2017 Q4 Form 10-K Financial Statement

#000163883318000004 Filed on March 16, 2018

View on sec.gov

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
EntityCurrentReportingStatus
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
CY2017 dei Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
No
CY2017Q4 sgry Acquisition Escrow Liability Current
AcquisitionEscrowLiabilityCurrent
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
BusinessCombinationContingentAcquisitionExpense
1982000 USD
sgry Business Combination Contingent Compensation Expense
BusinessCombinationContingentCompensationExpense
1900000 USD
sgry Business Combination Gain Loss On Acquisition Escrow
BusinessCombinationGainLossOnAcquisitionEscrow
167000 USD
sgry Business Combination Integration Related Costs And Merger Costs
BusinessCombinationIntegrationRelatedCostsAndMergerCosts
9330000 USD
sgry Business Combination Practice Acquisition Costs
BusinessCombinationPracticeAcquisitionCosts
1800000 USD
sgry Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
0 USD
sgry Deferred Income Tax Liability Gain On Amendment Of Liability
DeferredIncomeTaxLiabilityGainOnAmendmentOfLiability
1100000 USD
CY2017Q4 sgry Deferred Tax Asset Tax Receivable Agreement
DeferredTaxAssetTaxReceivableAgreement
1042000 USD
CY2017Q4 sgry Deferred Tax Assets Tax Deferred Expense Compensationand Benefits Compensated Absencesand Incentive Compensation
DeferredTaxAssetsTaxDeferredExpenseCompensationandBenefitsCompensatedAbsencesandIncentiveCompensation
2125000 USD
CY2017Q4 sgry Deferred Tax Assets Tax Deferred Expense Deferred Financing Costs
DeferredTaxAssetsTaxDeferredExpenseDeferredFinancingCosts
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
EffectiveIncomeTaxRateReconciliationTaxReceivableAgreementAmount
-7404000 USD
sgry Effective Income Tax Reconciliation Divestiture Amount
EffectiveIncomeTaxReconciliationDivestitureAmount
-429000 USD
CY2017Q4 sgry Estimated Insurance Recoveries Noncurrent
EstimatedInsuranceRecoveriesNoncurrent
10018000 USD
sgry Finite Lived Intangible Asset Disposals
FiniteLivedIntangibleAssetDisposals
140000 USD
sgry Gain Loss On Amendment To Tax Receivable Agreement
GainLossOnAmendmentToTaxReceivableAgreement
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
LeaseObligationNoncurrent
121627000 USD
CY2017Q4 sgry Long Term Tax Receivable Agreement Liability
LongTermTaxReceivableAgreementLiability
44300000 USD
CY2017Q4 sgry Medical Malpractice Liability Noncurrent
MedicalMalpracticeLiabilityNoncurrent
16450000 USD
sgry Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet
19401000 USD
sgry Noncash Gain Loss Related To Litigation Settlement
NoncashGainLossRelatedToLitigationSettlement
8740000 USD
sgry Noncontrolling Interests Decrease From Reallocation Due To Pushdown Accounting
NoncontrollingInterestsDecreaseFromReallocationDueToPushdownAccounting
21248000 USD
CY2017Q4 sgry Number Of Surgical Facilities Owned
NumberOfSurgicalFacilitiesOwned
124 surgical_facility
CY2017Q4 sgry Numberof Surgical Facilities Owned Consolidated
NumberofSurgicalFacilitiesOwnedConsolidated
108 surgical_facility
CY2017Q4 sgry Numberof Surgical Facilities Owned Majority Interest
NumberofSurgicalFacilitiesOwnedMajorityInterest
84 surgical_facility
sgry Terminationof Management Agreementand Ipo Costs
TerminationofManagementAgreementandIPOCosts
0 USD
CY2017Q4 sgry Third Party Settlements Payable Current
ThirdPartySettlementsPayableCurrent
1000000 USD
CY2017Q4 sgry Optical Products Receivable
OpticalProductsReceivable
7563000 USD
sgry Proceeds From Payments For Financing Lease Obligation
ProceedsFromPaymentsForFinancingLeaseObligation
1007000 USD
sgry Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders
RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
8228000 USD
sgry Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests
RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests
819000 USD
sgry Redeemable Noncontrolling Interest Reallocation Due To Pushdown Accounting
RedeemableNoncontrollingInterestReallocationDueToPushdownAccounting
21248000 USD
sgry Related Party Transaction Annual Management Fee Paidper Agreement
