Document and Entity Information
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6 Months Ended | |
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Jun. 30, 2015
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Jul. 24, 2015
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Document And Entity Information [Abstract] | ||
Document Type | 10-Q | |
Amendment Flag | false | |
Document Period End Date | Jun. 30, 2015 | |
Document Fiscal Year Focus | 2015 | |
Document Fiscal Period Focus | Q2 | |
Trading Symbol | MD | |
Entity Registrant Name | MEDNAX, INC. | |
Entity Central Index Key | 0000893949 | |
Current Fiscal Year End Date | --12-31 | |
Entity Filer Category | Large Accelerated Filer | |
Entity Common Stock, Shares Outstanding | 94,078,648 |
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This is focus fiscal period of the document report. For a first quarter 2006 quarterly report, which may also provide financial information from prior periods, the first fiscal quarter should be given as the fiscal period focus. Values: FY, Q1, Q2, Q3, Q4, H1, H2, M9, T1, T2, T3, M8, CY. No definition available.
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This is focus fiscal year of the document report in CCYY format. For a 2006 annual report, which may also provide financial information from prior periods, fiscal 2006 should be given as the fiscal year focus. Example: 2006. No definition available.
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The end date of the period reflected on the cover page if a periodic report. For all other reports and registration statements containing historical data, it is the date up through which that historical data is presented. If there is no historical data in the report, use the filing date. The format of the date is CCYY-MM-DD. No definition available.
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A unique 10-digit SEC-issued value to identify entities that have filed disclosures with the SEC. It is commonly abbreviated as CIK. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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Indicate number of shares or other units outstanding of each of registrant's classes of capital or common stock or other ownership interests, if and as stated on cover of related periodic report. Where multiple classes or units exist define each class/interest by adding class of stock items such as Common Class A [Member], Common Class B [Member] or Partnership Interest [Member] onto the Instrument [Domain] of the Entity Listings, Instrument. No definition available.
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The exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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Condensed Consolidated Balance Sheets (Unaudited) (Parenthetical) (USD $)
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Jun. 30, 2015
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Dec. 31, 2014
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Statement of Financial Position [Abstract] | ||
Preferred stock, par value | $ 0.01 | $ 0.01 |
Preferred stock, shares authorized | 1,000,000 | 1,000,000 |
Preferred stock, issued | 0 | 0 |
Common stock, par value | $ 0.01 | $ 0.01 |
Common stock, shares authorized | 200,000,000 | 200,000,000 |
Common stock, shares issued | 94,026,000 | 96,030,000 |
Common stock, shares outstanding | 94,026,000 | 96,030,000 |
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Condensed Consolidated Statements of Income (Unaudited) (USD $)
In Thousands, except Per Share data, unless otherwise specified |
3 Months Ended | 6 Months Ended | ||
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Jun. 30, 2015
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Jun. 30, 2014
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Jun. 30, 2015
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Jun. 30, 2014
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Income Statement [Abstract] | ||||
Net revenue | $ 676,588 | $ 595,544 | $ 1,315,983 | $ 1,161,883 |
Operating expenses: | ||||
Practice salaries and benefits | 422,803 | 372,216 | 842,398 | 744,256 |
Practice supplies and other operating expenses | 24,878 | 22,466 | 48,309 | 43,882 |
General and administrative expenses | 72,401 | 60,829 | 140,337 | 119,243 |
Depreciation and amortization | 15,549 | 10,361 | 29,161 | 20,732 |
Total operating expenses | 535,631 | 465,872 | 1,060,205 | 928,113 |
Income from operations | 140,957 | 129,672 | 255,778 | 233,770 |
Investment and other income | 384 | 335 | 526 | 1,970 |
Interest expense | (5,149) | (2,188) | (8,416) | (3,559) |
Equity in earnings of unconsolidated affiliate | 745 | 150 | 1,566 | 150 |
Total non-operating expenses, net | (4,020) | (1,703) | (6,324) | (1,439) |
Income before income taxes | 136,937 | 127,969 | 249,454 | 232,331 |
Income tax provision | 52,889 | 48,944 | 96,817 | 89,646 |
Net income | 84,048 | 79,025 | 152,637 | 142,685 |
Net loss (income) attributable to noncontrolling interests | 82 | (9) | 200 | (9) |
Net income attributable to MEDNAX, Inc. | $ 84,130 | $ 79,016 | $ 152,837 | $ 142,676 |
Net income attributable to MEDNAX, Inc.: | ||||
Earnings per share, Basic | $ 0.91 | $ 0.80 | $ 1.64 | $ 1.45 |
Earnings per share, Diluted | $ 0.90 | $ 0.79 | $ 1.62 | $ 1.42 |
