$SGRY
Surgery Partners, Inc. Stock $sgry

$sgry Overview Financials Valuation SEC Filings Company Website

2018 Form 10-K Financial Statement

#000163883319000006 Filed on March 15, 2019

Income Statement

Concept	2018	2017 Q4	2017 Q3
Revenue	$1.772B	$460.3M	$132.3M
YoY Change	32.08%	50.44%	-53.21%
Cost Of Revenue	$1.361B	$338.7M	$102.9M
YoY Change	43.4%	58.09%	-48.89%
Gross Profit	$410.1M	$121.6M	$29.33M
YoY Change	4.67%	32.57%	-63.91%
Gross Profit Margin	23.15%	26.42%	22.18%
Selling, General & Admin	$180.2M	$51.20M	$45.00M
YoY Change	6.56%	28.64%	22.62%
% of Gross Profit	43.94%	42.09%	153.41%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$67.40M	$18.40M	$3.330M
YoY Change	29.87%	73.58%	-65.72%
% of Gross Profit	16.44%	15.13%	11.35%
Operating Expenses	$1.694B	$69.70M	$120.3M
YoY Change	667.07%	38.29%	-49.83%
Operating Profit	$77.80M	$51.94M	$11.93M
YoY Change	-54.5%	25.6%	-72.17%
Interest Expense	-$147.0M	-$30.30M	-$15.88M
YoY Change	32.19%	26.78%	-40.01%
% of Operating Profit	-188.95%	-58.33%	-133.18%
Other Income/Expense, Net	$3.800M	$25.50M	$17.40M
YoY Change	-91.14%	3542.86%	-524.39%
Pretax Income	-$69.20M	$72.80M	-$2.859M
YoY Change	-184.08%	70.49%	-122.62%
Income Tax	$26.40M	$7.900M	-$211.0K
% Of Pretax Income		10.85%
Net Earnings	-$205.7M	-$32.18M	-$9.140M
YoY Change	288.11%	-290.82%	290.93%
Net Earnings / Revenue	-11.61%	-6.99%	-6.91%
Basic Earnings Per Share	-$4.96	-$0.83	-$0.57
Diluted Earnings Per Share	-$4.96	-$0.83	-$0.57
COMMON SHARES
Basic Shares Outstanding	48.03M shares	48.77M shares	48.31M shares
Diluted Shares Outstanding	48.03M shares		48.31M shares

Balance Sheet

Concept	2018	2017 Q4	2017 Q3
SHORT-TERM ASSETS
Cash & Short-Term Investments	$184.3M	$174.9M	$199.7M
YoY Change	5.37%	150.93%	261.78%
Cash & Equivalents	$184.3M	$174.9M	$214.2M
Short-Term Investments
Other Short-Term Assets	$53.00M	$38.50M	$15.48M
YoY Change	28.95%	239.58%	49.04%
Inventory	$43.40M	$44.95M	$44.52M
Prepaid Expenses		$16.84M	$18.42M
Receivables	$307.6M	$288.0M	$271.1M
Other Receivables	$0.00	$14.20M	$19.90M
Total Short-Term Assets	$588.3M	$563.2M	$573.7M
YoY Change	4.46%	55.61%	74.51%
LONG-TERM ASSETS
Property, Plant & Equipment	$426.3M	$398.5M	$388.7M
YoY Change	6.98%	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	$78.80M	$77.70M	$67.50M
YoY Change	1.42%	96.71%	71.32%
Other Assets	$145.7M	$48.67M	$19.13M
YoY Change	-16.89%	196.11%	38.34%
Total Long-Term Assets	$4.088B	$4.060B	$4.028B
YoY Change	0.7%	108.93%	109.8%
TOTAL ASSETS
Total Short-Term Assets	$588.3M	$563.2M	$573.7M
Total Long-Term Assets	$4.088B	$4.060B	$4.028B
Total Assets	$4.676B	$4.623B	$4.602B
YoY Change	1.16%	100.56%	104.64%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$83.30M	$84.71M	$73.25M
YoY Change	-1.65%	70.22%	64.78%
Accrued Expenses	$183.4M	$122.9M	$99.30M
YoY Change	49.23%	73.1%	42.26%
Deferred Revenue
YoY Change
Short-Term Debt	$0.00	$0.00	$0.00
YoY Change
Long-Term Debt Due	$62.60M	$58.70M	$48.50M
YoY Change	6.64%	111.15%	66.67%
Total Short-Term Liabilities	$349.3M	$303.0M	$275.0M
YoY Change	15.28%	62.27%	53.94%
LONG-TERM LIABILITIES
Long-Term Debt	$2.421B	$2.252B	$2.562B
YoY Change	7.48%	53.51%	81.58%
Other Long-Term Liabilities	$121.4M	$222.5M	$116.8M
YoY Change	20.32%	191.72%	33.59%
Total Long-Term Liabilities	$2.542B	$222.5M	$116.8M
YoY Change	8.03%	191.72%	33.59%
TOTAL LIABILITIES
Total Short-Term Liabilities	$349.3M	$303.0M	$275.0M
Total Long-Term Liabilities	$2.542B	$222.5M	$116.8M
Total Liabilities	$3.912B	$525.5M	$391.8M
YoY Change	7.56%	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	$764.0M	$654.7M	$695.4M
YoY Change
Total Liabilities & Shareholders Equity	$4.676B	$4.623B	$4.602B
YoY Change	1.16%	100.56%	104.64%

