MD on NYSE

Pediatrix Medical Group

Logo: pediatrix.com3

Pediatrix Medical Group is an American physician-led national medical group based in Sunrise, founded in 1979.1 Its website says: “Led by physicians and trusted by patients, Pediatrix delivers advanced medical solutions across a variety of practice areas around the country.”3 Its shares trade on NYSE under the symbol MD.1

Price unavailable

Last updated Oct 21, 2026.

Overview

1979Founded1

Compare with Magellan Health, Select Medical or Encompass Health, or pick any stock.

  • TickerMD on NYSE1
  • IndustryServices-Hospitals1
  • HeadquartersSunrise1
  • Websitewww.pediatrix.com
  • Incorporated inFL4
  • Business address1301 Concord Terrace, Sunrise, Fl 333234
  • Filer categoryLarge accelerated filer4
Pediatrix Medical Group image from its website
Image: pediatrix.com3

Pediatrix is a leading provider of physician services including newborn, maternal-fetal, and other pediatric subspecialty care. Our national network is comprised of affiliated physicians who provide clinical care in 37 states. During 2024, we formalized our practice portfolio management plans, resulting in a decision to exit almost all of our affiliated office-based practices, other than maternal-fetal medicine. As of December 31, 2024, these plans were completed. Additionally, we exited our primary and urgent care service line during 2024 based on a review of the cost and time that would be required to build the platform to scale. At December 31, 2025, our national network comprised approximately 2,295 affiliated physicians, including 1,350 physicians who provide neonatal clinical care, primarily within hospital-based neonatal intensive care units (“NICUs”), to babies born prematurely o…6 From its latest annual report

Financials

From the company’s reports to the SEC. Every number links to the filing it came from.

Key numbers, fiscal 2025

10.9%Operating margin7
8.6%Net margin7
-4.9%Revenue growth, 20257
19.1%Return on equity7

What sells

Revenue by product, business segment and region, as the company reports it to the SEC.

Products and services

Health Care, Patient Service brought in 85% of the revenue Pediatrix Medical Group broke down this way in fiscal 2025.

  1. Health Care, Patient Service$1.6B785%down 5% from 2024
  2. Hospitals Contracts$271.1M714%down 5% from 2024
  3. Product and Service, Other$12.2M71%up 364% from 2024
Products and services by year
Products and services202320242025
Health Care, Patient Service$1.7B$1.7B$1.6B
Hospitals Contracts$275.7M$286.7M$271.1M
Product and Service, Other$2.6M$2.6M$12.2M

Where the money goes

Where each dollar of revenue went, fiscal 2025

  • Other costs89¢$1.7B
  • Income tax3¢$51.0M
  • Profit9¢$165.4M

Out of $1.9B in revenue.7

Where each dollar of operating cash went, fiscal 2025

  • Share buybacks32¢$86.7M
  • Kept or used elsewhere68¢$184.4M

Out of $271.1M of cash from operations.7

Financial statements

Revenue8910117$1.9B in 2025+8% since 2019
0$1.0B$2.0B$3.0B2019: $1.8B$1.8B20192020: $1.7B$1.7B2020−3%2021: $1.9B$1.9B2021+10%2022: $2.0B$2.0B2022+3%2023: $2.0B$2.0B2023+1%2024: $2.0B$2.0B2024+1%2025: $1.9B$1.9B2025−5%
Operating income8910117$208.8M in 2025+22% since 2019
-$100.0M0$100.0M$200.0M$300.0M2019: $171.8M$171.8M20192020: $98.1M$98.1M2020−43%2021: $202.9M$202.9M2021+107%2022: $172.7M$172.7M2022−15%2023: $7.3M$7.3M2023−96%2024: -$68.7M-$68.7M20242025: $208.8M$208.8M2025
Net income8910117$165.4M in 2025
-$1.5B-$1.0B-$500.0M0$500.0M2019: -$1.5B-$1.5B20192020: -$796.5M-$796.5M2020−47%2021: $131.0M$131.0M20212022: $66.3M$66.3M2022−49%2023: -$60.4M-$60.4M20232024: -$99.1M-$99.1M2024+64%2025: $165.4M$165.4M2025