Weighted average common shares: | ||||
Basic | 92,500 | 98,411 | 93,361 | 98,689 |
Diluted | 93,495 | 99,866 | 94,405 | 100,226 |
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Basis of Presentation and New Accounting Pronouncements
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6 Months Ended | ||
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Jun. 30, 2015
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Accounting Policies [Abstract] | |||
Basis of Presentation and New Accounting Pronouncements |
The accompanying unaudited Condensed Consolidated Financial Statements of the Company and the notes thereto presented in this Form 10-Q have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (“SEC”) applicable to interim financial statements, and do not include all disclosures required by accounting principles generally accepted in the United States of America (“GAAP”) for complete financial statements. In the opinion of management, these financial statements include all adjustments, consisting only of normal recurring adjustments, necessary for a fair statement of the results of interim periods. The financial statements include all the accounts of MEDNAX, Inc. and its consolidated subsidiaries (collectively, “MDX”) together with the accounts of MDX’s affiliated business corporations or professional associations, professional corporations, limited liability companies and partnerships (the “affiliated professional contractors”). Certain subsidiaries of MDX have contractual management arrangements with its affiliated professional contractors, which are separate legal entities that provide physician services in certain states and Puerto Rico. The terms “MEDNAX” and the “Company” refer collectively to MEDNAX, Inc., its subsidiaries and the affiliated professional contractors. The Company has a joint venture in which it owns a 75% economic interest. The Company has a management agreement with the joint venture and, based on the terms of the agreement, the Company has determined that the joint venture is a variable interest entity for which the Company is the primary beneficiary as defined in the accounting guidance for consolidation. Accordingly, the financial results of the joint venture are fully consolidated into the Company’s operating results. The equity interests of the outside investor in the equity and results of operations of this consolidated entity are accounted for and presented as noncontrolling interests. The Company has a second joint venture in which it owns a 37.5% economic interest. The Company accounts for this joint venture under the equity method of accounting because the Company exercises significant influence over, but does not control, this entity. The consolidated results of operations for the interim periods presented are not necessarily indicative of the results to be experienced for the entire fiscal year. In addition, the accompanying unaudited Condensed Consolidated Financial Statements and the notes thereto should be read in conjunction with the Consolidated Financial Statements and the notes thereto included in the Company’s most recent Annual Report on Form 10-K (the “Form 10-K”). New Accounting Pronouncements In March 2015, the accounting guidance related to the presentation of debt issuance costs was amended to require that such costs be presented in the balance sheet as a direct deduction from the carrying amount of the related debt liability. The new guidance is required to be adopted on a retrospective basis as a change in accounting principle and will become effective for the Company on January 1, 2016 with early adoption permitted. The adoption of this guidance will affect financial statement presentation only, and therefore will not have a material impact on the Company’s Condensed Consolidated Financial Statements. In February 2015, the accounting guidance related to consolidation was amended to include changes to both the variable and voting interest models used by companies to evaluate whether an entity should be consolidated. The new guidance will become effective for the Company on January 1, 2016, and early adoption is permitted. The adoption of this guidance is not expected to have an impact on the Company’s Condensed Consolidated Financial Statements. In May 2014, the accounting guidance related to revenue recognition was amended to outline a single, comprehensive model for accounting for revenue from contracts with customers. While the new guidance supersedes existing revenue recognition guidance, it closely aligns with current GAAP. The new guidance will become effective for the Company on January 1, 2018, with early adoption permitted on January 1, 2017. The Company is currently evaluating the impact, if any, the adoption of this guidance will have on the Company’s Condensed Consolidated Financial Statements. |
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Cash Equivalents and Investments
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Jun. 30, 2015
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Investments, Debt and Equity Securities [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Cash Equivalents and Investments |
As of June 30, 2015 and December 31, 2014, the Company’s cash equivalents consisted entirely of money market funds with a fair value of $9.1 million and $5.1 million, respectively.