Cashflow Statement

Concept	2018	2017 Q4	2017 Q3
OPERATING ACTIVITIES
Net Income	-$205.7M	-$32.18M	-$9.140M
YoY Change	288.11%	-290.82%	290.93%
Depreciation, Depletion And Amortization	$67.40M	$18.40M	$3.330M
YoY Change	29.87%	73.58%	-65.72%
Cash From Operating Activities	$144.6M	$54.40M	-$1.222M
YoY Change	19.6%	68.42%	-106.47%
INVESTING ACTIVITIES
Capital Expenditures	$39.80M	-$9.000M	$1.840M
YoY Change	-234.46%	-15.89%	-123.0%
Acquisitions	$106.8M		$1.163M
YoY Change
Other Investing Activities	$1.500M	-$26.90M	$0.00
YoY Change	-100.2%	37.24%	-100.0%
Cash From Investing Activities	-$128.9M	-$35.80M	-$3.003M
YoY Change	-83.55%	18.15%	-85.7%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net	$2.000M
YoY Change	-99.35%
Debt Paid & Issued, Net	$157.6M		$3.609M
YoY Change
Cash From Financing Activities	-$6.300M	-43.40M	-$10.28M
YoY Change	-100.82%	-447.2%	-277.24%
NET CHANGE
Cash From Operating Activities	$144.6M	54.40M	-$1.222M
Cash From Investing Activities	-$128.9M	-35.80M	-$3.003M
Cash From Financing Activities	-$6.300M	-43.40M	-$10.28M
Net Change In Cash	$9.400M	-24.80M	-$14.51M
YoY Change	-91.06%	-271.03%	-492.03%
FREE CASH FLOW
Cash From Operating Activities	$144.6M	$54.40M	-$1.222M
Capital Expenditures	$39.80M	-$9.000M	$1.840M
Free Cash Flow	$104.8M	$63.40M	-$3.062M
YoY Change	-30.37%	47.44%	-111.38%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
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CY2018	dei	Current Fiscal Year End Date CurrentFiscalYearEndDate	--12-31
CY2018	dei	Document Fiscal Period Focus DocumentFiscalPeriodFocus	FY
CY2018	dei	Document Fiscal Year Focus DocumentFiscalYearFocus	2018
CY2018	dei	Document Period End Date DocumentPeriodEndDate	2018-12-31
CY2018	dei	Document Type DocumentType	10-K
CY2018	dei	Entity Central Index Key EntityCentralIndexKey	0001638833
CY2019Q1	dei	Entity Common Stock Shares Outstanding EntityCommonStockSharesOutstanding	48801400	shares
CY2018	dei	Entity Current Reporting Status EntityCurrentReportingStatus	Yes
	sgry	Effective Income Tax Rate Reconciliation Litigation Settlement Amount EffectiveIncomeTaxRateReconciliationLitigationSettlementAmount	0	USD
	sgry	Debt Instrument Prepayment Penalty Amount DebtInstrumentPrepaymentPenaltyAmount	0	USD
CY2018	dei	Entity Emerging Growth Company EntityEmergingGrowthCompany	false
CY2018	dei	Entity Filer Category EntityFilerCategory	Accelerated Filer
CY2018Q2	dei	Entity Public Float EntityPublicFloat	316500000	USD
CY2018	dei	Entity Registrant Name EntityRegistrantName	Surgery Partners, Inc.
CY2018	dei	Entity Shell Company EntityShellCompany	false
CY2018	dei	Entity Small Business EntitySmallBusiness	false
CY2018	dei	Entity Voluntary Filers EntityVoluntaryFilers	No
CY2018	dei	Entity Well Known Seasoned Issuer EntityWellKnownSeasonedIssuer	No
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CY2018	sgry	Business Combination Contingent Acquisition Expense BusinessCombinationContingentAcquisitionExpense	1510000	USD
	sgry	Business Combination Contingent Compensation Expense BusinessCombinationContingentCompensationExpense	1900000	USD
CY2018	sgry	Business Combination Contingent Compensation Expense BusinessCombinationContingentCompensationExpense	1500000	USD
	sgry	Business Combination Gain Loss On Acquisition Escrow BusinessCombinationGainLossOnAcquisitionEscrow	167000	USD
CY2018	sgry	Business Combination Gain Loss On Acquisition Escrow BusinessCombinationGainLossOnAcquisitionEscrow	0	USD
	sgry	Business Combination Integration Related Costs And Merger Costs BusinessCombinationIntegrationRelatedCostsAndMergerCosts	9330000	USD
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	sgry	Business Combination Practice Acquisition Costs BusinessCombinationPracticeAcquisitionCosts	1800000	USD
CY2018	sgry	Business Combination Practice Acquisition Costs BusinessCombinationPracticeAcquisitionCosts	2200000	USD
CY2018	sgry	Debt Instrument Prepayment Penalty Amount DebtInstrumentPrepaymentPenaltyAmount	0	USD
CY2017Q4	sgry	Deferred Income Tax Liabilities Net Of Discount DeferredIncomeTaxLiabilitiesNetOfDiscount	44300000	USD
CY2018Q4	sgry	Deferred Income Tax Liabilities Net Of Discount DeferredIncomeTaxLiabilitiesNetOfDiscount	48500000	USD
CY2017Q4	sgry	Deferred Tax Asset Tax Receivable Agreement DeferredTaxAssetTaxReceivableAgreement	1042000	USD
CY2018Q4	sgry	Deferred Tax Asset Tax Receivable Agreement DeferredTaxAssetTaxReceivableAgreement	1176000	USD
CY2017Q4	sgry	Deferred Tax Assets Tax Deferred Expense Amortization Of Intangible Assets DeferredTaxAssetsTaxDeferredExpenseAmortizationOfIntangibleAssets	0	USD
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CY2017Q4	sgry	Deferred Tax Assets Tax Deferred Expense Compensationand Benefits Compensated Absencesand Incentive Compensation DeferredTaxAssetsTaxDeferredExpenseCompensationandBenefitsCompensatedAbsencesandIncentiveCompensation	2125000	USD
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CY2018Q4	sgry	Deferred Tax Assets Tax Deferred Expense Interest Limitation DeferredTaxAssetsTaxDeferredExpenseInterestLimitation	27338000	USD
CY2017Q4	sgry	Deferred Tax Liabilities Basis Differencesof Partnershipsand Joint Ventures DeferredTaxLiabilitiesBasisDifferencesofPartnershipsandJointVentures	2399000	USD
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	sgry	Noncash Gain Loss Related To Litigation Settlement NoncashGainLossRelatedToLitigationSettlement	8740000	USD
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CY2018Q4	sgry	Numberof Surgical Facilities Owned Consolidated NumberofSurgicalFacilitiesOwnedConsolidated	106	surgical_facility
CY2018Q4	sgry	Numberof Surgical Facilities Owned Majority Interest NumberofSurgicalFacilitiesOwnedMajorityInterest	84	surgical_facility
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CY2018Q4	us-gaap	Capital Leases Future Minimum Payments Interest Included In Payments CapitalLeasesFutureMinimumPaymentsInterestIncludedInPayments	3524000	USD
CY2018Q4	us-gaap	Capital Leases Future Minimum Payments Present Value Of Net Minimum Payments CapitalLeasesFutureMinimumPaymentsPresentValueOfNetMinimumPayments	25374000	USD
CY2018Q4	us-gaap	Capital Leases Lessee Balance Sheet Assets By Major Class Accumulated Deprecation CapitalLeasesLesseeBalanceSheetAssetsByMajorClassAccumulatedDeprecation	6400000	USD
CY2017Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	174914000	USD
CY2018Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	184308000	USD
CY2017Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	175229000	USD
CY2018Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	184623000	USD
CY2017Q3	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	214521000	USD
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	-39292000	USD
CY2018	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	9394000	USD
CY2018	us-gaap	Cash Flow Hedge Gain Loss To Be Reclassified Within Twelve Months CashFlowHedgeGainLossToBeReclassifiedWithinTwelveMonths	-5100000	USD
CY2017Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.01
CY2018Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.01
CY2017Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	300000000	shares
CY2018Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	300000000	shares
CY2017Q4	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	48687136	shares