RelatedPartyTransactionAnnualManagementFeePaidperAgreement
0 USD
CY2017 sgry Tax Cuts And Jobs Act Of2017 Incomplete Accounting Change In Tax Rate Deferred Tax Asset Provisional Income Tax Expense
TaxCutsAndJobsActOf2017IncompleteAccountingChangeInTaxRateDeferredTaxAssetProvisionalIncomeTaxExpense
64000000 USD
CY2017Q4 sgry Tax Receivable Agreement Liability Noncurrent
TaxReceivableAgreementLiabilityNoncurrent
43791000 USD
sgry Tax Cuts And Jobs Act Of2017 Incomplete Accounting Change In Tax Rate Deferred Tax Liability Provisional Income Tax Benefit
TaxCutsAndJobsActOf2017IncompleteAccountingChangeInTaxRateDeferredTaxLiabilityProvisionalIncomeTaxBenefit
25300000 USD
sgry Tax Receivable Agreement Expense Benefit
TaxReceivableAgreementExpenseBenefit
-25329000 USD
CY2017Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
288023000 USD
CY2017Q4 us-gaap Accrued Insurance Current
AccruedInsuranceCurrent
9873000 USD
sgry Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued
UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued
10481000 USD
CY2017Q4 sgry Variable Interest Entity Numberof Facilities
VariableInterestEntityNumberofFacilities
3 Practice
CY2017Q4 sgry Variable Interest Entity Numberof Facilities
VariableInterestEntityNumberofFacilities
3 Anesthesia_Practice
CY2017Q4 sgry Variable Interest Entity Numberof Facilities
VariableInterestEntityNumberofFacilities
5 surgical_facility
CY2017Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
84710000 USD
CY2016Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment Excluding Capital Leased Assets
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipmentExcludingCapitalLeasedAssets
86387000 USD
CY2017Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment Excluding Capital Leased Assets
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipmentExcludingCapitalLeasedAssets
19680000 USD
CY2017Q4 us-gaap Additional Paid In Capital
AdditionalPaidInCapital
695560000 USD
us-gaap Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings
AdjustmentsToAdditionalPaidInCapitalDividendsInExcessOfRetainedEarnings
10481000 USD
us-gaap Adjustments To Additional Paid In Capital Increase In Carrying Amount Of Redeemable Preferred Stock
AdjustmentsToAdditionalPaidInCapitalIncreaseInCarryingAmountOfRedeemablePreferredStock
15566000 USD
us-gaap Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
1887000 USD
CY2017Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
2026000 USD
CY2017Q3 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
0 USD
us-gaap Allowance For Doubtful Accounts Receivable Write Offs
AllowanceForDoubtfulAccountsReceivableWriteOffs
10429000 USD
us-gaap Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
-559000 USD
us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
1800000 USD
us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
1822000 USD
CY2017Q4 us-gaap Assets
Assets
4622773000 USD
CY2017Q4 us-gaap Assets Current
AssetsCurrent
563225000 USD
us-gaap Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
7470000 USD
CY2017Q4 us-gaap Capital Lease Obligations
CapitalLeaseObligations
27594000 USD
CY2017Q4 us-gaap Capital Leases Balance Sheet Assets By Major Class Net
CapitalLeasesBalanceSheetAssetsByMajorClassNet
16200000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Due
CapitalLeasesFutureMinimumPaymentsDue
33314000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Due Current
CapitalLeasesFutureMinimumPaymentsDueCurrent
9100000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Due In Five Years
CapitalLeasesFutureMinimumPaymentsDueInFiveYears
1986000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Due In Four Years
CapitalLeasesFutureMinimumPaymentsDueInFourYears
3505000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Due In Three Years
CapitalLeasesFutureMinimumPaymentsDueInThreeYears
5020000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Due In Two Years
CapitalLeasesFutureMinimumPaymentsDueInTwoYears
7404000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Due Thereafter
CapitalLeasesFutureMinimumPaymentsDueThereafter
6299000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Interest Included In Payments