Investments consist of municipal debt securities, federal home loan securities and certificates of deposit. Investments with remaining maturities of less than one year are classified as short-term investments. Investments classified as long-term have maturities of one year to seven years. The Company intends and has the ability to hold its held-to-maturity securities to maturity, and therefore carries such investments at amortized cost in accordance with the provisions of the accounting guidance for investments in debt and equity securities. Investments held at June 30, 2015 and December 31, 2014 are summarized as follows (in thousands):
Contractual maturities of long-term investments are summarized as follows (in thousands):
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Fair Value Measurements
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6 Months Ended | ||
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Jun. 30, 2015
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Fair Value Disclosures [Abstract] | |||
Fair Value Measurements |
In accordance with the accounting guidance for fair value measurements and disclosures, the Company carries its money market funds included in cash and cash equivalents at fair value. In accordance with the three-tier fair value hierarchy under this guidance, the Company determined the fair value using quoted market prices, a Level 1 input as defined under the accounting guidance for fair value measurements. At June 30, 2015 and December 31, 2014, the Company’s money market funds had a carrying amount of $9.1 million and $5.1 million, respectively. The Company also carries the cash surrender value of life insurance related to its deferred compensation arrangements at fair value. The investments underlying the life insurance contracts consist primarily of exchange-traded equity securities and mutual funds with quoted prices in active markets. In accordance with the three-tier fair value hierarchy, the Company determined the fair value using the cash surrender value of the life insurance, a Level 2 input as defined under the accounting guidance for fair value measurements. At June 30, 2015 and December 31, 2014, the Company’s cash surrender value of life insurance had a carrying amount of $15.0 million and $16.0 million, respectively. In addition, the Company carries its contingent consideration liabilities related to acquisitions at fair value. In accordance with the three-tier fair value hierarchy, the Company determined the fair value of its contingent consideration liabilities using the income approach with assumed discount rates and payment probabilities. The income approach uses Level 3, or unobservable inputs as defined under the accounting guidance for fair value measurements. At June 30, 2015 and December 31, 2014, the Company’s contingent consideration liabilities had a fair value of $33.4 million and $35.3 million, respectively. See Note 5 for more information regarding the Company’s contingent consideration liabilities. The carrying amounts of cash equivalents, short-term investments, accounts receivable and accounts payable and accrued expenses approximate fair value due to the short maturities of the respective instruments. The carrying values of long-term investments, line of credit, long-term debt and capital lease obligations approximate fair value. If the Company’s line of credit and long-term debt were measured at fair value, they would be categorized as Level 2 in the fair value hierarchy. |
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Accounts Receivable
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Jun. 30, 2015
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Accounts Receivable |
Accounts receivable, net consists of the following (in thousands):
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Business Acquisitions
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Jun. 30, 2015
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Business Combinations [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Business Acquisitions |
During the six months ended June 30, 2015, the Company completed the acquisition of seven physician group practices including four anesthesiology practices, two neonatology practices and one other pediatric subspecialty practice. In addition, the Company acquired a leading radiology physician services and telemedicine company for consideration of $508.2 million, inclusive of base consideration of $500.0 million plus approximately $8.2 million in other closing consideration. The total consideration for the eight acquisitions was $596.0 million, inclusive of cash acquired. Approximately $568.9 million was paid in cash, net of $23.0 million in cash acquired, $3.8 million was recorded as a contingent consideration liability and $0.3 million was recorded within other current liabilities. The physician practice acquisitions expand the Company’s national network of physician practices. The Company expects to improve the results of these physician practices through improved managed care contracting, improved collections, identification of growth initiatives, as well as, operating and cost savings based on the significant infrastructure it has developed. The acquisition of the radiology physician services and telemedicine company provides a platform for growth in the radiology market as well as in the broader telemedicine market, and will further expand the Company’s service offerings to its hospital and health system partners. The Company’s preliminary allocation of purchase price is as follows (in thousands):
Other intangible assets consist primarily of customer relationships, patented technology, physician and hospital agreements and trade names. The Company has recorded provisional estimates for certain intangible assets acquired during the three months ended June 30, 2015, and one of the acquisitions completed during the three months ended June 30, 2015 is subject to a working capital adjustment. The final valuation and working capital adjustment will be completed within the measurement period, and management does not believe the additional adjustments will be material. The Company expects that $10.8 million of the goodwill recorded during the six months ended June 30, 2015 will be deductible for tax purposes. The contingent consideration of $3.8 million recorded during the six months ended June 30, 2015 is related to an agreement to pay an additional cash amount based on the achievement of certain performance measures for up to two years after the acquisition date. The accrued contingent consideration was recorded as a liability at acquisition-date fair value using the income approach with assumed discount rates ranging from 2.8% to 3.5% over the applicable terms and an assumed payment probability of 100% for each of the applicable years. The range of the undiscounted amount the Company could pay under the contingent consideration agreement is between $0 and $4.0 million. In addition, during the three months ended June 30, 2015, the Company recorded a decrease to its contingent consideration liability of $0.8 million related to the change in fair value of a certain contingent consideration agreement for which the performance measures will not be met. This change in fair value was recorded within operating income.
