2020 Q2 Form 10-Q Financial Statement

#000163883320000058 Filed on August 05, 2020

View on sec.gov

Income Statement

Concept 2020 Q2 2019 Q2
Revenue $374.7M $445.4M
YoY Change -15.87% 2.02%
Cost Of Revenue $297.8M $340.4M
YoY Change -12.51% 0.09%
Gross Profit $76.90M $105.0M
YoY Change -26.76% 8.81%
Gross Profit Margin 20.52% 23.57%
Selling, General & Admin $46.80M $44.30M
YoY Change 5.64% -7.52%
% of Gross Profit 60.86% 42.19%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $23.40M $19.10M
YoY Change 22.51% 14.37%
% of Gross Profit 30.43% 18.19%
Operating Expenses $330.0M $389.9M
YoY Change -15.36% -0.81%
Operating Profit $44.70M $55.50M
YoY Change -19.46% 27.59%
Interest Expense -$49.20M -$46.40M
YoY Change 6.03% 29.25%
% of Operating Profit -110.07% -83.6%
Other Income/Expense, Net $200.0K $400.0K
YoY Change -50.0% -81.82%
Pretax Income -$4.500M $9.100M
YoY Change -149.45% 19.74%
Income Tax -$600.0K $1.000M
% Of Pretax Income 10.99%
Net Earnings -$32.50M -$19.80M
YoY Change 64.14% 1.54%
Net Earnings / Revenue -8.67% -4.45%
Basic Earnings Per Share -$0.86 -$0.59
Diluted Earnings Per Share -$0.86 -$0.59
COMMON SHARES
Basic Shares Outstanding 48.84M shares 48.29M shares
Diluted Shares Outstanding 48.84M shares 48.29M shares

Balance Sheet

Concept 2020 Q2 2019 Q2
SHORT-TERM ASSETS
Cash & Short-Term Investments $326.3M $117.4M
YoY Change 177.94% 22.16%
Cash & Equivalents $326.3M $117.4M
Short-Term Investments
Other Short-Term Assets $37.00M $55.70M
YoY Change -33.57% 2.77%
Inventory $49.00M $44.00M
Prepaid Expenses $23.30M
Receivables $310.9M $301.9M
Other Receivables $8.200M $10.00M
Total Short-Term Assets $746.5M $529.0M
YoY Change 41.12% 11.89%
LONG-TERM ASSETS
Property, Plant & Equipment $816.0M $685.1M
YoY Change 19.11% 66.33%
Goodwill $3.409B $3.402B
YoY Change 0.19% 0.77%
Intangibles $53.60M
YoY Change -12.73%
Long-Term Investments $91.40M $93.70M
YoY Change -2.45% 19.97%
Other Assets $21.70M $313.0M
YoY Change -93.07% 507.99%
Total Long-Term Assets $4.498B $4.362B
YoY Change 3.12% 6.1%
TOTAL ASSETS
Total Short-Term Assets $746.5M $529.0M
Total Long-Term Assets $4.498B $4.362B
Total Assets $5.245B $4.891B
YoY Change 7.23% 6.7%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $104.7M $71.70M
YoY Change 46.03% -5.86%
Accrued Expenses $258.6M $222.3M
YoY Change 16.33% 60.97%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00
YoY Change
Long-Term Debt Due $63.50M $57.30M
YoY Change 10.82% -4.98%
Total Short-Term Liabilities $571.2M $368.8M
YoY Change 54.88% 24.27%
LONG-TERM LIABILITIES
Long-Term Debt $2.623B $2.397B
YoY Change 9.39% 6.4%
Other Long-Term Liabilities $127.3M $387.1M
YoY Change -67.11% 57.19%
Total Long-Term Liabilities $127.3M $387.1M
YoY Change -67.11% 57.19%
TOTAL LIABILITIES
Total Short-Term Liabilities $571.2M $368.8M
Total Long-Term Liabilities $127.3M $387.1M
Total Liabilities $698.5M $755.9M
YoY Change -7.59% 39.2%
SHAREHOLDERS EQUITY
Retained Earnings -$268.9M
YoY Change 243.43%
Common Stock
YoY Change
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $204.4M $358.7M
YoY Change
Total Liabilities & Shareholders Equity $5.245B $4.891B
YoY Change 7.23% 6.7%

