2017 Q4 Form 10-K Financial Statement
#000163883318000004 Filed on March 16, 2018
Income Statement
Concept | 2017 Q4 | 2017 Q3 |
---|---|---|
Revenue | $460.3M | $132.3M |
YoY Change | 50.44% | -53.21% |
Cost Of Revenue | $338.7M | $102.9M |
YoY Change | 58.09% | -48.89% |
Gross Profit | $121.6M | $29.33M |
YoY Change | 32.57% | -63.91% |
Gross Profit Margin | 26.42% | 22.18% |
Selling, General & Admin | $51.20M | $45.00M |
YoY Change | 28.64% | 22.62% |
% of Gross Profit | 42.09% | 153.41% |
Research & Development | ||
YoY Change | ||
% of Gross Profit | ||
Depreciation & Amortization | $18.40M | $3.330M |
YoY Change | 73.58% | -65.72% |
% of Gross Profit | 15.13% | 11.35% |
Operating Expenses | $69.70M | $120.3M |
YoY Change | 38.29% | -49.83% |
Operating Profit | $51.94M | $11.93M |
YoY Change | 25.6% | -72.17% |
Interest Expense | -$30.30M | -$15.88M |
YoY Change | 26.78% | -40.01% |
% of Operating Profit | -58.33% | -133.18% |
Other Income/Expense, Net | $25.50M | $17.40M |
YoY Change | 3542.86% | -524.39% |
Pretax Income | $72.80M | -$2.859M |
YoY Change | 70.49% | -122.62% |
Income Tax | $7.900M | -$211.0K |
% Of Pretax Income | 10.85% | |
Net Earnings | -$32.18M | -$9.140M |
YoY Change | -290.82% | 290.93% |
Net Earnings / Revenue | -6.99% | -6.91% |
Basic Earnings Per Share | -$0.83 | -$0.57 |
Diluted Earnings Per Share | -$0.83 | -$0.57 |
COMMON SHARES | ||
Basic Shares Outstanding | 48.77M shares | 48.31M shares |
Diluted Shares Outstanding | 48.31M shares |
Balance Sheet
Concept | 2017 Q4 | 2017 Q3 |
---|---|---|
SHORT-TERM ASSETS | ||
Cash & Short-Term Investments | $174.9M | $199.7M |
YoY Change | 150.93% | 261.78% |
Cash & Equivalents | $174.9M | $214.2M |
Short-Term Investments | ||
Other Short-Term Assets | $38.50M | $15.48M |
YoY Change | 239.58% | 49.04% |
Inventory | $44.95M | $44.52M |
Prepaid Expenses | $16.84M | $18.42M |
Receivables | $288.0M | $271.1M |
Other Receivables | $14.20M | $19.90M |
Total Short-Term Assets | $563.2M | $573.7M |
YoY Change | 55.61% | 74.51% |
LONG-TERM ASSETS | ||
Property, Plant & Equipment | $398.5M | $388.7M |
YoY Change | 95.06% | 94.74% |
Goodwill | $3.347B | $3.269B |
YoY Change | 115.2% | 113.48% |
Intangibles | $58.91M | $56.75M |
YoY Change | 22.67% | 16.59% |
Long-Term Investments | $77.70M | $67.50M |
YoY Change | 96.71% | 71.32% |
Other Assets | $48.67M | $19.13M |
YoY Change | 196.11% | 38.34% |
Total Long-Term Assets | $4.060B | $4.028B |
YoY Change | 108.93% | 109.8% |
TOTAL ASSETS | ||
Total Short-Term Assets | $563.2M | $573.7M |
Total Long-Term Assets | $4.060B | $4.028B |
Total Assets | $4.623B | $4.602B |
YoY Change | 100.56% | 104.64% |
SHORT-TERM LIABILITIES | ||
YoY Change | ||
Accounts Payable | $84.71M | $73.25M |
YoY Change | 70.22% | 64.78% |
Accrued Expenses | $122.9M | $99.30M |
YoY Change | 73.1% | 42.26% |
Deferred Revenue | ||
YoY Change | ||
Short-Term Debt | $0.00 | $0.00 |
YoY Change | ||
Long-Term Debt Due | $58.70M | $48.50M |
YoY Change | 111.15% | 66.67% |
Total Short-Term Liabilities | $303.0M | $275.0M |
YoY Change | 62.27% | 53.94% |
LONG-TERM LIABILITIES | ||
Long-Term Debt | $2.252B | $2.562B |
YoY Change | 53.51% | 81.58% |
Other Long-Term Liabilities | $222.5M | $116.8M |
YoY Change | 191.72% | 33.59% |
Total Long-Term Liabilities | $222.5M | $116.8M |
YoY Change | 191.72% | 33.59% |
TOTAL LIABILITIES | ||
Total Short-Term Liabilities | $303.0M | $275.0M |
Total Long-Term Liabilities | $222.5M | $116.8M |
Total Liabilities | $525.5M | $391.8M |
YoY Change | 99.81% | 47.25% |
SHAREHOLDERS EQUITY | ||
Retained Earnings | -$41.32M | -$9.140M |
YoY Change | -86.73% | -97.22% |
Common Stock | ||
YoY Change | ||
Preferred Stock | ||
YoY Change | ||
Treasury Stock (at cost) | ||
YoY Change | ||
Treasury Stock Shares | ||
Shareholders Equity | $654.7M | $695.4M |
YoY Change | ||
Total Liabilities & Shareholders Equity | $4.623B | $4.602B |
YoY Change | 100.56% | 104.64% |
Cashflow Statement
Concept | 2017 Q4 | 2017 Q3 |
---|---|---|
OPERATING ACTIVITIES | ||
Net Income | -$32.18M | -$9.140M |
YoY Change | -290.82% | 290.93% |
Depreciation, Depletion And Amortization | $18.40M | $3.330M |
YoY Change | 73.58% | -65.72% |
Cash From Operating Activities | $54.40M | -$1.222M |
YoY Change | 68.42% | -106.47% |
INVESTING ACTIVITIES | ||
Capital Expenditures | -$9.000M | $1.840M |
YoY Change | -15.89% | -123.0% |
Acquisitions | $1.163M | |
YoY Change | ||
Other Investing Activities | -$26.90M | $0.00 |
YoY Change | 37.24% | -100.0% |
Cash From Investing Activities | -$35.80M | -$3.003M |
YoY Change | 18.15% | -85.7% |
FINANCING ACTIVITIES | ||
Cash Dividend Paid | ||
YoY Change | ||
Common Stock Issuance & Retirement, Net | ||
YoY Change | ||
Debt Paid & Issued, Net | $3.609M | |
YoY Change | ||
Cash From Financing Activities | -43.40M | -$10.28M |
YoY Change | -447.2% | -277.24% |
NET CHANGE | ||
Cash From Operating Activities | 54.40M | -$1.222M |
Cash From Investing Activities | -35.80M | -$3.003M |
Cash From Financing Activities | -43.40M | -$10.28M |
Net Change In Cash | -24.80M | -$14.51M |
YoY Change | -271.03% | -492.03% |
FREE CASH FLOW | ||
Cash From Operating Activities | $54.40M | -$1.222M |
Capital Expenditures | -$9.000M | $1.840M |
Free Cash Flow | $63.40M | -$3.062M |
YoY Change | 47.44% | -111.38% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
CY2017 | dei |
Amendment Flag
AmendmentFlag
|
false | |
CY2017 | dei |
Current Fiscal Year End Date
CurrentFiscalYearEndDate
|
--12-31 | |
CY2017 | dei |
Document Fiscal Period Focus
DocumentFiscalPeriodFocus
|
FY | |
CY2017 | dei |
Document Fiscal Year Focus
DocumentFiscalYearFocus
|
2017 | |
CY2017 | dei |
Document Period End Date
DocumentPeriodEndDate
|
2017-12-31 | |
CY2017 | dei |
Document Type
DocumentType
|
10-K | |
CY2017 | dei |
Entity Central Index Key
EntityCentralIndexKey
|
0001638833 | |
CY2018Q1 | dei |
Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
|
48611578 | shares |
CY2017 | dei |
Entity Current Reporting Status
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|
Yes | |
CY2017 | dei |
Entity Filer Category
EntityFilerCategory
|
Accelerated Filer | |
CY2017Q2 | dei |
Entity Public Float
EntityPublicFloat
|
484100000 | USD |
CY2017 | dei |
Entity Registrant Name
EntityRegistrantName
|
Surgery Partners, Inc. | |
CY2017 | dei |
Entity Voluntary Filers
EntityVoluntaryFilers
|
No | |
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Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
|
No | |
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Acquisition Escrow Liability Current
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|
3809000 | USD |
CY2017Q4 | sgry |
Acquisition Escrow Liability Noncurrent
AcquisitionEscrowLiabilityNoncurrent
|
19600000 | USD |
CY2017Q4 | sgry |
Acquisition Escrow Receivable Current