CapitalLeasesFutureMinimumPaymentsInterestIncludedInPayments
5720000 USD
CY2017Q4 us-gaap Capital Leases Future Minimum Payments Present Value Of Net Minimum Payments
CapitalLeasesFutureMinimumPaymentsPresentValueOfNetMinimumPayments
27594000 USD
CY2017Q4 us-gaap Capital Leases Lessee Balance Sheet Assets By Major Class Accumulated Deprecation
CapitalLeasesLesseeBalanceSheetAssetsByMajorClassAccumulatedDeprecation
5800000 USD
CY2017Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
174914000 USD
CY2017Q3 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
214206000 USD
us-gaap Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
-39292000 USD
CY2017Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
0.01
CY2017Q4 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
300000000 shares
CY2017Q4 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
48687136 shares
CY2017Q4 us-gaap Common Stock Shares Outstanding
CommonStockSharesOutstanding
48687136 shares
CY2017Q4 us-gaap Common Stock Value Outstanding
CommonStockValueOutstanding
487000 USD
us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
-41316000 USD
us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
39634000 USD
us-gaap Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest
-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
DeferredFederalIncomeTaxExpenseBenefit
77472000 USD
us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
71031000 USD
CY2017Q4 us-gaap Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
28380000 USD
CY2017Q4 us-gaap Deferred Income Tax Liabilities Net
DeferredIncomeTaxLiabilitiesNet
65100000 USD
us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
-6712000 USD
CY2017Q4 us-gaap Deferred Tax Assets Capital Loss Carryforwards
DeferredTaxAssetsCapitalLossCarryforwards
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 &#8220;Company&#8221;), was formed April 2, 2015, as a holding company for the purpose of facilitating an initial public offering (the &#8220;IPO&#8221;) 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&#160;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&#160;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. (&#8220;NSH&#8221;). 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&#8217; representative), as amended by that certain Letter Amendment, dated as of July 7, 2017 (as amended, the &#8220;NSH Merger Agreement&#8221;), 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 &#8220;NSH Merger&#8221;). 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 &#8220;Series A Preferred Stock&#8221;) to BCPE Seminole Holdings LP (&#8220;Bain&#8221;), 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 &#8220;Preferred Private Placement&#8221;) pursuant to the Securities Purchase Agreement, dated as of May 9, 2017, by and between the Company and Bain (the &#8220;Preferred Stock Purchase Agreement&#8221;), 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 &#8220;Purchased Shares&#8221;) 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 &#8220;Common Stock&#8221;) from H.I.G. Surgery Centers, LLC (&#8220;H.I.G.&#8221;) 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 &#8220;Private Sale&#8221;) 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 &amp; LBO Fund II L.P. (for the purposes stated therein) (the &#8220;Common Stock Purchase Agreement&#8221; 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. &#8220;Significant Accounting Policies - Income Taxes and Tax Receivable Agreement&#8221;), the &#8220;Transaction Agreements&#8221;). 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&#8217;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 &#8220;pushdown&#8221; 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&#8217;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&#160;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.&#160;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&#160;("GI"), general surgery, ophthalmology, orthopedics and pain management.&#160;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&#160;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.&#160;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;">&#160; 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.&#160;The fee does not normally include professional fees charged by the patient&#8217;s surgeon, anesthesiologist or other attending physician, which are billed directly by such physicians to the patient or third-party payor.&#160;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.&#160;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>