Every line of the income statement as filed: the last 3 fiscal years, latest first.7

Period ending2025-12-312024-12-312023-12-31
Net revenue$1.9B$2.0B$2.0B
Practice salaries and benefits$1.3B$1.4B$1.4B
Practice supplies and other operating expenses$79.3M$117.7M$124.8M
General and administrative expenses$240.8M$238.4M$227.5M
Depreciation and amortization$21.8M$32.2M$36.2M
Transformational and restructuring related expenses$22.3M$64.3M$2.2M
Goodwill impairment$150.6M$148.3M
Long-lived asset impairments$27.8M$0
Loss on disposal of businesses$0$9.7M$0
Total operating expenses$1.7B$2.1B$2.0B
Income (loss) from operations$208.8M-$68.7M$7.3M
Investment and other income$19.0M$5.8M$4.3M
Net gain on investments in divested businesses$20.9M$0$0
Interest expense-$36.0M-$40.7M-$42.1M
Impairment of strategic investment$0-$20.0M
Equity in earnings of unconsolidated affiliate$3.6M$2.3M$2.1M
Total non-operating income (expenses)$7.6M-$32.6M-$55.7M
Income (loss) before income taxes$216.4M-$101.3M-$48.4M
Income tax (provision) benefit-$51.0M$2.3M-$12.0M
Net income (loss)$165.4M-$99.1M-$60.4M
Unrealized holding gain on investments, net of tax of $526, $374 and $527$1.7M$1.1M$1.5M
Total comprehensive income (loss)$167.1M-$97.9M-$58.9M
Basic$1.97-$1.19-$0.73
Diluted$1.94-$1.19-$0.73
Basic84.1M shares83.3M shares82.2M shares
Diluted85.3M shares83.3M shares82.2M shares
Net of Tax$525.0K$374.0K$527.0K

Compare Pediatrix Medical Group with another company

Corporate structure

Pediatrix Medical Group sits at the top of its group. 3 entities, 1 country on record. Switch between the flow chart and the network, and select any entity to see its details.

Major holders of Pediatrix Medical Group

  • VANGUARD CAPITAL MANAGEMENT LLC Filed SCHEDULE 13G on Pediatrix Medical Group, latest Sep 3, 2026 (2 filings since Apr 30, 2026)
  • VANGUARD GROUP INC Filed SCHEDULE 13G/A on Pediatrix Medical Group, latest Sep 3, 2026 (5 filings since Feb 10, 2022)
  • VANGUARD PORTFOLIO MANAGEMENT LLC Filed SCHEDULE 13G on Pediatrix Medical Group, latest Sep 3, 2026 (2 filings since Apr 29, 2026)
  • DIMENSIONAL FUND ADVISORS LP Filed SCHEDULE 13G on Pediatrix Medical Group, latest Jul 14, 2026 (3 filings since Feb 9, 2024)
  • BlackRock Filed SCHEDULE 13G/A on Pediatrix Medical Group, latest Jul 17, 2025 (5 filings since Jan 26, 2022)
  • AllianceBernstein Filed SCHEDULE 13G/A on Pediatrix Medical Group, latest Jun 3, 2025 (6 filings since Feb 14, 2022)
  • Rubric Capital Management LP Filed SCHEDULE 13G/A on Pediatrix Medical Group, latest Feb 13, 2025 (2 filings since Nov 13, 2024)
  • EARNEST PARTNERS LLC Filed SC 13G/A on Pediatrix Medical Group, latest Jun 10, 2024 (4 filings since Feb 11, 2022)
  • LAZARD ASSET MANAGEMENT LLC Filed SC 13G/A on Pediatrix Medical Group, latest Feb 15, 2024 (4 filings since Mar 8, 2023)
  • FMR LLC Filed SC 13G/A on Pediatrix Medical Group, latest Feb 9, 2023 (2 filings since Feb 9, 2022)
  • Starboard Value LP Filed SC 13D/A on Pediatrix Medical Group, latest Jan 20, 2023 (2 filings since Dec 2, 2022)
  • ArrowMark Colorado Holdings LLC Filed SC 13G/A on Pediatrix Medical Group, latest Feb 14, 2022
  • Pediatrix Medical Group Sunrise
    • Pediatrix Management Services, Inc. Subsidiary · Florida, United States
    • PMG Services, Inc. (d/b/a Pediatrix Services, Inc.) Subsidiary · Florida, United States

Built from subsidiaries listed in Exhibit 21 of annual reports filed with the SEC; major holders from Schedules 13D and 13G. Each entity in the chart links to its source.

