Pediatrix Medical Group, Inc.
Business
Pediatrix Medical Group, Inc. is a provider of physician services focused on newborn, maternal-fetal and other pediatric subspecialty care delivered through an affiliated physician network. It offers clinical services including hospital-based neonatology in NICUs, maternal-fetal inpatient and office-based care, pediatric intensive care, hospitalist and surgical services, newborn hearing screening, telehealth, clinical research, education, quality and safety programs, and practice administration and revenue cycle solutions. Its operating structure centers on affiliated professional contractor practices, management services and clinical support platforms. Pediatrix delivers services to hospitals, health systems and payors across 36 states through contractual hospital staffing, in-office care and telemedicine channels.
Summary from filing dated 2025-02-20
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net revenue | 1,914 | 2,013 | 1,995 | 1,972 | 1,911 | |
| Practice salaries and benefits | 1,341 | 1,441 | 1,448 | 1,383 | 1,297 | |
| Practice supplies and other operating expenses | 79 | 118 | 125 | 122 | 100 | |
| General and administrative expenses | 241 | 238 | 228 | 231 | 263 | |
| Depreciation and amortization | 22 | 32 | 36 | 36 | 32 | |
| Transformational and restructuring related expenses | 22 | 64 | 2 | 27 | 22 | |
| Goodwill impairment | — | 151 | 148 | 0 | 0 | |
| Long-lived asset impairments | — | 28 | 0 | 0 | — | |
| Loss on disposal of businesses | 0 | 10 | 0 | 0 | — | |
| Total operating expenses | 1,705 | 2,082 | 1,987 | 1,799 | 1,708 | |
| Income (loss) from operations | 209 | −69 | 7 | 173 | 203 | |
| Investment and other income | 19 | 6 | 4 | 4 | 14 | |
| Net gain on investments in divested businesses | 21 | 0 | 0 | — | — | |
| Interest expense | −36 | −41 | −42 | −40 | — | |
| Impairment of strategic investment | — | 0 | −20 | 0 | 0 | |
| Equity in earnings of unconsolidated affiliate | 4 | 2 | 2 | 2 | 2 | |
| Total non-operating income (expenses) | 8 | −33 | −56 | −91 | −68 | |
| Income (loss) before income taxes | 216 | −101 | −48 | 81 | 135 | |
| Income tax (provision) benefit | −51 | 2 | −12 | −19 | −27 | |
| Net income (loss) | 165 | −99 | −60 | 66 | 131 | |
| Unrealized holding gain on investments, net of tax of $526, $374 and $527 | 2 | 1 | 2 | −5 | −2 | |
| Total comprehensive income (loss) | 167 | −98 | −59 | 61 | 129 | |
| Basic (per share) | 1.97 | −1.19 | −0.73 | 0.79 | 1.54 | |
| Diluted (per share) | 1.94 | −1.19 | −0.73 | 0.79 | 1.53 | |
| Basic (shares) | 84 | 83 | 82 | 83 | 85 | |
| Diluted (shares) | 85 | 83 | 82 | 84 | 86 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 375 | 230 | 73 | 10 | 387 | |
| Short-term investments | 124 | 119 | 104 | 93 | 100 | |
| Accounts receivable, net | 230 | 260 | 272 | 297 | 302 | |
| Prepaid expenses | 13 | 13 | 14 | 15 | 19 | |
| Income Taxes receivable | 13 | 13 | 8 | 0 | — | |
| Other current assets | 9 | 5 | 12 | 13 | 19 | |
| Total current assets | 764 | 640 | 483 | 428 | 841 | |
| Property and equipment, net | 39 | 39 | 76 | 73 | 70 | |
| Goodwill | 1,261 | 1,243 | 1,384 | 1,530 | 1,510 | |
| Intangible assets, net | 17 | 12 | 21 | 18 | 22 | |
| Operating and finance lease right-of-use assets | 34 | 39 | 70 | 67 | 65 | |
| Deferred income tax assets | 74 | 104 | 103 | 106 | 88 | |
| Other assets | 58 | 77 | 82 | 123 | 131 | |
| Total assets | 2,247 | 2,153 | 2,220 | 2,348 | 2,723 | |
| Accounts payable and accrued expenses | 420 | 399 | 351 | 374 | — | |
| Current portion of debt and finance lease liabilities, net | 27 | 21 | 15 | 15 | 2 | |
| Current portion of operating lease liabilities | 12 | 13 | 21 | 22 | 20 | |