AcquisitionEscrowReceivableCurrent
|
3809000 | USD |
CY2017Q4 | sgry |
Acquisition Escrow Receivable Noncurrent
AcquisitionEscrowReceivableNoncurrent
|
19600000 | USD |
sgry |
Amortizationof Unfavorable Lease Liability
AmortizationofUnfavorableLeaseLiability
|
221000 | USD | |
CY2015 | sgry |
Business Acquisition Numberof Physicians Addedto Network
BusinessAcquisitionNumberofPhysiciansAddedtoNetwork
|
17 | Physician |
sgry |
Business Combination Contingent Acquisition Expense
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|
1982000 | USD | |
sgry |
Business Combination Contingent Compensation Expense
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|
1900000 | USD | |
sgry |
Business Combination Gain Loss On Acquisition Escrow
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|
167000 | USD | |
sgry |
Business Combination Integration Related Costs And Merger Costs
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|
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sgry |
Business Combination Practice Acquisition Costs
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|
1800000 | USD | |
sgry |
Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
|
0 | USD | |
sgry |
Deferred Income Tax Liability Gain On Amendment Of Liability
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Deferred Tax Asset Tax Receivable Agreement
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|
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2125000 | USD |
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Deferred Tax Assets Tax Deferred Expense Deferred Financing Costs
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|
17004000 | USD |
CY2017Q4 | sgry |
Deferred Tax Liabilities Basis Differencesof Partnershipsand Joint Ventures
DeferredTaxLiabilitiesBasisDifferencesofPartnershipsandJointVentures
|
2399000 | USD |
sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
78737000 | USD | |
sgry |
Effective Income Tax Rate Reconciliation Nondeductible Mergerand Public Offering Costs Amount
EffectiveIncomeTaxRateReconciliationNondeductibleMergerandPublicOfferingCostsAmount
|
2058000 | USD | |
sgry |
Effective Income Tax Rate Reconciliation Tax Receivable Agreement Amount
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|
-7404000 | USD | |
sgry |
Effective Income Tax Reconciliation Divestiture Amount
EffectiveIncomeTaxReconciliationDivestitureAmount
|
-429000 | USD | |
CY2017Q4 | sgry |
Estimated Insurance Recoveries Noncurrent
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|
10018000 | USD |
sgry |
Finite Lived Intangible Asset Disposals
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|
140000 | USD | |
sgry |
Gain Loss On Amendment To Tax Receivable Agreement
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|
1098000 | USD | |
sgry |
Incentive Payments Recognizedfor Certain Hospitalsand Physician Practices That Demonstrate Meaningful Useof Certified Electronic Health Record Technology
IncentivePaymentsRecognizedforCertainHospitalsandPhysicianPracticesThatDemonstrateMeaningfulUseofCertifiedElectronicHealthRecordTechnology
|
-45000 | USD | |
sgry |
Increaseof Revenueas Resultof Changesin Estimatesto Thirdparty Settlements Relatedto Prior Years
IncreaseofRevenueasResultofChangesinEstimatestoThirdpartySettlementsRelatedtoPriorYears
|
0 | USD | |
sgry |
Intangible Assets Professional Recruitment Expense
IntangibleAssetsProfessionalRecruitmentExpense
|
227000 | USD | |
sgry |
Intereston Contingent Consideration Obligation
InterestonContingentConsiderationObligation
|
0 | USD | |
CY2017Q4 | sgry |
Lease Obligation Noncurrent
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|
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Long Term Tax Receivable Agreement Liability
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|
44300000 | USD |
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Medical Malpractice Liability Noncurrent
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sgry |
Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
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|
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sgry |
Noncash Gain Loss Related To Litigation Settlement
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|
8740000 | USD | |
sgry |
Noncontrolling Interests Decrease From Reallocation Due To Pushdown Accounting
NoncontrollingInterestsDecreaseFromReallocationDueToPushdownAccounting
|
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Number Of Surgical Facilities Owned
NumberOfSurgicalFacilitiesOwned
|
124 | surgical_facility |
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Numberof Surgical Facilities Owned Consolidated
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|
108 | surgical_facility |
CY2017Q4 | sgry |
Numberof Surgical Facilities Owned Majority Interest
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|
84 | surgical_facility |
sgry |
Terminationof Management Agreementand Ipo Costs
TerminationofManagementAgreementandIPOCosts
|
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Third Party Settlements Payable Current
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|
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Optical Products Receivable
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|
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sgry |
Proceeds From Payments For Financing Lease Obligation
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|
1007000 | USD | |
sgry |
Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders
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|
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sgry |
Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests
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|
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sgry |
Redeemable Noncontrolling Interest Reallocation Due To Pushdown Accounting
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21248000 | USD | |
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Related Party Transaction Annual Management Fee Paidper Agreement
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|
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|
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sgry |
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|
25300000 | USD | |
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Tax Receivable Agreement Expense Benefit
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|
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CY2017Q4 | us-gaap |
Accounts Receivable Net Current
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|
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CY2017Q4 | us-gaap |
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|