What it owns

What Pediatrix Medical Group reports owning in its annual reports to the SEC: buildings, land and equipment, real estate and locations, investments, intangible assets and inventory, at the end of its latest fiscal year and a year before.

Property and equipment

ItemLatestA year beforeChange
Land$2.0M7 Dec 31, 2025$2.0M7 Dec 31, 20240%
Buildings and improvements$8.3M7 Dec 31, 2025$8.3M7 Dec 31, 20240%
Property and equipment, before depreciation$171.5M7 Dec 31, 2025$165.7M7 Dec 31, 2024+3.5%
Accumulated depreciation$132.3M7 Dec 31, 2025$126.5M7 Dec 31, 2024+4.6%
Property and equipment, net$39.2M7 Dec 31, 2025$39.2M7 Dec 31, 20240%
Operating-lease assets (leased space)$31.1M7 Dec 31, 2025$34.1M7 Dec 31, 2024−8.7%

Investments

ItemLatestA year beforeChange
Cash and cash equivalents$375.2M7 Dec 31, 2025$229.9M7 Dec 31, 2024+63.2%
Marketable securities, current$124.5M7 Dec 31, 2025$118.6M7 Dec 31, 2024+5.0%
Debt securities available for sale$124.5M7 Dec 31, 2025$118.6M7 Dec 31, 2024+5.0%

Intangibles and goodwill

ItemLatestA year beforeChange
Goodwill$1.3B7 Dec 31, 2025$1.2B7 Dec 31, 2024+1.5%
Finite-lived intangibles, gross$74.7M7 Dec 31, 2025$75.8M7 Dec 31, 2024−1.4%
Accumulated amortization$57.8M7 Dec 31, 2025$64.2M7 Dec 31, 2024−9.9%
Finite-lived intangibles, net$16.9M7 Dec 31, 2025$11.6M7 Dec 31, 2024+45.4%

Properties, in its own words

Our corporate office building, which we own, is located in Sunrise, Florida and contains 80,000 square feet of office space. We also lease space in medical office buildings affiliated with hospitals and other facilities for our business and medical offices, and other needs. We believe that our facilities and the equipment used in our business are in good condition, in all material respects, and sufficient for our present needs.

Item 2 of the 10-K filed Feb 19, 2026.6

Leadership

Who has led Pediatrix Medical Group, and when. Pick a name to see everywhere that person has worked.

Board members and other officers (36)

Subsidiaries and ownership

Subsidiaries (Exhibit 21)

  • PMG Services, Inc. (d/b/a Pediatrix Services, Inc.) Florida5
  • Pediatrix Management Services, Inc. Florida5

The subsidiaries the company lists in Exhibit 21 of its annual report, as filed.

Former names

  • MEDNAX, INC.Dec 22, 2008 to Jun 21, 20224
  • PEDIATRIX MEDICAL GROUP INCAug 8, 1996 to Jan 2, 20094

Timeline

  1. Aug 4, 20268-K Results of operations64
  2. Jul 24, 20268-K Executive or director change; Regulation FD disclosure65
  3. Jul 15, 20268-K Results of operations; Regulation FD disclosure66
  4. May 7, 20268-K Executive or director change; Shareholder vote67
  5. May 5, 20268-K Results of operations68
  6. Feb 19, 20268-K Results of operations69
  7. Nov 3, 20258-K Results of operations70
  8. Aug 18, 20258-K Regulation FD disclosure; Other events71
  9. Aug 5, 20258-K Results of operations72
  10. Jul 1, 20258-K Executive or director change; Regulation FD disclosure73
  11. May 8, 20258-K Shareholder vote74
  12. May 6, 20258-K Results of operations75
  13. Mar 3, 2023New chief executive James D. Swift becomes CEO15
  14. Jul 14, 2020New chief executive Mark S. Ordan becomes CEO16
  15. Jan 5, 2006New chief executive Roger Medel Md. becomes CEO17
  16. 1979Founded Founded1