Cashflow Statement

Concept 2020 Q2 2019 Q2
OPERATING ACTIVITIES
Net Income -$32.50M -$19.80M
YoY Change 64.14% 1.54%
Depreciation, Depletion And Amortization $23.40M $19.10M
YoY Change 22.51% 14.37%
Cash From Operating Activities $181.9M $26.70M
YoY Change 581.27% -32.41%
INVESTING ACTIVITIES
Capital Expenditures -$8.100M -$20.00M
YoY Change -59.5% 238.98%
Acquisitions
YoY Change
Other Investing Activities -$6.700M -$4.500M
YoY Change 48.89% -64.0%
Cash From Investing Activities -$14.80M -$24.50M
YoY Change -39.59% 33.15%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities -35.40M -27.30M
YoY Change 29.67% -28.16%
NET CHANGE
Cash From Operating Activities 181.9M 26.70M
Cash From Investing Activities -14.80M -24.50M
Cash From Financing Activities -35.40M -27.30M
Net Change In Cash 131.7M -25.10M
YoY Change -624.7% 48.52%
FREE CASH FLOW
Cash From Operating Activities $181.9M $26.70M
Capital Expenditures -$8.100M -$20.00M
Free Cash Flow $190.0M $46.70M
YoY Change 306.85% 2.86%

Facts In Submission

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CY2020Q2 us-gaap Profit Loss
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CY2019Q2 us-gaap Profit Loss
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us-gaap Profit Loss
ProfitLoss
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us-gaap Profit Loss
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CY2020Q2 us-gaap Net Income Loss Attributable To Noncontrolling Interest
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CY2019Q2 us-gaap Net Income Loss Attributable To Noncontrolling Interest
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27900000 USD
us-gaap Net Income Loss Attributable To Noncontrolling Interest
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us-gaap Net Income Loss Attributable To Noncontrolling Interest
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CY2020Q2 us-gaap Net Income Loss
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CY2019Q2 us-gaap Net Income Loss
NetIncomeLoss
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us-gaap Net Income Loss
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us-gaap Net Income Loss
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CY2020Q2 us-gaap Undistributed Earnings Loss Allocated To Participating Securities Basic
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9700000 USD
CY2019Q2 us-gaap Undistributed Earnings Loss Allocated To Participating Securities Basic
UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic
8800000 USD
us-gaap Undistributed Earnings Loss Allocated To Participating Securities Basic
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19200000 USD
us-gaap Undistributed Earnings Loss Allocated To Participating Securities Basic
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17300000 USD
CY2020Q2 us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
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CY2019Q2 us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
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us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
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us-gaap Net Income Loss Available To Common Stockholders Basic
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CY2020Q2 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
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CY2019Q2 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
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us-gaap Earnings Per Share Basic
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us-gaap Earnings Per Share Basic
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CY2020Q2 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
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CY2019Q2 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
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us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
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us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
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CY2020Q2 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
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CY2019Q2 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
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us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
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us-gaap Weighted Average Number Of Shares Outstanding Basic
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CY2020Q2 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
48840000 shares
CY2019Q2 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
48291000 shares
us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
48661000 shares
us-gaap Weighted Average Number Of Diluted Shares Outstanding
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48241000 shares
CY2020Q2 us-gaap Profit Loss
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CY2019Q2 us-gaap Profit Loss
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us-gaap Profit Loss
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us-gaap Profit Loss
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11600000 USD
CY2020Q2 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
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7300000 USD
CY2019Q2 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
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us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
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us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
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CY2020Q2 us-gaap Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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3400000 USD
CY2019Q2 us-gaap Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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us-gaap Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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us-gaap Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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CY2020Q2 us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
28600000 USD
CY2019Q2 us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
27900000 USD
us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
47700000 USD
us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
51500000 USD
CY2020Q2 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
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CY2019Q2 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
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us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
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us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
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CY2018Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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1098900000 USD
CY2019Q1 us-gaap Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest
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CY2019Q1 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
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CY2019Q1 us-gaap Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings
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8500000 USD
CY2019Q1 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
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CY2019Q1 sgry Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet
14100000 USD
CY2019Q1 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
23500000 USD
CY2019Q1 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
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CY2019Q2 us-gaap Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest
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CY2019Q2 us-gaap Stock Issued During Period Value Share Based Compensation
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3100000 USD
CY2019Q2 us-gaap Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings
AdjustmentsToAdditionalPaidInCapitalDividendsInExcessOfRetainedEarnings
8800000 USD
CY2019Q2 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax
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CY2019Q2 sgry Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet
2000000.0 USD
CY2019Q2 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
17700000 USD
CY2019Q2 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
1045000000.0 USD
CY2019Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
983400000 USD
CY2020Q1 us-gaap Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest
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CY2020Q1 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
2800000 USD
CY2020Q1 us-gaap Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings
AdjustmentsToAdditionalPaidInCapitalDividendsInExcessOfRetainedEarnings
9500000 USD
CY2020Q1 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax
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CY2020Q1 sgry Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet
700000 USD
CY2020Q1 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
14900000 USD
CY2020Q1 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
923400000 USD
CY2020Q2 us-gaap Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest
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CY2020Q2 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
3800000 USD
CY2020Q2 us-gaap Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings
AdjustmentsToAdditionalPaidInCapitalDividendsInExcessOfRetainedEarnings
9700000 USD
CY2020Q2 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax
7300000 USD
CY2020Q2 sgry Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet
1700000 USD
CY2020Q2 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
20900000 USD
CY2020Q2 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
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us-gaap Profit Loss
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us-gaap Profit Loss
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us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
45200000 USD
us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
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sgry Noncash Interest Income Expense Net
NoncashInterestIncomeExpenseNet
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sgry Noncash Interest Income Expense Net
NoncashInterestIncomeExpenseNet
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us-gaap Share Based Compensation
ShareBasedCompensation
6900000 USD
us-gaap Share Based Compensation
ShareBasedCompensation
4900000 USD
sgry Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
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sgry Gain Loss On Disposition Of Assets And Deconsolidation
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7600000 USD
us-gaap Gains Losses On Extinguishment Of Debt
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0 USD
us-gaap Gains Losses On Extinguishment Of Debt
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us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
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us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
2000000.0 USD
us-gaap Income Loss From Equity Method Investments Net Of Dividends Or Distributions
IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions
200000 USD
us-gaap Income Loss From Equity Method Investments Net Of Dividends Or Distributions
IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions
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us-gaap Operating Lease Expense
OperatingLeaseExpense
20100000 USD
us-gaap Operating Lease Expense
OperatingLeaseExpense
19600000 USD
us-gaap Increase Decrease In Accounts Receivable
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us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
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sgry Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants
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124700000 USD
sgry Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants
IncreaseDecreaseInMedicareAcceleratedPaymentsAndDeferredGovernmentalGrants
0 USD
us-gaap Increase Decrease In Other Operating Capital Net
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us-gaap Increase Decrease In Other Operating Capital Net
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40000000.0 USD
us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
211100000 USD
us-gaap Net Cash Provided By Used In Operating Activities
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47200000 USD
us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
19900000 USD
us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
31800000 USD
us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
12400000 USD
us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
13200000 USD
us-gaap Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
9400000 USD
us-gaap Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
17600000 USD
us-gaap Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
0 USD
us-gaap Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
15200000 USD
us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
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us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
300000 USD
us-gaap Net Cash Provided By Used In Investing Activities
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us-gaap Net Cash Provided By Used In Investing Activities
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us-gaap Repayments Of Long Term Debt
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182800000 USD
us-gaap Repayments Of Long Term Debt
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422800000 USD
us-gaap Proceeds From Issuance Of Long Term Debt
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288200000 USD
us-gaap Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
438900000 USD
us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
6500000 USD
us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
8800000 USD
sgry Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
0 USD
sgry Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
17800000 USD
us-gaap Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
51700000 USD
us-gaap Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
60900000 USD
us-gaap Proceeds From Payments To Minority Shareholders
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us-gaap Proceeds From Payments To Minority Shareholders
ProceedsFromPaymentsToMinorityShareholders
1200000 USD
us-gaap Proceeds From Payments For Other Financing Activities
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-300000 USD
us-gaap Proceeds From Payments For Other Financing Activities
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us-gaap Net Cash Provided By Used In Financing Activities
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45000000.0 USD
us-gaap Net Cash Provided By Used In Financing Activities
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us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
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233600000 USD
us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
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CY2019Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
93000000.0 USD
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
184600000 USD
CY2020Q2 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
326600000 USD
CY2019Q2 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
117700000 USD
CY2020Q2 sgry Number Of Surgical Facilities Owned
NumberOfSurgicalFacilitiesOwned
127 surgical_facility
CY2020Q2 us-gaap Number Of States In Which Entity Operates
NumberOfStatesInWhichEntityOperates
30 state
CY2020Q2 sgry Number Of Surgical Facilities Owned Majority Interest
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85 surgical_facility
