,000 382,283,000 368,480,000 351,058,000 349,094,000 332,927,000 333,288,000 331,276,000 319,815,000 303,885,000 297,815,000 267,185,000 257,704,000 245,573,000 239,502,000 236,876,000 226,810,000 214,456,000 211,313,000 215,755,000 203,807,000 187,679,000 177,695,000 178,099,000 173,756,000 164,150,000 160,993,000 158,333,000 152,187,000 148,116,000 145,782,000 145,514,000 133,701,000 126,200,000 122,502,000 
      weighted-average shares:
                                                                                                  
      basic
    80,881,000 84,080,000 84,609,000 84,797,000 84,435,000 83,330,000 83,891,000 83,332,000 82,863,000 82,201,000 82,543,000 82,399,000 81,894,000 83,467,000 82,126,000 85,078,000 85,405,000 84,832,000 85,065,000 84,912,000 84,526,000 83,395,000 83,862,000 83,490,000 82,799,000 83,495,000 82,441,000 83,234,000 86,073,000 91,104,000 90,984,000 92,987,000 92,859,000 92,431,000 92,589,000 92,181,000 92,360,000 92,422,000 92,604,000 92,182,000 92,269,000 93,077,000 92,949,000 92,500,000 94,231,000 98,588,000 99,088,000 98,411,000 99,076,000 99,112,000 49,753,000 49,558,000 49,309,000 48,693,000 48,938,000 48,543,000 48,269,000 47,706,000 47,990,000 47,531,000 47,149,000 46,630,000 46,788,000 46,516,000  45,573,000 45,663,000 45,446,000  46,121,000 45,207,000 46,481,000  48,458,000 48,912 48,537 48,366 47,924 48,184 48,003 47,268 23,242 23,438 23,116 22,690  24,043 24,476 24,075 23,742     
      diluted
    83,075,000 85,268,000 85,613,000 85,529,000 85,430,000 83,330,000 84,523,000 83,332,000 83,275,000 82,201,000 82,950,000 82,664,000 82,318,000 84,121,000 82,776,000 85,619,000 85,405,000 85,828,000 86,096,000 85,933,000 85,491,000 83,395,000 83,862,000 83,745,000 82,799,000 83,495,000 82,441,000 83,689,000 86,545,000 91,606,000 91,359,000 93,529,000 93,505,000 92,958,000 92,881,000 92,812,000 93,143,000 93,109,000 93,146,000 92,945,000 93,091,000 93,960,000 93,646,000 93,495,000 95,325,000 99,887,000 100,145,000 99,866,000 100,696,000 100,969,000 50,589,000 50,549,000 50,392,000 49,691,000 49,809,000 49,545,000 49,399,000 48,796,000 48,935,000 48,730,000 48,361,000 47,570,000 47,482,000 47,528,000  46,471,000 46,664,000 46,253,000  47,161,000 46,178,000 47,654,000  49,904,000 50,264 50,125 49,910 49,387 49,515 49,461 48,844 23,930 24,089 23,822 23,455  24,980 25,457 25,105 24,577     
      weighed average shares:
                                                                                                  
      basic
                                                                    46,300,000    45,282,000    47,572,000                      
      diluted
                                                                    47,267,000    45,931,000    48,933,000                      
      income from discontinued operations, net of income taxes
                                                                           -1,158,000 23,677,000                      
      per share data:
                                                                                                  
      net income per common and common equivalent share:
                                                                                                  
      basic
                                                                             0.523 0.81 0.75 0.53 0.67 0.73 0.7 0.5 0.66 1.2 1.17 0.79 0.75 1.08 1.03 0.89      
      diluted
                                                                             0.505 0.79 0.72 0.51 0.65 0.71 0.68 0.49 0.65 1.16 1.14 0.77 0.72 1.04 0.99 0.85      
      weighted-average shares used for eps calculation
                                                                                                  
      basic
    80,881,000 84,080,000 84,609,000 84,797,000 84,435,000 83,330,000 83,891,000 83,332,000 82,863,000 82,201,000 82,543,000 82,399,000 81,894,000 83,467,000 82,126,000 85,078,000 85,405,000 84,832,000 85,065,000 84,912,000 84,526,000 83,395,000 83,862,000 83,490,000 82,799,000 83,495,000 82,441,000 83,234,000 86,073,000 91,104,000 90,984,000 92,987,000 92,859,000 92,431,000 92,589,000 92,181,000 92,360,000 92,422,000 92,604,000 92,182,000 92,269,000 93,077,000 92,949,000 92,500,000 94,231,000 98,588,000 99,088,000 98,411,000 99,076,000 99,112,000 49,753,000 49,558,000 49,309,000 48,693,000 48,938,000 48,543,000 48,269,000 47,706,000 47,990,000 47,531,000 47,149,000 46,630,000 46,788,000 46,516,000  45,573,000 45,663,000 45,446,000  46,121,000 45,207,000 46,481,000  48,458,000 48,912 48,537 48,366 47,924 48,184 48,003 47,268 23,242 23,438 23,116 22,690  24,043 24,476 24,075 23,742     
      diluted
    83,075,000 85,268,000 85,613,000 85,529,000 85,430,000 83,330,000 84,523,000 83,332,000 83,275,000 82,201,000 82,950,000 82,664,000 82,318,000 84,121,000 82,776,000 85,619,000 85,405,000 85,828,000 86,096,000 85,933,000 85,491,000 83,395,000 83,862,000 83,745,000 82,799,000 83,495,000 82,441,000 83,689,000 86,545,000 91,606,000 91,359,000 93,529,000 93,505,000 92,958,000 92,881,000 92,812,000 93,143,000 93,109,000 93,146,000 92,945,000 93,091,000 93,960,000 93,646,000 93,495,000 95,325,000 99,887,000 100,145,000 99,866,000 100,696,000 100,969,000 50,589,000 50,549,000 50,392,000 49,691,000 49,809,000 49,545,000 49,399,000 48,796,000 48,935,000 48,730,000 48,361,000 47,570,000 47,482,000 47,528,000  46,471,000 46,664,000 46,253,000  47,161,000 46,178,000 47,654,000  49,904,000 50,264 50,125 49,910 49,387 49,515 49,461 48,844 23,930 24,089 23,822 23,455  24,980 25,457 25,105 24,577     
      depreciation and amortization .
                                                                                         1,749,750 2,298,000        
      net income per common and common equivalent share:
                                                                                                  
      weighted-average shares used for eps calculation
                                                                                                  
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-12-31 2003-09-30 2003-06-30 2003-03-31 2002-09-30 
                                                                                                    
        assets
                                                                                                    
        current assets:
                                                                                                    