CY2018Q4	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	48869204	shares
CY2017Q4	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	48687136	shares
CY2018Q4	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	48869204	shares
CY2017Q4	us-gaap	Common Stock Value Outstanding CommonStockValueOutstanding	487000	USD
CY2018Q4	us-gaap	Common Stock Value Outstanding CommonStockValueOutstanding	489000	USD
	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-41316000	USD
CY2018	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-228152000	USD
	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	39634000	USD
CY2018	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	110080000	USD
	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-1682000	USD
CY2018	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-118072000	USD
CY2017Q3	us-gaap	Cost Of Revenue CostOfRevenue	102924000	USD
	us-gaap	Cost Of Revenue CostOfRevenue	441628000	USD
CY2017Q4	us-gaap	Cost Of Revenue CostOfRevenue	338704000	USD
CY2018Q1	us-gaap	Cost Of Revenue CostOfRevenue	327312000	USD
CY2018Q2	us-gaap	Cost Of Revenue CostOfRevenue	340090000	USD
CY2018Q3	us-gaap	Cost Of Revenue CostOfRevenue	334289000	USD
CY2018Q4	us-gaap	Cost Of Revenue CostOfRevenue	359740000	USD
CY2018	us-gaap	Cost Of Revenue CostOfRevenue	1361431000	USD
	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	-111000	USD
CY2018	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	-324000	USD
	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	990000	USD
CY2018	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	1511000	USD
CY2017Q4	us-gaap	Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet	0	USD
CY2018Q4	us-gaap	Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet	2915000	USD
	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	77472000	USD
CY2018	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	16525000	USD
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	71031000	USD
CY2018	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	25272000	USD
CY2017Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	28380000	USD
CY2018Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	52277000	USD
CY2017Q4	us-gaap	Deferred Income Tax Liabilities Net DeferredIncomeTaxLiabilitiesNet	65100000	USD
CY2018Q4	us-gaap	Deferred Income Tax Liabilities Net DeferredIncomeTaxLiabilitiesNet	64600000	USD
	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	-6712000	USD
CY2018	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	8749000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Capital Loss Carryforwards DeferredTaxAssetsCapitalLossCarryforwards	3024000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Capital Loss Carryforwards DeferredTaxAssetsCapitalLossCarryforwards	3701000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	171731000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	211900000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Hedging Transactions DeferredTaxAssetsHedgingTransactions	5431000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	132319000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	109193000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Liabilities Net Noncurrent DeferredTaxAssetsLiabilitiesNetNoncurrent	132319000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Liabilities Net Noncurrent DeferredTaxAssetsLiabilitiesNetNoncurrent	109193000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	160699000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	161470000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	137794000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	139404000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Other DeferredTaxAssetsOther	4961000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Other DeferredTaxAssetsOther	7010000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	2545000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	2510000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies	3236000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies	3456000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Deferred Rent DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent	0	USD
CY2018Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Deferred Rent DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent	1866000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	11000000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	11032000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	50430000	USD
CY2018Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	50400000	USD
CY2017Q4	us-gaap	Deferred Tax Liabilities Current DeferredTaxLiabilitiesCurrent	500000	USD
CY2018Q4	us-gaap	Deferred Tax Liabilities Current DeferredTaxLiabilitiesCurrent	7600000	USD
CY2017Q4	us-gaap	Deferred Tax Liabilities Deferred Expense DeferredTaxLiabilitiesDeferredExpense	717000	USD
CY2018Q4	us-gaap	Deferred Tax Liabilities Deferred Expense DeferredTaxLiabilitiesDeferredExpense	0	USD
CY2017Q4	us-gaap	Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets	12441000	USD
CY2018Q4	us-gaap	Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets	0	USD
CY2017Q4	us-gaap	Deferred Tax Liabilities Other DeferredTaxLiabilitiesOther	725000	USD
CY2018Q4	us-gaap	Deferred Tax Liabilities Other DeferredTaxLiabilitiesOther	603000	USD
CY2017Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	12098000	USD
CY2018Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	3925000	USD
CY2018Q4	us-gaap	Deferred Taxes Business Combination Valuation Allowance Allocated To Contributed Capital DeferredTaxesBusinessCombinationValuationAllowanceAllocatedToContributedCapital	8100000	USD
CY2018Q4	us-gaap	Deferred Taxes Business Combination Valuation Allowance Available To Reduce Goodwill DeferredTaxesBusinessCombinationValuationAllowanceAvailableToReduceGoodwill	100000	USD
	us-gaap	Defined Contribution Plan Cost Recognized DefinedContributionPlanCostRecognized	2300000	USD
CY2018	us-gaap	Defined Contribution Plan Cost Recognized DefinedContributionPlanCostRecognized	7600000	USD
	us-gaap	Depreciation Depreciation	20000000	USD
CY2018	us-gaap	Depreciation Depreciation	62500000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	21804000	USD
CY2018	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	67440000	USD
CY2017Q4	us-gaap	Derivative Assets Liabilities At Fair Value Net DerivativeAssetsLiabilitiesAtFairValueNet	0	USD
CY2018	us-gaap	Derivative Instruments Loss Reclassified From Accumulated Oci Into Income Effective Portion DerivativeInstrumentsLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortion	600000	USD
CY2018Q4	us-gaap	Derivative Liabilities Noncurrent DerivativeLiabilitiesNoncurrent	22400000	USD
CY2017Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3900000	USD
CY2018Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	0	USD
CY2017Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-0.57
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CY2017Q4	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-0.83
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CY2018Q2	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-0.57
CY2018Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-0.61
