XML 32 R47.htm IDEA: XBRL DOCUMENT
v2.4.0.6

Business Acquisitions (Narrative) (Detail) (USD $) | 12 Months Ended
--- | ---
Dec. 31, 2012 Y Company | Dec. 31, 2011 Company
Business Acquisition Actual Revenue And Pre Tax Income Loss [Line Items] |  |
Number of physician group practices acquired | 16 | 10
Business acquisition, total consideration | $ 451,100,000 | $ 159,500,000
Cash consideration | 436,400,000 | 146,500,000
Contingent consideration | 14,700,000 | 13,000,000
Goodwill recorded in connection with acquisitions | 414,300,000 | 138,600,000
Additional intangible assets | 48,200,000 |
Fixed assets | 600,000 |
Other liabilities | 12,000,000 |
Contingent consideration payments related to prior-period acquisitions | 14,700,000 |
Payments due on contingent purchase price provisions | 2017 |
Time period for achievement of certain performance measures for payment of contingent consideration, years | 5 |
Assumed payment probability of contingent consideration payment | 100.00% |
Range of the undiscounted amount under contingent consideration agreement, low | 0 |
Range of the undiscounted amount under contingent consideration agreement, high | 15,900,000 |
Additional contingent consideration for the Achievement of certain Performance Measures | 5,000,000 |
Recorded Additional contingent consideration for the Achievement of certain Performance Measures | 0 |
5.0 million contingent consideration agreement [Member] |  |
Business Acquisition Actual Revenue And Pre Tax Income Loss [Line Items] |  |
Contingent consideration | 0 |
Minimum [Member] |  |
Business Acquisition Actual Revenue And Pre Tax Income Loss [Line Items] |  |
Assumed discount rates for acquisition-date fair value | 3.00% |
Eligibility criteria for payments of contingent purchase price (in years) | 3 |
Maximum [Member] |  |
Business Acquisition Actual Revenue And Pre Tax Income Loss [Line Items] |  |
Assumed discount rates for acquisition-date fair value | 5.00% |
Eligibility criteria for payments of contingent purchase price (in years) | 5 |
Prior-Period Acquisitions [Member] |  |
Business Acquisition Actual Revenue And Pre Tax Income Loss [Line Items] |  |
Contingent consideration | 39,000,000 |
Additional intangible assets |  | 22,500,000
Fixed assets |  | 400,000
Contingent consideration payments related to prior-period acquisitions | 42,900,000 |
Contingent consideration payments related to prior-period acquisitions | 14,800,000 | 11,500,000
Contingent consideration for Prior Period Acquisition | 1,300,000 |
Other liabilities |  | $ 2,000,000

X
- Definition Additional Contingent Consideration For Business Acquisition + References No definition available. + Details
Name: | md_AdditionalContingentConsiderationForBusinessAcquisition
Namespace Prefix: | md_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Assumed discount rates used to record accrued contingent consideration using the income approach. + References No definition available. + Details
Name: | md_AssumedDiscountRatesUsedToRecordAccruedContingentConsiderationUsingIncomeApproach
Namespace Prefix: | md_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Assumed payment probability of contingent consideration payment. + References No definition available. + Details
Name: | md_AssumedPaymentProbabilityOfContingentConsiderationPayment
Namespace Prefix: | md_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | md_BusinessAcquisitionActualRevenueAndPreTaxIncomeLossLineItems
Namespace Prefix: | md_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Business Acquisition Contingent Consideration Incremental Accrual Amount + References No definition available. + Details
Name: | md_BusinessAcquisitionContingentConsiderationIncrementalAccrualAmount
Namespace Prefix: | md_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Contingent consideration payments related to prior period acquisitions. + References No definition available. + Details
Name: | md_ContingentConsiderationPaymentsRelatedToPriorPeriodAcquisitions
Namespace Prefix: | md_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Eligibility criteria for payments of contingent purchase price. + References No definition available. + Details
Name: | md_EligibilityCriteriaForPaymentsOfContingentPurchasePrice
Namespace Prefix: | md_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Number of physician group practices. + References No definition available. + Details
Name: | md_NumberOfPhysicianGroupPractices
Namespace Prefix: | md_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition Time period for achievement of certain performance measures for payment of contingent consideration + References No definition available. + Details
Name: | md_TimePeriodForAchievementOfCertainPerformanceMeasuresForPaymentOfContingentConsideration
Namespace Prefix: | md_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition Time taken for contingent purchase price provisions payments due. + References No definition available. + Details
Name: | md_TimeTakenForContingentPurchasePriceProvisionsPaymentsDue
Namespace Prefix: | md_
Data Type: | us-types:dateStringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Fair value, as of the acquisition date, of potential payments under the contingent consideration arrangement including cash and shares. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141R -Paragraph 65 -Subparagraph a, b -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 6 -URI http://asc.fasb.org/extlink&oid=6911189&loc=d3e6408-128476 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141R -Paragraph 68 -Subparagraph g(1) -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 35 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=6910684&loc=d3e4570-128470 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (b)(3),(c)(1) -URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e6927-128479 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph f -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 7: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=6911189&loc=d3e6411-128476 Reference 8: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 25 -Paragraph 27 -URI http://asc.fasb.org/extlink&oid=6946367&loc=d3e3629-128468 Reference 9: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=6911189&loc=d3e6405-128476 Reference 10: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 25 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=6946367&loc=d3e3642-128468 Reference 11: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141R -Paragraph 29, 30, 41, 42, 64 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 12: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 30 -Paragraph 19 -URI http://asc.fasb.org/extlink&oid=18499824&loc=d3e4243-128469 Reference 13: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 30 -Paragraph 18 -URI http://asc.fasb.org/extlink&oid=18499824&loc=d3e4237-128469 Reference 14: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 40 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6910732&loc=d3e4805-128471 + Details
Name: | us-gaap_BusinessAcquisitionContingentConsiderationAtFairValue
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of potential cash payments that could result from the contingent consideration arrangement. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph f -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessAcquisitionContingentConsiderationPotentialCashPayment
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of cash paid to acquire the entity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141R -Paragraph 68 -Subparagraph f(1) -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph d -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessAcquisitionCostOfAcquiredEntityCashPaid
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The total cost of the acquired entity including the cash paid to shareholders of acquired entities, fair value of debt and equity securities issued to shareholders of acquired entities, the fair value of the liabilities assumed, and direct costs of the acquisition. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph d -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessAcquisitionCostOfAcquiredEntityPurchasePrice
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The amount of acquisition cost of a business combination allocated to an identifiable intangible asset that will be amortized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph e -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 52 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The amount of acquisition cost of a business combination allocated to capital lease obligations assumed from the acquired entity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph e -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Emerging Issues Task Force (EITF) -Number 98-1 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 37 -Subparagraph g -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessAcquisitionPurchasePriceAllocationCapitalLeaseObligationAccrual
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of goodwill arising from a business combination, which is the excess of the cost of the acquired entity over the amounts assigned to assets acquired and liabilities assumed. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 52 -Subparagraph c -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 53 -Subparagraph d -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillAmount
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of acquisition cost of a business combination allocated to other liabilities not separately disclosed in the balance sheet. + References No definition available. + Details
Name: | us-gaap_BusinessAcquisitionPurchasePriceAllocationOtherLiabilities
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The amount of acquisition cost of a business combination allocated to preacquisition contingencies other than contingencies associated with income taxes. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph e -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 37 -Subparagraph l -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessAcquisitionPurchasePriceAllocationPreacquisitionContingencyAccrual
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The amount of acquisition cost of a business combination allocated to property, plant and equipment to be used in ongoing operations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 51 -Subparagraph e -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141 -Paragraph 37 -Subparagraph d -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessAcquisitionPurchasePriceAllocationPropertyPlantAndEquipment
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition For contingent consideration arrangements recognized in connection with a business combination, this element represents an estimate of the high-end of the potential range (undiscounted) of the consideration which may be paid. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (c)(3) -URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e6927-128479 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141R -Paragraph 68 -Subparagraph g -Clause 3 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueHigh
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition For contingent consideration arrangements and indemnification assets recognized in connection with a business combination, this element represents an estimate of the low-end of the potential range (undiscounted) of the consideration which may be paid. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (c)(3) -URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e6927-128479 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 141R -Paragraph 68 -Subparagraph g -Clause 3 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
Name: | us-gaap_BusinessCombinationContingentConsiderationArrangementsRangeOfOutcomesValueLow
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant