$SGRY
Surgery Partners, Inc. Stock $sgry

$sgry Overview Financials Valuation SEC Filings Company Website

2020 Form 10-K Financial Statement

#000163883321000034 Filed on March 10, 2021

Income Statement

Concept	2020	2019 Q4	2019
Revenue	$1.860B	$517.2M	$1.831B
YoY Change	1.57%	5.29%	3.38%
Cost Of Revenue	$1.393B	$388.0M	$1.408B
YoY Change	-1.04%	7.87%	3.39%
Gross Profit	$467.2M	$129.2M	$423.8M
YoY Change	10.24%	-1.75%	3.34%
Gross Profit Margin	25.12%	24.98%	23.14%
Selling, General & Admin	$184.5M	$46.30M	$174.2M
YoY Change	5.91%	133.84%	-3.33%
% of Gross Profit	39.49%	35.84%	41.1%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$94.80M	$20.20M	$76.50M
YoY Change	23.92%	12.22%	13.5%
% of Gross Profit	20.29%	15.63%	18.05%
Operating Expenses	$1.677B	$66.50M	$1.596B
YoY Change	5.11%	75.93%	-5.8%
Operating Profit	$183.0M	$62.70M	$235.9M
YoY Change	-22.42%	-33.08%	203.21%
Interest Expense	-$201.8M	-$41.20M	-$178.9M
YoY Change	12.8%	11.35%	21.7%
% of Operating Profit	-110.27%	-65.71%	-75.84%
Other Income/Expense, Net	$0.00	$1.000M	-$1.000M
YoY Change	-100.0%	400.0%	-126.32%
Pretax Income	-$18.80M	$27.00M	$54.60M
YoY Change	-134.43%	-129.51%	-178.9%
Income Tax	-$20.10M	$4.400M	$9.500M
% Of Pretax Income		16.3%	17.4%
Net Earnings	-$116.1M	-$19.20M	-$74.80M
YoY Change	55.21%	-87.0%	-63.64%
Net Earnings / Revenue	-6.24%	-3.71%	-4.08%
Basic Earnings Per Share	-$3.19	-$0.59	-$2.29
Diluted Earnings Per Share	-$3.19	-$0.59	-$2.29
COMMON SHARES
Basic Shares Outstanding	48.78M shares	49.51M shares	48.28M shares
Diluted Shares Outstanding	48.78M shares		48.28M shares

Balance Sheet

Concept	2020	2019 Q4	2019
SHORT-TERM ASSETS
Cash & Short-Term Investments	$317.9M	$92.70M	$92.70M
YoY Change	242.93%	-49.7%	-49.7%
Cash & Equivalents	$317.9M	$92.70M	$92.70M
Short-Term Investments
Other Short-Term Assets	$45.00M	$41.80M	$51.00M
YoY Change	-11.76%	13.59%	-3.77%
Inventory	$56.40M	$46.30M	$46.30M
Prepaid Expenses		$17.80M
Receivables	$382.2M	$326.9M	$326.9M
Other Receivables	$0.00	$8.600M	$8.600M
Total Short-Term Assets	$801.5M	$525.5M	$525.5M
YoY Change	52.52%	-10.67%	-10.67%
LONG-TERM ASSETS
Property, Plant & Equipment	$854.7M	$821.0M	$821.0M
YoY Change	4.1%	92.59%	92.59%
Goodwill		$3.402B
YoY Change		0.58%
Intangibles		$47.30M
YoY Change		-12.89%
Long-Term Investments	$90.60M	$93.50M	$93.50M
YoY Change	-3.1%	18.65%	18.65%
Other Assets	$151.5M	$30.80M	$129.2M
YoY Change	17.26%	-16.53%	-11.32%
Total Long-Term Assets	$4.612B	$4.493B	$4.493B
YoY Change	2.63%	9.92%	9.92%
TOTAL ASSETS
Total Short-Term Assets	$801.5M	$525.5M	$525.5M
Total Long-Term Assets	$4.612B	$4.493B	$4.493B
Total Assets	$5.413B	$5.019B	$5.019B
YoY Change	7.86%	7.33%	7.33%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$100.2M	$96.70M	$96.70M
YoY Change	3.62%	16.09%	16.09%
Accrued Expenses	$223.4M	$228.9M	$228.9M
YoY Change	-2.4%	24.81%	24.81%
Deferred Revenue
YoY Change
Short-Term Debt	$0.00	$0.00	$0.00
YoY Change
Long-Term Debt Due	$64.40M	$56.00M	$56.00M
YoY Change	15.0%	-10.54%	-10.54%
Total Short-Term Liabilities	$556.8M	$398.1M	$398.1M
YoY Change	39.86%	13.97%	13.97%
LONG-TERM LIABILITIES
Long-Term Debt	$2.792B	$2.525B	$2.525B
YoY Change	10.6%	4.3%	4.3%
Other Long-Term Liabilities	$440.6M	$113.6M	$396.7M
YoY Change	11.07%	-58.13%	226.77%
Total Long-Term Liabilities	$3.233B	$113.6M	$2.921B
YoY Change	10.67%	-58.13%	14.92%
TOTAL LIABILITIES
Total Short-Term Liabilities	$556.8M	$398.1M	$398.1M
Total Long-Term Liabilities	$3.233B	$113.6M	$2.921B
Total Liabilities	$4.863B	$511.7M	$4.327B
YoY Change	12.39%	-17.55%	10.6%
SHAREHOLDERS EQUITY
Retained Earnings		-$315.7M
YoY Change		27.81%
Common Stock
YoY Change
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity	$550.1M	$296.8M	$691.8M
YoY Change
Total Liabilities & Shareholders Equity	$5.413B	$5.019B	$5.019B
YoY Change	7.86%	7.33%	7.33%