        cash and cash equivalents
      205,780,000 375,241,000 340,059,000 224,732,000 98,978,000 229,940,000 103,831,000 19,402,000 7,998,000 73,258,000 21,179,000 5,849,000 6,124,000 9,824,000 8,668,000 14,088,000 7,179,000 387,391,000 357,914,000 338,157,000 269,630,000 1,123,843,000 294,512,000 132,151,000 312,155,000 112,767,000 28,890,000 24,482,000 26,476,000 36,745,000 34,461,000 38,056,000 40,939,000 60,200,000 48,403,000 40,423,000 41,839,000 55,698,000 52,805,000 51,892,000 55,491,000 51,572,000 60,915,000 65,322,000 50,219,000 47,928,000 71,822,000 17,713,000 19,775,000 31,137,000 16,242,000 13,163,000 34,425,000 21,280,000 66,124,000 12,146,000 22,388,000 18,596,000 35,749,000 23,964,000 15,049,000 26,251,000 61,387,000 26,141,000 23,939,000 26,503,000 20,865,000 18,600,000 21,343,000 14,346,000 12,136,000 14,233,000 39,488,000 102,843,000 50,507,000 136,606,000 71,632,000 69,595,000 62,498,000 28,845,000 4,507,000 11,192,000 4,778,000 5,614,000 4,080,000 7,011,000 30,907,000 19,719,000 24,314,000 27,896,000 10,410,000 11,554,000 13,628,000 41,395,000 
        short-term investments
      123,194,000 124,482,000 123,042,000 123,594,000 120,198,000 118,566,000 116,621,000 113,795,000 107,473,000 104,485,000 103,541,000 98,490,000 96,709,000 93,239,000 91,396,000 93,386,000 89,576,000 99,715,000 98,510,000 100,763,000 100,811,000 104,870,000 81,574,000 90,642,000 85,041,000 74,510,000 78,371,000 82,835,000 86,223,000 21,923,000 13,965,000 9,902,000 10,844,000 10,292,000 10,974,000 11,161,000 11,138,000 11,286,000 10,489,000 10,589,000 8,788,000 8,853,000 8,021,000 5,104,000 6,769,000 6,035,000 7,281,000 7,568,000 7,725,000 6,457,000 4,920,000 7,009,000 5,535,000 6,584,000 5,765,000 3,317,000 3,938,000 4,139,000 7,209,000 10,975,000 14,658,000 17,381,000 14,220,000 10,968,000 7,701,000 5,380,000 7,159,000 12,590,000 16,838,000 20,764,000 24,712,000 22,989,000 21,515,000 18,042,000 29,083,000 14,535,000 17,185,000 65,660,000 13,781,000 12,449,000 9,958,000 10,920,000 11,895,000 11,407,000 11,332,000 9,961,000         
        accounts receivable
      224,801,000 229,665,000 231,122,000 238,992,000 242,529,000 259,990,000 286,897,000 274,164,000 283,749,000 272,313,000 277,352,000 270,852,000 278,739,000 296,787,000 294,351,000 307,201,000 317,619,000 301,775,000 261,972,000 248,055,000 245,736,000 241,931,000 267,125,000 345,682,000 476,991,000 498,869,000 494,699,000 504,190,000 522,638,000 542,272,000 522,826,000 527,997,000 542,609,000 503,999,000 520,012,000 480,402,000 487,685,000 495,276,000 486,957,000 461,160,000 465,826,000 444,737,000 406,761,000 380,545,000 360,874,000 352,191,000 345,169,000 327,410,000 315,689,000 285,397,000 272,814,000 269,774,000 263,820,000 248,066,000 250,507,000 240,920,000 236,717,000 230,388,000 207,060,000 194,032,000 188,170,000 181,395,000 174,722,000 178,983,000 173,985,000 164,444,000 164,023,000 163,435,000 165,228,000 162,395,000 151,410,000 148,605,000 144,034,000 145,504,000 142,815,000 132,836,000 127,773,000 125,573,000 119,943,000 113,761,000 115,759,000 111,725,000 109,874,000 105,850,000 105,409,000 107,860,000 108,400,000 100,345,000 97,940,000 94,213,000 89,869,000 84,252,000 83,411,000 75,644,000 
        prepaid expenses
      12,866,000 12,606,000 8,942,000 10,424,000 12,085,000 13,410,000 10,188,000 11,910,000 12,532,000 13,525,000 10,586,000 12,461,000 14,951,000 14,878,000 9,664,000 14,240,000 16,323,000 18,538,000 12,645,000 18,896,000 19,447,000 16,898,000 13,317,000 14,343,000 19,409,000 21,919,000 20,937,000 14,816,000 12,862,000 18,763,000 17,841,000 15,752,000 11,691,000 15,584,000 13,323,000 12,315,000 9,822,000 11,051,000 13,248,000 11,453,000 8,297,000 9,639,000 10,039,000 9,256,000 4,474,000 7,036,000 8,778,000 7,697,000 4,576,000 6,361,000 6,076,000 7,055,000 3,959,000 4,852,000 5,149,000 7,775,000 4,998,000 6,305,000 8,882,000 5,316,000 4,673,000 5,162,000 5,051,000 5,564,000 4,307,000 5,102,000 5,846,000 6,078,000 4,767,000 5,813,000 5,349,000 5,841,000 3,964,000 5,852,000 5,829,000 5,528,000 3,855,000 4,863,000 5,673,000 6,435,000 5,988,000 4,459,000 4,754,000 5,212,000 3,615,000 4,766,000 4,161,000 3,394,000 2,219,000 3,152,000 2,199,000 3,075,000 3,875,000 1,837,000 
        income taxes receivable
      12,188,000 12,641,000 3,815,000 7,630,000 10,272,000 12,614,000 1,198,000  5,193,000 7,565,000     9,729,000 21,529,000  14,249,000 17,281,000 29,055,000 19,393,000  22,797,000 64,428,000 26,449,000                                         5,704,000             2,660,000         1,055,000    7,308,000  2,651,000 
        other current assets
      8,205,000 8,879,000 10,215,000 7,678,000 7,608,000 5,087,000 9,480,000 9,941,000 9,578,000 12,308,000 7,866,000 10,115,000 12,069,000 13,261,000 9,899,000 8,857,000 9,080,000 18,896,000 39,707,000 17,387,000 10,382,000 61,806,000 20,287,000 41,083,000 20,851,000 23,442,000 19,939,000 17,678,000 16,680,000 17,706,000 16,308,000 14,223,000 16,592,000  60,611,000 13,269,000 11,954,000  11,958,000                                                        
        total current assets
      587,034,000 763,514,000 717,195,000 613,050,000 491,670,000 639,607,000 528,215,000 429,212,000 426,523,000 483,454,000 420,524,000 397,767,000 408,592,000 427,989,000 423,707,000 459,301,000 439,777,000 840,564,000 788,029,000 752,313,000 665,399,000 1,549,348,000 1,651,160,000 688,329,000 940,896,000 731,507,000 965,301,000 985,520,000 1,057,416,000 657,409,000 625,401,000 624,930,000 622,675,000 627,235,000 653,323,000 557,570,000 562,438,000 587,128,000 575,457,000 548,477,000 551,439,000 527,769,000 573,178,000 525,504,000 477,957,000 467,052,000 481,061,000 407,698,000 395,996,000 408,839,000 372,963,000 367,691,000 394,628,000 359,044,000 402,806,000 340,223,000 361,265,000 337,273,000 334,003,000 305,321,000 292,174,000 296,009,000 333,977,000 298,808,000 296,847,000 292,665,000 288,646,000 293,372,000 296,800,000 284,901,000 251,559,000 246,004,000 266,591,000 364,126,000 280,350,000 331,865,000 266,907,000 301,599,000 223,413,000 186,039,000 161,460,000 164,624,000 156,337,000 147,969,000 146,964,000  159,702,000 142,592,000 141,920,000 145,557,000     
        property and equipment
      41,094,000 39,180,000 38,636,000 38,944,000 38,222,000 39,172,000 41,922,000 47,893,000 74,340,000 75,639,000 75,146,000 73,334,000 72,928,000 73,290,000 71,656,000 72,150,000 72,458,000 70,154,000 72,552,000 68,481,000 80,805,000 76,191,000 78,570,000 98,469,000 100,227,000 94,492,000 93,731,000 92,720,000 89,037,000 133,037,000 137,832,000 131,922,000 127,055,000 123,536,000 114,839,000 110,476,000 108,261,000 103,068,000 98,495,000 89,896,000 87,742,000 83,634,000 82,873,000 81,362,000 67,274,000 66,048,000 63,596,000 60,178,000 60,700,000 59,911,000 60,931,000 61,408,000 60,275,000 59,738,000 59,207,000 59,874,000 59,571,000 60,530,000 61,639,000 60,106,000 60,572,000 42,774,000 44,043,000 44,548,000 44,663,000 43,272,000 42,158,000 42,128,000 40,907,000 38,807,000 37,469,000 35,046,000 33,981,000 31,162,000 30,045,000 29,677,000 29,636,000 29,939,000 27,565,000 27,871,000 27,658,000 27,855,000 27,116,000 27,432,000 26,452,000 26,621,000 26,618,000 27,072,000 27,775,000 27,194,000 26,823,000 17,140,000 16,531,000 15,581,000 
        goodwill
      1,268,248,000 1,260,732,000 1,255,423,000 1,242,606,000 1,242,606,000 1,242,606,000 1,239,007,000 1,239,007,000 1,393,249,000 1,384,166,000 1,532,092,000 1,532,092,000 1,532,092,000 1,532,092,000 1,532,092,000 1,532,092,000 1,528,694,000 1,505,430,000 1,496,751,000 1,487,105,000 1,482,497,000 1,477,968,000 1,480,668,000 2,165,020,000 2,710,292,000 2,710,292,000 2,634,874,000 4,069,564,000 4,065,506,000 4,382,995,000 4,303,427,000 4,304,740,000 4,301,508,000 4,283,963,000 4,118,234,000 3,948,339,000 3,946,103,000 3,845,157,000 3,828,807,000 3,510,382,000 3,387,473,000 3,366,150,000 3,347,823,000 3,163,866,000 2,813,673,000 2,776,188,000 2,659,331,000 2,516,253,000 2,457,574,000 2,393,731,000 2,354,189,000 2,273,288,000 2,165,169,000 2,165,672,000 1,939,782,000 1,807,628,000 1,771,340,000 1,746,762,000 1,683,336,000 1,614,815,000 1,611,401,000 1,601,319,000 1,340,473,000 1,337,878,000 1,317,464,000 1,270,137,000 1,236,563,000 1,192,852,000 1,139,094,000 1,127,959,000 1,101,311,000 904,675,000 865,220,000 858,919,000 874,717,000 781,505,000 780,811,000 770,289,000 761,244,000 746,174,000 742,703,000 680,097,000 674,052,000 653,848,000 625,472,000 588,874,000 566,679,000 563,749,000 536,141,000 527,422,000 516,144,000 500,332,000 465,603,000  
        intangible assets
      15,937,000 16,862,000 14,802,000 9,296,000 10,387,000 11,595,000 13,183,000 10,193,000 18,759,000 21,240,000 15,486,000 16,800,000 17,487,000 18,491,000 19,534,000 20,965,000 21,050,000 21,565,000 21,617,000 19,989,000 21,483,000 26,642,000 27,665,000 200,408,000 263,308,000 274,407,000 279,605,000 286,101,000 300,662,000 588,312,000 595,415,000 614,226,000 629,308,000 639,928,000 643,214,000 643,002,000 660,383,000 668,529,000 671,742,000 446,232,000 439,693,000 424,219,000                                                     
        operating and finance lease right-of-use assets
      36,871,000 34,330,000 35,702,000 38,690,000 39,866,000 39,267,000 56,566,000 65,392,000 70,278,000 70,294,000 72,443,000 67,088,000 66,793,000 66,924,000 69,346,000 67,504,000 66,055,000 65,461,000 65,145,000 56,508,000 52,634,000 55,972,000                                                                         
        deferred income tax assets
      65,708,000 73,922,000 79,758,000 88,729,000 99,379,000 103,855,000 119,386,000 124,115,000 101,942,000 102,852,000 102,638,000 101,600,000 102,778,000 105,925,000 97,899,000 93,218,000 84,741,000 88,344,000 71,915,000 56,329,000 70,868,000 54,472,000 62,950,000 61,227,000 132,783,000 162,385,000 142,231,000                                                                    
        other assets
      55,403,000 58,156,000 57,889,000 70,785,000 71,349,000 76,598,000 78,594,000 79,539,000 83,074,000 82,165,000 108,010,000 116,829,000 119,381,000 123,176,000 117,723,000 124,386,000 128,201,000 131,028,000 130,095,000 114,405,000 110,058,000 107,355,000 64,820,000 97,942,000 92,346,000 89,994,000 90,640,000 115,049,000 102,653,000 103,459,000 95,423,000 92,634,000 92,229,000 37,160,000 68,628,000 61,723,000 60,475,000 13,817,000 90,217,000 13,383,000 13,037,000 12,968,000 11,982,000 10,715,000 8,464,000 7,901,000 10,818,000 10,876,000 11,272,000 8,007,000 9,415,000 9,776,000 9,258,000 9,228,000 6,898,000 6,801,000 6,683,000 7,531,000 6,547,000 5,046,000 5,980,000 5,241,000 5,602,000 5,368,000 10,365,000 13,098,000 12,395,000 16,195,000 11,174,000 11,199,000 9,431,000 9,978,000 9,510,000 8,632,000 4,914,000 4,677,000 4,495,000 5,339,000 2,948,000 2,188,000 2,309,000 1,928,000 1,709,000 2,136,000 2,037,000 2,470,000 1,940,000 1,962,000 1,996,000 942,000 1,236,000 1,633,000 1,428,000 1,480,000 
        total assets
      2,070,295,000 2,246,696,000 2,199,405,000 2,102,100,000 1,993,479,000 2,152,700,000 2,076,873,000 1,995,351,000 2,168,165,000 2,219,810,000 2,326,339,000 2,305,510,000 2,320,051,000 2,347,887,000 2,331,957,000 2,369,616,000 2,340,976,000 2,722,546,000 2,646,104,000 2,555,130,000 2,483,744,000 3,347,948,000 3,424,826,000 3,387,212,000 4,319,662,000 4,145,901,000 4,290,661,000 5,638,811,000 5,706,257,000 5,934,911,000 5,838,724,000 5,859,638,000 5,883,074,000 5,867,278,000 5,680,523,000 5,407,396,000 5,424,885,000 5,339,400,000 5,343,864,000 4,771,414,000 4,636,287,000 4,547,214,000 4,546,495,000 4,275,139,000 3,646,314,000 3,608,795,000 3,478,217,000 3,174,500,000 3,099,144,000 3,049,430,000 2,979,865,000 2,889,390,000 2,792,656,000 2,750,337,000 2,532,969,000 2,346,966,000 2,325,037,000 2,272,648,000 2,179,816,000 2,072,727,000 2,065,800,000 2,037,646,000 1,800,999,000 1,759,694,000 1,740,314,000 1,689,350,000 1,652,174,000 1,583,445,000 1,521,913,000 1,496,874,000 1,435,025,000 1,226,757,000 1,207,177,000 1,302,802,000 1,237,951,000 1,188,971,000 1,118,368,000 1,135,170,000 1,044,647,000 991,059,000 963,017,000 900,403,000 884,232,000 851,161,000 820,374,000  772,758,000 752,346,000 722,532,000 717,594,000     
        liabilities and shareholders’ equity
                                                                                                    
        current liabilities:
                                                                                                    