CY2018Q4	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-3.25
CY2018Q2	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.57
CY2018Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.61
CY2018Q4	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-3.25
CY2018	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-4.96
CY2018	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.24
CY2017Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	49625000	USD
CY2018Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	55212000	USD
CY2018Q4	us-gaap	Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized	18600000	USD
CY2018Q4	us-gaap	Equity Method Investments Fair Value Disclosure EquityMethodInvestmentsFairValueDisclosure	2000000	USD
CY2017Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	12800000	USD
CY2018Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	12000000	USD
CY2018Q4	us-gaap	Finance Lease Liability Current FinanceLeaseLiabilityCurrent	7000000	USD
CY2018Q4	us-gaap	Finance Lease Liability Noncurrent FinanceLeaseLiabilityNoncurrent	50200000	USD
CY2018	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-4.96
CY2017Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.57
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CY2017Q4	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.83
CY2018Q1	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.53
CY2018Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	6961000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	23467000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	4617000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	2144000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	2936000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	3647000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	4206000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	47978000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	41017000	USD
	us-gaap	Gain Loss On Disposition Of Assets1 GainLossOnDispositionOfAssets1	-5000	USD
CY2018	us-gaap	Gain Loss On Disposition Of Assets1 GainLossOnDispositionOfAssets1	-31822000	USD
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	8740000	USD
CY2018	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-46009000	USD
	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	0	USD
CY2018	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	0	USD
	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	29153000	USD
CY2018	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	93558000	USD
CY2017Q4	us-gaap	Goodwill Goodwill	3346838000	USD
CY2018Q4	us-gaap	Goodwill Goodwill	3382846000	USD
CY2017Q3	us-gaap	Goodwill Goodwill	3269225000	USD
	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	79570000	USD
CY2018	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	143469000	USD
CY2017Q3	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0	USD
CY2017Q4	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0	USD
CY2016	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0	USD
CY2018	us-gaap	Impairment Of Intangible Assets Excluding Goodwill ImpairmentOfIntangibleAssetsExcludingGoodwill	74359000	USD
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	69957000	USD
CY2018	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-69165000	USD
	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	3319000	USD
CY2018	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	8898000	USD
	us-gaap	Income Loss From Equity Method Investments Net Of Dividends Or Distributions IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions	-678000	USD
CY2018	us-gaap	Income Loss From Equity Method Investments Net Of Dividends Or Distributions IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions	-243000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	71639000	USD
CY2018	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	26461000	USD
	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	529000	USD
CY2018	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	26946000	USD
	us-gaap	Income Tax Reconciliation Change In Enacted Tax Rate IncomeTaxReconciliationChangeInEnactedTaxRate	64343000	USD
CY2018	us-gaap	Income Tax Reconciliation Change In Enacted Tax Rate IncomeTaxReconciliationChangeInEnactedTaxRate	493000	USD
	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	24485000	USD
CY2018	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-14525000	USD
	us-gaap	Income Tax Reconciliation Minority Interest Income Expense IncomeTaxReconciliationMinorityInterestIncomeExpense	13872000	USD
CY2018	us-gaap	Income Tax Reconciliation Minority Interest Income Expense IncomeTaxReconciliationMinorityInterestIncomeExpense	23117000	USD
	us-gaap	Income Tax Reconciliation Nondeductible Expense Impairment Losses IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses	0	USD
CY2018	us-gaap	Income Tax Reconciliation Nondeductible Expense Impairment Losses IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses	8892000	USD
	us-gaap	Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost	306000	USD
CY2018	us-gaap	Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost	509000	USD
	us-gaap	Income Tax Reconciliation Other Adjustments IncomeTaxReconciliationOtherAdjustments	129000	USD
CY2018	us-gaap	Income Tax Reconciliation Other Adjustments IncomeTaxReconciliationOtherAdjustments	95000	USD
	us-gaap	Income Tax Reconciliation Other Reconciling Items IncomeTaxReconciliationOtherReconcilingItems	0	USD
CY2018	us-gaap	Income Tax Reconciliation Other Reconciling Items IncomeTaxReconciliationOtherReconcilingItems	1748000	USD
	us-gaap	Income Tax Reconciliation State And Local Income Taxes IncomeTaxReconciliationStateAndLocalIncomeTaxes	1685000	USD
CY2018	us-gaap	Income Tax Reconciliation State And Local Income Taxes IncomeTaxReconciliationStateAndLocalIncomeTaxes	9955000	USD
	us-gaap	Income Tax Reconciliation Tax Contingencies Other IncomeTaxReconciliationTaxContingenciesOther	-191000	USD
CY2018	us-gaap	Income Tax Reconciliation Tax Contingencies Other IncomeTaxReconciliationTaxContingenciesOther	-73000	USD
	us-gaap	Income Taxes Paid Net IncomeTaxesPaidNet	485000	USD
CY2018	us-gaap	Income Taxes Paid Net IncomeTaxesPaidNet	2226000	USD
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	31500000	USD
CY2018	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	22819000	USD
	us-gaap	Increase Decrease In Other Operating Capital Net IncreaseDecreaseInOtherOperatingCapitalNet	-14494000	USD
CY2018	us-gaap	Increase Decrease In Other Operating Capital Net IncreaseDecreaseInOtherOperatingCapitalNet	-55980000	USD
CY2018Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	13276000	USD
CY2018Q4	us-gaap	Intangible Assets Gross Excluding Goodwill IntangibleAssetsGrossExcludingGoodwill	61254000	USD
CY2017Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	58908000	USD
CY2018Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	54293000	USD
	us-gaap	Interest Income Expense Nonoperating Net InterestIncomeExpenseNonoperatingNet	-48740000	USD
CY2018	us-gaap	Interest Income Expense Nonoperating Net InterestIncomeExpenseNonoperatingNet	-147003000	USD
	us-gaap	Interest Paid Net InterestPaidNet	40872000	USD
CY2018	us-gaap	Interest Paid Net InterestPaidNet	145370000	USD
CY2017Q4	us-gaap	Interest Payable Current InterestPayableCurrent	20537000	USD