Cashflow Statement

Concept	2020	2019 Q4	2019
OPERATING ACTIVITIES
Net Income	-$116.1M	-$19.20M	-$74.80M
YoY Change	55.21%	-87.0%	-63.64%
Depreciation, Depletion And Amortization	$94.80M	$20.20M	$76.50M
YoY Change	23.92%	12.22%	13.5%
Cash From Operating Activities	$246.9M	$25.40M	$129.5M
YoY Change	90.66%	-44.18%	-10.44%
INVESTING ACTIVITIES
Capital Expenditures	$42.90M	-$23.40M	$73.60M
YoY Change	-41.71%	77.27%	84.92%
Acquisitions	$104.6M		$13.80M
YoY Change	657.97%		-87.08%
Other Investing Activities	-$600.0K	$0.00	$200.0K
YoY Change	-400.0%	-100.0%	-86.67%
Cash From Investing Activities	-$88.40M	-$23.40M	-$85.20M
YoY Change	3.76%	-62.44%	-33.9%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net	$0.00		$0.00
YoY Change			-100.0%
Debt Paid & Issued, Net	$216.3M		$490.8M
YoY Change	-55.93%		211.42%
Cash From Financing Activities	$66.70M	-20.60M	-$135.9M
YoY Change	-149.08%	-116.9%	2057.14%
NET CHANGE
Cash From Operating Activities	$246.9M	25.40M	$129.5M
Cash From Investing Activities	-$88.40M	-23.40M	-$85.20M
Cash From Financing Activities	$66.70M	-20.60M	-$135.9M
Net Change In Cash	$225.2M	-18.60M	-$91.60M
YoY Change	-345.85%	-117.7%	-1074.47%
FREE CASH FLOW
Cash From Operating Activities	$246.9M	$25.40M	$129.5M
Capital Expenditures	$42.90M	-$23.40M	$73.60M
Free Cash Flow	$204.0M	$48.80M	$55.90M
YoY Change	264.94%	-16.87%	-46.66%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
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CY2020	dei	Entity File Number EntityFileNumber	001-37576
CY2020	dei	Entity Registrant Name EntityRegistrantName	Surgery Partners, Inc.
CY2020	dei	Entity Incorporation State Country Code EntityIncorporationStateCountryCode	DE
CY2020	dei	Entity Tax Identification Number EntityTaxIdentificationNumber	47-3620923
CY2020	dei	Entity Address Address Line1 EntityAddressAddressLine1	310 Seven Springs Way, Suite 500
CY2020	dei	Entity Address City Or Town EntityAddressCityOrTown	Brentwood
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CY2020	dei	Security12b Title Security12bTitle	Common Stock, par value $0.01 per share
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CY2019	sgry	Gain Loss On Disposition Of Assets And Deconsolidation GainLossOnDispositionOfAssetsAndDeconsolidation	4400000	USD
CY2018	sgry	Gain Loss On Disposition Of Assets And Deconsolidation GainLossOnDispositionOfAssetsAndDeconsolidation	-31800000	USD
CY2020	us-gaap	Business Combination Integration Related Costs BusinessCombinationIntegrationRelatedCosts	23200000	USD
CY2019	us-gaap	Business Combination Integration Related Costs BusinessCombinationIntegrationRelatedCosts	19000000.0	USD
CY2018	us-gaap	Business Combination Integration Related Costs BusinessCombinationIntegrationRelatedCosts	31700000	USD
CY2020	us-gaap	Asset Impairment Charges AssetImpairmentCharges	33500000	USD
CY2019	us-gaap	Asset Impairment Charges AssetImpairmentCharges	7900000	USD
CY2018	us-gaap	Asset Impairment Charges AssetImpairmentCharges	74400000	USD
CY2020	sgry	Grant Revenue GrantRevenue	46200000	USD
CY2019	sgry	Grant Revenue GrantRevenue	0	USD
CY2018	sgry	Grant Revenue GrantRevenue	0	USD
CY2020	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	0	USD
CY2019	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	-11700000	USD
CY2018	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	0	USD
CY2020	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-1200000	USD
CY2019	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-200000	USD
CY2018	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-46000000.0	USD
CY2020	us-gaap	Other Nonrecurring Income Expense OtherNonrecurringIncomeExpense	-1700000	USD
CY2019	us-gaap	Other Nonrecurring Income Expense OtherNonrecurringIncomeExpense	-1400000	USD
CY2018	us-gaap	Other Nonrecurring Income Expense OtherNonrecurringIncomeExpense	-3700000	USD
CY2020	us-gaap	Operating Expenses OperatingExpenses	1677100000	USD
CY2019	us-gaap	Operating Expenses OperatingExpenses	1595500000	USD
CY2018	us-gaap	Operating Expenses OperatingExpenses	1693700000	USD
CY2020	us-gaap	Operating Income Loss OperatingIncomeLoss	183000000.0	USD
CY2019	us-gaap	Operating Income Loss OperatingIncomeLoss	235900000	USD
CY2018	us-gaap	Operating Income Loss OperatingIncomeLoss	77800000	USD
CY2020	us-gaap	Other Tax Expense Benefit OtherTaxExpenseBenefit	0	USD
CY2019	us-gaap	Other Tax Expense Benefit OtherTaxExpenseBenefit	2400000	USD
CY2018	us-gaap	Other Tax Expense Benefit OtherTaxExpenseBenefit	0	USD
CY2020	us-gaap	Interest Income Expense Nonoperating Net InterestIncomeExpenseNonoperatingNet	-201800000	USD
CY2019	us-gaap	Interest Income Expense Nonoperating Net InterestIncomeExpenseNonoperatingNet	-178900000	USD
CY2018	us-gaap	Interest Income Expense Nonoperating Net InterestIncomeExpenseNonoperatingNet	-147000000.0	USD
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-18800000	USD
CY2019	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	54600000	USD
CY2018	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-69200000	USD
CY2020	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-20100000	USD
CY2019	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	9500000	USD
CY2018	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	26400000	USD
CY2020	us-gaap	Profit Loss ProfitLoss	1300000	USD
CY2019	us-gaap	Profit Loss ProfitLoss	45100000	USD
CY2018	us-gaap	Profit Loss ProfitLoss	-95600000	USD
CY2020	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	117400000	USD
CY2019	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	119900000	USD
CY2018	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	110100000	USD
CY2020	us-gaap	Net Income Loss NetIncomeLoss	-116100000	USD
CY2019	us-gaap	Net Income Loss NetIncomeLoss	-74800000	USD
CY2018	us-gaap	Net Income Loss NetIncomeLoss	-205700000	USD
CY2020	us-gaap	Undistributed Earnings Loss Allocated To Participating Securities Basic UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic	39500000	USD
CY2019	us-gaap	Undistributed Earnings Loss Allocated To Participating Securities Basic UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic	35700000	USD
CY2018	us-gaap	Undistributed Earnings Loss Allocated To Participating Securities Basic UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic	32400000	USD
CY2020	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-155600000	USD
CY2019	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-110500000	USD
CY2018	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-238100000	USD
CY2020	us-gaap	Earnings Per Share Basic And Diluted EarningsPerShareBasicAndDiluted	-3.19
CY2019	us-gaap	Earnings Per Share Basic And Diluted EarningsPerShareBasicAndDiluted	-2.29
CY2018	us-gaap	Earnings Per Share Basic And Diluted EarningsPerShareBasicAndDiluted	-4.96
CY2020	us-gaap	Weighted Average Number Of Share Outstanding Basic And Diluted WeightedAverageNumberOfShareOutstandingBasicAndDiluted	48776000	shares
CY2019	us-gaap	Weighted Average Number Of Share Outstanding Basic And Diluted WeightedAverageNumberOfShareOutstandingBasicAndDiluted	48280000	shares
CY2018	us-gaap	Weighted Average Number Of Share Outstanding Basic And Diluted WeightedAverageNumberOfShareOutstandingBasicAndDiluted	48028000	shares
CY2020	us-gaap	Profit Loss ProfitLoss	1300000	USD
CY2019	us-gaap	Profit Loss ProfitLoss	45100000	USD
CY2018	us-gaap	Profit Loss ProfitLoss	-95600000	USD
CY2020	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax	-10300000	USD
CY2019	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax	-28300000	USD
CY2018	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax	-22400000	USD
CY2020	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-9000000.0	USD
CY2019	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	16800000	USD
CY2018	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-118000000.0	USD
CY2020	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	117400000	USD
CY2019	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	119900000	USD
CY2018	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	110100000	USD
CY2020	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-126400000	USD
CY2019	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-103100000	USD
CY2018	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-228100000	USD
CY2017Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1336600000	USD
CY2018	us-gaap	Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest	-130200000	USD
CY2018	us-gaap	Stock Issued During Period Value Share Based Compensation StockIssuedDuringPeriodValueShareBasedCompensation	8100000	USD
CY2018	us-gaap	Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings AdjustmentsToAdditionalPaidInCapitalDividendsInExcessOfRetainedEarnings	32400000	USD
CY2018	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-22400000	USD
CY2018	us-gaap	Stock Repurchased During Period Value StockRepurchasedDuringPeriodValue	2000000.0	USD
CY2018	sgry	Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet	20100000	USD
CY2018	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	78300000	USD
CY2018	us-gaap	Stockholders Equity Other StockholdersEquityOther	600000	USD
CY2018Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1098900000	USD
CY2019	us-gaap	Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest	6000000.0	USD
CY2019	us-gaap	Stock Issued During Period Value Share Based Compensation StockIssuedDuringPeriodValueShareBasedCompensation	9200000	USD
CY2019	us-gaap	Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings AdjustmentsToAdditionalPaidInCapitalDividendsInExcessOfRetainedEarnings	35700000	USD
CY2019	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-28300000	USD
CY2019	sgry	Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet	8300000	USD
CY2019	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	81200000	USD