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sgry |
Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued
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|
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Variable Interest Entity Numberof Facilities
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|
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Variable Interest Entity Numberof Facilities
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|
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CY2017Q4 | sgry |
Variable Interest Entity Numberof Facilities
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|
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|
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Additional Paid In Capital
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|
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|
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Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
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|
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|
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Allowance For Doubtful Accounts Receivable Current
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|
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Allowance For Doubtful Accounts Receivable Write Offs
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|
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Amortization Of Financing Costs And Discounts
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Amortization Of Intangible Assets
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Amortization Of Intangible Assets
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|
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Assets
Assets
|
4622773000 | USD |
CY2017Q4 | us-gaap |
Assets Current
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|
563225000 | USD |
us-gaap |
Business Combination Integration Related Costs
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|
7470000 | USD | |
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Capital Lease Obligations
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|
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|
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|
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|
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|
5720000 | USD |
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|
27594000 | USD |
CY2017Q4 | us-gaap |
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|
5800000 | USD |
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Cash And Cash Equivalents At Carrying Value
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|
174914000 | USD |
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Cash And Cash Equivalents At Carrying Value
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214206000 | USD |
us-gaap |
Cash And Cash Equivalents Period Increase Decrease
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|
-39292000 | USD | |
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Common Stock Par Or Stated Value Per Share
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|
0.01 | |
CY2017Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
300000000 | shares |
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Common Stock Shares Issued
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|
48687136 | shares |
CY2017Q4 | us-gaap |
Common Stock Shares Outstanding
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|
48687136 | shares |
CY2017Q4 | us-gaap |
Common Stock Value Outstanding
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|
487000 | USD |
us-gaap |
Comprehensive Income Net Of Tax
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|
-41316000 | USD | |
us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
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39634000 | USD | |
us-gaap |
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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|
-1682000 | USD | |
CY2017Q3 | us-gaap |
Cost Of Revenue
CostOfRevenue
|
102924000 | USD |
us-gaap |
Cost Of Revenue
CostOfRevenue
|
441628000 | USD | |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Deferred Expense
DeferredTaxLiabilitiesDeferredExpense
|
717000 | USD |
CY2017Q4 | us-gaap |
Cost Of Revenue
CostOfRevenue
|
338704000 | USD |
us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
-111000 | USD | |
us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
990000 | USD | |
CY2017Q4 | us-gaap |
Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net
DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet
|
0 | USD |
us-gaap |
Deferred Federal Income Tax Expense Benefit
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|
77472000 | USD | |
us-gaap |
Deferred Income Tax Expense Benefit
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|
71031000 | USD | |
CY2017Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
28380000 | USD |
CY2017Q4 | us-gaap |
Deferred Income Tax Liabilities Net
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|
65100000 | USD |
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Deferred State And Local Income Tax Expense Benefit
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|
-6712000 | USD | |
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|
3024000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
171731000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
132319000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Liabilities Net Noncurrent
DeferredTaxAssetsLiabilitiesNetNoncurrent
|
132319000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
160699000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
137794000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
4961000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
|
0 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
2545000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies
|
3236000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Deferred Rent
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent
|
0 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
11032000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
11000000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Deferred Expense Deferred Financing Costs
DeferredTaxLiabilitiesDeferredExpenseDeferredFinancingCosts
|
0 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
12441000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
725000 | USD |
CY2017Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
12098000 | USD |
CY2017Q4 | us-gaap |
Deferred Taxes Business Combination Valuation Allowance Allocated To Contributed Capital
DeferredTaxesBusinessCombinationValuationAllowanceAllocatedToContributedCapital
|
1800000 | USD |
CY2017Q4 | us-gaap |
Deferred Taxes Business Combination Valuation Allowance Available To Reduce Goodwill
DeferredTaxesBusinessCombinationValuationAllowanceAvailableToReduceGoodwill
|
300000 | USD |
us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
2300000 | USD | |
us-gaap |
Depreciation
Depreciation
|
20000000 | USD | |
us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
21804000 | USD | |
CY2017Q4 | us-gaap |
Disposal Group Including Discontinued Operation Consideration
DisposalGroupIncludingDiscontinuedOperationConsideration
|
1300000 | USD |
CY2017Q4 | us-gaap |
Dividends Payable Current And Noncurrent
DividendsPayableCurrentAndNoncurrent
|
3900000 | USD |
CY2017Q3 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-0.57 | |
us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-1.39 | ||
CY2017Q4 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-0.83 | |
CY2017Q3 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.57 | |
us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-1.39 | ||
CY2017Q4 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.83 | |
CY2017 | us-gaap |
Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
|
0.24 | |
CY2017 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.35 | |
CY2017Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
49625000 | USD |
CY2017Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
|
6600000 | USD |
CY2017Q4 | us-gaap |
Estimated Insurance Recoveries
EstimatedInsuranceRecoveries
|
12800000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
2000000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense After Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
|
26034000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
4966000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
2874000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
3730000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
4172000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
4576000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
48352000 | USD |
CY2017Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
46352000 | USD |
us-gaap |
Finite Lived Intangible Assets Purchase Accounting Adjustments
FiniteLivedIntangibleAssetsPurchaseAccountingAdjustments
|
3873000 | USD | |
us-gaap |
Finitelived Intangible Assets Acquired1
FinitelivedIntangibleAssetsAcquired1
|
474000 | USD | |
us-gaap |
Gain Loss On Disposition Of Assets1
GainLossOnDispositionOfAssets1
|
-5000 | USD | |
us-gaap |
Gain Loss On Sale Of Business
GainLossOnSaleOfBusiness
|
800000 | USD | |
us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
8740000 | USD | |
us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
0 | USD | |
us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
29153000 | USD | |
CY2017Q4 | us-gaap |
Goodwill
Goodwill
|
3346838000 | USD |
CY2017Q3 | us-gaap |
Goodwill
Goodwill
|
3269225000 | USD |
us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
49317000 | USD | |
CY2017Q4 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
0 | USD |
us-gaap |
Goodwill Purchase Accounting Adjustments
GoodwillPurchaseAccountingAdjustments
|
30253000 | USD | |
us-gaap |
Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
|
1957000 | USD | |
us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
69957000 | USD | |
us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
3319000 | USD | |
us-gaap |
Income Loss From Equity Method Investments Net Of Dividends Or Distributions
IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions
|
-678000 | USD | |
us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
71639000 | USD | |
us-gaap |
Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
529000 | USD | |
us-gaap |
Income Tax Reconciliation Change In Enacted Tax Rate
IncomeTaxReconciliationChangeInEnactedTaxRate
|
64343000 | USD | |
us-gaap |
Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
|
24485000 | USD | |
us-gaap |
Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
|
13872000 | USD | |
us-gaap |
Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost
IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost
|
306000 | USD | |
us-gaap |
Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
|
129000 | USD | |
us-gaap |
Income Tax Reconciliation Other Reconciling Items
IncomeTaxReconciliationOtherReconcilingItems
|
0 | USD | |
us-gaap |
Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
|
1685000 | USD | |
us-gaap |
Income Tax Reconciliation Tax Contingencies Other
IncomeTaxReconciliationTaxContingenciesOther
|
-191000 | USD | |
us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
485000 | USD | |
us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
31500000 | USD | |
us-gaap |
Increase Decrease In Other Operating Capital Net
IncreaseDecreaseInOtherOperatingCapitalNet
|
-14494000 | USD | |
CY2017Q4 | us-gaap |
Insurance Receivable For Malpractice Current
InsuranceReceivableForMalpracticeCurrent
|
2828000 | USD |
CY2017Q4 | us-gaap |
Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
|
60908000 | USD |
CY2017Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
58908000 | USD |
CY2017Q3 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
56750000 | USD |
us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-48740000 | USD | |
us-gaap |
Interest Paid Net
InterestPaidNet
|
40872000 | USD | |
CY2017Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
20537000 | USD |
CY2017Q4 | us-gaap |
Inventory Net
InventoryNet
|
44951000 | USD |
CY2017Q4 | us-gaap |
Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
|
74282000 | USD |
us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
175403000 | USD | |
CY2017 | us-gaap |
Lease And Rental Expense
LeaseAndRentalExpense
|
27800000 | USD |
CY2017Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
4622773000 | USD |
CY2017Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
303005000 | USD |
CY2017Q4 | us-gaap |
Long Term Accounts Notes And Loans Receivable Net Noncurrent
LongTermAccountsNotesAndLoansReceivableNetNoncurrent
|
2263000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
2186291000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
2130556000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
58726000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
|
2189282000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
|
393597000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
|
58726000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
|
8110000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
|
411748000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
|
1277253000 | USD |
CY2017Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
|
36857000 | USD |