In addition, during the six months ended June 30, 2015, the Company paid $5.4 million for contingent consideration related to certain prior-period acquisitions, of which all but the accretion recorded during 2015 was accrued as of December 31, 2014. In connection with prior-period acquisitions, the Company also recorded a net increase of $3.9 million to goodwill composed of a decrease in intangible assets of $5.3 million, a decrease of $2.0 million in other long-term liabilities and $0.6 million in additional cash consideration related to a working capital true-up adjustment. These measurement period adjustments did not have a material impact on the Company’s Condensed Consolidated Financial Statements in any period; therefore, the Company has not retrospectively adjusted such statements. The results of operations of the practices acquired during the six months ended June 30, 2015 and 2014 have been included in the Company’s Condensed Consolidated Financial Statements from the dates of acquisition. The following unaudited pro forma information combines the consolidated results of operations of the Company on a GAAP basis and the acquisitions completed during 2015 and 2014, including adjustments for pro forma amortization and interest expense, as if the transactions had occurred on January 1, 2014 and January 1, 2013, respectively (in thousands, except per share data):
The pro forma results do not necessarily represent results which would have occurred if the acquisitions had taken place at the beginning of the periods indicated, nor are they indicative of the results of future combined operations. |
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- Definition
No authoritative reference available. No definition available.
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Accounts Payable and Accrued Expenses
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6 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Jun. 30, 2015
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Payables and Accruals [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Accounts Payable and Accrued Expenses |
Accounts payable and accrued expenses consist of the following (in thousands):
The net decrease in accrued salaries and bonuses of $89.8 million, from December 31, 2014 to June 30, 2015, is primarily due to the payment of performance-based incentive compensation, principally to the Company’s physicians, partially offset by performance-based incentive compensation accrued during the six months ended June 30, 2015. A majority of the Company’s payments for performance-based incentive compensation is paid annually in the first quarter. |
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- Definition
No authoritative reference available. No definition available.
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Common and Common Equivalent Shares
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6 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Jun. 30, 2015
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Earnings Per Share [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Common and Common Equivalent Shares |
Basic net income per common share is calculated by dividing net income by the weighted average number of common shares outstanding during the period. Diluted net income per common share is calculated by dividing net income by the weighted average number of common and potential common shares outstanding during the period. Potential common shares consist of outstanding restricted and deferred stock and stock options calculated using the treasury stock method. Under the treasury stock method, the Company includes the assumed excess tax benefits related to the potential exercise or vesting of its stock-based awards using the difference between the average market price for the applicable period less the option price, if any, and the fair value of the stock-based award on the date of grant multiplied by the applicable tax rate. The calculation of shares used in the basic and diluted net income per common share calculation for the three and six months ended June 30, 2015 and 2014 is as follows (in thousands):
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Stock Incentive Plans and Stock Purchase Plan
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6 Months Ended | ||
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Jun. 30, 2015
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Disclosure of Compensation Related Costs, Share-based Payments [Abstract] | |||
Stock Incentive Plans and Stock Purchase Plan |
