2023 Q1 Form 10-K Financial Statement
#000163883323000021 Filed on March 01, 2023
Income Statement
Concept | 2023 Q1 | 2022 Q4 | 2022 |
---|---|---|---|
Revenue | $666.2M | $707.1M | $2.539B |
YoY Change | 11.74% | 15.88% | 14.12% |
Cost Of Revenue | $510.8M | $502.2M | $1.882B |
YoY Change | 13.16% | 13.8% | 14.54% |
Gross Profit | $155.4M | $204.9M | $657.3M |
YoY Change | 7.32% | 21.31% | 12.94% |
Gross Profit Margin | 23.33% | 28.98% | 25.89% |
Selling, General & Admin | $53.40M | $49.30M | $184.6M |
YoY Change | 7.88% | 0.61% | -5.14% |
% of Gross Profit | 34.36% | 24.06% | 28.08% |
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $33.70M | $29.60M | $114.8M |
YoY Change | 22.99% | 30.4% | 16.19% |
% of Gross Profit | 21.69% | 14.45% | 17.47% |
Operating Expenses | $619.8M | $69.70M | $2.194B |
YoY Change | 25.01% | 17.14% | 14.1% |
Operating Profit | $46.40M | $135.2M | $345.2M |
YoY Change | -53.78% | 23.58% | 14.23% |
Interest Expense | -$46.80M | -$56.60M | -$234.9M |
YoY Change | -16.87% | -1.22% | 6.29% |
% of Operating Profit | -100.86% | -41.86% | -68.05% |
Other Income/Expense, Net | $0.00 | $1.500M | |
YoY Change | |||
Pretax Income | -$400.0K | $33.20M | $110.3M |
YoY Change | -100.91% | -39.31% | 35.84% |
Income Tax | -$1.600M | $9.900M | $23.30M |
% Of Pretax Income | 29.82% | 21.12% | |
Net Earnings | -$24.90M | -$23.40M | -$54.60M |
YoY Change | -304.1% | 23300.0% | -22.99% |
Net Earnings / Revenue | -3.74% | -3.31% | -2.15% |
Basic Earnings Per Share | -$0.20 | -$0.59 | |
Diluted Earnings Per Share | -$0.20 | -$0.23 | -$0.59 |
COMMON SHARES | |||
Basic Shares Outstanding | 126.0M shares | 89.95M shares | 91.95M shares |
Diluted Shares Outstanding | 125.2M shares | 91.95M shares |
Balance Sheet
Concept | 2023 Q1 | 2022 Q4 | 2022 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $245.5M | $282.9M | $282.9M |
YoY Change | -35.21% | -27.44% | -27.44% |
Cash & Equivalents | $245.5M | $282.9M | $282.9M |
Short-Term Investments | |||
Other Short-Term Assets | $69.40M | $79.00M | $110.4M |
YoY Change | 37.15% | 101.02% | 70.11% |
Inventory | $71.80M | $71.40M | $71.40M |
Prepaid Expenses | $29.30M | $31.40M | |
Receivables | $452.9M | $456.3M | $456.3M |
Other Receivables | $0.00 | $0.00 | $0.00 |
Total Short-Term Assets | $868.9M | $921.0M | $921.0M |
YoY Change | -7.27% | -2.65% | -2.65% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $1.118B | $1.156B | $1.156B |
YoY Change | 5.87% | 21.17% | 21.17% |
Goodwill | $4.217B | $4.137B | |
YoY Change | 7.43% | 5.76% | |
Intangibles | $42.30M | ||
YoY Change | -3.2% | ||
Long-Term Investments | $191.6M | $190.3M | $190.3M |
YoY Change | 102.75% | 114.54% | 114.54% |
Other Assets | $118.6M | $144.2M | $235.7M |
YoY Change | -1.17% | 143.99% | 35.85% |
Total Long-Term Assets | $5.774B | $5.761B | $5.761B |
YoY Change | 7.88% | 11.4% | 11.4% |
TOTAL ASSETS | |||
Total Short-Term Assets | $868.9M | $921.0M | $921.0M |
Total Long-Term Assets | $5.774B | $5.761B | $5.761B |
Total Assets | $6.643B | $6.682B | $6.682B |
YoY Change | 5.63% | 9.23% | 9.23% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $144.4M | $151.6M | $151.6M |
YoY Change | 17.49% | 21.38% | 21.38% |
Accrued Expenses | $196.2M | $190.3M | $190.3M |
YoY Change | -14.51% | -11.49% | -11.49% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $62.90M | $62.80M | $62.80M |
YoY Change | -7.5% | 3.97% | 3.97% |
Total Short-Term Liabilities | $475.1M | $493.4M | $493.4M |
YoY Change | -12.39% | -8.08% | -8.08% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $2.531B | $2.559B | $2.559B |
YoY Change | -16.34% | -11.1% | -11.1% |
Other Long-Term Liabilities | $80.20M | $75.40M | $346.8M |
YoY Change | -16.28% | -13.33% | -13.86% |
Total Long-Term Liabilities | $80.20M | $75.40M | $2.906B |
YoY Change | -16.28% | -13.33% | -11.44% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $475.1M | $493.4M | $493.4M |