CY2017Q4 | us-gaap |
Minority Interest
MinorityInterest
|
681879000 | USD |
us-gaap |
Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
25262000 | USD | |
us-gaap |
Minority Interest Decrease From Redemptions
MinorityInterestDecreaseFromRedemptions
|
1545000 | USD | |
us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-53624000 | USD | |
us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-38893000 | USD | |
us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
53225000 | USD | |
CY2017Q3 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-9140000 | USD |
us-gaap |
Net Income Loss
NetIncomeLoss
|
-41316000 | USD | |
CY2017Q4 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-32176000 | USD |
CY2017Q3 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
6492000 | USD |
us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
39634000 | USD | |
CY2017Q4 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
33142000 | USD |
us-gaap |
Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
|
12931000 | USD | |
us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-67363000 | USD | |
us-gaap |
Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest
|
-14613000 | USD | |
us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
14872000 | USD | |
CY2017 | us-gaap |
Number Of Operating Segments
NumberOfOperatingSegments
|
3 | segment |
CY2017Q4 | us-gaap |
Number Of States In Which Entity Operates
NumberOfStatesInWhichEntityOperates
|
32 | state |
CY2017Q4 | us-gaap |
Off Market Lease Unfavorable
OffMarketLeaseUnfavorable
|
11889000 | USD |
us-gaap |
Operating Expenses
OperatingExpenses
|
500334000 | USD | |
us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
92270000 | USD | |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
|
564716000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
|
67513000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
|
52582000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
|
56558000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
|
62735000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
|
67136000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
|
258192000 | USD |
CY2017Q4 | us-gaap |
Operating Leases Future Minimum Payments Receivable
OperatingLeasesFutureMinimumPaymentsReceivable
|
4200000 | USD |
us-gaap |
Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
|
27868000 | USD | |
CY2017Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
52717000 | USD |
us-gaap |
Payments Of Dividends Preferred Stock And Preference Stock
PaymentsOfDividendsPreferredStockAndPreferenceStock
|
1316000 | USD | |
CY2017Q4 | us-gaap |
Other Sundry Liabilities Noncurrent
OtherSundryLiabilitiesNoncurrent
|
9123000 | USD |
us-gaap |
Other Tax Expense Benefit
OtherTaxExpenseBenefit
|
-25329000 | USD | |
CY2017Q4 | us-gaap |
Payables To Customers
PayablesToCustomers
|
18096000 | USD |
us-gaap |
Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
|
2009000 | USD | |
us-gaap |
Payments Of Debt Extinguishment Costs
PaymentsOfDebtExtinguishmentCosts
|
0 | USD | |
us-gaap |
Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
|
4000 | USD | |
us-gaap |
Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
|
33490000 | USD | |
CY2017Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
24302000 | USD |
CY2017Q4 | us-gaap |
Other Assets Miscellaneous Noncurrent
OtherAssetsMiscellaneousNoncurrent
|
13318000 | USD |
CY2017Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
48350000 | USD |
us-gaap |
Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
|
0 | USD | |
us-gaap |
Other Cost And Expense Operating
OtherCostAndExpenseOperating
|
32281000 | USD | |
CY2017Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
109944000 | USD |
CY2017Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
178689000 | USD |
us-gaap |
Other Nonrecurring Income Expense
OtherNonrecurringIncomeExpense
|
0 | USD | |
us-gaap |
Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
|
0 | USD | |
us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
29249000 | USD | |
us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
10827000 | USD | |
CY2017 | us-gaap |
Preferred Stock Amount Of Preferred Dividends In Arrears
PreferredStockAmountOfPreferredDividendsInArrears
|
9200000 | USD |
CY2017Q4 | us-gaap |
Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
|
0.01 | |
CY2017 | us-gaap |
Preferred Stock Per Share Amounts Of Preferred Dividends In Arrears
PreferredStockPerShareAmountsOfPreferredDividendsInArrears
|
29.56 | |
CY2017Q4 | us-gaap |
Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
|
20000000 | shares |
CY2017Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2017Q4 | us-gaap |
Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
|
0 | shares |
CY2017Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
0 | USD |
CY2017Q4 | us-gaap |
Prepaid Expense And Other Assets Current
PrepaidExpenseAndOtherAssetsCurrent
|
55337000 | USD |
CY2017Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
16835000 | USD |
us-gaap |
Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
|
1183000 | USD | |
us-gaap |
Proceeds From Issuance Initial Public Offering
ProceedsFromIssuanceInitialPublicOffering
|
0 | USD | |
us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
409000 | USD | |
us-gaap |
Proceeds From Issuance Of Preferred Stock And Preference Stock
ProceedsFromIssuanceOfPreferredStockAndPreferenceStock
|
0 | USD | |
us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-590000 | USD | |
us-gaap |
Proceeds From Payments To Minority Shareholders
ProceedsFromPaymentsToMinorityShareholders
|
998000 | USD | |
us-gaap |
Professional Fees
ProfessionalFees
|
45061000 | USD | |
CY2017Q3 | us-gaap |
Profit Loss
ProfitLoss
|
-2648000 | USD |
us-gaap |
Profit Loss
ProfitLoss
|
-1682000 | USD | |
CY2017Q4 | us-gaap |
Profit Loss
ProfitLoss
|
966000 | USD |
CY2016Q4 | us-gaap |
Property Plant And Equipment Gross Excluding Capital Leased Assets
PropertyPlantAndEquipmentGrossExcludingCapitalLeasedAssets
|
290640000 | USD |
CY2017Q4 | us-gaap |
Property Plant And Equipment Gross Excluding Capital Leased Assets
PropertyPlantAndEquipmentGrossExcludingCapitalLeasedAssets
|
418216000 | USD |
CY2016Q4 | us-gaap |
Property Plant And Equipment Net Excluding Capital Leased Assets
PropertyPlantAndEquipmentNetExcludingCapitalLeasedAssets
|
204253000 | USD |
CY2017Q4 | us-gaap |
Property Plant And Equipment Net Excluding Capital Leased Assets
PropertyPlantAndEquipmentNetExcludingCapitalLeasedAssets
|
398536000 | USD |
us-gaap |
Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
|
12455000 | USD | |
CY2017Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
299316000 | USD |
CY2017Q3 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
271001000 | USD |