The Company’s Amended and Restated 2008 Incentive Compensation Plan, as amended (the “Amended and Restated 2008 Incentive Plan”) provides for grants of stock options, stock appreciation rights, restricted stock, deferred stock, and other stock-related awards and performance awards that may be settled in cash, stock or other property. Under the Amended and Restated 2008 Incentive Plan, restricted stock awards generally vest over periods of three years upon the fulfillment of specified service-based conditions and in certain instances performance-based conditions. Deferred stock awards generally vest upon the satisfaction of specified performance-based conditions or service based conditions. The Company recognizes compensation expense related to its restricted stock and deferred stock awards ratably over the corresponding vesting periods. During the six months ended June 30, 2015, the Company granted 438,266 shares of restricted stock to its employees and 17,372 shares of restricted stock to its non-employee directors under the Amended and Restated 2008 Incentive Plan. At June 30, 2015, the Company had approximately 5.4 million shares available for future grants and awards under its Amended and Restated 2008 Incentive Plan. Under the Company’s 1996 Non-Qualified Employee Stock Purchase Plan, as amended (the “Stock Purchase Plan”), employees are permitted to purchase the Company’s common stock at 85% of market value on January 1st, April 1st, July 1st and October 1st of each year. In accordance with the provisions of the accounting guidance for stock-based compensation, the Company recognizes stock-based compensation expense for the 15% discount received by participating employees. During the six months ended June 30, 2015, 130,188 shares were issued under the Stock Purchase Plan. At June 30, 2015, the Company had approximately 205,000 shares reserved for issuance under the Stock Purchase Plan. During the three and six months ended June 30, 2015 and 2014, the Company recognized approximately $8.0 million and $15.8 million, and $7.7 million and $15.8 million, respectively, of stock-based compensation expense. The net excess tax benefit recognized in additional paid-in capital related primarily to stock options and restricted stock for the six months ended June 30, 2015 was approximately $9.0 million. |
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Common Stock Repurchase Programs
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6 Months Ended | ||
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Jun. 30, 2015
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Text Block [Abstract] | |||
Common Stock Repurchase Programs |
In July 2013, the Company’s Board of Directors authorized the repurchase of shares of the Company’s common stock up to an amount sufficient to offset the dilutive impact from the issuance of shares under the Company’s equity compensation programs. The share repurchase program allows the Company to make open market purchases from time-to-time based on general economic and market conditions and trading restrictions. The repurchase program also allows for the repurchase of shares of the Company’s common stock to offset the dilutive impact from the issuance of shares, if any, related to the Company’s acquisition program. No share repurchases were made under this program during the six months ended June 30, 2015. The Company intends to utilize various methods to effect any future share repurchases, including, among others, open market purchases and accelerated share repurchase programs. The amount and timing of repurchases will depend upon several factors, including general economic and market conditions and trading restrictions. In October 2014, the Company announced that its Board of Directors had authorized the repurchase of up to $600.0 million of shares of the Company’s common stock in addition to its existing share repurchase program. This program was completed in March 2015, pending final settlement of the accelerated share repurchase program discussed below and an accelerated share repurchase program entered into in December 2014. During the six months ended June 30, 2015, the Company repurchased approximately 2.7 million shares of its common stock for approximately $233.6 million, inclusive of the aggregate value of common stock held back pending final settlement of the March 2015 accelerated share repurchase program. In March 2015, the Company entered into a second uncollared accelerated share repurchase (“ASR”) agreement with an investment bank. Under the ASR agreement, the Company agreed to purchase $200.0 million of its common stock in total. On March 16, 2015, the Company paid a total of $200.0 million to an investment bank, which in turn delivered to the Company approximately 2.2 million shares of the Company’s common stock in total based on the market price of a share of Company common stock on March 12, 2015. The payment was recorded as a reduction to the respective components of shareholders’ equity. The final number of shares of common stock that the Company may receive, or may be required to remit, upon settlement under the ASR agreement will be based upon the average daily volume weighted-average price of the Company’s common stock during the term of the ASR agreement, less a negotiated discount. Final settlement of the ASR agreement is expected to occur within nine months of commencement of the program, and may occur earlier at the option of the investment bank. The terms of the ASR agreement are subject to adjustment if the Company were to enter into or announce certain types of transactions that may affect the Company’s common stock. If the Company is obligated to make an adjustment payment to the investment bank under the ASR agreement, the Company may elect to satisfy such obligation in cash or in shares of the Company’s common stock. The ASR agreement was funded by borrowings under the Company’s line of credit. |
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- Definition
Entire disclosure of common stock repurchases. No definition available.