CY2019	us-gaap	Stockholders Equity Other StockholdersEquityOther	-100000	USD
CY2019Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	983400000	USD
CY2020	us-gaap	Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest	-30400000	USD
CY2020	us-gaap	Stock Issued During Period Value Share Based Compensation StockIssuedDuringPeriodValueShareBasedCompensation	12400000	USD
CY2020	us-gaap	Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings AdjustmentsToAdditionalPaidInCapitalDividendsInExcessOfRetainedEarnings	39500000	USD
CY2020	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-10300000	USD
CY2020	sgry	Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet	39800000	USD
CY2020	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	73100000	USD
CY2020	us-gaap	Stockholders Equity Other StockholdersEquityOther	200000	USD
CY2020Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	882100000	USD
CY2020	us-gaap	Profit Loss ProfitLoss	1300000	USD
CY2019	us-gaap	Profit Loss ProfitLoss	45100000	USD
CY2018	us-gaap	Profit Loss ProfitLoss	-95600000	USD
CY2020	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	94800000	USD
CY2019	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	76500000	USD
CY2018	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	67400000	USD
CY2020	sgry	Noncash Interest Income Expense Net NoncashInterestIncomeExpenseNet	-4500000	USD
CY2019	sgry	Noncash Interest Income Expense Net NoncashInterestIncomeExpenseNet	-2500000	USD
CY2018	sgry	Noncash Interest Income Expense Net NoncashInterestIncomeExpenseNet	1400000	USD
CY2020	us-gaap	Share Based Compensation ShareBasedCompensation	13200000	USD
CY2019	us-gaap	Share Based Compensation ShareBasedCompensation	10200000	USD
CY2018	us-gaap	Share Based Compensation ShareBasedCompensation	9300000	USD
CY2020	sgry	Gain Loss On Disposition Of Assets And Deconsolidation GainLossOnDispositionOfAssetsAndDeconsolidation	-5700000	USD
CY2019	sgry	Gain Loss On Disposition Of Assets And Deconsolidation GainLossOnDispositionOfAssetsAndDeconsolidation	4400000	USD
CY2018	sgry	Gain Loss On Disposition Of Assets And Deconsolidation GainLossOnDispositionOfAssetsAndDeconsolidation	-31800000	USD
CY2020	us-gaap	Asset Impairment Charges AssetImpairmentCharges	33500000	USD
CY2019	us-gaap	Asset Impairment Charges AssetImpairmentCharges	7900000	USD
CY2018	us-gaap	Asset Impairment Charges AssetImpairmentCharges	74400000	USD
CY2020	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	0	USD
CY2019	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	-11700000	USD
CY2018	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	0	USD
CY2020	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-21900000	USD
CY2019	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	8500000	USD
CY2018	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	25300000	USD
CY2020	us-gaap	Income Loss From Equity Method Investments Net Of Dividends Or Distributions IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions	-500000	USD
CY2019	us-gaap	Income Loss From Equity Method Investments Net Of Dividends Or Distributions IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions	-300000	USD
CY2018	us-gaap	Income Loss From Equity Method Investments Net Of Dividends Or Distributions IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions	-200000	USD
CY2020	us-gaap	Operating Lease Expense OperatingLeaseExpense	39400000	USD
CY2019	us-gaap	Operating Lease Expense OperatingLeaseExpense	40000000.0	USD
CY2018	us-gaap	Operating Lease Expense OperatingLeaseExpense	0	USD
CY2020	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	46600000	USD
CY2019	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	23500000	USD
CY2018	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	22800000	USD
CY2020	sgry	Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants IncreaseDecreaseInMedicareAcceleratedPaymentsAndDeferredGovernmentalGrants	135200000	USD
CY2019	sgry	Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants IncreaseDecreaseInMedicareAcceleratedPaymentsAndDeferredGovernmentalGrants	0	USD
CY2018	sgry	Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants IncreaseDecreaseInMedicareAcceleratedPaymentsAndDeferredGovernmentalGrants	0	USD
CY2020	us-gaap	Increase Decrease In Other Operating Capital Net IncreaseDecreaseInOtherOperatingCapitalNet	12700000	USD
CY2019	us-gaap	Increase Decrease In Other Operating Capital Net IncreaseDecreaseInOtherOperatingCapitalNet	45300000	USD
CY2018	us-gaap	Increase Decrease In Other Operating Capital Net IncreaseDecreaseInOtherOperatingCapitalNet	-56000000.0	USD
CY2020	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	246900000	USD
CY2019	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	129500000	USD
CY2018	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	144600000	USD
CY2020	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	42900000	USD
CY2019	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	73600000	USD
CY2018	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	39800000	USD
CY2020	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	104600000	USD
CY2019	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	13800000	USD
CY2018	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	106800000	USD
CY2020	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	58500000	USD
CY2019	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	17600000	USD
CY2018	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	19200000	USD
CY2020	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	0	USD
CY2019	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	15200000	USD
CY2018	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	0	USD
CY2020	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	-600000	USD
CY2019	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	200000	USD
CY2018	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	1500000	USD
CY2020	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-88400000	USD
CY2019	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-85200000	USD
CY2018	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-128900000	USD
CY2020	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	216300000	USD
CY2019	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	490800000	USD
CY2018	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	157600000	USD
CY2020	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	429400000	USD
CY2019	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	506900000	USD
CY2018	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	282700000	USD
CY2020	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	8500000	USD
CY2019	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	8900000	USD
CY2018	us-gaap	Payments Of Debt Issuance Costs PaymentsOfDebtIssuanceCosts	3000000.0	USD
CY2020	sgry	Debt Instrument Prepayment Penalty Amount DebtInstrumentPrepaymentPenaltyAmount	0	USD
CY2019	sgry	Debt Instrument Prepayment Penalty Amount DebtInstrumentPrepaymentPenaltyAmount	17800000	USD
CY2018	sgry	Debt Instrument Prepayment Penalty Amount DebtInstrumentPrepaymentPenaltyAmount	0	USD
CY2020	us-gaap	Payments Of Dividends Minority Interest PaymentsOfDividendsMinorityInterest	109600000	USD
CY2019	us-gaap	Payments Of Dividends Minority Interest PaymentsOfDividendsMinorityInterest	121200000	USD
CY2018	us-gaap	Payments Of Dividends Minority Interest PaymentsOfDividendsMinorityInterest	109000000.0	USD
CY2020	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	27400000	USD
CY2019	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	3200000	USD
CY2018	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	2200000	USD
CY2020	us-gaap	Payments Of Dividends Preferred Stock And Preference Stock PaymentsOfDividendsPreferredStockAndPreferenceStock	0	USD
CY2019	us-gaap	Payments Of Dividends Preferred Stock And Preference Stock PaymentsOfDividendsPreferredStockAndPreferenceStock	0	USD
CY2018	us-gaap	Payments Of Dividends Preferred Stock And Preference Stock PaymentsOfDividendsPreferredStockAndPreferenceStock	7800000	USD
CY2020	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	0	USD
CY2019	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	0	USD
CY2018	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	2000000.0	USD
CY2020	us-gaap	Proceeds From Payments For Other Financing Activities ProceedsFromPaymentsForOtherFinancingActivities	-900000	USD
CY2019	us-gaap	Proceeds From Payments For Other Financing Activities ProceedsFromPaymentsForOtherFinancingActivities	-900000	USD
CY2018	us-gaap	Proceeds From Payments For Other Financing Activities ProceedsFromPaymentsForOtherFinancingActivities	-7400000	USD
CY2020	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	66700000	USD
CY2019	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-135900000	USD
CY2018	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-6300000	USD
CY2020	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	225200000	USD
CY2019	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	-91600000	USD
CY2018	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	9400000	USD
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
CY2017Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	175200000	USD
CY2020Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	318200000	USD
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
CY2020	us-gaap	Interest Paid Net InterestPaidNet	203600000	USD
CY2019	us-gaap	Interest Paid Net InterestPaidNet	180300000	USD
CY2018	us-gaap	Interest Paid Net InterestPaidNet	145400000	USD
CY2020	us-gaap	Income Taxes Paid Net IncomeTaxesPaidNet	1700000	USD
CY2019	us-gaap	Income Taxes Paid Net IncomeTaxesPaidNet	1600000	USD
CY2018	us-gaap	Income Taxes Paid Net IncomeTaxesPaidNet	2200000	USD
CY2020	us-gaap	Noncash Or Part Noncash Acquisition Fixed Assets Acquired1 NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1	27700000	USD
CY2019	us-gaap	Noncash Or Part Noncash Acquisition Fixed Assets Acquired1 NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1	30700000	USD
CY2018	us-gaap	Noncash Or Part Noncash Acquisition Fixed Assets Acquired1 NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1	61000000.0	USD
CY2020Q4	us-gaap	Number Of States In Which Entity Operates NumberOfStatesInWhichEntityOperates	30	state
CY2020Q4	sgry	Number Of Surgical Facilities Owned NumberOfSurgicalFacilitiesOwned	127	surgical_facility
CY2020Q4	sgry	Number Of Surgical Facilities Owned Majority Interest NumberOfSurgicalFacilitiesOwnedMajorityInterest	84	surgical_facility
CY2020Q4	sgry	Number Of Surgical Facilities Owned Consolidated NumberOfSurgicalFacilitiesOwnedConsolidated	107	surgical_facility
CY2019	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	1831400000	USD
CY2020	sgry	Proceeds From Government Assistance ProceedsFromGovernmentAssistance	59000000	USD
CY2020	sgry	Grant Revenue GrantRevenue	46200000	USD
CY2020	sgry	Coronavirus Aid Reliefand Economic Security Act Cares Act Government Grant Received Accelerated Payments CoronavirusAidReliefandEconomicSecurityActCARESActGovernmentGrantReceivedAcceleratedPayments	120000000	USD
CY2020	sgry	Coronavirus Aid Relief And Economic Security Act Cares Act Government Grant Received Accelerated Payments Current CoronavirusAidReliefAndEconomicSecurityActCARESActGovernmentGrantReceivedAcceleratedPaymentsCurrent	95000000	USD
CY2020Q4	sgry	Deferred Employee Related Liabilities Current DeferredEmployeeRelatedLiabilitiesCurrent	16900000	USD
CY2020Q4	sgry	Variable Interest Entity Number Of Facilities VariableInterestEntityNumberOfFacilities	4	surgical_facility
CY2020Q4	sgry	Variable Interest Entity Number Of Facilities VariableInterestEntityNumberOfFacilities	3	physician_practice
CY2018	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	1771500000	USD
CY2020Q4	us-gaap	Derivative Liabilities Noncurrent DerivativeLiabilitiesNoncurrent	61000000.0	USD
CY2019Q4	us-gaap	Derivative Liabilities Noncurrent DerivativeLiabilitiesNoncurrent	50700000	USD
CY2020	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	1860100000	USD
CY2020Q4	us-gaap	Restricted Cash And Investments Noncurrent RestrictedCashAndInvestmentsNoncurrent	300000	USD
CY2019Q4	us-gaap	Restricted Cash And Investments Noncurrent RestrictedCashAndInvestmentsNoncurrent	300000	USD
CY2019Q4	sgry	Optical Products Receivable OpticalProductsReceivable	8600000	USD
CY2019Q4	us-gaap	Finance Lease Right Of Use Asset Before Accumulated Amortization FinanceLeaseRightOfUseAssetBeforeAccumulatedAmortization	259300000	USD
CY2020Q4	us-gaap	Property Plant And Equipment And Finance Lease Right Of Use Asset Before Accumulated Depreciation And Amortization PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetBeforeAccumulatedDepreciationAndAmortization	733900000	USD
CY2020	sgry	Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	36500000	USD
CY2019	sgry	Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	40000000.0	USD
CY2020Q4	us-gaap	Redeemable Noncontrolling Interest Equity Carrying Amount RedeemableNoncontrollingInterestEquityCarryingAmount	306800000	USD
CY2019Q4	us-gaap	Property Plant And Equipment And Finance Lease Right Of Use Asset Before Accumulated Depreciation And Amortization PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetBeforeAccumulatedDepreciationAndAmortization	634000000.0	USD
CY2020Q4	us-gaap	Property Plant And Equipment And Finance Lease Right Of Use Asset Accumulated Depreciation And Amortization PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAccumulatedDepreciationAndAmortization	189300000	USD
CY2019Q4	us-gaap	Redeemable Noncontrolling Interest Equity Carrying Amount RedeemableNoncontrollingInterestEquityCarryingAmount	321000000.0	USD
CY2018Q4	us-gaap	Redeemable Noncontrolling Interest Equity Carrying Amount RedeemableNoncontrollingInterestEquityCarryingAmount	326600000	USD
CY2020	us-gaap	Net Income Loss Attributable To Redeemable Noncontrolling Interest NetIncomeLossAttributableToRedeemableNoncontrollingInterest	31700000	USD
CY2019	us-gaap	Net Income Loss Attributable To Redeemable Noncontrolling Interest NetIncomeLossAttributableToRedeemableNoncontrollingInterest	39100000	USD
CY2020	sgry	Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests	-9400000	USD
CY2019	sgry	Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests	-4700000	USD
CY2020Q4	us-gaap	Number Of Reporting Units NumberOfReportingUnits	3	reporting_unit
CY2019Q4	us-gaap	Redeemable Noncontrolling Interest Equity Carrying Amount RedeemableNoncontrollingInterestEquityCarryingAmount	321000000.0	USD
CY2019Q4	sgry	Equity Method Investment Number Of Noncontrolling Interests Acquired EquityMethodInvestmentNumberOfNoncontrollingInterestsAcquired	4	surgical_facility
CY2019	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	15200000	USD
CY2020Q4	us-gaap	Finance Lease Right Of Use Asset Before Accumulated Amortization FinanceLeaseRightOfUseAssetBeforeAccumulatedAmortization	298400000	USD
CY2019Q4	us-gaap	Property Plant And Equipment And Finance Lease Right Of Use Asset Accumulated Depreciation And Amortization PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAccumulatedDepreciationAndAmortization	110700000	USD
CY2020Q4	us-gaap	Property Plant And Equipment And Finance Lease Right Of Use Asset After Accumulated Depreciation And Amortization PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization	544600000	USD
CY2019Q4	us-gaap	Property Plant And Equipment And Finance Lease Right Of Use Asset After Accumulated Depreciation And Amortization PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization	523300000	USD
CY2020	us-gaap	Depreciation Depreciation	90500000	USD
CY2019	us-gaap	Depreciation Depreciation	71900000	USD
CY2018	us-gaap	Depreciation Depreciation	62500000	USD
CY2020	us-gaap	Number Of Reporting Units NumberOfReportingUnits	3	reporting_unit
CY2019Q4	us-gaap	Goodwill Goodwill	3402400000	USD
CY2018Q4	us-gaap	Goodwill Goodwill	3382800000	USD
CY2020	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	154700000	USD
CY2019	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	22300000	USD
CY2020	sgry	Goodwill Written Off Related To Sale Of Business Unit And Deconsolidations GoodwillWrittenOffRelatedToSaleOfBusinessUnitAndDeconsolidations	55600000	USD
CY2019	sgry	Goodwill Written Off Related To Sale Of Business Unit And Deconsolidations GoodwillWrittenOffRelatedToSaleOfBusinessUnitAndDeconsolidations	200000	USD
CY2020	us-gaap	Impairment Of Intangible Assets Excluding Goodwill ImpairmentOfIntangibleAssetsExcludingGoodwill	33500000	USD
CY2019	us-gaap	Impairment Of Intangible Assets Excluding Goodwill ImpairmentOfIntangibleAssetsExcludingGoodwill	2500000	USD
CY2020Q4	us-gaap	Goodwill Goodwill	3468000000.0	USD
CY2019Q4	us-gaap	Goodwill Goodwill	3402400000	USD
CY2019Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	19200000	USD
CY2019Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	19200000	USD
CY2020Q4	us-gaap	Intangible Assets Gross Excluding Goodwill IntangibleAssetsGrossExcludingGoodwill	63500000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	16600000	USD
CY2020Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	46900000	USD
CY2019Q4	us-gaap	Intangible Assets Gross Excluding Goodwill IntangibleAssetsGrossExcludingGoodwill	59100000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	44700000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	16600000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	28100000	USD
CY2019Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	39900000	USD
CY2019Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	11800000	USD
CY2019Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	28100000	USD
CY2020Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	18800000	USD
CY2020Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	18800000	USD
CY2019Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	11800000	USD
CY2019Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	47300000	USD
CY2020	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	5400000	USD
CY2020	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	4300000	USD
CY2019	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	4600000	USD
CY2018	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	4900000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	5700000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	3800000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	2900000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	2500000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	1900000	USD
CY2020Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	11300000	USD
CY2020	sgry	Lessee Operating Lease Option To Extend Number Of Options To Renew LesseeOperatingLeaseOptionToExtendNumberOfOptionsToRenew	1	option_to_renew
CY2020Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	28100000	USD
CY2020Q4	us-gaap	Finance Lease Liability FinanceLeaseLiability	281200000	USD
CY2019Q4	us-gaap	Finance Lease Liability FinanceLeaseLiability	253400000	USD
CY2020Q4	us-gaap	Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet	16300000	USD
CY2019Q4	us-gaap	Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet	10800000	USD
CY2020Q4	us-gaap	Long Term Debt And Capital Lease Obligations Including Current Maturities LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities	2856800000	USD
CY2019Q4	us-gaap	Long Term Debt And Capital Lease Obligations Including Current Maturities LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities	2580700000	USD
CY2020Q4	us-gaap	Long Term Debt And Capital Lease Obligations Current LongTermDebtAndCapitalLeaseObligationsCurrent	64400000	USD