Calendar

Coming up

  1. Nov 2, 2026Reports results for the quarter ending Sep/2026 A year earlier it reported $0.64 a share, on Nov 3, 2025.76

When it reported results

  1. Aug 4, 2026Reported quarterly or annual results64
  2. Jul 15, 2026Reported quarterly or annual results66
  3. May 5, 2026Reported quarterly or annual results68
  4. Feb 19, 2026Reported quarterly or annual results69
  5. Nov 3, 2025Reported quarterly or annual results70
  6. Aug 5, 2025Reported quarterly or annual results72
  7. May 6, 2025Reported quarterly or annual results75
  8. Feb 20, 2025Reported quarterly or annual results77

Upcoming dates from Nasdaq's calendar; past results from the company's 8-K filings (Item 2.02). The full markets calendar

Filings

280 filings to the SEC since October 2021: 5 annual reports, 15 quarterly reports, 44 major events, 135 insider forms, 38 large holders, 43 other. The latest 20:

  1. Sep 14, 2026144 EDGAR
  2. Sep 14, 2026144 EDGAR
  3. Sep 14, 20264 EDGAR
  4. Sep 10, 2026144 EDGAR
  5. Sep 3, 2026SCHEDULE 13G EDGAR
  6. Sep 3, 2026SCHEDULE 13G EDGAR
  7. Sep 3, 2026SCHEDULE 13G/A EDGAR
  8. Aug 18, 20264 EDGAR
  9. Aug 14, 2026144 EDGAR
  10. Aug 14, 20264 EDGAR
  11. Aug 14, 20264 EDGAR
  12. Aug 14, 20264 EDGAR
  13. Aug 14, 20264 EDGAR
  14. Aug 14, 20264 EDGAR
  15. Aug 14, 20264 EDGAR
  16. Aug 14, 20264 EDGAR
  17. Aug 14, 20264 EDGAR
  18. Aug 4, 202610-Q EDGAR
  19. Aug 4, 20268-K EDGAR
  20. Jul 24, 20268-K EDGAR

The 280 filings since October 2021 can be filtered by form type and year here when JavaScript is on.

Every filing from the last five years, summarized. The full record is on SEC EDGAR.

Insider trades

32 open-market trades by officers, directors and large owners since October 2021: 0 buys and 32 sales. Grants, option exercises and gifts are left out.

DateWhoTradeSharesPriceValueFiling
May 13, 2026Weis Shirley ADirectorSale36,028$23.75$855.7KForm 4
Dec 15, 2025ORDAN MARK SChief Executive OfficerSale23,000$22.41$515.4KForm 4
Nov 17, 2025Rucker Michael A.DirectorSale10,478$23.00$241.0KForm 4
Nov 6, 2025Linynsky Laura ADirectorSale10,000$21.65$216.5KForm 4
Nov 13, 2024ORDAN MARK SChief Executive OfficerSale27,600$15.35$423.7KForm 4
Nov 8, 2024Moore Mary Ann EEVP, GC, Chief Admin Off & SecSale8,108$16.00$129.7KForm 4
Aug 30, 2024Swift James DChief Executive OfficerSale11,100$10.79$119.8KForm 4
Aug 27, 2024Linynsky Laura ADirectorSale7,000$11.16$78.1KForm 4
Aug 12, 2024Richards C MarcEVP, Chief Financial OfficerSale17,438$10.08$175.8KForm 4
Aug 9, 2024Richards C MarcEVP, Chief Financial OfficerSale32,562$10.08$328.2KForm 4
Dec 14, 2023Moore Mary Ann EEVP, GC, Chief Admin Off & SecSale2,120$9.62$20.4KForm 4
Dec 14, 2023Swift James DChief Executive OfficerSale5,764$9.58$55.2KForm 4
Jun 14, 2023Swift James DChief Executive OfficerSale13,193$14.14$186.5KForm 4
May 25, 2023ORDAN MARK SChief Executive OfficerSale33,000$13.26$437.6KForm 4
May 19, 2023Weis Shirley ADirectorSale1,007$13.63$13.7KForm 4
May 18, 2023Weis Shirley ADirectorSale17,993$13.55$243.8KForm 4
Nov 21, 2022ORDAN MARK SChief Executive OfficerSale22,166$15.45$342.5KForm 4
Nov 7, 2022Swift James DChief Executive OfficerSale24,000$15.31$367.4KForm 4
Jan 11, 2022MEDEL ROGER MDDirectorSale40,107$26.58$1.1MForm 4
Jan 10, 2022MEDEL ROGER MDDirectorSale59,893$26.44$1.6MForm 4