        accounts payable and accrued expenses
      236,930,000 419,530,000 352,233,000 303,360,000 234,173,000 398,690,000 333,493,000 267,333,000 207,035,000 350,798,000 302,583,000 277,680,000 226,675,000 374,225,000 306,460,000 287,463,000 232,089,000 394,118,000 375,839,000 329,918,000 306,410,000 423,157,000 388,517,000 360,909,000 323,363,000 511,866,000 441,972,000 386,408,000 312,957,000 469,342,000 413,739,000 358,255,000 302,565,000 438,017,000 402,309,000 320,051,000 256,321,000 407,938,000 363,291,000 300,080,000 260,370,000 395,807,000 351,644,000 286,719,000 212,290,000 380,658,000 300,321,000 241,766,000 178,088,000 308,754,000 256,596,000 204,154,000 150,725,000 255,661,000 224,910,000 180,408,000 122,960,000 234,535,000 200,069,000 159,110,000 121,111,000 307,723,000 299,245,000 276,836,000 240,254,000 346,470,000 333,497,000 273,356,000 224,722,000 302,584,000 243,160,000 202,031,000 169,548,000 243,120,000 210,624,000 170,293,000 136,855,000 206,552,000 173,943,000 161,695,000 122,169,000 164,749,000 135,213,000 116,074,000 93,979,000 128,991,000 111,576,000 91,963,000 75,470,000 111,974,000 96,976,000 73,357,000 54,530,000 68,072,000 
        current portion of debt and finance lease liabilities
      192,421,000 26,806,000 25,339,000 23,685,000 22,128,000 20,545,000 19,276,000 17,730,000 16,409,000 14,913,000 14,929,000 14,919,000 14,914,000 14,898,000                                                                                 
        current portion of operating lease liabilities
      11,885,000 11,591,000 12,226,000 12,049,000 12,174,000 12,704,000 16,992,000 18,764,000 21,034,000 21,076,000 21,814,000 21,567,000 21,058,000 21,589,000 22,654,000 20,620,000 20,885,000 19,684,000 19,168,000 18,848,000 18,179,000 18,933,000 18,695,000 21,598,000 22,340,000 23,317,000 23,469,000 24,494,000 24,726,000                                                                  
        income taxes payable
      1,402,000 984,000 2,749,000 1,949,000 2,577,000 2,171,000 3,319,000 6,329,000 2,804,000 2,159,000 11,118,000 6,152,000 21,571,000 16,271,000 7,661,000 6,410,000 14,349,000 11,074,000    26,000    6,505,000 4,763,000 1,656,000 44,971,000 30,598,000 21,667,000 52,098,000 53,293,000 92,007,000 44,379,000 3,057,000 47,936,000 18,957,000 30,121,000 15,055,000 40,510,000 21,081,000 41,136,000 13,047,000 44,702,000 25,150,000 28,610,000 20,938,000 44,005,000 17,946,000 17,299,000 8,522,000 40,075,000 12,576,000 19,879,000 16,706,000 49,787,000 19,623,000 14,840,000 15,502,000 28,283,000 12,999,000 11,839,000 8,338,000 18,339,000  15,405,000 15,999,000 33,962,000 14,283,000 22,632,000 19,144,000 41,662,000 19,192,000 4,997,000 3,853,000 4,669,000 14,280,000  2,898,000 3,994,000 1,157,000 11,130,000 2,044,000 8,305,000 1,444,000 3,226,000  2,027,000 8,385,000 6,052,000  6,927,000  
        total current liabilities
      442,638,000 458,911,000 392,547,000 341,043,000 271,052,000 434,110,000 373,080,000 310,156,000 247,282,000 388,946,000 350,444,000 320,318,000 284,218,000 426,983,000 351,694,000 329,415,000 269,727,000 427,366,000 397,564,000 351,105,000 326,958,000 444,335,000 488,364,000 383,933,000 346,400,000 541,818,000 500,790,000 441,046,000 415,183,000 500,193,000 435,941,000 411,213,000 356,989,000 531,425,000 475,994,000 350,148,000 328,613,000 448,949,000 413,033,000 332,104,000 312,744,000 428,771,000 404,572,000 311,810,000 267,427,000 416,273,000 329,280,000 262,807,000 222,195,000 326,792,000 273,994,000 212,773,000 190,895,000 268,338,000 244,881,000 197,209,000 172,868,000 254,301,000 215,069,000 174,802,000 149,681,000 320,847,000 311,242,000 285,352,000 258,819,000 346,704,000 349,154,000 289,625,000 258,998,000 317,125,000 266,041,000 221,379,000 211,669,000 264,887,000 216,078,000 174,535,000 141,929,000 221,315,000 174,394,000 165,370,000 126,992,000 166,788,000 147,254,000 118,764,000 102,907,000  115,416,000 92,580,000 78,149,000 121,045,000     
        long-term debt and finance lease liabilities
      398,348,000 570,532,000 577,169,000 583,863,000 590,476,000 597,119,000 607,445,000 612,640,000 613,347,000 618,421,000 621,691,000 625,273,000 628,814,000 632,381,000 636,004,000 639,754,000 655,930,000 1,002,258,000 1,002,510,000 996,643,000 996,862,000 1,742,586,000 1,742,263,000 1,737,176,000 1,733,469,000 1,730,295,000 1,729,377,000 1,728,418,000 1,727,482,000                                                                  
        long-term operating lease liabilities
      27,061,000 25,686,000 27,533,000 29,963,000 30,538,000 31,945,000 39,940,000 49,176,000 47,873,000 47,238,000 48,489,000 43,066,000 43,977,000 44,213,000 45,559,000 42,047,000 40,989,000 41,396,000 41,076,000 39,977,000 37,857,000 40,970,000 40,220,000 56,936,000 62,238,000 67,005,000 65,287,000 70,531,000 71,162,000                                                                  
        long-term professional liabilities
      236,949,000 238,353,000 239,679,000 244,162,000 246,942,000 257,455,000 255,263,000 254,770,000 255,870,000 251,284,000 265,523,000 263,784,000 268,922,000 275,629,000 262,626,000 268,052,000 265,082,000 271,093,000 266,425,000 267,319,000 267,215,000 265,274,000 242,366,000 260,936,000 238,347,000 226,892,000 222,933,000 215,213,000 208,564,000 209,060,000 210,942,000 207,687,000 212,907,000 212,274,000 203,132,000 176,416,000 173,895,000 173,080,000 179,985,000 180,054,000 178,133,000 176,532,000 181,410,000 183,885,000 153,596,000 148,651,000 148,942,000 143,791,000 145,786,000 139,367,000 136,919,000 131,532,000 126,718,000 119,570,000 123,692,000 116,349,000 112,563,000 109,629,000 111,693,000 106,549,000 103,902,000                                  
        deferred income tax liabilities
      57,002,000 57,024,000 38,285,000 36,019,000 34,424,000 34,246,000 35,618,000 30,627,000 34,105,000 34,308,000 41,018,000 37,767,000 32,703,000 33,638,000 39,904,000 43,080,000 39,301,000 41,409,000 50,742,000 48,428,000 61,746,000 61,746,000 63,630,000 68,681,000 61,975,000 57,995,000 61,207,000                                                                    
        other liabilities
      29,721,000 30,336,000 33,526,000 33,297,000 30,859,000 32,887,000 33,035,000 31,521,000 33,492,000 30,552,000 31,189,000 31,927,000 37,646,000 39,411,000 42,503,000 48,338,000 43,871,000 42,332,000 42,110,000 42,534,000 26,123,000 45,320,000 42,977,000 52,980,000 21,337,000 22,900,000 21,907,000 22,447,000 21,581,000 32,254,000 40,941,000 36,199,000 56,529,000 57,905,000 42,281,000 45,740,000 47,450,000 45,174,000 46,495,000 58,253,000 55,978,000 52,289,000 57,220,000 64,416,000 61,467,000 58,963,000 54,507,000 59,129,000 58,432,000 60,985,000 63,316,000 57,344,000 54,976,000 56,951,000 55,857,000 58,461,000 59,065,000 54,544,000 51,646,000 51,108,000 51,022,000 48,723,000 50,105,000 51,528,000 52,469,000 42,885,000 43,520,000 35,001,000 28,664,000 27,882,000 34,341,000 30,016,000 27,537,000 37,919,000 38,214,000 38,496,000 45,365,000                  
        total liabilities
      1,191,719,000 1,380,842,000 1,308,739,000 1,268,347,000 1,204,291,000 1,387,762,000 1,344,381,000 1,288,890,000 1,311,969,000 1,370,749,000 1,358,354,000 1,363,135,000 1,410,280,000 1,456,255,000 1,473,290,000 1,524,186,000 1,463,900,000 1,825,854,000 1,800,427,000 1,746,006,000 1,716,761,000 2,600,231,000 2,619,820,000 2,560,642,000 2,832,266,000 2,646,905,000 2,811,301,000 2,913,784,000 2,926,445,000 2,847,027,000 2,823,419,000 2,672,716,000 2,739,586,000 2,800,824,000 2,763,949,000 2,569,148,000 2,662,415,000 2,578,633,000 2,676,527,000 2,213,361,000 2,175,687,000 2,109,368,000 2,212,754,000 2,054,844,000 1,532,252,000 1,343,229,000 973,105,000 769,723,000 792,064,000 706,442,000 745,771,000 696,245,000 686,900,000 714,969,000 583,860,000 476,853,000 527,224,000 541,632,000 517,596,000 482,509,000 560,049,000 590,192,000 427,678,000 459,371,000 502,193,000 499,252,000 535,341,000 526,910,000 516,041,000 531,736,000 515,892,000 352,204,000 279,259,000 343,750,000 295,974,000 250,589,000 223,520,000 269,369,000 219,048,000 207,899,000 212,291,000 208,612,000 186,521,000 199,813,000 219,286,000  142,672,000 121,218,000 105,454,000 145,216,000     
        commitments and contingencies
                                                                                                    
        shareholders’ equity:
                                                                                                    
        preferred stock; .01 par value...
                                                                                                    
        common stock; .01 par value...
      821,000 830,000 858,000 869,000 858,000 859,000 859,000 858,000 840,000 840,000 839,000 838,000 836,000 829,000 830,000 841,000 872,000 864,000 864,000 863,000 862,000 856,000 855,000 855,000 852,000 842,000 842,000 841,000 864,000 878,000 893,000 934,000 944,000 937,000 936,000 935,000 929,000 937,000 936,000 935,000 929,000 937,000 940,000 940,000 934,000 960,000 1,003,000 1,002,000 995,000 1,012,000 502,000 506,000 502,000 500,000 498,000 497,000 492,000 489,000 489,000 487,000 481,000 479,000 476,000 476,000 471,000 470,000 465,000 463,000 457,000 456,000 456,000 456,000 471,000 484,000    489,000    237,000    225,000    284,000     
        additional paid-in capital
      931,258,000 947,566,000 1,006,197,000 1,021,290,000 1,016,425,000 1,013,690,000 1,010,862,000 1,006,018,000 1,002,946,000 999,906,000 995,847,000 991,630,000 986,923,000 983,601,000 980,659,000 996,624,000 1,054,141,000 1,049,696,000 1,045,285,000 1,039,231,000 1,032,212,000 1,029,453,000 1,023,974,000 1,004,786,000 995,257,000 987,942,000 977,709,000 967,429,000 977,872,000 992,647,000 998,670,000 1,032,573,000 1,030,927,000 1,017,328,000 1,003,551,000 991,106,000 979,032,000 974,304,000 958,953,000 946,091,000 930,970,000 926,235,000 917,541,000 897,590,000 875,411,000 886,877,000 898,560,000 884,464,000 858,456,000 857,953,000 828,543,000 821,266,000 803,099,000 788,080,000 767,926,000 754,841,000 743,090,000 724,646,000 714,209,000 700,450,000 671,930,000 659,091,000 638,761,000 627,033,000 614,194,000 604,435,000 581,576,000 569,414,000 561,974,000 555,293,000 548,273,000 541,120,000 552,698,000 556,836,000 554,199,000 534,748,000 527,529,000 516,384,000 508,598,000 501,325,000 476,169,000 456,852,000 445,545,000 406,046,000 382,918,000 370,847,000 474,842,000 467,702,000 455,738,000 432,361,000 420,467,000 407,076,000 393,643,000 386,579,000 
        accumulated other comprehensive income
      77,000 610,000 446,000 137,000          -3,735,000 -4,100,000 -2,585,000 -1,351,000 1,317,000 2,223,000 2,513,000 2,397,000 3,530,000 1,990,000     38,000                                                                   
        retained deficit
      -53,580,000 -83,152,000 -116,835,000 -188,543,000 -227,803,000 -248,540,000 -279,020,000 -298,461,000 -145,436,000 -149,471,000 -25,184,000 -46,575,000 -74,857,000 -89,063,000 -118,722,000 -149,450,000 -176,586,000 -155,390,000 -202,906,000 -233,701,000 -268,712,000                                                                          
        total shareholders’ equity
      878,576,000 865,854,000 890,666,000 833,753,000 789,188,000 764,938,000 732,492,000 706,461,000 856,196,000 849,061,000 967,985,000 942,375,000 909,771,000           826,570,000 1,487,396,000 1,498,996,000 1,479,360,000 2,725,027,000 2,779,812,000 3,087,884,000 3,015,305,000 3,186,922,000 3,143,488,000 3,066,454,000 2,916,574,000 2,838,248,000 2,762,470,000            2,307,080,000 2,342,988,000 2,234,094,000 2,193,145,000 2,105,756,000 2,035,368,000 1,949,109,000 1,870,113,000 1,797,813,000 1,731,016,000 1,662,220,000 1,590,218,000 1,505,751,000 1,447,454,000 1,373,321,000 1,300,323,000 1,238,121,000 1,190,098,000 1,116,833,000 1,056,535,000 1,005,872,000 965,138,000 919,133,000 874,553,000 927,918,000 959,052,000 941,977,000 938,382,000 894,848,000 865,801,000 825,599,000 783,160,000 750,726,000 691,791,000 697,711,000 651,348,000 601,088,000  630,086,000 631,128,000 617,078,000 572,378,000     
        total liabilities and shareholders’ equity
      2,070,295,000  2,199,405,000 2,102,100,000 1,993,479,000                   3,387,212,000 4,319,662,000 4,145,901,000 4,290,661,000 5,638,811,000 5,706,257,000 5,934,911,000 5,838,724,000 5,859,638,000 5,883,074,000 5,867,278,000 5,680,523,000 5,407,396,000 5,424,885,000            3,099,144,000 3,049,430,000 2,979,865,000 2,889,390,000 2,792,656,000 2,750,337,000 2,532,969,000 2,346,966,000 2,325,037,000 2,272,648,000 2,179,816,000 2,072,727,000 2,065,800,000 2,037,646,000 1,800,999,000 1,759,694,000 1,740,314,000 1,689,350,000 1,652,174,000 1,583,445,000 1,521,913,000 1,496,874,000 1,435,025,000 1,226,757,000 1,207,177,000 1,302,802,000 1,237,951,000 1,188,971,000 1,118,368,000 1,135,170,000 1,044,647,000 991,059,000 963,017,000 900,403,000 884,232,000 851,161,000 820,374,000  772,758,000 752,346,000 722,532,000 717,594,000     
        liabilities & shareholders' equity
                                                                                                    