CY2017Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Preferred Redemption Value
RedeemableNoncontrollingInterestEquityPreferredRedemptionValue
|
330806000 | USD |
CY2017Q4 | us-gaap |
Revenues
Revenues
|
460346000 | USD |
CY2017Q4 | us-gaap |
Self Insurance Reserve
SelfInsuranceReserve
|
21000000 | USD |
us-gaap |
Share Based Compensation
ShareBasedCompensation
|
1887000 | USD | |
us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
18629000 | USD | |
CY2017Q4 | us-gaap |
Restricted Cash And Investments Noncurrent
RestrictedCashAndInvestmentsNoncurrent
|
315000 | USD |
CY2017Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
-41316000 | USD |
CY2017Q3 | us-gaap |
Revenues
Revenues
|
132258000 | USD |
us-gaap |
Revenues
Revenues
|
592604000 | USD | |
CY2017Q4 | us-gaap |
Security Deposit
SecurityDeposit
|
3151000 | USD |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
12687 | shares |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
|
7058 | shares |
us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
|
0 | shares | |
us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
|
0 | shares | |
CY2017Q3 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
12687 | shares |
CY2017Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
20.10 | |
CY2017Q3 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
20.10 | |
us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P1Y6M | ||
us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P1Y1M28D | ||
us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
0 | shares | |
us-gaap |
Stock Issued During Period Value Restricted Stock Award Forfeitures
StockIssuedDuringPeriodValueRestrictedStockAwardForfeitures
|
585000 | USD | |
us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
0 | USD | |
CY2017Q4 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
50000000 | USD |
CY2017Q4 | us-gaap |
Stock Repurchase Program Remaining Authorized Repurchase Amount1
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount1
|
48000000 | USD |
us-gaap |
Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
|
2009000 | USD | |
CY2017Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
654731000 | USD |
CY2017Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
1336610000 | USD |
CY2017Q3 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
1405086000 | USD |
us-gaap |
Supplies Expense
SuppliesExpense
|
161015000 | USD | |
CY2017Q4 | us-gaap |
Taxes Payable Current
TaxesPayableCurrent
|
4912000 | USD |
us-gaap |
Temporary Equity Accretion Of Dividends
TemporaryEquityAccretionOfDividends
|
10481000 | USD | |
us-gaap |
Temporary Equity Accretion To Redemption Value
TemporaryEquityAccretionToRedemptionValue
|
15566000 | USD | |
us-gaap |
Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
|
15566000 | USD | |
CY2017Q4 | us-gaap |
Temporary Equity Carrying Amount Attributable To Parent
TemporaryEquityCarryingAmountAttributableToParent
|
330806000 | USD |
CY2017Q3 | us-gaap |
Temporary Equity Carrying Amount Attributable To Parent
TemporaryEquityCarryingAmountAttributableToParent
|
310000000 | USD |
us-gaap |
Temporary Equity Dividends Adjustment
TemporaryEquityDividendsAdjustment
|
5241000 | USD | |
CY2017Q4 | us-gaap |
Temporary Equity Shares Authorized
TemporaryEquitySharesAuthorized
|
310000 | shares |
CY2017Q4 | us-gaap |
Temporary Equity Shares Issued
TemporaryEquitySharesIssued
|
310000 | shares |
CY2017Q4 | us-gaap |
Temporary Equity Shares Outstanding
TemporaryEquitySharesOutstanding
|
310000 | shares |
CY2017Q4 | us-gaap |
Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
|
11.12 | |
CY2017Q4 | us-gaap |
Treasury Stock Shares Acquired
TreasuryStockSharesAcquired
|
180664 | shares |
us-gaap |
Undistributed Earnings Loss Allocated To Participating Securities Basic
UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic
|
26047000 | USD | |
CY2016Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
1061000 | USD |
CY2017Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
690000 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
407000 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
|
0 | USD |
CY2017Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
100000 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Acquisition
UnrecognizedTaxBenefitsIncreasesResultingFromAcquisition
|
36000 | USD |
CY2017 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
|
0 | USD |
CY2017Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
200000 | USD |
CY2017 | us-gaap |
Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
|
3600000 | USD |
us-gaap |
Weighted Average Number Diluted Shares Outstanding Adjustment
WeightedAverageNumberDilutedSharesOutstandingAdjustment
|
0 | shares | |
us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
48319193 | shares | |
us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48319193 | shares | |
CY2017 | us-gaap |
Prior Period Reclassification Adjustment Description
PriorPeriodReclassificationAdjustmentDescription
|
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;font-weight:bold;">Reclassifications</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">Certain reclassifications have been made to the comparative periods' financial statements to conform to the current year presentation. </font></div></div> | |
CY2017 | us-gaap |
Nature Of Operations
NatureOfOperations
|
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:left;padding-left:24px;text-indent:-24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;font-weight:bold;">Organization</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:10pt;"><font style="font-family:inherit;font-size:9pt;">Surgery Partners, Inc.,</font><font style="font-family:inherit;font-size:10pt;"> a </font><font style="font-family:inherit;font-size:9pt;">Delaware corporation (together with its subsidiaries, the “Company”), was formed April 2, 2015, as a holding company for the purpose of facilitating an initial public offering (the “IPO”) of shares of common stock. Prior to September 30, 2015, the Company conducted business through Surgery Center Holdings, Inc. and its subsidiaries. Surgery Center Holdings, LLC was and is the sole indirect owner of the equity interests of Surgery Center Holdings, Inc. and had no other material assets. </font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">On September 30, 2015, Surgery Partners, Inc. became the direct parent and sole member of Surgery Center Holdings, LLC (the "Reorganization"). In the Reorganization, all of the equity interests held by the pre-IPO Owners of Surgery Center Holdings, LLC were contributed to Surgery Partners, Inc. in exchange for </font><font style="font-family:inherit;font-size:9pt;">33,871,990</font><font style="font-family:inherit;font-size:9pt;"> shares of common stock of Surgery Partners, Inc. and certain rights to additional payments under a tax receivable agreement. After giving effect to the Reorganization, Surgery Partners, Inc. is a holding company, and its sole material asset is an equity interest in Surgery Center Holdings, LLC. The Company's consolidated financial statements for periods prior to the Reorganization represent the historical operating results and financial position of Surgery Center Holdings, Inc. and certain of its subsidiaries.