CY2018Q4	us-gaap	Interest Payable Current InterestPayableCurrent	20755000	USD
CY2017Q4	us-gaap	Inventory Net InventoryNet	44951000	USD
CY2018Q4	us-gaap	Inventory Net InventoryNet	43363000	USD
CY2017Q4	us-gaap	Investments In Affiliates Subsidiaries Associates And Joint Ventures InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures	74282000	USD
CY2018Q4	us-gaap	Investments In Affiliates Subsidiaries Associates And Joint Ventures InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures	78477000	USD
	us-gaap	Labor And Related Expense LaborAndRelatedExpense	175403000	USD
CY2018	us-gaap	Labor And Related Expense LaborAndRelatedExpense	534740000	USD
	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	27800000	USD
CY2018	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	83500000	USD
CY2017Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	4622773000	USD
CY2018Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	4676267000	USD
CY2017Q4	us-gaap	Liabilities Current LiabilitiesCurrent	303005000	USD
CY2018Q4	us-gaap	Liabilities Current LiabilitiesCurrent	349299000	USD
CY2017Q4	us-gaap	Litigation Reserve LitigationReserve	46000000	USD
CY2017Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	0	USD
CY2018Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	42342000	USD
CY2018Q4	us-gaap	Long Term Debt LongTermDebt	2328136000	USD
CY2017Q4	us-gaap	Long Term Debt And Capital Lease Obligations LongTermDebtAndCapitalLeaseObligations	2130556000	USD
CY2018Q4	us-gaap	Long Term Debt And Capital Lease Obligations LongTermDebtAndCapitalLeaseObligations	2270898000	USD
CY2017Q4	us-gaap	Long Term Debt And Capital Lease Obligations Current LongTermDebtAndCapitalLeaseObligationsCurrent	58726000	USD
CY2018Q4	us-gaap	Long Term Debt And Capital Lease Obligations Current LongTermDebtAndCapitalLeaseObligationsCurrent	55552000	USD
CY2017Q4	us-gaap	Long Term Debt And Capital Lease Obligations Including Current Maturities LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities	2189282000	USD
CY2018Q4	us-gaap	Long Term Debt And Capital Lease Obligations Including Current Maturities LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities	2326450000	USD
CY2018Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal After Year Five LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive	378835000	USD
CY2018Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Next Twelve Months LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths	55552000	USD
CY2018Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Five LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive	7868000	USD
CY2018Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Four LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour	11079000	USD
CY2018Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Three LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree	415733000	USD
CY2018Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Two LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo	1459069000	USD
CY2017Q4	us-gaap	Minority Interest MinorityInterest	681879000	USD
CY2018Q4	us-gaap	Minority Interest MinorityInterest	694305000	USD
	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	25262000	USD
CY2018	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	78287000	USD
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-53624000	USD
CY2018	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-6344000	USD
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-38893000	USD
CY2018	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-128862000	USD
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	53225000	USD
CY2018	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	144600000	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
CY2018Q1	us-gaap	Net Income Loss NetIncomeLoss	-17521000	USD
CY2018Q2	us-gaap	Net Income Loss NetIncomeLoss	-19462000	USD
CY2018Q3	us-gaap	Net Income Loss NetIncomeLoss	-20981000	USD
CY2018Q4	us-gaap	Net Income Loss NetIncomeLoss	-147742000	USD
CY2018	us-gaap	Net Income Loss NetIncomeLoss	-205706000	USD
CY2017Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	6492000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due Current OperatingLeasesFutureMinimumPaymentsDueCurrent	81455000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due In Five Years OperatingLeasesFutureMinimumPaymentsDueInFiveYears	57202000	USD
CY2018Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	72093000	USD
CY2017Q4	us-gaap	Other Assets Current OtherAssetsCurrent	38502000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due In Four Years OperatingLeasesFutureMinimumPaymentsDueInFourYears	61261000	USD
CY2018Q4	us-gaap	Other Assets Current OtherAssetsCurrent	36784000	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
CY2018Q1	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	22646000	USD
CY2018Q2	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	23772000	USD
CY2018Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	23000000	USD
CY2018Q4	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	40662000	USD
CY2018	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	110080000	USD
	us-gaap	Net Income Loss Attributable To Redeemable Noncontrolling Interest NetIncomeLossAttributableToRedeemableNoncontrollingInterest	12931000	USD
CY2018	us-gaap	Net Income Loss Attributable To Redeemable Noncontrolling Interest NetIncomeLossAttributableToRedeemableNoncontrollingInterest	34546000	USD
	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-67363000	USD
CY2018	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-238132000	USD
	us-gaap	Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest	-14613000	USD
CY2018	us-gaap	Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest	-130172000	USD
	us-gaap	Noncash Or Part Noncash Acquisition Fixed Assets Acquired1 NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1	14872000	USD
CY2018	us-gaap	Noncash Or Part Noncash Acquisition Fixed Assets Acquired1 NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1	61005000	USD
CY2018	us-gaap	Number Of Businesses Acquired NumberOfBusinessesAcquired	1	physician_practice
CY2018Q3	us-gaap	Number Of Interest Rate Derivatives Held NumberOfInterestRateDerivativesHeld	3	swap
CY2018	us-gaap	Number Of Operating Segments NumberOfOperatingSegments	3	segment
CY2018Q4	us-gaap	Number Of Reporting Units NumberOfReportingUnits	3	reporting_unit
CY2018Q4	us-gaap	Number Of States In Which Entity Operates NumberOfStatesInWhichEntityOperates	31	state
	us-gaap	Operating Expenses OperatingExpenses	500334000	USD
CY2018	us-gaap	Operating Expenses OperatingExpenses	1693618000	USD
	us-gaap	Operating Income Loss OperatingIncomeLoss	92270000	USD
CY2018	us-gaap	Operating Income Loss OperatingIncomeLoss	77838000	USD
CY2018Q3	us-gaap	Operating Lease Liability OperatingLeaseLiability	1400000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due OperatingLeasesFutureMinimumPaymentsDue	812489000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due In Three Years OperatingLeasesFutureMinimumPaymentsDueInThreeYears	66728000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due In Two Years OperatingLeasesFutureMinimumPaymentsDueInTwoYears	75649000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due Thereafter OperatingLeasesFutureMinimumPaymentsDueThereafter	470194000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Receivable OperatingLeasesFutureMinimumPaymentsReceivable	3400000	USD