All 32 trades can be filtered by person here when JavaScript is on.

From Forms 4 filed with the SEC.

Major holders

Investors who own more than 5% of the shares must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively.

Executive pay

What the company paid its top executives, from the summary compensation table in its proxy statement. Total pay includes salary, bonus, stock and option awards and other pay, as the company valued them.

YearExecutiveAgeSalaryTotal pay
2025Mark S. Ordan67$970.0K$14.1M90
2025Don Gregory Neeb58$229.2K$5.3M90
2025Mary Ann E. Moore66$500.0K$3.0M90
2025James D. SwiftM.D.$54.2K$2.8M90
2025Kasandra H. Rossi53$437.5K$1.9M90
2024Former ChiefExecutive Officer$650.0K$3.3M90
2024Executive VicePresident,$368.8K$1.3M90
2023Former ChiefExecutive Officer$650.0K$2.2M90
2023General CounselChief Administrative Officer and Secretary$475.0K$1.8M90

Held by these funds

The largest holders among investment managers' 13F reports for the quarter ending Jun 30, 2026, the top 25 of 100. Change is in shares since the quarter before.

FundSharesValueShare of the fundChange
BlackRock, Inc.13,714,275$347.4M0.0%+139,902
Vanguard Portfolio Management LLC5,985,147$151.6M0.0%−168,979
Dimensional Fund Advisors LP4,220,311$106.9M0.0%+363,396
Vanguard Capital Management LLC3,620,040$91.7M0.0%−36,281
State Street Corp3,533,248$89.5M0.0%+154,748
Victory Capital Management Inc3,416,913$86.6M0.0%−425,020
Wasatch Advisors LP2,498,884$63.3M0.4%+448,360
Geode Capital Management, LLC2,226,028$56.4M0.0%+38,061
American Century Companies Inc2,192,017$55.5M0.0%−1,733,349
Fuller & Thaler Asset Management, Inc.1,721,451$43.6M0.1%+492,020
Allspring Global Investments Holdings, LLC1,618,910$42.3M0.1%+643,777
D. E. Shaw & Co., Inc.1,613,100$40.9M0.0%−95,333
Rockefeller Capital Management L.P.1,338,592$33.9M0.1%+576,095
Morgan Stanley1,328,477$33.7M0.0%+77,852
Charles Schwab Investment Management Inc1,294,185$32.8M0.0%−149,206
Renaissance Technologies LLC1,287,300$32.6M0.0%−245,000
Invesco Ltd.1,173,609$29.7M0.0%+251,432
Public Sector Pension Investment Board987,860$25.0M0.1%+566,451
Northern Trust Corp934,307$23.7M0.0%+34,037
Royce & Associates LP914,348$23.2M0.2%+235,578
Silvercrest Asset Management Group LLC912,380$23.1M0.2%−58,230
Nuveen, LLC868,272$22.0M0.0%−84,827
Goldman Sachs Group Inc825,636$20.9M0.0%−25,828
Bridgeway Capital Management, LLC761,642$19.3M0.3%+9,866
Fmr LLC741,386$18.8M0.0%−1,526,048

13F reports cover disclosed long positions in U.S. stocks only.

Members of Congress who traded it

1 trades disclosed by members of Congress. “Vs S&P since” is the stock’s change since the trade minus the S&P 500’s.

DateMemberTradeAmountVs S&P sinceFiling
Oct 15, 2019Donna Shalala, HouseSale$50,001 - $100,000+133.4%Report

Members report amounts as ranges, not exact figures. Returns are price-only (no dividends).