CY2020Q2 sgry Number Of Surgical Facilities Owned Consolidated
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107 surgical_facility
us-gaap Use Of Estimates
UseOfEstimates
<div style="text-align:justify;margin-top:6pt;margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:700;line-height:120%;">Use of Estimates</span></div><div style="text-indent:18pt;text-align:justify;margin-top:6pt;margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:120%;">The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the condensed 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. Actual results could differ from those estimates.</span></div>
sgry Proceeds From Government Assistance
ProceedsFromGovernmentAssistance
48000000 USD
CY2020Q2 sgry Grant Revenue
GrantRevenue
43100000 USD
sgry Grant Revenue
GrantRevenue
43100000 USD
sgry Coronavirus Aid Reliefand Economic Security Act Cares Act Government Grant Received Accelerated Payments
CoronavirusAidReliefandEconomicSecurityActCARESActGovernmentGrantReceivedAcceleratedPayments
120000000 USD
CY2020Q2 sgry Deferred Employee Related Liabilities Current
DeferredEmployeeRelatedLiabilitiesCurrent
4300000 USD
CY2020Q2 sgry Variable Interest Entity Number Of Facilities
VariableInterestEntityNumberOfFacilities
4 surgical_facility
CY2020Q2 sgry Variable Interest Entity Number Of Facilities
VariableInterestEntityNumberOfFacilities
3 Anesthesia_Practice
CY2020Q2 sgry Variable Interest Entity Number Of Facilities
VariableInterestEntityNumberOfFacilities
3 physician_practice
CY2020Q2 us-gaap Derivative Liabilities Noncurrent
DerivativeLiabilitiesNoncurrent
68600000 USD
CY2019Q4 us-gaap Derivative Liabilities Noncurrent
DerivativeLiabilitiesNoncurrent
50700000 USD
CY2020Q2 us-gaap Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
374700000 USD
CY2019Q2 us-gaap Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
445400000 USD
us-gaap Revenue From Contract With Customer Including Assessed Tax
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815700000 USD
us-gaap Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
862200000 USD
CY2020Q2 us-gaap Restricted Cash And Investments Noncurrent
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300000 USD
CY2019Q4 us-gaap Restricted Cash And Investments Noncurrent
RestrictedCashAndInvestmentsNoncurrent
300000 USD
CY2020Q2 sgry Third Party Settlements Payable Current
ThirdPartySettlementsPayableCurrent
13000000.0 USD
CY2019Q4 sgry Third Party Settlements Payable Current
ThirdPartySettlementsPayableCurrent
5600000 USD
CY2020Q2 sgry Optical Products Receivable
OpticalProductsReceivable
8200000 USD
CY2019Q4 sgry Optical Products Receivable
OpticalProductsReceivable
8600000 USD
CY2019Q4 us-gaap Goodwill
Goodwill
3402400000 USD
us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
20700000 USD
sgry Goodwill Written Off Related To Sale Of Business Unit And Deconsolidations
GoodwillWrittenOffRelatedToSaleOfBusinessUnitAndDeconsolidations
14200000 USD
CY2020Q2 us-gaap Goodwill
Goodwill
3408900000 USD
CY2019Q2 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
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316000000.0 USD
CY2019Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
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321000000.0 USD
CY2018Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
326600000 USD
us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
11300000 USD
us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
16800000 USD
sgry Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests
RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests
-1700000 USD
sgry Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests
RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests
-7700000 USD
sgry Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders
RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
15900000 USD
sgry Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders
RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
19700000 USD
CY2020Q2 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
314700000 USD
us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.562
us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.189
sgry Effective Income Tax Rate Reconciliation Coronavirus Aid Reliefand Economic Security Act Cares Act
EffectiveIncomeTaxRateReconciliationCoronavirusAidReliefandEconomicSecurityActCARESAct
6900000 USD
us-gaap Income Tax Reconciliation Tax Settlements
IncomeTaxReconciliationTaxSettlements
5000000.0 USD
us-gaap Number Of Businesses Acquired
NumberOfBusinessesAcquired
3 surgery_center
us-gaap Noncash Or Part Noncash Acquisition Net Nonmonetary Assets Acquired Liabilities Assumed1
NoncashOrPartNoncashAcquisitionNetNonmonetaryAssetsAcquiredLiabilitiesAssumed1
2000000.0 USD
us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.24
CY2020Q2 us-gaap Finance Lease Liability
FinanceLeaseLiability
244100000 USD
CY2019Q4 us-gaap Finance Lease Liability
FinanceLeaseLiability
253400000 USD
CY2020Q2 us-gaap Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net
DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet
16600000 USD
CY2019Q4 us-gaap Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net
DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet
10800000 USD
CY2020Q2 us-gaap Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
2686000000.0 USD
CY2019Q4 us-gaap Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
2580700000 USD
CY2020Q2 us-gaap Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
63500000 USD
CY2019Q4 us-gaap Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
56000000.0 USD
CY2020Q2 us-gaap Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
2622500000 USD
CY2019Q4 us-gaap Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
2524700000 USD
sgry Increase Decrease In Operating Lease Right Of Use Asset
IncreaseDecreaseInOperatingLeaseRightOfUseAsset
23200000 USD
CY2020Q2 sgry Increase Decrease In Operating Lease Liability
IncreaseDecreaseInOperatingLeaseLiability
23200000 USD
sgry Increase Decrease In Operating Lease Liability
IncreaseDecreaseInOperatingLeaseLiability
23200000 USD
CY2020Q2 sgry Increase Decrease In Operating Lease Right Of Use Asset
IncreaseDecreaseInOperatingLeaseRightOfUseAsset
23200000 USD
us-gaap Operating Lease Cost
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31100000 USD
CY2020Q2 us-gaap Dividends Payable Current And Noncurrent
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DividendsPayableCurrentAndNoncurrent
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18300000 USD
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5600000 USD
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1500000 USD
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9000000.0 USD
us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss Reclassification Before Tax
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us-gaap Net Income Loss
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UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic
8800000 USD
us-gaap Undistributed Earnings Loss Allocated To Participating Securities Basic
UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic
19200000 USD
us-gaap Undistributed Earnings Loss Allocated To Participating Securities Basic
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CY2020Q2 us-gaap Net Income Loss Available To Common Stockholders Basic
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-42200000 USD
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NetIncomeLossAvailableToCommonStockholdersBasic