        total liabilities and shareholders' equity
       2,246,696,000    2,152,700,000 2,076,873,000 1,995,351,000 2,168,165,000 2,219,810,000 2,326,339,000 2,305,510,000 2,320,051,000                                                                                  
        accumulated other comprehensive loss
          -292,000 -1,071,000 -209,000 -1,954,000 -2,154,000 -2,214,000 -3,517,000 -3,518,000 -3,131,000                -194,000                                                                  
        liabilities and shareholders' equity
                                                                                                    
        line of credit
              80,000,000   41,000,000 114,000,000 4,000,000 95,000,000 153,500,000 149,000,000        368,500,000  209,800,000 351,500,000 392,000,000 739,500,000 1,264,000,000 1,149,500,000 1,224,000,000 1,110,500,000 919,000,000 860,500,000 985,000,000 783,500,000 864,000,000 513,000,000 514,000,000 343,500,000 1,165,500,000 1,097,000,000 698,500,000 368,000,000 287,500,000 178,500,000 248,000,000 27,000,000 123,500,000 153,800,000 184,000,000 144,000,000 48,000,000  83,500,000 29,000,000 50,000,000 66,000,000 176,500,000 146,500,000  58,000,000 129,000,000 50,000,000 85,500,000 152,000,000 181,000,000 139,500,000 171,000,000 57,500,000         41,000,000   45,200,000 82,000,000 54,000,000     14,500,000 17,000,000   
        liabilities & equity
                                                                                                    
        total pediatrix medical group, inc. shareholders’ equity
                   891,632,000 858,667,000 845,430,000                                                                               
        noncontrolling interest
                       205,000 211,000 218,000 224,000 232,000 245,000                                                                        
        total equity
                   891,632,000 858,667,000 845,430,000 877,076,000 896,692,000 845,677,000 809,124,000 766,983,000 747,717,000 805,006,000               2,760,767,000 2,667,337,000 2,558,053,000 2,460,600,000 2,437,846,000 2,333,741,000 2,220,295,000 2,114,062,000 2,265,566,000 2,505,112,000 2,404,777,000                                               
        total liabilities and equity
                   2,347,887,000 2,331,957,000 2,369,616,000 2,340,976,000 2,722,546,000 2,646,104,000 2,555,130,000 2,483,744,000 3,347,948,000 3,424,826,000               5,339,400,000 5,343,864,000 4,771,414,000 4,636,287,000 4,547,214,000 4,546,495,000 4,275,139,000 3,646,314,000 3,608,795,000 3,478,217,000 3,174,500,000                                               
        liabilities and equity
                                                                                                    
        current portion of long-term debt and finance lease liabilities
                    14,919,000 14,922,000                                                                               
        current portion of finance lease liabilities
                      2,404,000 2,490,000 2,557,000 2,339,000 2,369,000 2,219,000 2,440,000 1,426,000 697,000 130,000 142,000 206,000 240,000                                                                  
        total mednax, inc. shareholders’ equity
                      877,076,000 896,487,000 845,466,000 808,906,000 766,759,000 747,485,000 804,761,000               2,760,767,000 2,667,337,000 2,557,965,000 2,460,411,000 2,437,528,000 2,333,135,000 2,219,548,000 2,113,233,000 2,264,619,000 2,504,047,000 2,403,743,000                                               
        assets held for sale
                            951,548,000    322,465,000 325,759,000 372,537,000                                             29,863,000                     
        liabilities held for sale
                            78,712,000    30,444,000 28,282,000 32,289,000                                             2,106,000                     
        retained (deficit) earnings
                           -286,354,000 -222,058,000 -179,071,000                                                                       
        operating lease right-of-use assets
                            58,993,000 75,817,000 79,810,000 82,824,000 84,279,000 89,857,000 90,983,000                                                                  
        retained earnings
                              491,287,000 510,212,000 500,809,000 1,756,719,000 1,801,270,000 2,094,359,000 2,015,742,000 2,153,415,000 2,111,617,000 2,048,189,000 1,912,087,000 1,846,207,000 1,782,509,000 1,785,526,000 1,707,448,000 1,610,939,000 1,528,512,000 1,510,356,000 1,414,654,000 1,321,018,000 1,236,888,000 1,376,782,000 1,604,484,000 1,518,277,000 1,447,629,000 1,484,023,000 1,405,049,000 1,371,373,000 1,302,155,000 1,246,788,000 1,180,685,000 1,114,775,000 1,054,231,000 1,005,881,000 947,522,000 889,281,000 833,340,000 787,884,000 734,084,000 672,814,000 623,456,000 585,193,000 534,792,000 486,658,000 443,441,000 409,389,000 370,404,000 332,977,000 374,749,000 401,732,000 387,289,000 403,144,000 366,829,000 348,928,000 316,513,000 281,348,000 274,073,000 250,323,000 273,126,000 245,069,000 217,942,000 199,959,000 362,227,000 336,284,000 311,049,000 289,733,000 265,762,000 242,289,000 222,404,000 186,418,000 
        restricted cash
                                 15,760,000 20,000,000 20,000,000 20,000,000 19,000,000 20,000,000 20,000,000                                                             
        investments
                                   69,699,000 81,226,000 90,186,000 90,299,000 80,682,000 82,285,000 86,286,000 87,225,000 78,975,000 79,146,000 74,480,000 69,199,000 63,288,000 59,270,000 61,933,000 63,802,000 64,082,000 61,791,000 58,076,000 56,512,000 57,511,000 61,810,000 59,851,000 58,645,000 47,593,000 40,501,000 49,126,000 43,568,000 44,991,000 35,019,000 25,666,000 32,866,000 27,393,000 29,473,000 23,998,000 25,417,000 28,491,000 31,382,000 26,634,000 17,572,000 16,241,000 14,627,000 10,928,000 12,119,000 17,469,000 20,012,000 17,876,000 12,428,000 6,669,000 7,580,000 6,983,000 6,567,000 4,071,000 3,031,000            
        liabilities & shareholders’ equity
                                                                                                    
        deferred income taxes
                                 84,629,000 90,473,000 131,240,000 129,637,000 126,505,000 147,893,000 147,797,000 245,392,000 250,713,000 234,461,000 227,802,000 267,833,000 220,472,000 197,995,000  75,460,000 54,562,000 47,157,000 45,961,000 37,193,000 36,434,000 36,959,000 71,480,000 63,496,000 60,914,000 77,631,000 69,034,000 68,363,000 69,264,000 86,541,000 70,314,000 68,556,000 65,988,000 63,644,000 60,579,000 72,995,000 71,784,000 76,550,000 72,434,000 78,358,000 76,474,000 77,450,000 70,384,000 48,521,000 44,358,000 48,080,000 53,390,000 47,202,000 37,683,000 41,967,000 30,569,000 15,910,000 22,361,000 22,939,000 24,400,000 23,327,000 17,750,000 20,491,000 20,166,000 14,294,000 16,117,000 15,451,000 19,354,000 15,024,000  6,577,000 744,000 
        current portion of long-term debt and capital lease obligations
                                   253,000 535,000 860,000 1,131,000 1,401,000 29,306,000 27,040,000 24,356,000 22,054,000 19,621,000 16,969,000 11,864,000 11,883,000 11,792,000 12,044,000 10,435,000 10,465,000                 158,000 178,000 226,000 234,000 252,000 270,000 314,000 258,000 249,000 204,000 459,000 469,000 457,000 389,000 405,000 483,000 451,000 777,000 829,000 882,000 911,000 646,000 623,000 619,000 614,000 617,000 652,000 686,000 595,000 625,000 483,000 531,000 
        long-term debt and capital lease obligations
                                   1,234,780,000 741,958,000 741,612,000 741,268,000 740,923,000 878,150,000 885,631,000 892,996,000 900,128,000 905,181,000 909,478,000 916,837,000 919,320,000 185,001,000 187,857,000 188,226,000 190,855,000                 84,000 117,000 150,000 209,000 262,000 314,000 360,000 356,000 376,000 374,000 171,000 455,000 442,000 138,000 170,000 377,000 490,000 328,000 350,000 622,000 666,000 607,000 623,000 693,000 755,000 1,316,000 1,394,000 1,178,000 2,042,000 2,382,000 1,955,000 1,948,000 
        noncontrolling interests
                                             88,000 189,000 318,000 606,000 747,000 829,000 947,000 1,065,000 1,034,000                                               
        current portion of long-term capital lease obligations
                                                    349,000 103,000 102,000 92,000 99,000 97,000 95,000 101,000 92,000 95,000 121,000 143,000 160,000 190,000 287,000                                  
        long-term capital lease obligations
                                                    651,000 90,000 108,000 143,000 159,000 184,000 209,000 233,000 257,000 289,000 306,000 327,000 359,000 388,000 550,000                                  
        current portion of capital lease obligations
                                                                   125,000                                 
        capital lease obligations
                                                                   56,000                                 
        preferred stock; par value .01 per share; 1,000 shares authorized; none issued
                                                                                                    
        common stock; par value .01 per share; 100,000 shares authorized; 48,872 and 48,861 shares issued and outstanding, respectively
                                                                                489,000                    
        common stock; par value .01 per share; 100,000 shares authorized; 49,020 and 48,861 shares issued and outstanding, respectively
                                                                                 490,000                   
        common stock; par value .01 per share; 100,000 shares authorized; 48,965 and 48,861 shares issued and outstanding, respectively
                                                                                  490,000                  
        deferred compensation
                                                                                   13,405,000 12,219,000 11,560,000 11,546,000 10,372,000 9,787,000 8,795,000 8,770,000 8,059,000 6,965,000 6,579,000 6,197,000 5,564,000 5,118,000 4,749,000 3,935,000 3,135,000 
        unearned compensation
                                                                                       -15,621,000 -21,199,000            
        common stock; par value .01 per share; 100,000 shares authorized; 48,788 and
                                                                                                    