SEC filer profile

How Pediatrix Medical Group is registered with the Securities and Exchange Commission, from its EDGAR record and the cover page of its latest annual report.

  • Name on EDGARPediatrix Medical Group, Inc.2
  • CIK0000893949
  • Employer ID (EIN)26-36675386
  • Filer statusLarge accelerated filer not an emerging growth company; not a smaller reporting company; not a shell company6
  • Incorporated inFlorida6
  • Fiscal year endsDecember 312
  • Industry code (SIC)8060 Services-Hospitals2
  • SEC reviewing officeOffice of Industrial Applications and Services, Division of Corporation Finance2
  • Business address1301 Concord Terrace, Sunrise, FL 333232
  • Phone95438401752
  • Shares outstanding81,253,271 as of Jul 31, 202613
  • Public float$899.9M as of Jun 30, 20256
  • AuditorPricewaterhouseCoopers LLP, Miami, Florida PCAOB ID 238; it also attests to the company’s internal control over financial reporting6
  • On EDGAR sinceMay 10, 19962
  • Filings1,473 in all: 4 (671), 8-K (231), SC 13G/A (98), 10-Q (92), SC 13G (36), 3 (34), DEF 14A (31), 10-K (28)2
    All 55 form types

    DEFA14A (25), 144 (23), UPLOAD (20), CORRESP (18), 4/A (17), S-8 (17), ARS (14), 11-K (12), NO ACT (12), SC 13D/A (11), S-8 POS (8), 3/A (6), 5 (6), 8-K/A (5), SCHEDULE 13G/A (5), 425 (4), D (4), SC 13D (4), 8-A12B (3), NT 10-Q (3), SCHEDULE 13G (3), 10-K/A (2), 10-K405 (2), CERTNYS (2), NT 11-K (2), S-1/A (2), SEC STAFF LETTER (2), 10-K405/A (1), 10-Q/A (1), 15-12B (1), 25-NSE (1), 424A (1), 424B3 (1), 424B4 (1), 8-A12B/A (1), 8-A12G (1), 8-A12G/A (1), 8-K12B (1), CT ORDER (1), DEFR14A (1), DFAN14A (1), NT 10-K (1), PRE 14A (1), S-1 (1), S-3ASR (1), S-4 (1), S-4/A (1)

  • Latest filingsAnnual report (10-K) Feb 19, 2026
    Quarterly report (10-Q) Aug 4, 2026
    Proxy statement (DEF 14A) Mar 27, 2026
    Latest 8-K (8-K) Aug 4, 2026

Securities registered for trading

ClassSymbolExchange
Common Stock, par value $.01 per shareMDNew York Stock Exchange

From the cover page of the 10-K filed Feb 19, 2026 (Section 12(b) of the Exchange Act).6

Risk factors and legal proceedings

The risks Pediatrix Medical Group names in Item 1A of its 10-K filed Feb 19, 2026: 41 risks under these headings, as written.6