	us-gaap	Operating Leases Rent Expense Net OperatingLeasesRentExpenseNet	27868000	USD
CY2018	us-gaap	Operating Leases Rent Expense Net OperatingLeasesRentExpenseNet	86673000	USD
CY2017Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	71311000	USD
CY2017Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	48665000	USD
CY2018Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	36850000	USD
	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax	0	USD
CY2018	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax	-22446000	USD
CY2018	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-22446000	USD
	us-gaap	Other Cost And Expense Operating OtherCostAndExpenseOperating	32281000	USD
CY2018	us-gaap	Other Cost And Expense Operating OtherCostAndExpenseOperating	104306000	USD
CY2017Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	109944000	USD
CY2018Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	155243000	USD
CY2017Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	222480000	USD
CY2018Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	271187000	USD
	us-gaap	Other Nonrecurring Income Expense OtherNonrecurringIncomeExpense	45000	USD
CY2018	us-gaap	Other Nonrecurring Income Expense OtherNonrecurringIncomeExpense	-3768000	USD
CY2017Q4	us-gaap	Other Sundry Liabilities Noncurrent OtherSundryLiabilitiesNoncurrent	100853000	USD
CY2018Q4	us-gaap	Other Sundry Liabilities Noncurrent OtherSundryLiabilitiesNoncurrent	121376000	USD
	us-gaap	Other Tax Expense Benefit OtherTaxExpenseBenefit	-25329000	USD
CY2018	us-gaap	Other Tax Expense Benefit OtherTaxExpenseBenefit	0	USD
CY2017Q4	us-gaap	Payables To Customers PayablesToCustomers	18096000	USD
CY2018Q4	us-gaap	Payables To Customers PayablesToCustomers	20053000	USD
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	0	USD
CY2018	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	1455000	USD
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	2009000	USD
CY2018	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	1982000	USD
	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	4000	USD
CY2018	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	2990000	USD
	us-gaap	Payments Of Dividends Minority Interest PaymentsOfDividendsMinorityInterest	33490000	USD
CY2018	us-gaap	Payments Of Dividends Minority Interest PaymentsOfDividendsMinorityInterest	109024000	USD
	us-gaap	Payments Of Dividends Preferred Stock And Preference Stock PaymentsOfDividendsPreferredStockAndPreferenceStock	1316000	USD
CY2018	us-gaap	Payments Of Dividends Preferred Stock And Preference Stock PaymentsOfDividendsPreferredStockAndPreferenceStock	7810000	USD
	us-gaap	Payments Of Stock Issuance Costs PaymentsOfStockIssuanceCosts	0	USD
CY2018	us-gaap	Payments Of Stock Issuance Costs PaymentsOfStockIssuanceCosts	0	USD
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	29249000	USD
CY2018	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	106772000	USD
	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	10827000	USD
CY2018	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	39805000	USD
CY2018	us-gaap	Preferred Stock Amount Of Preferred Dividends In Arrears PreferredStockAmountOfPreferredDividendsInArrears	33800000	USD
CY2017Q4	us-gaap	Preferred Stock Par Or Stated Value Per Share PreferredStockParOrStatedValuePerShare	0.01
CY2018Q4	us-gaap	Preferred Stock Par Or Stated Value Per Share PreferredStockParOrStatedValuePerShare	0.01
CY2018	us-gaap	Preferred Stock Per Share Amounts Of Preferred Dividends In Arrears PreferredStockPerShareAmountsOfPreferredDividendsInArrears	108.97
CY2017Q4	us-gaap	Preferred Stock Shares Authorized PreferredStockSharesAuthorized	20000000	shares
CY2018Q4	us-gaap	Preferred Stock Shares Authorized PreferredStockSharesAuthorized	20000000	shares
CY2017Q4	us-gaap	Preferred Stock Shares Issued PreferredStockSharesIssued	0	shares
CY2018Q4	us-gaap	Preferred Stock Shares Issued PreferredStockSharesIssued	0	shares
CY2017Q4	us-gaap	Preferred Stock Shares Outstanding PreferredStockSharesOutstanding	0	shares
CY2018Q4	us-gaap	Preferred Stock Shares Outstanding PreferredStockSharesOutstanding	0	shares
CY2017Q4	us-gaap	Preferred Stock Value PreferredStockValue	0	USD
CY2018Q4	us-gaap	Preferred Stock Value PreferredStockValue	0	USD
CY2017Q4	us-gaap	Prepaid Expense Current PrepaidExpenseCurrent	16835000	USD
CY2018Q4	us-gaap	Prepaid Expense Current PrepaidExpenseCurrent	16225000	USD
	us-gaap	Proceeds From Divestiture Of Businesses ProceedsFromDivestitureOfBusinesses	1183000	USD
CY2018	us-gaap	Proceeds From Divestiture Of Businesses ProceedsFromDivestitureOfBusinesses	19170000	USD
	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	409000	USD
CY2018	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	282741000	USD
	us-gaap	Proceeds From Issuance Of Preferred Stock And Preference Stock ProceedsFromIssuanceOfPreferredStockAndPreferenceStock	0	USD
CY2018	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
CY2018	us-gaap	Proceeds From Payments For Other Financing Activities ProceedsFromPaymentsForOtherFinancingActivities	-1226000	USD
	us-gaap	Proceeds From Payments To Minority Shareholders ProceedsFromPaymentsToMinorityShareholders	998000	USD
CY2018	us-gaap	Proceeds From Payments To Minority Shareholders ProceedsFromPaymentsToMinorityShareholders	-2210000	USD
	us-gaap	Professional Fees ProfessionalFees	45061000	USD
CY2017Q4	us-gaap	Profit Loss ProfitLoss	966000	USD
CY2018	us-gaap	Professional Fees ProfessionalFees	145461000	USD
CY2017Q3	us-gaap	Profit Loss ProfitLoss	-2648000	USD
	us-gaap	Profit Loss ProfitLoss	-1682000	USD
CY2018Q1	us-gaap	Profit Loss ProfitLoss	5125000	USD
CY2018Q2	us-gaap	Profit Loss ProfitLoss	4310000	USD
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber	11287	shares
CY2018Q3	us-gaap	Profit Loss ProfitLoss	2019000	USD
CY2018Q4	us-gaap	Profit Loss ProfitLoss	-107080000	USD
CY2018	us-gaap	Profit Loss ProfitLoss	-95626000	USD
CY2017Q4	us-gaap	Property Plant And Equipment Gross Excluding Capital Leased Assets PropertyPlantAndEquipmentGrossExcludingCapitalLeasedAssets	418216000	USD
CY2018Q4	us-gaap	Property Plant And Equipment Gross Excluding Capital Leased Assets PropertyPlantAndEquipmentGrossExcludingCapitalLeasedAssets	482405000	USD
CY2017Q4	us-gaap	Property Plant And Equipment Net Excluding Capital Leased Assets PropertyPlantAndEquipmentNetExcludingCapitalLeasedAssets	398536000	USD
CY2018Q4	us-gaap	Property Plant And Equipment Net Excluding Capital Leased Assets PropertyPlantAndEquipmentNetExcludingCapitalLeasedAssets	426286000	USD
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	12455000	USD
CY2018	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	0	USD
CY2017Q4	us-gaap	Redeemable Noncontrolling Interest Equity Carrying Amount RedeemableNoncontrollingInterestEquityCarryingAmount	299316000	USD
CY2018Q4	us-gaap	Redeemable Noncontrolling Interest Equity Carrying Amount RedeemableNoncontrollingInterestEquityCarryingAmount	326592000	USD
CY2017Q3	us-gaap	Redeemable Noncontrolling Interest Equity Carrying Amount RedeemableNoncontrollingInterestEquityCarryingAmount	271001000	USD