        47,458 shares issued and outstanding, respectively
                                                                                    488,000                
        common stock; par value .01 per share; 100,000 shares authorized; 48,712 and 47,458 shares issued and outstanding, respectively
                                                                                     487,000               
        common stock; par value .01 per share; 100,000 shares authorized; 48,408 and 47,458 shares issued and outstanding, respectively
                                                                                      484,000              
        common stock; par value .01 per share; 50,000 shares authorized; 23,902 and 22,526 shares issued and outstanding, respectively
                                                                                        239,000            
        common stock; par value .01 per share; 50,000 shares authorized; 23,267 and 22,526 shares issued and outstanding, respectively
                                                                                         233,000           
        common stock; par value .01 per share; 50,000 shares authorized; 22,801 and 22,526 shares issued and outstanding, respectively
                                                                                          228,000          
        common stock; par value .01 per share; 50,000 shares authorized; 29,519 and 28,425 shares issued, respectively
                                                                                            295,000        
        treasury stock
                                                                                            -207,278,000 -173,151,000 -150,000,000 -150,000,000 -150,000,000 -124,767,000 -99,980,000 -49,998,000 
        common stock; par value .01 per share; 50,000 shares authorized; 29,338 and 28,425 shares issued, respectively
                                                                                             293,000       
        common stock; par value .01 per share; 50,000 shares authorized; 29,053 and 28,425 shares issued, respectively
                                                                                              291,000      
        common stock; par value .01 per share; 50,000 shares authorized; 28,067 and 27,005 shares issued, respectively
                                                                                                281,000    
        preferred stock; par value .01 per share; 1,000,000 shares authorized; none issued
                                                                                                    
        common stock; par value .01 per share; 50,000,000 shares authorized; 27,582,831 and 27,004,938 shares issued, respectively
                                                                                                 276,000   
        common stock; par value .01 per share; 50,000,000 shares authorized; 27,066,125 and 27,004,938 shares issued, respectively
                                                                                                  271,000  
        goodwill and other assets
                                                                                                   469,800,000 
        common stock; par value .01 per share; 50,000,000 shares authorized; 26,769,821 and 24,961,103 shares issued, respectively
                                                                                                   268,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-12-31 2003-09-30 2003-06-30 2003-03-31 
                                                                                                     
          cash flows from operating activities:
                                                                                                     
          net income
        29,572,000 33,683,000 71,708,000 39,260,000 20,737,000 30,480,000 19,441,000 -153,025,000 4,035,000 -124,287,000 21,391,000 28,282,000 14,206,000 29,659,000 30,728,000 27,136,000 -21,188,000 47,516,000 30,795,000 35,011,000 17,642,000    -18,712,000 9,331,000 -1,255,916,000 -8,245,000 -242,872,000 60,214,000 65,575,000 79,412,000 63,428,000 136,103,000 65,880,000 63,698,000 54,691,000 78,079,000 96,421,000 82,325,000 67,771,000 92,414,000 90,640,000 84,048,000 68,589,000 88,280,000 86,238,000 79,025,000 63,660,000 78,974,000 76,958,000 69,218,000 55,367,000 66,103,000 65,910,000 60,544,000 48,350,000 58,359,000 58,241,000 55,941,000 45,456,000 53,800,000 61,270,000 49,358,000 38,263,000 50,401,000 48,134,000 43,217,000 34,052,000 38,985,000 37,396,000 37,014,000 55,806,000 41,267,000 39,558,000 36,315,000 25,582,000 51,298,000 16,282,000 33,135,000 23,750,000 15,870,000 28,057,000 27,127,000 17,983,000 25,785,000 25,943,000 25,235,000 21,316,000 23,971,000 23,473,000 19,885,000 16,999,000 
          adjustments to reconcile net income to net cash from operating activities:
                                                                                                     
          depreciation and amortization
        6,119,000 5,631,000 5,551,000 5,313,000 5,332,000 6,873,000 6,254,000 8,791,000 10,308,000 9,062,000 9,211,000 8,945,000 8,953,000 9,136,000 8,956,000 8,775,000 8,769,000 7,859,000 8,151,000 8,106,000 8,031,000 7,692,000 -8,043,000 10,119,000 18,673,000 19,410,000 19,608,000 19,809,000 20,033,000 29,891,000 28,709,000 26,518,000 26,163,000 26,414,000 25,116,000 25,735,000 25,614,000 25,254,000 24,185,000 20,241,000 19,584,000 18,149,000 16,918,000 15,549,000 13,612,000 13,902,000 11,356,000 10,362,000 10,370,000 10,491,000 10,461,000 9,870,000 9,144,000 8,091,000 7,925,000 7,687,000 7,113,000 7,266,000 6,213,000 6,032,000 5,781,000 5,843,000 6,321,000 5,006,000 4,780,000 4,610,000 3,956,000 4,187,000 3,963,000 4,020,000 3,296,000 2,939,000 2,955,000 3,047,000 2,577,000 2,466,000 2,473,000 1,955,000 2,763,000 2,404,000 2,348,000 2,400,000 2,339,000 2,529,000 2,647,000  2,299,000 2,337,000 2,363,000     
          amortization of premiums, discounts and issuance costs
        103,000 237,000 240,000 228,000 230,000 251,000 263,000 240,000 200,000 224,000 282,000 340,000 393,000 419,000 489,000 280,000 577,000 815,000 1,682,000 844,000 994,000 3,087,000 1,291,000 1,327,000 1,458,000 1,379,000 1,359,000 1,414,000 1,520,000 1,258,000 1,102,000 1,123,000 1,089,000 1,436,000 1,338,000 1,357,000 1,383,000 739,000 1,384,000 1,397,000 1,296,000                                                     
          stock-based compensation expense
        4,661,000 5,345,000 5,150,000 3,909,000 3,641,000 2,739,000 4,110,000 1,952,000 3,067,000 3,024,000 3,164,000 3,126,000 3,009,000 3,236,000 4,120,000 4,336,000 4,435,000 4,021,000 5,495,000 5,735,000 3,717,000 2,922,000 22,301,000 5,784,000 8,035,000 6,379,000 8,022,000 9,961,000 10,989,000 9,359,000 8,945,000 10,524,000 9,875,000 7,040,000 7,752,000 7,245,000 7,536,000 8,111,000 8,649,000 8,327,000 8,913,000 8,169,000 8,196,000 7,928,000 7,836,000 7,805,000 8,065,000 7,778,000 8,071,000 8,099,000 8,097,000 7,808,000 7,284,000 7,996,000 7,352,000 6,053,000 7,036,000 7,055,000 6,832,000 6,693,000 6,512,000 6,594,000 6,665,000 6,315,000 6,119,000 6,434,000 6,472,000 5,731,000 5,683,000 5,514,000 5,373,000 4,942,000 4,947,000 5,278,000 4,361,000 3,846,000 4,476,000 15,376,000 -5,458,000               
          deferred income taxes
        8,342,000 24,547,000 11,135,000 12,106,000 4,398,000 13,750,000 9,148,000 -25,714,000 686,000 -7,350,000 2,213,000 6,368,000 2,008,000 -14,069,000 -6,808,000 -4,283,000 2,389,000 -1,048,000 -13,158,000 -1,017,000 -16,016,000 6,078,000 -25,598,000 22,230,000 33,582,000 -22,311,000 -143,736,000 -5,845,000 -5,108,000 -7,221,000 4,283,000 -21,256,000 45,000 -76,804,000 -1,723,000 16,270,000 2,184,000 1,873,000 -1,805,000 15,486,000 2,595,000 11,624,000 -14,665,000 15,512,000 2,023,000 -7,851,000 2,918,000 7,879,000 -387,000 -3,420,000 3,130,000 20,582,000 -4,372,000 4,613,000 6,407,000 21,460,000 -11,136,000 2,509,000 1,367,000 2,924,000 1,263,000 18,143,000 816,000 7,231,000 -1,815,000 9,211,000 1,229,000 3,927,000 -6,920,000 -20,415,000 -3,213,000 4,986,000 4,993,000 -5,477,000 -7,417,000 5,648,000 230,000 -2,454,000 -2,106,000 -210,000 3,034,000 833,000 -4,093,000 4,202,000 609,000  616,000 363,000 6,188,000     
          other
        -670,000 -1,176,000 -1,885,000 -743,000 -758,000 -966,000 -328,000 -413,000 -1,265,000 -1,560,000 -707,000 -509,000 -391,000 2,523,000 -802,000 -972,000 -605,000 -711,000 -434,000 -567,000 -638,000 -168,000 2,062,000 -209,000 -1,883,000 1,458,000 -14,219,000 10,383,000 2,767,000 -7,873,000 -882,000 -932,000 -1,216,000 -1,303,000 927,000 -651,000 -2,756,000                                                         
          changes in assets and liabilities:
                                                                                                     