| Income taxes payable | 984,000 | 2 | 2 | 16 | 11 | |
| Total current liabilities | 459 | 434 | 389 | 427 | 427 | |
| Long-term debt and finance lease liabilities, net | 571 | 597 | 618 | 632 | — | |
| Long-term operating lease liabilities | 26 | 32 | 47 | 44 | 41 | |
| Long-term professional liabilities | 238 | 257 | 251 | 276 | 271 | |
| Deferred income tax liabilities | 57 | 34 | 34 | 34 | 41 | |
| Other liabilities | 30 | 33 | 31 | 39 | 42 | |
| Total liabilities | 1,381 | 1,388 | 1,371 | 1,456 | 1,826 | |
| Commitments and contingencies | — | — | — | — | — | |
| Preferred stock; $.01 par value; 1,000,000 shares authorized; none issued | 0 | 0 | 0 | 0 | 0 | |
| Common stock; $.01 par value; 200,000,000 shares authorized; 82,976,110 and 85,866,000 shares issued and outstanding, respectively | 830,000 | 859,000 | 840,000 | 829,000 | 864,000 | |
| Additional paid-in capital | 948 | 1,014 | 1,000 | 984 | 1,050 | |
| Accumulated other comprehensive income (loss) | 610,000 | −1 | −2 | −4 | 1 | |
| Retained deficit | −83 | −249 | −149 | −89 | −155 | |
| Total shareholders' equity | 866 | 765 | 849 | 892 | 896 | |
| Total liabilities and shareholders' equity | 2,247 | 2,153 | 2,220 | 2,348 | 2,723 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Amortization of premiums, discounts and issuance costs | 935,000 | 954,000 | 1 | 2 | 4 | |
| Impairment losses | 0 | 178 | 168 | 0 | 0 | |
| Net gain on investments in divested businesses | −21 | 0 | 0 | — | — | |
| Stock-based compensation expense | 18 | 12 | 12 | 16 | 19 | |
| Deferred income taxes | 52 | −2 | 3 | −23 | −31 | |
| Other | −5 | −3 | −3 | 144,000 | −2 | |
| Accounts receivable | 31 | 10 | 26 | −6 | −73 | |
| Prepaid expenses and other current assets | −3 | 3 | 514,000 | 16 | 42 | |
| Other long-term assets | 22 | 34 | 23 | 17 | 10 | |
| Accounts payable and accrued expenses | 28 | 51 | −12 | 420,000 | 21 | |
| Income taxes (payable) receivable | −1 | −5 | −22 | 18 | −2 | |
| Long-term professional liabilities | −9 | 17 | 837,000 | 6 | 2 | |
| Other liabilities | −26 | −23 | −29 | −20 | −23 | |
| Net cash provided by operating activities - continuing operations | 275 | 217 | 146 | 182 | 114 | |
| Net cash used in operating activities - discontinued operations | −4 | −11 | −9 | −15 | −37 | |
| Net cash provided by operating activities | 271 | 207 | 137 | 167 | 77 | |
| Acquisition payments, net of cash acquired | −23 | −8 | −7 | −28 | −30 | |
| Purchases of investments | −30 | −65 | −32 | −17 | −15 | |
| Proceeds from maturities or sales of investments | 27 | 52 | 23 | — | — | |
| Proceeds from investment in divested business | 30 | 0 | 0 | — | — | |
| Purchases of property and equipment | −18 | −22 | −33 | −30 | −32 | |
| Other | −3 | 7 | 807,000 | — | — | |
| Net cash used in investing activities | −18 | −35 | −48 | −57 | −53 | |
| Borrowings on credit agreement | 0 | 236 | 470 | 830 | 0 | |
| Payments on credit agreement | 0 | −236 | −474 | −826 | 0 | |
| Payments on term loan | −19 | −13 | −13 | −9 | 0 | |
| Payments of contingent consideration liabilities | −3 | −1 | −2 | 0 | −189,000 | |
| Payments on finance lease obligations | −2 | −3 | −3 | −3 | −3 | |
| Proceeds from issuance of common stock | 3 | 4 | 5 | 5 | 7 | |
| Repurchases of common stock | −87 | −2 | −919,000 | −89 | −5 | |
| Other | −63,000 | 135,000 | −9 | 9 | 596,000 | |
| Net cash used in financing activities | −107 | −14 | −26 | −488 | −760 | |
| Net increase in cash and cash equivalents | 145 | 157 | 63 | −378 | −736 | |
| Cash paid for interest | 34 | 40 | 42 | 116 | 87 | |
| Equipment financed through finance leases | 0 | 0 | 132,000 | 282,000 | 7 | |
| Property and equipment included in accounts payable | 1 | 1 | 3 | 3 | 2 |