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	18629000	USD
CY2018	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	157587000	USD
CY2017Q4	us-gaap	Restricted Cash And Investments Noncurrent RestrictedCashAndInvestmentsNoncurrent	300000	USD
CY2018Q4	us-gaap	Restricted Cash And Investments Noncurrent RestrictedCashAndInvestmentsNoncurrent	300000	USD
CY2018Q4	us-gaap	Restructuring And Related Cost Expected Cost1 RestructuringAndRelatedCostExpectedCost1	4500000	USD
CY2017Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-41316000	USD
CY2018Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-247022000	USD
	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	748615000	USD
CY2017Q3	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	132258000	USD
	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	592604000	USD
CY2016	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	1145438000	USD
CY2017Q4	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	460346000	USD
CY2018Q1	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	411332000	USD
CY2018Q2	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	436579000	USD
CY2018Q3	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	432377000	USD
CY2018Q4	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	491168000	USD
CY2018	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	1771456000	USD
CY2017Q4	us-gaap	Self Insurance Reserve SelfInsuranceReserve	21000000	USD
CY2018Q4	us-gaap	Self Insurance Reserve SelfInsuranceReserve	18200000	USD
	us-gaap	Share Based Compensation ShareBasedCompensation	1887000	USD
CY2018	us-gaap	Share Based Compensation ShareBasedCompensation	9344000	USD
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod	0	shares
CY2018	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod	200000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	0	shares
CY2018	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	700000	shares
CY2017Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	12687	shares
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	512687	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
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	13.03
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	20.10
CY2018	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice	12.90
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P1Y1M28D
CY2018	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	12.90
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P1Y6M
CY2018	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P9Y9M18D
	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	0	shares
CY2018	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
CY2018	us-gaap	Stock Issued During Period Value Restricted Stock Award Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardForfeitures	1226000	USD
	us-gaap	Stock Issued During Period Value Share Based Compensation StockIssuedDuringPeriodValueShareBasedCompensation	0	USD
CY2018	us-gaap	Stock Issued During Period Value Share Based Compensation StockIssuedDuringPeriodValueShareBasedCompensation	0	USD
CY2017Q4	us-gaap	Stock Repurchase Program Authorized Amount1 StockRepurchaseProgramAuthorizedAmount1	50000000	USD
CY2018Q4	us-gaap	Stock Repurchase Program Remaining Authorized Repurchase Amount1 StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount1	46000000	USD
	us-gaap	Stock Repurchased During Period Value StockRepurchasedDuringPeriodValue	2009000	USD
CY2018	us-gaap	Stock Repurchased During Period Value StockRepurchasedDuringPeriodValue	1982000	USD
CY2017Q4	us-gaap	Stockholders Equity StockholdersEquity	654731000	USD
CY2018Q4	us-gaap	Stockholders Equity StockholdersEquity	404640000	USD
CY2017Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1336610000	USD
CY2018Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1098945000	USD
CY2017Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1405086000	USD
CY2018	us-gaap	Stockholders Equity Other StockholdersEquityOther	622000	USD
	us-gaap	Supplies Expense SuppliesExpense	161015000	USD
CY2018	us-gaap	Supplies Expense SuppliesExpense	490251000	USD
	us-gaap	Temporary Equity Accretion Of Dividends TemporaryEquityAccretionOfDividends	32426000	USD
	us-gaap	Temporary Equity Accretion To Redemption Value Adjustment TemporaryEquityAccretionToRedemptionValueAdjustment	15566000	USD
CY2018Q4	us-gaap	Temporary Equity Carrying Amount Attributable To Parent TemporaryEquityCarryingAmountAttributableToParent	359346000	USD
CY2017Q3	us-gaap	Temporary Equity Carrying Amount Attributable To Parent TemporaryEquityCarryingAmountAttributableToParent	330806000	USD
	us-gaap	Temporary Equity Dividends Adjustment TemporaryEquityDividendsAdjustment	3886000	USD
CY2017Q4	us-gaap	Treasury Stock Acquired Average Cost Per Share TreasuryStockAcquiredAverageCostPerShare	11.12
CY2018	us-gaap	Treasury Stock Acquired Average Cost Per Share TreasuryStockAcquiredAverageCostPerShare	12.64
CY2017Q4	us-gaap	Treasury Stock Shares Acquired TreasuryStockSharesAcquired	180664	shares
CY2018	us-gaap	Treasury Stock Shares Acquired TreasuryStockSharesAcquired	156818	shares
	us-gaap	Undistributed Earnings Loss Allocated To Participating Securities Basic UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic	26047000	USD
CY2018	us-gaap	Undistributed Earnings Loss Allocated To Participating Securities Basic UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic	32426000	USD
CY2018	us-gaap	Unrealized Gain Loss On Interest Rate Cash Flow Hedges Pretax Accumulated Other Comprehensive Income Loss UnrealizedGainLossOnInterestRateCashFlowHedgesPretaxAccumulatedOtherComprehensiveIncomeLoss	-23100000	USD
CY2016Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	1061000	USD
CY2017Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	690000	USD
CY2018Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	61000	USD
CY2017	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	407000	USD
CY2018	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	629000	USD
CY2017	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities	0	USD
CY2018	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities	7000	USD
CY2018Q4	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
CY2018	us-gaap	Unrecognized Tax Benefits Increases Resulting From Acquisition UnrecognizedTaxBenefitsIncreasesResultingFromAcquisition	0	USD
CY2017	us-gaap	Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions	0	USD
CY2018	us-gaap	Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions	7000	USD
CY2017Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	200000	USD
CY2018Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	100000	USD
CY2018	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	-39400000	USD
	us-gaap	Weighted Average Number Diluted Shares Outstanding Adjustment WeightedAverageNumberDilutedSharesOutstandingAdjustment	0	shares
CY2018	us-gaap	Weighted Average Number Diluted Shares Outstanding Adjustment WeightedAverageNumberDilutedSharesOutstandingAdjustment	0	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	48319193	shares
CY2018	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	48027875	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	48319193	shares
CY2018	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	48027875	shares