          accounts receivable
        4,864,000 1,457,000 7,870,000 3,770,000 17,461,000 9,657,000 1,569,000 9,002,000 -9,936,000 4,181,000 -6,805,000 7,555,000 21,345,000 -5,042,000 15,449,000 4,202,000 -20,152,000 -30,704,000 -16,022,000 -14,372,000 -11,633,000 7,931,000 -14,290,000 18,392,000 25,904,000 -4,170,000 9,491,000 18,448,000 -15,915,000 -17,771,000 5,171,000 14,612,000 -38,610,000 16,888,000 -27,446,000 7,283,000 11,078,000 -9,188,000 -8,584,000 4,861,000 -21,089,000 -37,768,000 -15,498,000 6,558,000 -8,683,000 -7,022,000 -7,983,000 -11,721,000 -30,292,000 -12,583,000 -3,040,000 -5,954,000 -15,754,000 2,441,000 -9,587,000 -4,203,000 -6,329,000 -23,328,000 -13,028,000 -5,862,000 -6,775,000 -6,673,000 4,261,000 -4,998,000 -9,541,000 -421,000 -588,000 1,793,000 -2,833,000 -10,985,000 -2,805,000 -4,571,000 1,432,000 -4,551,000 -9,979,000 -5,063,000 -2,200,000 -11,834,000 22,000 1,998,000 -4,034,000 -1,851,000 -4,024,000 -441,000 2,451,000  -8,055,000 -2,406,000 -3,726,000     
          prepaid expenses and other current assets
        34,000 -2,136,000 -988,000 1,329,000 -1,125,000 -2,448,000 2,242,000 -53,000 3,756,000 -3,776,000 2,149,000 6,611,000 -4,470,000 -6,781,000 5,665,000 832,000 16,212,000 15,139,000 -14,409,000 -6,999,000 47,799,000 -46,240,000 14,565,000 -21,382,000 5,101,000 -2,378,000 -8,425,000 -3,985,000 4,790,000 -121,000 -4,173,000 -2,139,000 961,000 -3,039,000 913,000 -3,808,000 3,142,000 338,000                                               1,584,000    571,000     
          other long-term assets
        4,744,000 4,826,000 7,371,000 4,952,000 4,649,000 3,159,000 13,614,000 11,055,000 5,900,000 9,508,000 8,291,000 4,100,000 952,000 6,036,000 4,190,000 6,107,000 863,000 387,000 11,271,000 -1,769,000 -90,000 6,213,000 2,143,000 -5,629,000 11,189,000 7,461,000 16,492,000 4,456,000 9,580,000 1,559,000   -517,000     -244,000 9,484,000                                                       
          accounts payable and accrued expenses
        -181,467,000 67,165,000 51,118,000 69,734,000 -159,685,000 85,294,000 48,763,000 58,546,000 -141,463,000 44,197,000 41,197,000 52,810,000 -150,125,000 76,859,000 14,547,000 68,285,000 -159,271,000 26,642,000 49,137,000 52,484,000 -106,937,000 84,341,000 50,176,000 111,843,000 -198,452,000 79,682,000 81,584,000 75,454,000 -132,559,000 53,525,000 62,307,000 35,866,000 -136,308,000 34,349,000 78,064,000 64,005,000 -151,867,000 44,245,000 59,208,000 43,520,000 -135,356,000 44,860,000 66,793,000 50,095,000 -169,622,000 78,612,000 51,776,000 67,021,000 -131,370,000 52,582,000 50,066,000 54,315,000 -107,724,000 31,652,000 43,034,000 56,629,000 -114,362,000 34,662,000 38,988,000 37,548,000 -89,718,000 8,407,000 25,059,000 37,847,000 -108,316,000 26,354,000 43,908,000 47,081,000 -77,862,000 67,174,000 32,629,000 32,483,000 -73,346,000 39,733,000 32,783,000 33,438,000 -60,764,000 24,711,000 20,146,000 28,656,000 -42,580,000 29,536,000 19,887,000 21,347,000 -35,012,000  20,777,000 15,992,000 -37,554,000     
          income taxes payable
        871,000  4,614,000 2,015,000 2,748,000  -4,208,000 8,718,000 3,017,000  6,874,000 -17,327,000 5,299,000            -32,883,000 1,718,000 3,105,000 -43,315,000 14,373,000 8,930,000 -30,277,000 -1,124,000 -38,785,000 47,628,000 41,322,000 -44,879,000 28,979,000 -11,164,000 15,066,000 -25,565,000 19,429,000 -20,055,000 28,089,000 -31,687,000 19,552,000 1,496,000 2,493,000 -23,067,000 26,076,000 906,000 8,790,000 -31,553,000 27,629,000 -7,185,000 3,154,000 -33,635,000 30,323,000 4,966,000 -683,000 -12,755,000 15,176,000 1,148,000 3,495,000 -10,018,000 24,081,000 -20,336,000 -274,000 -17,953,000 19,679,000 -8,354,000 3,534,000 -22,498,000 22,616,000 14,267,000 2,052,000 -771,000 -9,454,000 -10,072,000 21,732,000 -265,000 2,837,000 -4,497,000 13,788,000 53,000 10,463,000    2,887,000     
          long-term professional liabilities
        -1,112,000 -1,252,000 760,000 -576,000 -7,590,000 4,064,000 5,200,000 3,957,000 4,082,000 -1,000 -1,540,000 2,378,000 -1,760,000 10,128,000 -5,452,000 2,684,000 966,000 1,272,000 201,000 -916,000 -11,367,000 12,772,000 -4,038,000 6,969,000 9,023,000 4,295,000 -2,978,000 -496,000 -1,882,000 3,255,000 -5,220,000 -643,000 9,677,000 7,785,000 2,521,000 -1,505,000 -6,905,000 -69,000 1,921,000 1,601,000 -4,878,000 -2,475,000 344,000 4,945,000 -291,000 5,151,000 -1,995,000 6,419,000 2,448,000 5,387,000 4,814,000 7,148,000 -4,122,000 7,343,000 3,786,000 2,934,000 -2,064,000 5,144,000 2,647,000 4,116,000                                 
          other liabilities
        -5,563,000 -13,450,000 -3,305,000 -3,166,000 -6,149,000 -652,000 -10,402,000 -6,619,000 -5,011,000 -12,008,000 -6,144,000 -6,155,000 -4,201,000 -9,690,000 -9,442,000 -1,744,000 877,000 -2,701,000 -9,404,000 14,207,000 -24,620,000 -4,639,000 -18,731,000 34,800,000 -7,912,000 -2,607,000 -10,275,000 -3,612,000 -11,993,000 -1,867,000 -1,030,000 -2,346,000 949,000 -1,519,000 -1,498,000 123,000 2,159,000 738,000 -10,610,000 2,138,000 329,000 -1,471,000 -6,411,000 1,364,000 3,864,000 -219,000 239,000 1,269,000 1,203,000 -500,000 -681,000 1,019,000 1,373,000 -2,230,000 175,000 910,000 1,556,000 -1,097,000 499,000 1,343,000 1,214,000 -169,000 -2,857,000 1,267,000 1,608,000 -1,268,000 189,000 1,560,000 915,000 -4,121,000 5,886,000 2,215,000 -9,205,000 1,297,000 -954,000 -6,378,000 7,936,000                 
          net cash from operating activities – continuing operations
        -129,502,000 114,604,000 138,115,000 138,131,000 -116,111,000 134,805,000 95,725,000 109,344,000 -122,624,000 73,003,000 81,116,000 92,606,000 -100,644,000 102,293,000 88,353,000 81,597,000 -89,931,000 75,042,000 67,202,000 70,442,000 -98,926,000 82,243,000 51,752,000 166,324,000 -146,431,000   115,330,000 -60,408,000                                                                 
          net cash from operating activities - discontinued operations
        -345,000  -830,000 -964,000 -1,352,000  -3,887,000 -2,393,000 -2,602,000  -1,178,000 -3,552,000 -273,000  -5,023,000 810,000 -7,551,000  -6,100,000 -16,855,000 16,738,000      257,000 4,322,000 3,591,000                                                                 
          net cash from operating activities
        -129,847,000 114,102,000 137,285,000 137,167,000 -117,463,000 133,010,000 91,838,000 106,951,000 -125,226,000 69,250,000 79,938,000 89,054,000 -100,917,000 98,686,000 83,330,000 82,407,000 -97,482,000 44,236,000 61,102,000 53,587,000 -82,188,000 -11,866,000 169,935,000 192,982,000 -146,431,000 127,621,000 156,181,000 119,652,000 -56,817,000 127,594,000 140,727,000 135,238,000 -113,634,000 195,635,000 199,930,000 137,576,000 -21,763,000 130,948,000 196,126,000 149,743,000 -33,039,000 104,136,000 172,116,000 146,133,000 -53,684,000 178,807,000 159,413,000 134,243,000 -49,822,000 138,619,000 157,931,000 127,235,000 -18,387,000 105,957,000 134,702,000 117,149,000 -32,116,000 90,098,000 100,079,000 95,303,000 -14,461,000 85,079,000 105,392,000 91,693,000 -41,606,000 72,918,000 106,731,000 83,750,000 -22,025,000 68,278,000 83,131,000 57,295,000 -27,313,000 89,410,000 62,826,000 67,062,000 -30,776,000 62,679,000 56,648,000   47,825,000 60,716,000 53,221,000 656,000  47,060,000 41,150,000 -7,874,000     
          capital expenditures
        -6,247,000 -5,287,000 -5,338,000 -4,515,000 -3,318,000 -3,440,000 -6,290,000 -6,962,000 -5,330,000 -9,044,000 -9,154,000 -8,131,000 -6,999,000 -9,058,000 -6,947,000 -6,558,000 -7,145,000 -3,168,000 -10,545,000 -9,484,000 -9,052,000 -6,979,000 1,517,000 -9,613,000 -13,713,000 -6,872,000 -8,529,000 -10,659,000 -5,821,000 -10,733,000 -11,861,000 -13,848,000 -12,426,000 -17,333,000 -10,067,000 -10,179,000 -11,730,000 -10,844,000 -9,249,000 -8,728,000 -10,443,000 -7,165,000 -7,239,000 -7,281,000 -5,388,000 -6,656,000 -3,652,000 -3,183,000 -4,570,000 -2,970,000 -3,339,000 -5,008,000 -4,337,000 -4,548,000 -3,126,000 -3,901,000 -2,920,000 -2,710,000 -5,203,000 -3,169,000 -20,250,000 -2,059,000 -2,834,000 -3,158,000 -4,062,000 -2,803,000 -3,574,000 -4,484,000 -2,729,000 -4,764,000 -3,275,000 -4,912,000 -3,642,000 -1,522,000 -1,469,000 -7,302,000 2,439,000   -2,313,000 -1,411,000 -2,630,000 -1,531,000  -1,421,000 -1,407,000 -2,399,000     
          free cash flows
        -136,094,000 108,815,000 131,947,000 132,652,000 -120,781,000 129,570,000 85,548,000 99,989,000 -130,556,000 60,206,000 70,784,000 80,923,000 -107,916,000 89,628,000 76,383,000 75,849,000 -104,627,000 41,068,000 50,557,000 44,103,000 -91,240,000 -18,845,000 171,452,000 183,369,000 -160,144,000 120,749,000 147,652,000 108,993,000 -62,638,000 116,861,000 128,866,000 121,390,000 -126,060,000 178,302,000 189,863,000 127,397,000 -33,493,000 120,104,000 186,877,000 141,015,000 -43,482,000 96,971,000 164,877,000 138,852,000 -59,072,000 172,151,000 155,761,000 131,060,000 -54,392,000 135,649,000 154,592,000 122,227,000 -22,724,000 101,409,000 131,576,000 113,248,000 -35,036,000 87,388,000 94,876,000 92,134,000 -34,711,000 83,020,000 102,558,000 88,535,000 -45,668,000 72,918,000 103,928,000 80,176,000 -26,509,000 65,549,000 78,367,000 54,020,000 -32,225,000 85,768,000 61,304,000 67,062,000 -32,245,000 55,377,000 59,087,000   45,512,000 59,305,000 50,591,000 -875,000  45,639,000 39,743,000 -10,273,000     
          cash flows from investing activities:
                                                                                                     
          acquisition payments, net of cash acquired
        -7,000,000 -4,000,000    -8,167,000 -5,000,000 -1,667,000 -2,500,000 -25,667,000 -10,380,000 -12,343,000 -1,250,000 -5,957,000 -2,150,000 -75,000 -80,775,000 -19,750,000 -7,200,000 -4,250,000 -87,456,000 -1,460,000 -3,600,000 -21,975,000 -176,612,000 -241,338,000 -2,801,000 -110,945,000 -37,441,000 -529,146,000 -136,175,000 -59,540,000 -12,599,000 -236,839,000 -531,741,000 -37,724,000 -133,323,000 -210,574,000 -66,122,000 -69,375,000 -44,500,000 -76,601,000 -115,649,000 -1,295,000 -238,644,000 -137,493,000 -36,774,000 -28,095,000 -74,957,000 -68,395,000 -1,450,000 -10,083,000 -274,460,000 -5,601,000 -18,350,000 -40,185,000 -47,950,000 -41,148,000 -50,720,000 -11,503,000   -41,099,000 -6,555,000 -17,008,000 -89,441,000 -694,000 -11,958,000 -6,118,000 -19,055,000 -3,401,000 -63,264,000 -6,217,000 -19,869,000 -28,931,000 -36,920,000 -23,166,000 -2,977,000 -30,029,000 -8,681,000 -11,934,000 -17,112,000   
          purchases of investments
        -7,008,000 -6,367,000 -1,955,000 -13,768,000 -7,761,000 -10,144,000 -14,487,000 -23,019,000 -16,896,000 -5,416,000 -8,716,000 -8,212,000 -9,549,000 -2,408,000 -1,955,000 -11,711,000 -1,272,000 -3,621,000 -3,076,000 -3,217,000 -5,138,000 -25,755,000 -3,755,000 -11,293,000 -21,042,000 -21,194,000    -1,845,000 -14,039,000 -2,982,000 -9,417,000 -2,919,000 -12,405,000 -10,108,000 -12,189,000 -20,388,000 -18,291,000 -13,598,000 -9,434,000 -7,229,000 -3,719,000 -7,280,000 -9,878,000 -5,822,000 -3,904,000 -1,936,000 -3,920,000 -2,928,000 -12,018,000 -12,021,000 -6,986,000 -8,537,000 -5,576,000 -16,487,000 -18,117,000 -322,000 -7,600,000 -5,056,000 -16,227,000 -2,848,000 -2,347,000            -13,538,000    -5,434,000             
          proceeds from maturities or sales of investments
        7,750,000 5,250,000 3,044,000 11,080,000 7,300,000 7,170,000 14,080,000 17,089,000 14,155,000 6,345,000 3,750,000 5,945,000 6,865,000 1,000,000 1,850,000 6,327,000 7,712,000 1,001,000 4,750,000 3,312,000 7,433,000 2,567,000 12,730,000 8,275,000 9,860,000 24,865,000 18,060,000 3,380,000 4,800,000                                                                 
          purchases of property and equipment
        -6,247,000 -5,287,000 -5,338,000 -4,515,000 -3,318,000 -3,440,000 -6,290,000 -6,962,000 -5,330,000 -9,044,000 -9,154,000 -8,131,000 -6,999,000 -9,058,000 -6,947,000 -6,558,000 -7,145,000 -3,168,000 -10,545,000 -9,484,000 -9,052,000 -6,979,000 1,517,000 -9,613,000 -13,713,000 -6,872,000 -8,529,000 -10,659,000 -5,821,000 -10,733,000 -11,861,000 -13,848,000 -12,426,000 -17,333,000 -10,067,000 -10,179,000 -11,730,000 -10,844,000 -9,249,000 -8,728,000 -10,443,000 -7,165,000 -7,239,000 -7,281,000 -5,388,000 -6,656,000 -3,652,000 -3,183,000 -4,570,000 -2,970,000 -3,339,000 -5,008,000 -4,337,000 -4,548,000 -3,126,000 -3,901,000 -2,920,000 -2,710,000 -5,203,000 -3,169,000 -20,250,000 -2,059,000 -2,834,000 -3,158,000 -4,062,000            -1,469,000    -1,562,000             
          net cash from investing activities
        -11,979,000 -10,282,000 6,604,000 -7,154,000 -7,464,000 -1,938,000 -4,338,000 -12,892,000 -16,238,000 -12,424,000 -14,004,000 -10,398,000 -11,350,000 -11,241,000 -6,088,000 -13,352,000 -26,273,000 -15,584,000 -41,214,000 14,089,000 -10,364,000 840,611,000 -3,441,000 -1,439,000 -20,220,000  -27,219,000 -18,612,000 -8,691,000 -94,989,000 -8,806,000 -16,798,000 -22,176,000 -189,136,000 -247,656,000 -12,361,000 -127,460,000 -49,308,000 -543,364,000 -152,401,000 -76,144,000 -24,614,000 -244,332,000 -535,488,000 -43,566,000 -141,024,000 -217,654,000 -70,712,000 -74,214,000 -44,708,000 -79,810,000 -123,337,000 -15,635,000 -251,103,000 -134,442,000 -45,612,000 -29,391,000 -84,569,000 -79,185,000 6,264,000 -33,083,000 -277,600,000 -17,162,000 -23,356,000 -43,494,000 -47,366,000    -35,764,000 -198,887,000 -44,657,000 56,410,000 -7,066,000 -107,647,000 -5,368,000 29,289,000 -59,691,000 -23,242,000 -6,655,000 -66,360,000 -8,595,000 -24,799,000 -31,636,000 -39,822,000  -4,398,000 -30,336,000 -11,080,000     
          cash flows from financing activities:
                                                                                                     