CY2019Q4	us-gaap	Long Term Debt And Capital Lease Obligations Current LongTermDebtAndCapitalLeaseObligationsCurrent	56000000.0	USD
CY2020Q4	us-gaap	Long Term Debt And Capital Lease Obligations LongTermDebtAndCapitalLeaseObligations	2792400000	USD
CY2019Q4	us-gaap	Long Term Debt And Capital Lease Obligations LongTermDebtAndCapitalLeaseObligations	2524700000	USD
CY2020Q4	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	310100000	USD
CY2019Q4	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	297700000	USD
CY2020Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Next Twelve Months LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths	64400000	USD
CY2020Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Two LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo	57100000	USD
CY2020Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Three LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree	53400000	USD
CY2020Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Four LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour	1519700000	USD
CY2020Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal In Year Five LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive	396700000	USD
CY2020Q4	us-gaap	Long Term Debt Maturities Repayments Of Principal After Year Five LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive	785500000	USD
CY2020Q4	us-gaap	Long Term Debt LongTermDebt	2876800000	USD
CY2020Q4	us-gaap	Lessor Operating Lease Term Of Contract LessorOperatingLeaseTermOfContract	P10Y
CY2020Q4	us-gaap	Finance Lease Right Of Use Asset FinanceLeaseRightOfUseAsset	258100000	USD
CY2019Q4	us-gaap	Finance Lease Right Of Use Asset FinanceLeaseRightOfUseAsset	237100000	USD
CY2020Q4	sgry	Lease Right Of Use Asset LeaseRightOfUseAsset	568200000	USD
CY2019Q4	sgry	Lease Right Of Use Asset LeaseRightOfUseAsset	534800000	USD
CY2020Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	39200000	USD
CY2019Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	37300000	USD
CY2020Q4	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	300900000	USD
CY2019Q4	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	283100000	USD
CY2020Q4	us-gaap	Operating Lease Liability OperatingLeaseLiability	340100000	USD
CY2019Q4	us-gaap	Operating Lease Liability OperatingLeaseLiability	320400000	USD
CY2020Q4	us-gaap	Finance Lease Liability Current FinanceLeaseLiabilityCurrent	18900000	USD
CY2019Q4	us-gaap	Finance Lease Liability Current FinanceLeaseLiabilityCurrent	15800000	USD
CY2020Q4	us-gaap	Finance Lease Liability Noncurrent FinanceLeaseLiabilityNoncurrent	262300000	USD
CY2019Q4	us-gaap	Finance Lease Liability Noncurrent FinanceLeaseLiabilityNoncurrent	237600000	USD
CY2020Q4	us-gaap	Finance Lease Liability FinanceLeaseLiability	281200000	USD
CY2019Q4	us-gaap	Finance Lease Liability FinanceLeaseLiability	253400000	USD
CY2020Q4	sgry	Lease Liability LeaseLiability	621300000	USD
CY2019Q4	sgry	Lease Liability LeaseLiability	573800000	USD
CY2020Q4	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P8Y10M24D
CY2020Q4	us-gaap	Finance Lease Weighted Average Remaining Lease Term1 FinanceLeaseWeightedAverageRemainingLeaseTerm1	P15Y10M24D
CY2019Q4	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P8Y10M24D
CY2019Q4	us-gaap	Finance Lease Weighted Average Remaining Lease Term1 FinanceLeaseWeightedAverageRemainingLeaseTerm1	P16Y7M6D
CY2020Q4	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.103
CY2020Q4	us-gaap	Finance Lease Weighted Average Discount Rate Percent FinanceLeaseWeightedAverageDiscountRatePercent	0.092
CY2019Q4	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.104
CY2019Q4	us-gaap	Finance Lease Weighted Average Discount Rate Percent FinanceLeaseWeightedAverageDiscountRatePercent	0.087
CY2020	us-gaap	Operating Lease Cost OperatingLeaseCost	74100000	USD
CY2019	us-gaap	Operating Lease Cost OperatingLeaseCost	70400000	USD
CY2020	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	26200000	USD
CY2019	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	22200000	USD
CY2020	us-gaap	Finance Lease Interest Expense FinanceLeaseInterestExpense	22200000	USD
CY2019	us-gaap	Finance Lease Interest Expense FinanceLeaseInterestExpense	13000000.0	USD
CY2020	sgry	Finance Lease Cost FinanceLeaseCost	48400000	USD
CY2019	sgry	Finance Lease Cost FinanceLeaseCost	35200000	USD
CY2020	sgry	Variable And Short Term Lease Cost VariableAndShortTermLeaseCost	16900000	USD
CY2019	sgry	Variable And Short Term Lease Cost VariableAndShortTermLeaseCost	13200000	USD
CY2020	us-gaap	Lease Cost LeaseCost	139400000	USD
CY2019	us-gaap	Lease Cost LeaseCost	118800000	USD
CY2020	us-gaap	Operating Lease Payments OperatingLeasePayments	68100000	USD
CY2019	us-gaap	Operating Lease Payments OperatingLeasePayments	67300000	USD
CY2020	us-gaap	Finance Lease Interest Payment On Liability FinanceLeaseInterestPaymentOnLiability	20700000	USD
CY2019	us-gaap	Finance Lease Interest Payment On Liability FinanceLeaseInterestPaymentOnLiability	13000000.0	USD
CY2020	us-gaap	Finance Lease Principal Payments FinanceLeasePrincipalPayments	18300000	USD
CY2019	us-gaap	Finance Lease Principal Payments FinanceLeasePrincipalPayments	13400000	USD
CY2020	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	62100000	USD
CY2019	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	56200000	USD
CY2020	us-gaap	Right Of Use Asset Obtained In Exchange For Finance Lease Liability RightOfUseAssetObtainedInExchangeForFinanceLeaseLiability	47000000.0	USD
CY2019	us-gaap	Right Of Use Asset Obtained In Exchange For Finance Lease Liability RightOfUseAssetObtainedInExchangeForFinanceLeaseLiability	133300000	USD
CY2020Q4	us-gaap	Finance Lease Liability Payments Due FinanceLeaseLiabilityPaymentsDue	565600000	USD
CY2020Q4	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	70700000	USD
CY2020Q4	us-gaap	Finance Lease Liability Payments Due Next Twelve Months FinanceLeaseLiabilityPaymentsDueNextTwelveMonths	43200000	USD
CY2020Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	66100000	USD
CY2020Q4	us-gaap	Finance Lease Liability Payments Due Year Two FinanceLeaseLiabilityPaymentsDueYearTwo	40700000	USD
CY2020Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	62100000	USD
CY2020Q4	us-gaap	Finance Lease Liability Payments Due Year Three FinanceLeaseLiabilityPaymentsDueYearThree	37000000.0	USD
CY2020Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	58400000	USD
CY2020Q4	us-gaap	Finance Lease Liability Payments Due Year Four FinanceLeaseLiabilityPaymentsDueYearFour	32100000	USD
CY2020Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	50000000.0	USD
CY2020Q4	us-gaap	Finance Lease Liability Payments Due Year Five FinanceLeaseLiabilityPaymentsDueYearFive	30700000	USD
CY2020Q4	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	219100000	USD
CY2020Q4	us-gaap	Finance Lease Liability Payments Due After Year Five FinanceLeaseLiabilityPaymentsDueAfterYearFive	381900000	USD
CY2020Q4	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	526400000	USD
CY2020Q4	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	186300000	USD
CY2020Q4	us-gaap	Finance Lease Liability Undiscounted Excess Amount FinanceLeaseLiabilityUndiscountedExcessAmount	284400000	USD
CY2020Q4	us-gaap	Operating Lease Liability OperatingLeaseLiability	340100000	USD
CY2020Q4	us-gaap	Finance Lease Liability FinanceLeaseLiability	281200000	USD
CY2019Q4	us-gaap	Temporary Equity Carrying Amount Attributable To Parent TemporaryEquityCarryingAmountAttributableToParent	395000000.0	USD
CY2018Q4	us-gaap	Temporary Equity Carrying Amount Attributable To Parent TemporaryEquityCarryingAmountAttributableToParent	359300000	USD
CY2019	us-gaap	Temporary Equity Dividends Adjustment TemporaryEquityDividendsAdjustment	0	USD
CY2020	us-gaap	Temporary Equity Dividends Adjustment TemporaryEquityDividendsAdjustment	0	USD
CY2020	us-gaap	Temporary Equity Accretion Of Dividends TemporaryEquityAccretionOfDividends	39500000	USD
CY2019	us-gaap	Temporary Equity Accretion Of Dividends TemporaryEquityAccretionOfDividends	35700000	USD
CY2020Q4	us-gaap	Temporary Equity Carrying Amount Attributable To Parent TemporaryEquityCarryingAmountAttributableToParent	434500000	USD
CY2019Q4	us-gaap	Temporary Equity Carrying Amount Attributable To Parent TemporaryEquityCarryingAmountAttributableToParent	395000000.0	USD
CY2020Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	0	USD
CY2019Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	0	USD
CY2020	us-gaap	Preferred Stock Amount Of Preferred Dividends In Arrears PreferredStockAmountOfPreferredDividendsInArrears	109000000.0	USD
CY2020	us-gaap	Preferred Stock Per Share Amounts Of Preferred Dividends In Arrears PreferredStockPerShareAmountsOfPreferredDividendsInArrears	351.54
CY2019	us-gaap	Preferred Stock Amount Of Preferred Dividends In Arrears PreferredStockAmountOfPreferredDividendsInArrears	69500000	USD
CY2019	us-gaap	Preferred Stock Per Share Amounts Of Preferred Dividends In Arrears PreferredStockPerShareAmountsOfPreferredDividendsInArrears	224.09
CY2020	us-gaap	Cash Flow Hedge Gain Loss To Be Reclassified Within Twelve Months CashFlowHedgeGainLossToBeReclassifiedWithinTwelveMonths	-21800000	USD
CY2020Q4	us-gaap	Number Of Interest Rate Derivatives Held NumberOfInterestRateDerivativesHeld	4	swap
CY2019Q4	us-gaap	Number Of Interest Rate Derivatives Held NumberOfInterestRateDerivativesHeld	4	swap
CY2020	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss Before Reclassification And Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossBeforeReclassificationAndTax	30500000	USD
CY2019	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss Before Reclassification And Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossBeforeReclassificationAndTax	35800000	USD