Files In Submission

Name	View Source	Status
0001638833-19-000006-index-headers.html	Edgar Link	pending
0001638833-19-000006-index.html	Edgar Link	pending
0001638833-19-000006.txt	Edgar Link	pending
0001638833-19-000006-xbrl.zip	Edgar Link	pending
a201810-kfiling.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
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R82.htm	Edgar Link	pending
R9.htm	Edgar Link	pending
report.css	Edgar Link	pending
sgry-20181231.xml	Edgar Link	completed
sgry-20181231.xsd	Edgar Link	pending
sgry-20181231_cal.xml	Edgar Link	unprocessable
sgry-20181231_def.xml	Edgar Link	unprocessable
sgry-20181231_lab.xml	Edgar Link	unprocessable
sgry-20181231_pre.xml	Edgar Link	unprocessable
Show.js	Edgar Link	pending
stockperformancegraph2018a01.jpg	Edgar Link	pending
ye2018exhibit103.htm	Edgar Link	pending
ye2018exhibit211.htm	Edgar Link	pending
ye2018exhibit231.htm	Edgar Link	pending
ye2018exhibit232.htm	Edgar Link	pending
ye2018exhibit311.htm	Edgar Link	pending
ye2018exhibit312.htm	Edgar Link	pending
ye2018exhibit321.htm	Edgar Link	pending

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$SGRY
Surgery Partners, Inc. Stock $sgry

2018 Form 10-K Financial Statement

#000163883319000006 Filed on March 15, 2019

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$SGRY Surgery Partners, Inc. Stock $sgry

2018 Form 10-K Financial Statement

#000163883319000006 Filed on March 15, 2019

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$SGRY
Surgery Partners, Inc. Stock $sgry