          payments on term loan
        -6,250,000 -4,687,000 -4,688,000 -4,687,000 -4,688,000 -3,125,000 -3,125,000 -3,125,000 -3,125,000 -3,125,000 -3,125,000 -3,125,000 -3,125,000 -3,125,000 -3,125,000                                                                               
          payments on finance lease obligations
        -478,000 -654,000 -502,000 -505,000 -339,000 -843,000 -654,000 -701,000 -690,000 -513,000 -701,000 -701,000 -703,000 -740,000 -914,000 -515,000 -747,000 -1,013,000 -690,000 -434,000 -672,000 -728,000 -247,000 -183,000 -3,000 -51,000 -85,000 -56,000 -42,000                                                                 
          proceeds from issuance of common stock
        544,000 646,000 700,000 1,176,000 662,000 732,000 897,000 1,149,000 860,000 1,036,000 1,187,000 1,594,000 1,095,000 1,176,000 1,382,000 1,664,000 1,174,000 1,242,000 3,033,000 1,536,000 1,042,000 1,312,000 1,321,000 2,544,000 1,832,000 2,101,000 2,606,000 3,675,000 2,876,000 3,006,000 3,863,000 5,658,000 3,731,000 4,592,000 4,694,000 6,913,000 7,077,000 6,423,000 4,144,000 7,058,000 4,397,000 3,406,000 5,766,000 6,360,000 4,596,000 18,736,000 5,752,000 10,990,000 7,398,000 13,340,000 5,182,000 4,982,000 5,193,000 9,983,000 5,024,000 4,541,000 9,262,000 3,054,000 5,207,000 16,966,000 6,135,000 12,961,000 1,560,000 4,818,000 3,193,000 10,760,000 3,966,000 2,291,000 942,000 1,417,000 1,680,000 3,003,000 5,582,000 2,481,000 19,657,000 2,053,000 3,197,000 -4,245,000 8,604,000 3,205,000 22,356,000 17,258,000 8,874,000 16,819,000 8,472,000 6,430,000 3,946,000 7,855,000 15,463,000 7,509,000 9,210,000 10,282,000 935,000 
          repurchases of common stock
        -21,451,000 -64,038,000 -20,867,000 -209,000 -1,569,000 -643,000 -162,000 -11,000 -887,000 -133,000 -11,000 -775,000 -1,470,000 -21,477,000 -64,398,000 -1,166,000 -2,474,000 -251,000 -1,994,000 2,000 -5,452,000 -501,000 -2,542,000 -355,000 -416,000 -65,527,000 -78,982,000 -250,000,000   -2,078,000 -68,114,000 -3,182,000 -58,646,000 -1,450,000 -233,601,000 -360,670,000 -1,063,000 -9,707,000 -116,989,000                    -99,997,000 -100,000,000 -32,607,000                    
          net cash from financing activities
        -27,635,000 -68,638,000 -28,562,000 -4,259,000 -6,035,000 -4,963,000 -3,071,000 -82,655,000 76,204,000 -4,747,000 -50,604,000 -78,931,000 108,567,000 -86,289,000 -82,662,000 -62,146,000 -256,457,000 825,000 -131,000 851,000 -761,661,000 586,000 -4,133,000 -366,650,000 366,039,000  -143,150,000 -107,085,000 66,664,000    116,549,000 25,298,000 55,706,000 -126,631,000 135,364,000 -78,747,000 348,151,000 -941,000 113,102,000 -88,865,000 67,809,000 404,458,000 99,541,000 -61,677,000 112,350,000 -65,593,000 112,674,000   -25,160,000 47,167,000 100,302,000 53,718,000 -81,779,000 65,299,000    36,342,000 157,385,000 -52,984,000 -66,135,000 82,536,000 -19,914,000 -61,198,000 -27,385,000 42,414,000       3,280,000 3,524,000  -53,292,000 -38,120,000 70,843,000 -32,816,000 -36,753,000 -20,051,000 36,235,000  -31,474,000 -15,409,000 15,372,000     
          net decrease in cash and cash equivalents
        -169,461,000   125,754,000 -130,962,000   11,404,000 -65,260,000   -275,000 -3,700,000  -5,420,000 6,909,000 -380,212,000          -14,188,000    -3,595,000 -2,883,000 -19,261,000                           8,915,000 -11,202,000                    -6,685,000   1,534,000 -2,931,000   -4,595,000 -3,582,000     
          cash and cash equivalents at beginning of period
        375,241,000  229,940,000  73,258,000  9,824,000  387,391,000  1,123,843,000  -4,897,000 112,767,000          55,698,000  51,572,000  47,928,000  31,137,000  21,280,000  18,596,000  26,251,000  26,503,000  14,346,000  102,843,000  69,595,000  -4,181,000 11,192,000  7,011,000  27,896,000  73,195,000 
          cash and cash equivalents at end of period
        205,780,000  115,327,000 125,754,000 98,978,000  84,429,000 11,404,000 7,998,000  15,330,000 -275,000 6,124,000  -5,420,000 6,909,000 7,179,000  19,757,000 68,527,000 269,630,000  162,361,000            7,980,000 -1,416,000 41,839,000  913,000 -3,599,000 55,491,000  -4,407,000 15,103,000 50,219,000  54,109,000 -2,062,000 19,775,000  3,079,000 -21,262,000 34,425,000  53,978,000 -10,242,000 22,388,000  11,785,000 8,915,000 15,049,000  35,246,000 2,202,000 23,939,000  2,265,000 -2,743,000 21,343,000  -2,097,000 -25,255,000 39,488,000  -86,099,000 64,974,000 71,632,000   24,338,000 4,507,000  -836,000 1,534,000 4,080,000  11,188,000 -4,595,000 24,314,000  -1,144,000 -2,074,000 13,628,000 
          impairment losses
                                                                                                     
          loss on disposal of business
                                                                                                     
          net gain on investments in divested businesses
                                                                                                    
          income taxes (payable) receivable
                                                                                                     
          net used in operating activities – discontinued operations
                                                                                                     
          proceeds from investment in divested business
                                                                                                    
          borrowings on credit agreement
                 49,000,000 205,000,000 216,000,000   226,500,000 248,500,000     12,500,000 515,000,000 21,500,000 327,300,000 380,000,000 518,500,000 359,000,000 543,000,000 315,500,000 506,000,000 1,590,000,000 435,000,000 284,500,000 536,500,000 279,000,000 759,000,000 352,000,000 550,000,000                                                     
          payments on credit agreement
                 -90,000,000 -278,000,000 -106,000,000   -222,000,000 -99,500,000     -381,000,000 -146,500,000 -231,300,000 -469,000,000 -420,500,000 -866,000,000 -883,500,000 -428,500,000 -390,000,000 -392,500,000 -1,563,500,000 -381,500,000 -414,000,000 -340,000,000 -362,000,000 -410,500,000 -355,500,000 -382,000,000                                                     
          payments of contingent consideration liabilities
                         -189,000   -102,000 -406,000 -346,000 -376,000 -42,000 -407,000 -621,000 -65,000 -176,000 -275,000 -255,000 -44,000 -302,000 -234,000 -472,000 -29,000 -394,000 -253,000 -758,000 -34,000 -220,000 -84,000 -988,000 -2,779,000         -2,861,000                                   
          net increase in cash and cash equivalents
         35,182,000    126,109,000    52,079,000        29,477,000 19,757,000 68,527,000 -854,213,000 829,331,000   199,388,000    1,156,000     31,797,000 7,980,000 -1,416,000 -13,859,000 2,893,000 913,000 -3,599,000 3,919,000 -9,343,000 -4,407,000 15,103,000 2,291,000 -23,894,000   -11,362,000 14,895,000   13,145,000 -44,844,000   3,792,000 -17,153,000    -35,136,000 35,246,000 2,202,000 -2,564,000 5,638,000 2,265,000 -2,743,000 6,997,000   -25,255,000 -63,333,000 52,386,000 -86,099,000 64,974,000 2,037,000     6,414,000    -23,896,000    17,486,000 -1,144,000 -2,074,000 -59,567,000 
          cash and cash equivalents at beginning of year
                                                                                                     
          cash and cash equivalents at end of year
                                                                                                     
          supplemental disclosure of cash flow information:
                                                                                                     
          cash paid for interest
                                                                                                     
          non-cash investing and financing activities:
                                                                                                     
          equipment financed through finance leases
                                                                                                     
          property and equipment included in accounts payable
                                                                                                     
          loss on disposal of businesses
              59,000                                                                                       
          payment of contingent consideration liability
                                                                                                    
          borrowings on line of credit
              65,000,000 170,500,000                                      450,000,000 262,500,000 371,500,000 79,500,000 267,000,000 269,500,000 295,500,000 116,000,000 155,500,000 113,000,000 133,000,000 125,000,000 147,500,000 92,500,000 147,500,000 324,500,000 21,500,000 108,500,000 229,500,000 141,000,000 70,500,000 76,000,000 186,000,000 110,000,000 263,100,000 60,700,000 16,000,000     -72,000,000 72,000,000 82,000,000 41,000,000    28,000,000      -2,500,000   
          payments on line of credit
              -145,000,000 -90,500,000                                      -341,000,000 -332,000,000 -150,500,000 -176,000,000 -297,300,000 -299,700,000 -255,500,000 -20,000,000 -107,500,000 -196,500,000 -78,500,000 -146,000,000 -163,500,000 -203,000,000 -117,500,000 -178,000,000 -79,500,000 -179,500,000 -150,500,000 -176,500,000 -137,000,000 -105,000,000 -144,500,000 -141,500,000 -149,600,000 -3,200,000 -16,000,000     126,000,000 -126,000,000    -45,200,000           
          income from discontinued operations
                                                                                                     
          loss on early extinguishment of debt
                     57,016,000 14,532,000                                                                         
          redemption of senior notes, including call premium
                     -1,046,880,000 -759,848,000                                                                         
          proceeds from issuance of senior notes and term loan
                                                                                                     
          payments for credit facility amendment and financing costs
                             -10,000 -500,000                                                                     
          cash paid for:
                                                                                                     
          interest
                                                                                                     
          income taxes
                     26,109,000                                                                                
          goodwill impairment
                                                                                                   
          fixed assets impairments
                                                                                                    
          intangible assets impairments
                                                                                                    
          gain on sale of building
                                                                                                   
          proceeds from sale of building
                                                                                                   
          strategic investments
                                                                                                    
          net cash from investing activities – continuing operations
                     -11,241,000 -6,088,000 -13,352,000 -26,273,000 -15,584,000 -41,214,000 14,089,000 -12,714,000  8,946,000 -16,905,000 -20,220,000   -14,479,000 -5,271,000                                                                 
          net cash from investing activities – discontinued operations
                                                                                                     
          net cash from financing activities – continuing operations
                     -86,289,000 -82,662,000 -62,146,000 -256,457,000    -761,661,000 586,000 -2,885,000 -366,650,000 366,039,000   -107,085,000 66,664,000                                                                 
          net cash from financing activities – discontinued operations
                                                                                                     