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21800000 USD
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19700000 USD
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16500000 USD
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12100000 USD
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0.0275
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LitigationSettlementAmountAwardedfromOtherPartyApprovedPaidClaims
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GainLossRelatedToLitigationSettlement
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GainLossRelatedToLitigationSettlement
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sgry Collaborative Tax Agreement Projected Tax Savings Term
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P5Y
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RevenueFromContractWithCustomerIncludingAssessedTax
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60100000 USD
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DeferredIncomeTaxLiabilitiesNetOfDiscount
48700000 USD
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16900000 USD
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16900000 USD
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3 segment
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374700000 USD
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EarningsBeforeInterestTaxesDepreciationAndAmortization
58200000 USD
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EarningsBeforeInterestTaxesDepreciationAndAmortization
61200000 USD
sgry Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
104700000 USD
sgry Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
112000000.0 USD
CY2019Q2 sgry Business Combination Gain Loss On Acquisition Escrow
BusinessCombinationGainLossOnAcquisitionEscrow
0 USD
us-gaap Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
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us-gaap Share Based Compensation
ShareBasedCompensation
4900000 USD
us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
14300000 USD
CY2020Q2 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
28600000 USD
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27900000 USD
us-gaap Net Income Loss Attributable To Noncontrolling Interest
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47700000 USD
us-gaap Net Income Loss Attributable To Noncontrolling Interest
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CY2020Q2 us-gaap Depreciation Depletion And Amortization
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23400000 USD
CY2019Q2 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
19100000 USD
us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
45200000 USD
us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
37900000 USD
CY2020Q2 us-gaap Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
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InterestIncomeExpenseNonoperatingNet
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CY2020Q2 us-gaap Share Based Compensation
ShareBasedCompensation
3400000 USD
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ShareBasedCompensation
3000000.0 USD
us-gaap Share Based Compensation
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6900000 USD
CY2020Q2 us-gaap Gains Losses On Extinguishment Of Debt
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CY2020Q2 sgry Business Combination Integration Related Costs And Merger Costs
BusinessCombinationIntegrationRelatedCostsAndMergerCosts
10100000 USD
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BusinessCombinationIntegrationRelatedCostsAndMergerCosts
8000000.0 USD
sgry Business Combination Integration Related Costs And Merger Costs
BusinessCombinationIntegrationRelatedCostsAndMergerCosts
22700000 USD
sgry Business Combination Integration Related Costs And Merger Costs
BusinessCombinationIntegrationRelatedCostsAndMergerCosts
11500000 USD
us-gaap Gains Losses On Extinguishment Of Debt
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0 USD
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CY2020Q2 sgry Gain Loss On Disposition Of Assets And Deconsolidation
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-2900000 USD
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GainLossOnDispositionOfAssetsAndDeconsolidation
8200000 USD
sgry Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
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sgry Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
7600000 USD
CY2020Q2 sgry Gain Loss Relatedto Litigation Settlement And Other Litigation Costs
GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts
2300000 USD
CY2019Q2 sgry Gain Loss Relatedto Litigation Settlement And Other Litigation Costs
GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts
0 USD
sgry Gain Loss Relatedto Litigation Settlement And Other Litigation Costs
GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts
3800000 USD
sgry Gain Loss Relatedto Litigation Settlement And Other Litigation Costs
GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts
0 USD
CY2020Q2 sgry Business Combination Gain Loss On Acquisition Escrow
BusinessCombinationGainLossOnAcquisitionEscrow
0 USD
CY2020Q2 sgry Tax Receivable Agreement Expense Benefit
TaxReceivableAgreementExpenseBenefit
0 USD
sgry Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
112000000.0 USD
CY2020Q2 us-gaap Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
4900000 USD
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BusinessCombinationIntegrationRelatedCosts
6200000 USD
sgry Business Combination Gain Loss On Acquisition Escrow
BusinessCombinationGainLossOnAcquisitionEscrow
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sgry Business Combination Gain Loss On Acquisition Escrow
BusinessCombinationGainLossOnAcquisitionEscrow
0 USD
CY2019Q2 sgry Tax Receivable Agreement Expense Benefit
TaxReceivableAgreementExpenseBenefit
0 USD
sgry Tax Receivable Agreement Expense Benefit
TaxReceivableAgreementExpenseBenefit
0 USD
sgry Tax Receivable Agreement Expense Benefit
TaxReceivableAgreementExpenseBenefit
2400000 USD
CY2020Q2 sgry Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
58200000 USD
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EarningsBeforeInterestTaxesDepreciationAndAmortization
61200000 USD
sgry Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
104700000 USD
CY2020Q2 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
5200000 USD
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BusinessCombinationAcquisitionRelatedCosts
1800000 USD
us-gaap Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
10400000 USD
us-gaap Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
8200000 USD
us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
12300000 USD
us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
3300000 USD
CY2020Q2 us-gaap Litigation Settlement Expense
LitigationSettlementExpense
2300000 USD
us-gaap Gain Loss Related To Litigation Settlement
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us-gaap Litigation Settlement Expense
LitigationSettlementExpense
2600000 USD
CY2020Q2 us-gaap Assets
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5244700000 USD
CY2019Q4 us-gaap Assets
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5018900000 USD
us-gaap Payments To Acquire Property Plant And Equipment
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19900000 USD
us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
31800000 USD

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