</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">On </font><font style="font-family:inherit;font-size:9pt;">October 1, 2015</font><font style="font-family:inherit;font-size:9pt;">, the Company completed its IPO of </font><font style="font-family:inherit;font-size:9pt;">14,285,000</font><font style="font-family:inherit;font-size:9pt;"> shares of common stock at an offering price of </font><font style="font-family:inherit;font-size:9pt;">$19.00</font><font style="font-family:inherit;font-size:9pt;"> per share. On </font><font style="font-family:inherit;font-size:9pt;">October 6, 2015</font><font style="font-family:inherit;font-size:9pt;">, the Company received net proceeds from the sale of common stock in this offering of </font><font style="font-family:inherit;font-size:9pt;">$255.8 million</font><font style="font-family:inherit;font-size:9pt;">, after deducting underwriting discounts and other fees of </font><font style="font-family:inherit;font-size:9pt;">$15.6 million</font><font style="font-family:inherit;font-size:9pt;">. These net proceeds were used to repay a portion of the borrowings outstanding under the 2014 Second Lien and to pay fees associated with this offering. The Company also incurred an additional </font><font style="font-family:inherit;font-size:9pt;">$4.8 million</font><font style="font-family:inherit;font-size:9pt;"> in costs directly related to the IPO.</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">On August 31, 2017, the Company completed its acquisition of NSH Holdco, Inc. (“NSH”). Pursuant to the terms of the Agreement and Plan of Merger, dated as of May 9, 2017, by and among the Company, SP Merger Sub, Inc., a wholly owned subsidiary of the Company, NSH, and IPC / NSH, L.P. (solely in its capacity as sellers’ representative), as amended by that certain Letter Amendment, dated as of July 7, 2017 (as amended, the “NSH Merger Agreement”), SP Merger Sub, Inc. merged with and into NSH with NSH continuing as the surviving corporation and a wholly owned subsidiary of Surgery Center Holdings, Inc. (the “NSH Merger”). Also on August 31, 2017, (i) the Company completed the sale and issuance of </font><font style="font-family:inherit;font-size:9pt;">310,000</font><font style="font-family:inherit;font-size:9pt;"> shares of the Company's preferred stock, par value </font><font style="font-family:inherit;font-size:9pt;">$0.01</font><font style="font-family:inherit;font-size:9pt;"> per share, designated as </font><font style="font-family:inherit;font-size:9pt;">10.00%</font><font style="font-family:inherit;font-size:9pt;"> Series A Convertible Perpetual Participating Preferred Stock (the “Series A Preferred Stock”) to BCPE Seminole Holdings LP (“Bain”), a fund advised by an affiliate of Bain Capital Private Equity, at a purchase price of </font><font style="font-family:inherit;font-size:9pt;">$1,000</font><font style="font-family:inherit;font-size:9pt;"> per share in cash (the “Preferred Private Placement”) pursuant to the Securities Purchase Agreement, dated as of May 9, 2017, by and between the Company and Bain (the “Preferred Stock Purchase Agreement”), and (ii) Bain completed its purchase of </font><font style="font-family:inherit;font-size:9pt;">26,455,651</font><font style="font-family:inherit;font-size:9pt;"> shares (the “Purchased Shares”) of the Company's common stock, par value </font><font style="font-family:inherit;font-size:9pt;">$0.01</font><font style="font-family:inherit;font-size:9pt;"> per share (the “Common Stock”) from H.I.G. Surgery Centers, LLC (“H.I.G.”) at a purchase price of </font><font style="font-family:inherit;font-size:9pt;">$19.00</font><font style="font-family:inherit;font-size:9pt;"> per share in cash (the “Private Sale”) pursuant to the Stock Purchase Agreement, dated as of May 9, 2017, by and among the Company, Bain, H.I.G. and H.I.G. Bayside Debt & LBO Fund II L.P. (for the purposes stated therein) (the “Common Stock Purchase Agreement” and together with the NSH Merger Agreement, the Preferred Stock Purchase Agreement and the other agreements and documents executed in connection therewith, including the TRA (as defined in Note 2. “Significant Accounting Policies - Income Taxes and Tax Receivable Agreement”), the “Transaction Agreements”). As of August 31, 2017, the Purchased Shares represented approximately </font><font style="font-family:inherit;font-size:9pt;">54.2%</font><font style="font-family:inherit;font-size:9pt;"> of the Company’s outstanding Common Stock. As a result of the Preferred Private Placement and the Private Sale, Bain became the controlling stockholder of the Company, holding Series A Preferred Stock and Common Stock that collectively represent approximately </font><font style="font-family:inherit;font-size:9pt;">65.7%</font><font style="font-family:inherit;font-size:9pt;"> of the voting power of all classes of capital stock of the Company as of August 31, 2017, and H.I.G. and its affiliated investment funds no longer own any capital stock of the Company.</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">In connection with the change of control effected by the Preferred Private Placement and the Private Sale, the Company elected to apply “pushdown” accounting by applying the guidance in Accounting Standards Codification Topic ("ASC") 805, </font><font style="font-family:inherit;font-size:9pt;font-style:italic;">Business Combinations</font><font style="font-family:inherit;font-size:9pt;">, including the recognition of the Company’s assets and liabilities at fair value as of August 31, 2017, and similarly recognizing goodwill calculated based on the terms of the transaction and the fair value of the new basis of net assets of the Company. Accordingly, the consolidated financial statements of the Company for periods before and after August 31, 2017 reflect different bases of accounting, and the financial positions and results of operations of those periods are not comparable. Throughout the Company's consolidated financial statements and the accompanying notes herein, periods prior to the change of control are identified as "Predecessor" and periods after the change of control are identified as "Successor."