CY2018	us-gaap	Unrealized Gain Loss On Interest Rate Cash Flow Hedges Pretax Accumulated Other Comprehensive Income Loss UnrealizedGainLossOnInterestRateCashFlowHedgesPretaxAccumulatedOtherComprehensiveIncomeLoss	23100000	USD
CY2020	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss Reclassification Before Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossReclassificationBeforeTax	20200000	USD
CY2019	us-gaap	Other Comprehensive Income Loss Cash Flow Hedge Gain Loss Reclassification Before Tax OtherComprehensiveIncomeLossCashFlowHedgeGainLossReclassificationBeforeTax	7500000	USD
CY2018	us-gaap	Derivative Instruments Loss Reclassified From Accumulated Oci Into Income Effective Portion DerivativeInstrumentsLossReclassifiedFromAccumulatedOCIIntoIncomeEffectivePortion	600000	USD
CY2020	us-gaap	Net Income Loss NetIncomeLoss	-116100000	USD
CY2019	us-gaap	Net Income Loss NetIncomeLoss	-74800000	USD
CY2018	us-gaap	Net Income Loss NetIncomeLoss	-205700000	USD
CY2020	sgry	Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued	39500000	USD
CY2019	sgry	Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued	35700000	USD
CY2018	sgry	Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued	32400000	USD
CY2020	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-155600000	USD
CY2019	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-110500000	USD
CY2018	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-238100000	USD
CY2020	us-gaap	Weighted Average Number Of Share Outstanding Basic And Diluted WeightedAverageNumberOfShareOutstandingBasicAndDiluted	48776000	shares
CY2019	us-gaap	Weighted Average Number Of Share Outstanding Basic And Diluted WeightedAverageNumberOfShareOutstandingBasicAndDiluted	48280000	shares
CY2018	us-gaap	Weighted Average Number Of Share Outstanding Basic And Diluted WeightedAverageNumberOfShareOutstandingBasicAndDiluted	48028000	shares
CY2020	us-gaap	Earnings Per Share Basic And Diluted EarningsPerShareBasicAndDiluted	-3.19
CY2019	us-gaap	Earnings Per Share Basic And Diluted EarningsPerShareBasicAndDiluted	-2.29
CY2018	us-gaap	Earnings Per Share Basic And Diluted EarningsPerShareBasicAndDiluted	-4.96
CY2017Q4	us-gaap	Stock Repurchase Program Authorized Amount1 StockRepurchaseProgramAuthorizedAmount1	50000000.0	USD
CY2018	us-gaap	Treasury Stock Shares Acquired TreasuryStockSharesAcquired	156818	shares
CY2018	us-gaap	Treasury Stock Acquired Average Cost Per Share TreasuryStockAcquiredAverageCostPerShare	12.64
CY2020Q4	us-gaap	Stock Repurchase Program Remaining Authorized Repurchase Amount1 StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount1	46000000.0	USD
CY2020	us-gaap	Income Taxes Paid Net IncomeTaxesPaidNet	1700000	USD
CY2019	us-gaap	Income Taxes Paid Net IncomeTaxesPaidNet	1600000	USD
CY2018	us-gaap	Income Taxes Paid Net IncomeTaxesPaidNet	2200000	USD
CY2020	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	-200000	USD
CY2019	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	-200000	USD
CY2018	us-gaap	Current Federal Tax Expense Benefit CurrentFederalTaxExpenseBenefit	-300000	USD
CY2020	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	1900000	USD
CY2019	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	1700000	USD
CY2018	us-gaap	Current State And Local Tax Expense Benefit CurrentStateAndLocalTaxExpenseBenefit	1500000	USD
CY2020	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	-22200000	USD
CY2019	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	3200000	USD
CY2018	us-gaap	Deferred Federal Income Tax Expense Benefit DeferredFederalIncomeTaxExpenseBenefit	16500000	USD
CY2020	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	400000	USD
CY2019	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	4800000	USD
CY2018	us-gaap	Deferred State And Local Income Tax Expense Benefit DeferredStateAndLocalIncomeTaxExpenseBenefit	8700000	USD
CY2020	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-20100000	USD
CY2019	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	9500000	USD
CY2018	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	26400000	USD
CY2020	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-4000000.0	USD
CY2019	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	11500000	USD
CY2018	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-14500000	USD
CY2020	us-gaap	Income Tax Reconciliation State And Local Income Taxes IncomeTaxReconciliationStateAndLocalIncomeTaxes	2400000	USD
CY2019	us-gaap	Income Tax Reconciliation State And Local Income Taxes IncomeTaxReconciliationStateAndLocalIncomeTaxes	5700000	USD
CY2018	us-gaap	Income Tax Reconciliation State And Local Income Taxes IncomeTaxReconciliationStateAndLocalIncomeTaxes	10000000.0	USD
CY2020	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	4100000	USD
CY2019	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	13600000	USD
CY2018	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	26900000	USD
CY2020	us-gaap	Income Tax Reconciliation Minority Interest Income Expense IncomeTaxReconciliationMinorityInterestIncomeExpense	24800000	USD
CY2019	us-gaap	Income Tax Reconciliation Minority Interest Income Expense IncomeTaxReconciliationMinorityInterestIncomeExpense	25200000	USD
CY2018	us-gaap	Income Tax Reconciliation Minority Interest Income Expense IncomeTaxReconciliationMinorityInterestIncomeExpense	23100000	USD
CY2020	us-gaap	Income Tax Reconciliation Tax Contingencies Other IncomeTaxReconciliationTaxContingenciesOther	0	USD
CY2019	us-gaap	Income Tax Reconciliation Tax Contingencies Other IncomeTaxReconciliationTaxContingenciesOther	-100000	USD
CY2018	us-gaap	Income Tax Reconciliation Tax Contingencies Other IncomeTaxReconciliationTaxContingenciesOther	-100000	USD
CY2020	us-gaap	Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost	1200000	USD
CY2019	us-gaap	Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost	1300000	USD
CY2018	us-gaap	Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost	500000	USD
CY2020	sgry	Effective Income Tax Reconciliation Divestiture Amount EffectiveIncomeTaxReconciliationDivestitureAmount	-700000	USD
CY2019	sgry	Effective Income Tax Reconciliation Divestiture Amount EffectiveIncomeTaxReconciliationDivestitureAmount	100000	USD
CY2018	sgry	Effective Income Tax Reconciliation Divestiture Amount EffectiveIncomeTaxReconciliationDivestitureAmount	6000000.0	USD
CY2020	us-gaap	Income Tax Reconciliation Other Reconciling Items IncomeTaxReconciliationOtherReconcilingItems	0	USD
CY2019	us-gaap	Income Tax Reconciliation Other Reconciling Items IncomeTaxReconciliationOtherReconcilingItems	1100000	USD
CY2018	us-gaap	Income Tax Reconciliation Other Reconciling Items IncomeTaxReconciliationOtherReconcilingItems	1700000	USD
CY2020	us-gaap	Income Tax Reconciliation Change In Enacted Tax Rate IncomeTaxReconciliationChangeInEnactedTaxRate	-800000	USD
CY2019	us-gaap	Income Tax Reconciliation Change In Enacted Tax Rate IncomeTaxReconciliationChangeInEnactedTaxRate	300000	USD
CY2018	us-gaap	Income Tax Reconciliation Change In Enacted Tax Rate IncomeTaxReconciliationChangeInEnactedTaxRate	500000	USD
CY2020	sgry	Effective Income Tax Rate Reconciliation Tax Receivable Agreement Amount EffectiveIncomeTaxRateReconciliationTaxReceivableAgreementAmount	900000	USD
CY2019	sgry	Effective Income Tax Rate Reconciliation Tax Receivable Agreement Amount EffectiveIncomeTaxRateReconciliationTaxReceivableAgreementAmount	1600000	USD
CY2018	sgry	Effective Income Tax Rate Reconciliation Tax Receivable Agreement Amount EffectiveIncomeTaxRateReconciliationTaxReceivableAgreementAmount	900000	USD
CY2020	us-gaap	Income Tax Reconciliation Nondeductible Expense Impairment Losses IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses	4300000	USD
CY2019Q4	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued	100000	USD
CY2019	us-gaap	Income Tax Reconciliation Nondeductible Expense Impairment Losses IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses	500000	USD
CY2018	us-gaap	Income Tax Reconciliation Nondeductible Expense Impairment Losses IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses	8900000	USD
CY2020	sgry	Effective Income Tax Rate Reconciliation Litigation Settlement Amount EffectiveIncomeTaxRateReconciliationLitigationSettlementAmount	-3700000	USD
CY2019	sgry	Effective Income Tax Rate Reconciliation Litigation Settlement Amount EffectiveIncomeTaxRateReconciliationLitigationSettlementAmount	0	USD
CY2018	sgry	Effective Income Tax Rate Reconciliation Litigation Settlement Amount EffectiveIncomeTaxRateReconciliationLitigationSettlementAmount	8600000	USD
CY2020	us-gaap	Income Tax Reconciliation Other Adjustments IncomeTaxReconciliationOtherAdjustments	1000000.0	USD
CY2019	us-gaap	Income Tax Reconciliation Other Adjustments IncomeTaxReconciliationOtherAdjustments	-900000	USD
CY2018	us-gaap	Income Tax Reconciliation Other Adjustments IncomeTaxReconciliationOtherAdjustments	100000	USD
CY2020	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-20100000	USD
CY2019	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	9500000	USD
CY2018	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	26400000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies	4000000.0	USD
CY2019Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies	3500000	USD
CY2020Q4	sgry	Deferred Tax Assets Tax Deferred Expense Compensationand Benefits Compensated Absencesand Incentive Compensation DeferredTaxAssetsTaxDeferredExpenseCompensationandBenefitsCompensatedAbsencesandIncentiveCompensation	3200000	USD
CY2019Q4	sgry	Deferred Tax Assets Tax Deferred Expense Compensationand Benefits Compensated Absencesand Incentive Compensation DeferredTaxAssetsTaxDeferredExpenseCompensationandBenefitsCompensatedAbsencesandIncentiveCompensation	2300000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	164700000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	143000000.0	USD