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Commitments and Contingencies
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6 Months Ended | ||
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Jun. 30, 2015
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Commitments and Contingencies Disclosure [Abstract] | |||
Commitments and Contingencies |
The Company expects that audits, inquiries and investigations from government authorities and agencies will occur in the ordinary course of business. Such audits, inquiries and investigations and their ultimate resolutions, individually or in the aggregate, could have a material adverse effect on the Company’s business, financial condition, results of operations, cash flows and the trading price of its common stock. The Company has not included an accrual for these matters as of June 30, 2015 in its Condensed Consolidated Financial Statements, as the variables affecting any potential eventual liability depend on the currently unknown facts and circumstances that arise out of, and are specific to, any particular future audit, inquiry and investigation and cannot be reasonably estimated at this time. In the ordinary course of business, the Company becomes involved in pending and threatened legal actions and proceedings, most of which involve claims of medical malpractice related to medical services provided by the Company’s affiliated physicians. The Company’s contracts with hospitals generally require the Company to indemnify them and their affiliates for losses resulting from the negligence of the Company’s affiliated physicians. The Company may also become subject to other lawsuits which could involve large claims and significant costs. The Company believes, based upon a review of pending actions and proceedings, that the outcome of such legal actions and proceedings will not have a material adverse effect on its business, financial condition or results of operations. The outcome of such actions and proceedings, however, cannot be predicted with certainty and an unfavorable resolution of one or more of them could have a material adverse effect on the Company’s business, financial condition, results of operations, cash flows and the trading price of its common stock. Although the Company currently maintains liability insurance coverage intended to cover professional liability and certain other claims, the Company cannot assure that its insurance coverage will be adequate to cover liabilities arising out of claims asserted against it in the future where the outcomes of such claims are unfavorable. With respect to professional liability risk, the Company generally self-insures a portion of this risk through its wholly owned captive insurance subsidiary. Liabilities in excess of the Company’s insurance coverage, including coverage for professional liability and certain other claims, could have a material adverse effect on the Company’s business, financial condition, results of operations and cash flows. |
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No authoritative reference available. No definition available.
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Basis of Presentation and New Accounting Pronouncements (Policies)
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6 Months Ended |
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Jun. 30, 2015
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Accounting Policies [Abstract] | |
New Accounting Pronouncements | New Accounting Pronouncements In March 2015, the accounting guidance related to the presentation of debt issuance costs was amended to require that such costs be presented in the balance sheet as a direct deduction from the carrying amount of the related debt liability. The new guidance is required to be adopted on a retrospective basis as a change in accounting principle and will become effective for the Company on January 1, 2016 with early adoption permitted. The adoption of this guidance will affect financial statement presentation only, and therefore will not have a material impact on the Company’s Condensed Consolidated Financial Statements. In February 2015, the accounting guidance related to consolidation was amended to include changes to both the variable and voting interest models used by companies to evaluate whether an entity should be consolidated. The new guidance will become effective for the Company on January 1, 2016, and early adoption is permitted. The adoption of this guidance is not expected to have an impact on the Company’s Condensed Consolidated Financial Statements. In May 2014, the accounting guidance related to revenue recognition was amended to outline a single, comprehensive model for accounting for revenue from contracts with customers. While the new guidance supersedes existing revenue recognition guidance, it closely aligns with current GAAP. The new guidance will become effective for the Company on January 1, 2018, with early adoption permitted on January 1, 2017. The Company is currently evaluating the impact, if any, the adoption of this guidance will have on the Company’s Condensed Consolidated Financial Statements. |
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- Definition
No authoritative reference available. No definition available.
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Cash Equivalents and Investments (Tables)
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Jun. 30, 2015
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Investments, Debt and Equity Securities [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Investments | Investments held at June 30, 2015 and December 31, 2014 are summarized as follows (in thousands):
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Schedule of Contractual Maturities of Long-Term Investments | Contractual maturities of long-term investments are summarized as follows (in thousands):
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Accounts Receivable (Tables)
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6 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Jun. 30, 2015
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Receivables [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Accounts Receivable, Net | Accounts receivable, net consists of the following (in thousands):
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Business Acquisitions (Tables)
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6 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Jun. 30, 2015
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Business Combinations [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Summary of Company's Preliminary Purchase Allocation Price | The Company’s preliminary allocation of purchase price is as follows (in thousands):
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Schedule of Pro Forma Information Combines Consolidated Results of Company and Business Acquisitions | The following unaudited pro forma information combines the consolidated results of operations of the Company on a GAAP basis and the acquisitions completed during 2015 and 2014, including adjustments for pro forma amortization and interest expense, as if the transactions had occurred on January 1, 2014 and January 1, 2013, respectively (in thousands, except per share data):
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Accounts Payable and Accrued Expenses (Tables)
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6 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Jun. 30, 2015
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Payables and Accruals [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Accounts Payable and Accrued Expenses | Accounts payable and accrued expenses consist of the following (in thousands):
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No authoritative reference available. No definition available.