</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">As of </font><font style="font-family:inherit;font-size:9pt;">December 31, 2017</font><font style="font-family:inherit;font-size:9pt;"> (Successor), the Company owned and operated a national network of surgical facilities and ancillary services in </font><font style="font-family:inherit;font-size:9pt;">32</font><font style="font-family:inherit;font-size:9pt;"> states. The surgical facilities, which include ambulatory surgery centers ("ASCs") and surgical hospitals, primarily provide non-emergency surgical procedures across many specialties, including, among others, gastroenterology ("GI"), general surgery, ophthalmology, orthopedics and pain management. The Company's surgical hospitals provide services such as diagnostic imaging, laboratory, obstetrics, oncology, pharmacy, physical therapy and wound care. Ancillary services are comprised of a diagnostic laboratory, multi-specialty physician practices, urgent care facilities, anesthesia services and optical services. </font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;"> As of </font><font style="font-family:inherit;font-size:9pt;">December 31, 2017</font><font style="font-family:inherit;font-size:9pt;"> (Successor), the Company owned or operated a portfolio of </font><font style="font-family:inherit;font-size:9pt;">124</font><font style="font-family:inherit;font-size:9pt;"> surgical facilities, comprised of </font><font style="font-family:inherit;font-size:9pt;">106</font><font style="font-family:inherit;font-size:9pt;"> ASCs and </font><font style="font-family:inherit;font-size:9pt;">18</font><font style="font-family:inherit;font-size:9pt;"> surgical hospitals. The Company owns these facilities in partnership with physicians and, in some cases, healthcare systems in the markets and communities it serves. The Company owned a majority interest in </font><font style="font-family:inherit;font-size:9pt;">84</font><font style="font-family:inherit;font-size:9pt;"> of the surgical facilities and consolidated </font><font style="font-family:inherit;font-size:9pt;">108</font><font style="font-family:inherit;font-size:9pt;"> of these facilities for financial reporting purposes.</font></div></div> | |
CY2017 | us-gaap |
Revenue Recognition Sales Of Services
RevenueRecognitionSalesOfServices
|
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;font-weight:bold;">Revenues</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">The Company recognizes revenues in the period in which the services are performed. Patient service revenues and receivables from third-party payors are recorded net of estimated contractual adjustments and allowances, which the Company estimates based on the historical trend of its cash collections and contractual write-offs, accounts receivable agings, established fee schedules, contracts with payors and procedure statistics.</font></div></div><div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:8px;padding-top:12px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;font-style:italic;">Other service revenues.</font><font style="font-family:inherit;font-size:9pt;font-style:italic;font-weight:bold;"> </font><font style="font-family:inherit;font-size:9pt;"> Optical service revenues consist of product sales from the Company's optical laboratories as well as handling charges billed to the members of the Company's optical products purchasing organization. The Company's optical products purchasing organization negotiates volume buying discounts with optical products manufacturers. The buying discounts and any handling charges billed to the members of the buying group represent the revenue recognized for financial reporting purposes. Revenue is recognized as orders are shipped to members. The Company bases its estimates for sales returns and discounts on historical experience and has not experienced significant fluctuations between estimated and actual return activity and discounts given. The Company's optical laboratories manufacture and distribute corrective lenses and eyeglasses to ophthalmologists and optometrists. Revenue is recognized when product is shipped, net of allowance for discounts.</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">Other revenues include management and administrative service fees derived from the non-consolidated facilities that the Company accounts for under the equity method, management of surgical facilities in which it does not own an interest, and management services provided to physician practices for which the Company is not required to provide capital or additional assets. The fees derived from these management arrangements are based on a predetermined percentage of the revenues of each facility or practice and are recognized in the period in which services are rendered.</font></div></div><div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:6px;padding-top:12px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;font-style:italic;">Patient service revenues.</font><font style="font-family:inherit;font-size:9pt;">  The fee charged for healthcare procedures performed in surgical facilities varies depending on the type of service provided, but usually includes all charges for usage of an operating room, a recovery room, special equipment, medical supplies, nursing staff and medications. The fee does not normally include professional fees charged by the patient’s surgeon, anesthesiologist or other attending physician, which are billed directly by such physicians to the patient or third-party payor. However, in several surgical facilities, the Company charges for anesthesia services. Ancillary service revenues include fees for patient visits to the Company's physician practices, pharmacy services and diagnostic tests ordered by physicians. Patient service revenues are recognized on the date of service, net of estimated contractual adjustments and discounts from third-party payors, including Medicare and Medicaid. Changes in estimated contractual adjustments and discounts are recorded in the period of change.</font></div></div> | |
CY2017 | us-gaap |
Use Of Estimates
UseOfEstimates
|
<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;font-weight:bold;">Use of Estimates</font></div><div style="line-height:120%;padding-bottom:8px;padding-top:8px;text-align:justify;text-indent:24px;font-size:9pt;"><font style="font-family:inherit;font-size:9pt;">The consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles ("GAAP"). The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and footnotes. Examples include, but are not limited to, estimates of accounts receivable allowances, professional and general liabilities and the estimate of deferred tax assets or liabilities. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. All adjustments are of a normal, recurring nature. Actual results could differ from those estimates.</font></div></div> |