CY2020Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	2500000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	2200000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Capital Loss Carryforwards DeferredTaxAssetsCapitalLossCarryforwards	1700000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Capital Loss Carryforwards DeferredTaxAssetsCapitalLossCarryforwards	2000000.0	USD
CY2020Q4	sgry	Deferred Tax Assets Tax Deferred Expense Amortization Of Intangible Assets DeferredTaxAssetsTaxDeferredExpenseAmortizationOfIntangibleAssets	2200000	USD
CY2018	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-46000000.0	USD
CY2019Q4	sgry	Deferred Tax Assets Tax Deferred Expense Amortization Of Intangible Assets DeferredTaxAssetsTaxDeferredExpenseAmortizationOfIntangibleAssets	300000	USD
CY2020Q4	sgry	Deferred Tax Assets Tax Deferred Expense Deferred Financing Costs DeferredTaxAssetsTaxDeferredExpenseDeferredFinancingCosts	7900000	USD
CY2019Q4	sgry	Deferred Tax Assets Tax Deferred Expense Deferred Financing Costs DeferredTaxAssetsTaxDeferredExpenseDeferredFinancingCosts	9500000	USD
CY2020Q4	sgry	Deferred Tax Assets Tax Deferred Expense Interest Limitation DeferredTaxAssetsTaxDeferredExpenseInterestLimitation	69800000	USD
CY2019Q4	sgry	Deferred Tax Assets Tax Deferred Expense Interest Limitation DeferredTaxAssetsTaxDeferredExpenseInterestLimitation	54700000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Hedging Transactions DeferredTaxAssetsHedgingTransactions	15800000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Hedging Transactions DeferredTaxAssetsHedgingTransactions	12900000	USD
CY2020Q4	sgry	Deferred Tax Asset Tax Receivable Agreement DeferredTaxAssetTaxReceivableAgreement	1000000.0	USD
CY2019Q4	sgry	Deferred Tax Asset Tax Receivable Agreement DeferredTaxAssetTaxReceivableAgreement	1200000	USD
CY2020Q4	sgry	Deferred Tax Assets Right Of Use DeferredTaxAssetsRightOfUse	50600000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	339800000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	299500000	USD
CY2019Q4	sgry	Deferred Tax Assets Right Of Use DeferredTaxAssetsRightOfUse	52100000	USD
CY2020Q4	sgry	Deferred Tax Assets Affiliate Indebtedness Receivable DeferredTaxAssetsAffiliateIndebtednessReceivable	0	USD
CY2019Q4	sgry	Deferred Tax Assets Affiliate Indebtedness Receivable DeferredTaxAssetsAffiliateIndebtednessReceivable	6800000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Other DeferredTaxAssetsOther	16400000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Other DeferredTaxAssetsOther	9000000.0	USD
CY2020Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	91100000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	77900000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	248700000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	221600000	USD
CY2020Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	1800000	USD
CY2019Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	2800000	USD
CY2020Q4	sgry	Deferred Tax Liabilities Basis Differencesof Partnershipsand Joint Ventures DeferredTaxLiabilitiesBasisDifferencesofPartnershipsandJointVentures	73600000	USD
CY2019Q4	sgry	Deferred Tax Liabilities Basis Differencesof Partnershipsand Joint Ventures DeferredTaxLiabilitiesBasisDifferencesofPartnershipsandJointVentures	67500000	USD
CY2020Q4	us-gaap	Deferred Tax Liabilities Leasing Arrangements DeferredTaxLiabilitiesLeasingArrangements	47500000	USD
CY2020	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-1200000	USD
CY2020Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	123900000	USD
CY2019Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	122900000	USD
CY2019Q4	us-gaap	Deferred Tax Liabilities Leasing Arrangements DeferredTaxLiabilitiesLeasingArrangements	51500000	USD
CY2020Q4	us-gaap	Deferred Tax Liabilities Other DeferredTaxLiabilitiesOther	1000000.0	USD
CY2019Q4	us-gaap	Deferred Tax Liabilities Other DeferredTaxLiabilitiesOther	1100000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	124800000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	98700000	USD
CY2020Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	91100000	USD
CY2019Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	77900000	USD
CY2020	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	13200000	USD
CY2020Q4	us-gaap	Deferred Taxes Business Combination Valuation Allowance Allocated To Contributed Capital DeferredTaxesBusinessCombinationValuationAllowanceAllocatedToContributedCapital	16800000	USD
CY2019Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	100000	USD
CY2018Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	100000	USD
CY2020	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	0	USD
CY2019	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	0	USD
CY2020Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	100000	USD
CY2019Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	100000	USD
CY2020Q4	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued	100000	USD
CY2019Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	100000	USD
CY2020Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	100000	USD
CY2019	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	10200000	USD
CY2017Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	12687	shares
CY2017Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	20.10
CY2017	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P1Y2M12D
CY2018	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	700000	shares
CY2018	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	12.90
CY2018	sgry	Sharebased Compensation Arrangementby Sharebased Payment Award Options Granted Weighted Average Remaining Contractual Term SharebasedCompensationArrangementbySharebasedPaymentAwardOptionsGrantedWeightedAverageRemainingContractualTerm	P10Y
CY2018	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	0	shares
CY2018	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod	200000	shares
CY2018	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice	12.90
CY2018	sgry	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeited Weighted Average Remaining Contractual Term ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeitedWeightedAverageRemainingContractualTerm	P10Y
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	512687	shares
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	13.03
CY2018	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P9Y9M18D
CY2019	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	2256500	shares
CY2019	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	13.00
CY2019	sgry	Sharebased Compensation Arrangementby Sharebased Payment Award Options Granted Weighted Average Remaining Contractual Term SharebasedCompensationArrangementbySharebasedPaymentAwardOptionsGrantedWeightedAverageRemainingContractualTerm	P9Y2M12D
CY2019	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	0	shares
CY2018	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	9300000	USD
CY2020Q4	us-gaap	Self Insurance Reserve SelfInsuranceReserve	21400000	USD
CY2019Q4	us-gaap	Self Insurance Reserve SelfInsuranceReserve	19400000	USD
CY2019	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod	0	shares
CY2019Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	2769187	shares
CY2019Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	13.02
CY2019	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P9Y
CY2020	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	0	shares
CY2020	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	4199	shares
CY2020	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	20.24
CY2020	sgry	Share Based Compensation Arrangement By Share Based Payment Award Options Exercised Weighted Average Remaining Contractual Term ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisedWeightedAverageRemainingContractualTerm	P5Y9M18D
CY2020	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod	4473	shares
CY2020	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice	19.00
CY2020	sgry	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeited Weighted Average Remaining Contractual Term ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeitedWeightedAverageRemainingContractualTerm	P4Y9M18D
CY2020Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	2760515	shares
CY2020Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	12.88
CY2020	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P8Y
CY2020Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber	585119	shares
CY2020Q4	us-gaap	Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized	20200000	USD
CY2020	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	13200000	USD
CY2020	sgry	Defined Contribution Plan Vesting Period DefinedContributionPlanVestingPeriod	P5Y
CY2020	us-gaap	Defined Contribution Plan Cost Recognized DefinedContributionPlanCostRecognized	7200000	USD
CY2019	us-gaap	Defined Contribution Plan Cost Recognized DefinedContributionPlanCostRecognized	7600000	USD
CY2018	us-gaap	Defined Contribution Plan Cost Recognized DefinedContributionPlanCostRecognized	7600000	USD
CY2020Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	39200000	USD
CY2019Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	37300000	USD
CY2019Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	12100000	USD
CY2020Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	32200000	USD
CY2019Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	35100000	USD
CY2020Q4	us-gaap	Interest Payable Current InterestPayableCurrent	24500000	USD
CY2019Q4	us-gaap	Interest Payable Current InterestPayableCurrent	21800000	USD
CY2020Q4	sgry	Tax Receivable Agreement Liability Current TaxReceivableAgreementLiabilityCurrent	21200000	USD
CY2019Q4	sgry	Tax Receivable Agreement Liability Current TaxReceivableAgreementLiabilityCurrent	16900000	USD