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Common and Common Equivalent Shares (Tables)
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Jun. 30, 2015
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Earnings Per Share [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Calculation of Shares Used in Basic and Diluted Net Income Per Common Share | The calculation of shares used in the basic and diluted net income per common share calculation for the three and six months ended June 30, 2015 and 2014 is as follows (in thousands):
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Basis of Presentation and New Accounting Pronouncements - Additional Information (Detail)
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Jun. 30, 2015
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Basis Of Presentation [Line Items] | |
Direct ownership percentage in joint venture | 75.00% |
Joint Venture [Member]
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Basis Of Presentation [Line Items] | |
Equity method ownership percentage in joint venture | 37.50% |
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No authoritative reference available. No definition available.
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No authoritative reference available. No definition available.
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Cash Equivalents and Investments - Additional Information (Detail) (USD $)
In Millions, unless otherwise specified |
6 Months Ended | |||
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Jun. 30, 2015
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Dec. 31, 2014
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Jun. 30, 2015
Maximum [Member]
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Jun. 30, 2015
Minimum [Member]
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Cash and Cash Equivalents [Line Items] | ||||
Cash equivalents consisted entirely of money market funds with a fair value | $ 9.1 | $ 5.1 | ||
Long-term investments maturity period, in years | 7 years | 1 year | ||
Short-Term investments maturity period, in years | 1 year |
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- Definition
Long term investments maturity period. No definition available.
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- Definition
Short term investment maturity period. No definition available.
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- Definition
No authoritative reference available. No definition available.
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Cash Equivalents and Investments - Schedule of Investments (Detail) (USD $)
In Thousands, unless otherwise specified |
Jun. 30, 2015
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Dec. 31, 2014
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Schedule of Held-to-maturity Securities [Line Items] | ||
Short-Term | $ 5,104 | $ 6,035 |
Long-Term | 61,933 | 64,082 |
Municipal Debt Securities [Member]
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Schedule of Held-to-maturity Securities [Line Items] | ||
Short-Term | 4,856 | 5,539 |
Long-Term | 37,442 | 35,827 |
Federal Home Loan Securities [Member]
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Schedule of Held-to-maturity Securities [Line Items] | ||
Long-Term | 23,266 | 27,030 |
Certificates of Deposit [Member]
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Schedule of Held-to-maturity Securities [Line Items] | ||
Short-Term | 248 | 496 |
Long-Term | $ 1,225 | $ 1,225 |
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No authoritative reference available. No definition available.
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- Definition
No authoritative reference available. No definition available.
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Cash Equivalents and Investments - Schedule of Contractual Maturities of Long-Term Investments (Detail) (USD $)
In Thousands, unless otherwise specified |
Jun. 30, 2015
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Dec. 31, 2014
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Investments, Debt and Equity Securities [Abstract] | ||
Due after one year through five years | $ 58,300 | $ 54,959 |
Due after five years through seven years | 3,633 | 9,123 |
Total | $ 61,933 | $ 64,082 |
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No authoritative reference available. No definition available.
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- Definition
No authoritative reference available. No definition available.
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- Definition
No authoritative reference available. No definition available.
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Fair Value Measurements - Additional Information (Detail) (USD $)
In Millions, unless otherwise specified |
Jun. 30, 2015
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Dec. 31, 2014
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Fair Value Disclosures [Abstract] | ||
Money market funds carrying amount | $ 9.1 | $ 5.1 |
Carrying amount of cash surrender value of life insurance | 15.0 | 16.0 |
Contingent consideration liabilities related to acquisitions | $ 33.4 | $ 35.3 |
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Accounts Receivable - Schedule of Accounts Receivable, Net (Detail) (USD $)
In Thousands, unless otherwise specified |
Jun. 30, 2015
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Dec. 31, 2014
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Receivables [Abstract] | ||
Gross accounts receivable | $ 1,296,837 | $ 1,200,958 |
Allowance for contractual adjustments and uncollectibles | (916,292) | (848,767) |
Accounts receivable, net | $ 380,545 | $ 352,191 |
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Assumed discount rates used to record accrued contingent consideration using the income approach. No definition available.
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Assumed payment probability of contingent consideration payment. No definition available.