Files In Submission

Name View Source Status
0001638833-18-000004-index-headers.html Edgar Link pending
0001638833-18-000004-index.html Edgar Link pending
0001638833-18-000004.txt Edgar Link pending
0001638833-18-000004-xbrl.zip Edgar Link pending
a201710-kfiling.htm Edgar Link pending
exhibit1011trawaiveragreem.htm Edgar Link pending
exhibit1025employmentagree.htm Edgar Link pending
exhibit1027letteramendmen.htm Edgar Link pending
exhibit1036amendmentno1tom.htm Edgar Link pending
FilingSummary.xml Edgar Link unprocessable
Financial_Report.xlsx Edgar Link pending
R1.htm Edgar Link pending
R10.htm Edgar Link pending
R11.htm Edgar Link pending
R12.htm Edgar Link pending
R13.htm Edgar Link pending
R14.htm Edgar Link pending
R15.htm Edgar Link pending
R16.htm Edgar Link pending
R17.htm Edgar Link pending
R18.htm Edgar Link pending
R19.htm Edgar Link pending
R2.htm Edgar Link pending
R20.htm Edgar Link pending
R21.htm Edgar Link pending
R22.htm Edgar Link pending
R23.htm Edgar Link pending
R24.htm Edgar Link pending
R25.htm Edgar Link pending
R26.htm Edgar Link pending
R27.htm Edgar Link pending
R28.htm Edgar Link pending
R29.htm Edgar Link pending
R3.htm Edgar Link pending
R30.htm Edgar Link pending
R31.htm Edgar Link pending
R32.htm Edgar Link pending
R33.htm Edgar Link pending
R34.htm Edgar Link pending
R35.htm Edgar Link pending
R36.htm Edgar Link pending
R37.htm Edgar Link pending
R38.htm Edgar Link pending
R39.htm Edgar Link pending
R4.htm Edgar Link pending
R40.htm Edgar Link pending
R41.htm Edgar Link pending
R42.htm Edgar Link pending
R43.htm Edgar Link pending
R44.htm Edgar Link pending
R45.htm Edgar Link pending
R46.htm Edgar Link pending
R47.htm Edgar Link pending
R48.htm Edgar Link pending
R49.htm Edgar Link pending
R5.htm Edgar Link pending
R50.htm Edgar Link pending
R51.htm Edgar Link pending
R52.htm Edgar Link pending
R53.htm Edgar Link pending
R54.htm Edgar Link pending
R55.htm Edgar Link pending
R56.htm Edgar Link pending
R57.htm Edgar Link pending
R58.htm Edgar Link pending
R59.htm Edgar Link pending
R6.htm Edgar Link pending
R60.htm Edgar Link pending
R61.htm Edgar Link pending
R62.htm Edgar Link pending
R63.htm Edgar Link pending
R64.htm Edgar Link pending
R65.htm Edgar Link pending
R66.htm Edgar Link pending
R67.htm Edgar Link pending
R68.htm Edgar Link pending
R69.htm Edgar Link pending
R7.htm Edgar Link pending
R70.htm Edgar Link pending
R71.htm Edgar Link pending
R72.htm Edgar Link pending
R73.htm Edgar Link pending
R74.htm Edgar Link pending
R75.htm Edgar Link pending
R76.htm Edgar Link pending
R77.htm Edgar Link pending
R78.htm Edgar Link pending
R79.htm Edgar Link pending
R8.htm Edgar Link pending
R80.htm Edgar Link pending
R81.htm Edgar Link pending
R82.htm Edgar Link pending
R83.htm Edgar Link pending
R84.htm Edgar Link pending
R85.htm Edgar Link pending
R86.htm Edgar Link pending
R87.htm Edgar Link pending
R88.htm Edgar Link pending
R89.htm Edgar Link pending
R9.htm Edgar Link pending
R90.htm Edgar Link pending
R91.htm Edgar Link pending
R92.htm Edgar Link pending
R93.htm Edgar Link pending
R94.htm Edgar Link pending
R95.htm Edgar Link pending
report.css Edgar Link pending
sgry-20171231.xml Edgar Link completed
sgry-20171231.xsd Edgar Link pending
sgry-20171231_cal.xml Edgar Link unprocessable
sgry-20171231_def.xml Edgar Link unprocessable
sgry-20171231_lab.xml Edgar Link unprocessable
sgry-20171231_pre.xml Edgar Link unprocessable
Show.js Edgar Link pending
stockperformancegraph2017a02.jpg Edgar Link pending
ye2017exhibit211.htm Edgar Link pending
ye2017exhibit231.htm Edgar Link pending
ye2017exhibit311.htm Edgar Link pending
ye2017exhibit312.htm Edgar Link pending
ye2017exhibit321.htm Edgar Link pending
ye2017exhibit322.htm Edgar Link pending