          loss from discontinued operations
                     -5,659,000   247,000 -7,234,000 1,052,000 -4,478,000 -12,290,000 68,783,000 33,126,000 682,397,000 2,602,000 23,652,000 -4,330,000 43,761,000 284,525,000                                                                 
          proceeds from senior notes and term loan
                      650,000,000                                                                             
          payments for financing costs
                      -227,000 -470,000 -7,924,000         -814,000 -8,380,000                                                                 
          income taxes receivable
                       -29,470,000 17,216,000 14,106,000 11,774,000 -9,664,000 -18,501,000                                                                         
          payment of contingent consideration liabilities
                                                          -600,000 -5,300,000 -410,000  -4,493,000 -410,000                                     
          net cash from operating activities – discontinued operations
                                                                                                     
          contribution from noncontrolling interests
                                        894,000                                                       
          cash, cash equivalents at beginning of year
                                                                                                     
          cash paid (refunded) for:
                                                                                                     
          net cash from investing activities - discontinued operations
                          2,350,000      -3,093,000 -4,133,000 -3,420,000                                                                 
          borrowings on revolving credit line
                                                                                                     
          payments on revolving credit line
                                                                                                     
          net cash from financing activities - discontinued operations
                                                                                                     
          proceeds from issuance of senior notes
                                 500,000,000                                                                 
          payments for credit facility amendment
                                                                                                    
          contribution from noncontrolling interest
                                                                                                     
          net cash from from financing activities – continuing operations
                                                                                                     
          net cash (used in) provided from financing activities – continuing operations
                                                                                                     
          proceeds from sales of businesses, net of cash sold
                                                                                                     
          net cash (used in) provided by investing activities – continuing operations
                                                                                                     
          net cash provided by (used in) investing activities – discontinued operations
                                                                                                     
          net loss
                              -41,044,000                                                                       
          income taxes payable / receivable
                              20,920,000                                                                       
          net cash from operating activities—discontinued operations
                                                                                                     
          proceeds from sale of business, net of cash sold
                              604,000                                                                       
          net cash from investing activities—discontinued operations
                                                                                                     
          net cash from financing activities—discontinued operations
                                                                                                     
          net cash provided by (used in) investing activities—discontinued operations
                                                                                                     
          net increase (decrease) in cash and cash equivalents
                                                                                                     
          proceeds from sale of business
                                4,750,000                                                                     
          less cash and cash equivalents of discontinued operations at end of period
                                  2,836,000 -189,000 -11,425,000                                                                 
          cash and cash equivalents of continuing operations at end of period
                                312,155,000                                                                     
          proceeds from sales of businesses
                                                                                                     
          net cash from (used in) investing activities – continuing operations
                                                                                                     
          net cash from (used in) investing activities
                                                                                                     
          net cash (used in) provided by financing activities – continuing operations
                                                                                                     
          net cash (used in) provided by financing activities
                                                                                                     
          cash, cash equivalents and restricted cash at beginning of year
                                                                                                     
          less cash and cash equivalents of discontinued operations at end of year
                                                                                                     
          cash and cash equivalents and restricted cash at end of year
                                                                                                     
          value of common stock issued for acquisitions
                                                                                                     
          net cash from operating activities - continuing operations
                                                                                                     
          proceeds from sale of controlling interest in assets
                                     22,764,000                                                             
          net cash from investing activities - continuing operations
                                                                                                     
          net cash from financing activities - continuing operations
                                                                                                     
          cash, cash equivalents and restricted cash at beginning of period
                                  56,745,000  80,200,000                                                             
          cash, cash equivalents and restricted cash of continuing operations at end of period
                                   -6,234,000 46,476,000                                                                 
          proceeds from maturities of investments
                                     3,200,000 4,515,000 2,495,000 3,500,000 4,895,000 13,225,000 3,420,000 3,870,000 9,085,000 7,220,000 12,890,000 12,130,000          4,050,000    13,163,000    12,530,000        6,390,000 5,200,000 6,475,000                         
          payments on capital lease obligations
                                     -343,000 -377,000 -321,000 -315,000 -645,000 -624,000 -421,000 -577,000 -529,000 -674,000 -391,000 -536,000 -1,108,000 -608,000 -296,000 -159,000 -75,000 -42,000 -17,000 -25,000 -23,000 -23,000 -23,000 -30,000 -15,000 -35,000 -43,000 -43,000 -50,000 -59,000 -259,000 -95,000      -70,000 -90,000 -85,000  -64,000 -52,000 -310,000  -47,000         -70,000 -65,000   -113,000 -91,000   -38,000 -51,000 
          excess tax benefit from exercises of stock options and vesting of restricted stock
                                                319,000    1,076,000        2,414,000 2,059,000 729,000 1,716,000 1,990,000 145,000 1,743,000 4,841,000 302,000 790,000 115,000 1,728,000 410,000     95,000 85,000 1,653,000 2,298,000 248,000 6,505,000 1,275,000 612,000                 
          net cash (used in) provided from financing activities
                                     -30,321,000 -135,516,000                   -79,016,000                      -37,893,000 -92,430,000 -29,958,000                    
          cash, cash equivalents and restricted cash at end of year
                                                                                                     
          equipment financed through capital leases
                                                                                                     
          cash, cash equivalents and restricted cash at end of period
                                      -3,595,000 -2,883,000 60,939,000                                                             
          other long term assets
                                                                                                     
          excess tax benefit from exercises of stock options and vesting of restricted and deferred stock
                                                                                                     
          other assets
                                          1,775,000 -1,068,000 -2,357,000    1,164,000 -5,341,000 3,121,000 3,154,000 705,000 457,000 1,048,000 291,000 341,000 -533,000 -3,187,000 266,000 -87,000 399,000 214,000 561,000 -21,000 -89,000 1,300,000 222,000 2,499,000 -2,514,000 -185,000 -414,000 -488,000 -2,108,000 -327,000 539,000 227,000 992,000 -4,000 224,000 146,000 -100,000 383,000 -584,000 274,000 -83,000 -1,372,000 180,000 370,000 -18,000 -853,000 100,000 -69,000  74,000 -64,000 81,000     
          excess tax benefit from vesting of restricted stock and exercises of stock options
                                                                                                     
          net change in fair value of contingent consideration liabilities
                                             180,000 98,000 220,000 274,000 29,000 245,000 -550,000 289,000 89,000 -966,000 114,000 346,000                                             
          equity in earnings of unconsolidated affiliate
                                             -806,000 -796,000 -789,000 -794,000 -777,000 -784,000 -745,000 -821,000 -905,000 -725,000                                               
          distribution of earnings from unconsolidated affiliate
                                                2,062,000                                                 
          value of common stock issued for an acquisition
                                                                                                     
          excess tax benefit from vesting of restricted stock and exercises from stock options
                                              70,000                                                       
          prepaid expenses and other assets
                                               -3,498,000 1,273,000 -425,000 -1,800,000 -4,679,000 1,999,000 4,674,000 -113,000 -1,575,000 -1,480,000 1,123,000 1,340,000 -3,614,000 1,363,000 -2,033,000 2,529,000 -2,895,000 2,155,000 1,593,000 -5,067,000 291,000 -250,000 250,000 279,000 -175,000 3,528,000 41,000 4,032,000 -6,332,000 1,071,000 -2,232,000 1,039,000 -2,345,000 486,000 -4,551,000 -538,000 -1,855,000 1,852,000   -326,000 -1,910,000 76,000 885,000    -745,000       
          borrowings on credit facility
                                                 275,000,000 432,000,000 780,000,000 634,500,000                                                 
          payments on credit facility
                                                 -1,099,500,000 -366,000,000 -384,000,000 -306,500,000                                                 
          proceeds from sales or maturities of investments
                                                  9,180,000 10,763,000 3,265,000 6,235,000 6,450,000 4,415,000 3,635,000    2,015,000    7,200,000    4,850,000 3,975,000 7,500,000 1,000,000 3,100,000     7,949,000 6,500,000 3,714,000 6,570,000 46,345,000 72,960,000 63,015,000 56,254,000                 
          excess tax benefit from vesting of restricted and deferred stock and exercises of stock options
                                                                                                     
          payments for credit facility financing costs
                                                                                                     
          non-cash financing activities:
                                                                                                     
          excess tax benefit from exercises of stock options
                                                      1,343,000 7,881,000 1,935,000                    57,000                         
          payments for amendment of line of credit
                                                                                                     
          accretion of contingent consideration liabilities
                                                          610,000 464,000 242,000 232,000 246,000 252,000 265,000 266,000 273,000 279,000 265,000 250,000 268,000 274,000 175,000                             
          excess tax benefit from exercises of stock options and vesting of restricted stock and deferred stock
                                                          2,562,000                                           
          excess tax benefit related to resolution of income tax matters
                                                                                                    
          gain on sale of discontinued operating unit
                                                                                                     
          proceeds from sale of discontinued operating unit
                                                                                                     
          payments for syndication of line of credit
                                                                                                    
          payments on long-term debt and capital lease obligations
                                                                     -61,000 -53,000 -81,000 -67,000            -285,000 -346,000   -325,000 -74,000    -66,000        
          cash held by discontinued operating unit
                                                                                                     
          gain on sale of assets
                                                                              1,906,000 -38,143,000                    
          purchase of investments
                                                                          -5,707,000 -10,014,000 -3,880,000 -5,615,000 -11,922,000 -3,997,000 -4,693,000 -32,761,000 -89,644,000   -63,208,000    -3,665,000            
          purchase of property and equipment
                                                                          -2,803,000 -3,574,000 -4,484,000 -2,729,000 -4,764,000 -3,275,000 -4,912,000 -3,642,000 -1,522,000   -7,302,000 2,439,000   -2,313,000 -1,411,000 -2,630,000 -1,531,000 -1,830,000 -1,421,000 -1,407,000 -2,399,000 -1,531,000 -11,403,000 -1,024,000 -1,316,000 
          proceeds from sale of assets
                                                                              66,000,000                   
          payments on syndication of line of credit
                                                                                                     
          excess tax benefit related to stock option exercises and restricted stock vestings
                                                                          609,000                           
          cash held by discontinued operating unit at beginning of period
                                                                              50,000                     
          cash held by discontinued operating unit on sale date
                                                                              -72,000                     
          net cash (used in) provided from investing activities
                                                                           -59,108,000 -13,392,000                         
          reduction of excess tax benefit related to stock option exercises and restricted stock vestings
                                                                                                     
          acquisition payments
                                                                                                     
          recognition of tax benefits from uncertain tax positions
                                                                                                     
          cash held by discontinued operating unit at end of year
                                                                                                     
          recognition of tax benefit from uncertain tax position
                                                                                  -1,181,000                 
          net cash from (used in) financing activities
                                                                                                     
          maturities of investments
                                                                                        3,900,000 3,600,000            
          payments to refinance line of credit
                                                                                          -172,000         
          excess tax benefit of stock option exercises and restricted stock vesting
                                                                                                     
          cash and cash equivalents at the end of period
                                                                                                     
          purchase of short-term investments
                                                                                           -4,575,000 -3,871,000         
          maturities of short-term investments
                                                                                           4,500,000 2,500,000         
          adjustments to reconcile net income to net cash (used in) provided from operating activities:
                                                                                                     
          equity-based compensation expense
                                                                                        5,017,000 5,476,000            
          net cash (used in) provided from operating activities
                                                                                        -11,168,000             
          excess tax benefit of stock option exercises and restricted stock vestings
                                                                                        7,812,000             
          payments to amend line of credit
                                                                                                     
          (payments) borrowings on line of credit
                                                                                                     
          non-cash financing activity:
                                                                                                     
          common stock issued for convertible notes
                                                                                                     
          purchase of treasury stock
                                                                                              -34,127,000   -25,233,000 -24,787,000 -49,982,000 
          cash flows provided from investing activities:
                                                                                                     
          cash flows provided from financing activities:
                                                                                                     
          income taxes payable/receivable
                                                                                              6,151,000       
          payments on long-term debt, capital lease obligations and note payable
                                                                                                     
          physician group acquisition payments
                                                                                                    -2,660,000