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Business acquisition contingent consideration at fair value decrease. No definition available.
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Business acquisitions working capital adjustment. No definition available.
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Business combination consideration transferred at closing. No definition available.
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Business combination, contingent consideration arrangements, time period. No definition available.
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Business combination initial consideration transferred. No definition available.
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Number of anesthesiology practices acquired. No definition available.
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Number of neonatology practices acquired. No definition available.
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Number of other pediatric subspecialty practices acquired. No definition available.
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Number of physician group practices acquired. No definition available.
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Payments to acquire businesses net of cash acquired excluding prior period adjustments. No definition available.
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Business Acquisitions - Schedule of Pro Forma Information Combines Consolidated Results of Company and Business Acquisitions (Detail) (USD $)
In Thousands, except Per Share data, unless otherwise specified |
6 Months Ended | |
---|---|---|
Jun. 30, 2015
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Jun. 30, 2014
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Business Combinations [Abstract] | ||
Net revenue | $ 1,405,488 | $ 1,392,726 |
Net income | $ 157,668 | $ 158,828 |
Net income per common share, Basic | $ 1.69 | $ 1.61 |
Net income per common share, Diluted | $ 1.67 | $ 1.58 |
Weighted average common shares, Basic | 93,361 | 98,689 |
Weighted average common shares, Diluted | 94,405 | 100,226 |
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Accounts Payable and Accrued Expenses - Schedule of Accounts Payable and Accrued Expenses (Detail) (USD $)
In Thousands, unless otherwise specified |
Jun. 30, 2015
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Dec. 31, 2014
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Payables and Accruals [Abstract] | ||
Accounts payable | $ 25,191 | $ 32,783 |
Accrued salaries and bonuses | 141,633 | 231,390 |
Accrued payroll taxes and benefits | 49,236 | 49,858 |
Accrued professional liabilities | 25,943 | 19,718 |
Accrued contingent consideration | 15,789 | 17,010 |
Other accrued expenses | 28,927 | 29,899 |
Accounts payable and accrued expenses, total | $ 286,719 | $ 380,658 |
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Accrued contingent consideration liability current. No definition available.
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Accrued payroll taxes and benefits current. No definition available.
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Accounts Payable and Accrued Expenses - Additional Information (Detail) (USD $)
In Millions, unless otherwise specified |
6 Months Ended |
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Jun. 30, 2015
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Payables and Accruals [Abstract] | |
Net decrease in accrued salaries and bonuses | $ 89.8 |
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Increase decrease in accrued payroll taxes and benefits. No definition available.
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Common and Common Equivalent Shares - Schedule of Calculation of Shares Used in Basic and Diluted Net Income Per Common Share (Detail)
In Thousands, unless otherwise specified |
3 Months Ended | 6 Months Ended | ||
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Jun. 30, 2015
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Jun. 30, 2014
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Jun. 30, 2015
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Jun. 30, 2014
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Earnings Per Share [Abstract] | ||||
Weighted average number of common shares outstanding | 92,500 | 98,411 | 93,361 | 98,689 |
Weighted average number of dilutive common share equivalents | 995 | 1,455 | 1,044 | 1,537 |
Weighted average number of common and common equivalent shares outstanding | 93,495 | 99,866 | 94,405 | 100,226 |
Antidilutive securities not included in the diluted net income per common share calculation | 0 | 0 | 0 | 0 |
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Share based compensation arrangement by share based discount received by participating employees. No definition available.
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Common Stock Repurchase Programs - Additional Information (Detail) (USD $)
Share data in Millions, unless otherwise specified |
6 Months Ended | 0 Months Ended | 6 Months Ended | |||
---|---|---|---|---|---|---|
Jun. 30, 2015
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Jun. 30, 2014
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Mar. 31, 2015
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Oct. 31, 2014
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Mar. 16, 2015
Accelerated Share Repurchase (ASR) Agreements [Member]
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Jun. 30, 2015
Accelerated Share Repurchase Programs and Open Market Purchases [Member]
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Common Stock [Line Items] | ||||||
Repurchases of common stock | $ 233,601,000 | $ 126,696,000 | $ 0 | |||
Common stock authorized for repurchase | 600,000,000 | |||||
Common stock shares issued | 2.7 | 2.2 | ||||
Common stock paid | 233,600,000 | 200,000,000 | ||||
Common stock purchase | $ 200,000,000 |
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