  • Risks Related to Macroeconomic Conditions
  • Economic conditions could have an adverse effect on our business.
  • The birth rate in the United States has declined and may decline further.
  • Unfavorable changes or conditions could occur in the states where our operations are concentrated.
  • The value of our common stock may fluctuate.
  • The widespread outbreak of an illness or any other communicable disease, or any other public health crisis, and the governmental responses thereto, could adversely affect our business, financial condition and results of operations.
  • Risks Related to Governmental Changes and the Healthcare Regulatory Environment
  • Potential healthcare reform efforts may have a significant effect on our business.
  • COVID-19 necessitated the delivery of certain healthcare services remotely via telehealth, which is subject to extensive federal and state regulation, as well as temporary waivers tied to the COVID-19 public health emergency, and certain flexibilities afforded to the provision and reimbursement of telehealth have been and may continue to be rolled back.
  • The Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”) and potential changes to it may have an adverse effect on our business.
  • The Transparency in Coverage Final Rule, which requires certain health plans and issuers to publish pricing information on in-network and out-of-network providers and make price comparison and cost-sharing information available to insureds, could have a material impact on our business.
  • State budgetary constraints and the uncertainty over the future of Medicaid could have an adverse effect on our reimbursement from Medicaid programs.
The other 31 risks
  • Congress or states have, and may continue to, enact laws restricting the amount out-of-network providers of services can charge and recover for such services.
  • Expanding eligibility of GHC Programs could adversely affect our reimbursement.
  • Government-funded programs, private insurers or state laws and regulations may limit, reduce or make retroactive adjustments to reimbursement amounts or rates.
  • We may become subject to billing investigations by federal and state government authorities and private insurers.
  • The healthcare industry is highly regulated, and government authorities may determine that we have failed to comply with applicable laws, rules or regulations.
  • Government authorities or other parties may assert that our business practices violate antitrust laws.
  • Our affiliated physicians and other individual providers may not satisfy all conditions of payment or otherwise appropriately record or document services that they provide.
  • State healthcare transaction laws could adversely affect our operations.
  • Risks Related to Our Business Strategy
  • During 2024, we undertook a transformation of our revenue cycle management function from an outsourced provider to a hybrid function that utilizes both our corporate personnel as well as third-party service providers. Our failure to execute a hybrid revenue cycle management function efficiently and effectively may have a material impact on our business, financial condition, results of operations, cash flows and the trading price of our securities.
  • We currently outsource, and from time to time in the future may outsource, a portion of our internal business functions to third-party providers. Outsourcing these functions has significant risks, and our failure to successfully manage these risks could materially adversely affect our business, results of operations and financial condition.
  • We may not find suitable acquisition candidates or successfully integrate our acquisitions. Our acquisitions may expose us to greater business risks and could affect our payor mix.
  • We may not be able to successfully execute our same-unit and organic growth strategies.
  • We may not effectively manage our growth.
  • Hospitals or other customers may terminate their agreements with us, our physicians may lose the ability to provide services in hospitals or administrative fees paid to us by hospitals may be reduced.
  • Risks Related to Operating our Business
  • We are dependent upon our key management personnel for our future success and loss of our key management and other personnel or an inability to attract new management and other personnel could impact our business.
  • Our quarterly results will likely fluctuate from period to period.
  • We may write-off intangible assets, such as goodwill.
  • We are subject to medical malpractice and other lawsuits that may not covered by insurance.
  • The reserves that we have established related to our professional liability losses are subject to inherent uncertainties and if actual costs exceed our estimates this may lead to a reduction in our net earnings.
  • We are subject to litigation risks.
  • We may not be able to collect reimbursements for our services from third-party payors.
  • Risks Related to our Capital Structure
  • Our current indebtedness and any future indebtedness could adversely affect us by reducing our flexibility to respond to changing business and economic conditions and expose us to interest rate risk to the extent of any variable rate debt. In addition, a certain portion of our interest expense may not be deductible.
  • Provisions of our articles and bylaws could deter takeover attempts, but our business could be negatively affected as a result of shareholder activism.
  • Risks Related to Labor
  • We may not be able to successfully recruit, onboard and retain qualified physicians and other clinicians and other personnel, and our compensation expense for existing clinicians and other personnel may increase.
  • A significant number of our affiliated physicians or other clinicians could leave our affiliated physician practices or our affiliated physician practices may be unable to enforce the non-competition covenants of departed physicians.
  • Information Systems, Cybersecurity and Data Privacy Risks
  • We may not be able to maintain effective and efficient information systems or properly safeguard our information systems.
  • We may experience difficulties implementing or enhancing technology, software and processes.
  • Our use of artificial intelligence (“AI”) technologies may expose us to additional legal, regulatory, operational, and competitive risks.
  • Hospitals could limit our ability to use our information management systems in our units by requiring us to use their own information management systems.
  • Federal and state laws concerning the privacy and security of personal information may increase our costs and limit our ability to collect and use that information. Any failure or perceived failure by us to comply with such laws and regulations may harm our business and operations.
  • Risks Related to Competition and Consolidation
  • Our industry is highly competitive.

Legal proceedings

The information required by this Item is included in and incorporated herein by reference to Item 1. Business of this Form 10-K under “Government Investigations” and “Other Legal Proceedings.”

The opening of Item 3, Legal Proceedings.6

Sources

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