CY2020Q4	srt	Payables To Customers PayablesToCustomers	20900000	USD
CY2019Q4	srt	Payables To Customers PayablesToCustomers	16500000	USD
CY2020Q4	sgry	Cost Report Liabilities Current CostReportLiabilitiesCurrent	16900000	USD
CY2019Q4	sgry	Cost Report Liabilities Current CostReportLiabilitiesCurrent	5600000	USD
CY2020Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	62100000	USD
CY2019Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	58000000.0	USD
CY2020Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	217000000.0	USD
CY2019Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	191200000	USD
CY2020Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	10500000	USD
CY2020	sgry	Collaborative Tax Agreement Projected Tax Savings Term CollaborativeTaxAgreementProjectedTaxSavingsTerm	P5Y
CY2020	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.24
CY2020Q4	us-gaap	Taxes Payable Current And Noncurrent TaxesPayableCurrentAndNoncurrent	43200000	USD
CY2019Q4	us-gaap	Taxes Payable Current And Noncurrent TaxesPayableCurrentAndNoncurrent	60100000	USD
CY2020Q4	sgry	Deferred Income Tax Liabilities Net Of Discount DeferredIncomeTaxLiabilitiesNetOfDiscount	37000000.0	USD
CY2019Q4	sgry	Deferred Income Tax Liabilities Net Of Discount DeferredIncomeTaxLiabilitiesNetOfDiscount	48700000	USD
CY2020Q4	sgry	Deferred Income Tax Liabilities Net Of Discount Current DeferredIncomeTaxLiabilitiesNetOfDiscountCurrent	21200000	USD
CY2019Q4	sgry	Deferred Income Tax Liabilities Net Of Discount Current DeferredIncomeTaxLiabilitiesNetOfDiscountCurrent	16900000	USD
CY2020	us-gaap	Number Of Operating Segments NumberOfOperatingSegments	3	segment
CY2020	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	1860100000	USD
CY2019	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	1831400000	USD
CY2018	us-gaap	Revenue From Contract With Customer Including Assessed Tax RevenueFromContractWithCustomerIncludingAssessedTax	1771500000	USD
CY2020	sgry	Earnings Before Interest Taxes Depreciation And Amortization EarningsBeforeInterestTaxesDepreciationAndAmortization	256600000	USD
CY2019	sgry	Earnings Before Interest Taxes Depreciation And Amortization EarningsBeforeInterestTaxesDepreciationAndAmortization	258600000	USD
CY2018	sgry	Earnings Before Interest Taxes Depreciation And Amortization EarningsBeforeInterestTaxesDepreciationAndAmortization	234800000	USD
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-18800000	USD
CY2019	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	54600000	USD
CY2018	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-69200000	USD
CY2020	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	117400000	USD
CY2019	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	119900000	USD
CY2018	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	110100000	USD
CY2020	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	94800000	USD
CY2019	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	76500000	USD
CY2018	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	67400000	USD
CY2020	us-gaap	Interest Income Expense Nonoperating Net InterestIncomeExpenseNonoperatingNet	-201800000	USD
CY2019	us-gaap	Interest Income Expense Nonoperating Net InterestIncomeExpenseNonoperatingNet	-178900000	USD
CY2018	us-gaap	Interest Income Expense Nonoperating Net InterestIncomeExpenseNonoperatingNet	-147000000.0	USD
CY2020	us-gaap	Share Based Compensation ShareBasedCompensation	13200000	USD
CY2019	us-gaap	Share Based Compensation ShareBasedCompensation	10200000	USD
CY2018	us-gaap	Share Based Compensation ShareBasedCompensation	9300000	USD
CY2020	sgry	Business Combination Integration Related Costs And Merger Costs BusinessCombinationIntegrationRelatedCostsAndMergerCosts	38200000	USD
CY2019	sgry	Business Combination Integration Related Costs And Merger Costs BusinessCombinationIntegrationRelatedCostsAndMergerCosts	36100000	USD
CY2018	sgry	Business Combination Integration Related Costs And Merger Costs BusinessCombinationIntegrationRelatedCostsAndMergerCosts	34000000.0	USD
CY2020	us-gaap	Asset Impairment Charges AssetImpairmentCharges	33500000	USD
CY2019	us-gaap	Asset Impairment Charges AssetImpairmentCharges	7900000	USD
CY2018	us-gaap	Asset Impairment Charges AssetImpairmentCharges	74400000	USD
CY2020	sgry	Gain Loss On Disposition Of Assets And Deconsolidation GainLossOnDispositionOfAssetsAndDeconsolidation	-5700000	USD
CY2019	sgry	Gain Loss On Disposition Of Assets And Deconsolidation GainLossOnDispositionOfAssetsAndDeconsolidation	4400000	USD
CY2018	sgry	Gain Loss On Disposition Of Assets And Deconsolidation GainLossOnDispositionOfAssetsAndDeconsolidation	-31800000	USD
CY2020	sgry	Gain Loss Relatedto Litigation Settlement And Other Litigation Costs GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts	-6400000	USD
CY2019	sgry	Gain Loss Relatedto Litigation Settlement And Other Litigation Costs GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts	-4600000	USD
CY2018	sgry	Gain Loss Relatedto Litigation Settlement And Other Litigation Costs GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts	-46000000.0	USD
CY2020	us-gaap	Valuation Allowances And Reserves Adjustments ValuationAllowancesAndReservesAdjustments	0	USD
CY2019	us-gaap	Valuation Allowances And Reserves Adjustments ValuationAllowancesAndReservesAdjustments	0	USD
CY2018	us-gaap	Valuation Allowances And Reserves Adjustments ValuationAllowancesAndReservesAdjustments	2700000	USD
CY2020	sgry	Business Combination Contingent Acquisition Expense BusinessCombinationContingentAcquisitionExpense	0	USD
CY2019	sgry	Business Combination Contingent Acquisition Expense BusinessCombinationContingentAcquisitionExpense	0	USD
CY2018	sgry	Business Combination Contingent Acquisition Expense BusinessCombinationContingentAcquisitionExpense	1500000	USD
CY2020	sgry	Business Combination Gain Loss On Acquisition Escrow BusinessCombinationGainLossOnAcquisitionEscrow	800000	USD
CY2019	sgry	Business Combination Gain Loss On Acquisition Escrow BusinessCombinationGainLossOnAcquisitionEscrow	0	USD
CY2018	sgry	Business Combination Gain Loss On Acquisition Escrow BusinessCombinationGainLossOnAcquisitionEscrow	0	USD
CY2020	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	0	USD
CY2019	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	-11700000	USD
CY2018	us-gaap	Gains Losses On Extinguishment Of Debt GainsLossesOnExtinguishmentOfDebt	0	USD
CY2020	sgry	Tax Receivable Agreement Expense Benefit TaxReceivableAgreementExpenseBenefit	0	USD
CY2019	sgry	Tax Receivable Agreement Expense Benefit TaxReceivableAgreementExpenseBenefit	2400000	USD
CY2018	sgry	Tax Receivable Agreement Expense Benefit TaxReceivableAgreementExpenseBenefit	0	USD
CY2020	sgry	Earnings Before Interest Taxes Depreciation And Amortization EarningsBeforeInterestTaxesDepreciationAndAmortization	256600000	USD
CY2019	sgry	Earnings Before Interest Taxes Depreciation And Amortization EarningsBeforeInterestTaxesDepreciationAndAmortization	258600000	USD
CY2018	sgry	Earnings Before Interest Taxes Depreciation And Amortization EarningsBeforeInterestTaxesDepreciationAndAmortization	234800000	USD
CY2020	us-gaap	Business Combination Integration Related Costs BusinessCombinationIntegrationRelatedCosts	23200000	USD
CY2020	us-gaap	Business Combination Acquisition Related Costs BusinessCombinationAcquisitionRelatedCosts	6600000	USD
CY2020	sgry	Start Up Activities Start Up Costs StartUpActivitiesStartUpCosts	15000000.0	USD
CY2019	us-gaap	Business Combination Integration Related Costs BusinessCombinationIntegrationRelatedCosts	19000000.0	USD
CY2019	sgry	Start Up Activities Start Up Costs StartUpActivitiesStartUpCosts	17100000	USD
CY2018	us-gaap	Business Combination Integration Related Costs BusinessCombinationIntegrationRelatedCosts	31700000	USD
CY2018	us-gaap	Business Combination Acquisition Related Costs BusinessCombinationAcquisitionRelatedCosts	2300000	USD
CY2020	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-1200000	USD
CY2019	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-200000	USD
CY2018	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-46000000.0	USD
CY2020	us-gaap	Litigation Settlement Expense LitigationSettlementExpense	5200000	USD
CY2019	us-gaap	Litigation Settlement Expense LitigationSettlementExpense	4400000	USD
CY2018	us-gaap	Litigation Settlement Expense LitigationSettlementExpense	0	USD
CY2020Q4	us-gaap	Assets Assets	5413200000	USD
CY2019Q4	us-gaap	Assets Assets	5018900000	USD
CY2020	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	42900000	USD
CY2019	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	73600000	USD
CY2018	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	39800000	USD

Files In Submission

Name	View Source	Status
0001638833-21-000034-index-headers.html	Edgar Link	pending
0001638833-21-000034-index.html	Edgar Link	pending
0001638833-21-000034.txt	Edgar Link	pending
0001638833-21-000034-xbrl.zip	Edgar Link	pending
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Financial_Report.xlsx	Edgar Link	pending
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ye2020exhibit1012.htm	Edgar Link	pending
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ye2020exhibit311.htm	Edgar Link	pending
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ye2020exhibit321.htm	Edgar Link	pending

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$SGRY
Surgery Partners, Inc. Stock $sgry

2020 Form 10-K Financial Statement

#000163883321000034 Filed on March 10, 2021

Income Statement

Balance Sheet

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Facts In Submission

Files In Submission

$SGRY Surgery Partners, Inc. Stock $sgry

2020 Form 10-K Financial Statement

#000163883321000034 Filed on March 10, 2021

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$SGRY
Surgery Partners, Inc. Stock $sgry