Total Long-Term Liabilities | $80.20M | $75.40M | $2.906B |
Total Liabilities | $555.3M | $568.8M | $4.684B |
YoY Change | -12.98% | -8.82% | -6.85% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | -$582.3M | -$557.3M | |
YoY Change | 18.72% | 10.86% | |
Common Stock | |||
YoY Change | |||
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | |||
Shareholders Equity | $1.962B | $1.998B | $1.998B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $6.643B | $6.682B | $6.682B |
YoY Change | 5.63% | 9.23% | 9.23% |
Cashflow Statement
Concept | 2023 Q1 | 2022 Q4 | 2022 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | -$24.90M | -$23.40M | -$54.60M |
YoY Change | -304.1% | 23300.0% | -22.99% |
Depreciation, Depletion And Amortization | $33.70M | $29.60M | $114.8M |
YoY Change | 22.99% | 30.4% | 16.19% |
Cash From Operating Activities | $74.50M | $7.200M | $158.8M |
YoY Change | -6.64% | -63.45% | 82.32% |
INVESTING ACTIVITIES | |||
Capital Expenditures | $24.30M | $22.70M | $80.60M |
YoY Change | 33.52% | -260.99% | 39.93% |
Acquisitions | $40.70M | $146.4M | |
YoY Change | 30.87% | -48.78% | |
Other Investing Activities | $4.100M | -$49.50M | $11.50M |
YoY Change | -55.91% | -71.86% | -3933.33% |
Cash From Investing Activities | -$70.70M | -$72.20M | -$307.9M |
YoY Change | 50.11% | -62.0% | -7.18% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | $882.9M | ||
YoY Change | 51.75% | ||
Debt Paid & Issued, Net | $15.90M | $862.0M | |
YoY Change | -6.47% | 151.17% | |
Cash From Financing Activities | -$41.20M | 193.1M | $42.10M |
YoY Change | -5.72% | -15.97% | -86.69% |
NET CHANGE | |||
Cash From Operating Activities | $74.50M | 7.200M | $158.8M |
Cash From Investing Activities | -$70.70M | -72.20M | -$307.9M |
Cash From Financing Activities | -$41.20M | 193.1M | $42.10M |
Net Change In Cash | -$37.40M | 128.1M | -$107.0M |
YoY Change | 240.0% | 115.29% | -249.23% |
FREE CASH FLOW | |||
Cash From Operating Activities | $74.50M | $7.200M | $158.8M |
Capital Expenditures | $24.30M | $22.70M | $80.60M |
Free Cash Flow | $50.20M | -$15.50M | $78.20M |
YoY Change | -18.51% | -145.86% | 165.08% |
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AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
76200000 | usd |
CY2021Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
-31500000 | usd |
CY2022Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
-557300000 | usd |
CY2021Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
-502700000 | usd |
CY2022Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
1998200000 | usd |
CY2021Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
1089000000 | usd |
CY2022Q4 | us-gaap |
Minority Interest
MinorityInterest
|
942700000 | usd |
CY2021Q4 | us-gaap |
Minority Interest
MinorityInterest
|
880600000 | usd |
CY2022Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2940900000 | usd |
CY2021Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
1969600000 | usd |
CY2022Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
6682100000 | usd |
CY2021Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
6117600000 | usd |
CY2022 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2539300000 | usd |
CY2021 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2225100000 | usd |
CY2020 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1860100000 | usd |
CY2022 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
746400000 | usd |
CY2021 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
644300000 | usd |
CY2020 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
550300000 | usd |
CY2022 | us-gaap |
Supplies Expense
SuppliesExpense
|
709700000 | usd |
CY2021 | us-gaap |
Supplies Expense
SuppliesExpense
|
636400000 | usd |
CY2020 | us-gaap |
Supplies Expense
SuppliesExpense
|
538400000 | usd |
CY2022 | us-gaap |
Professional Fees
ProfessionalFees
|
269200000 | usd |
CY2021 | us-gaap |
Professional Fees
ProfessionalFees
|
230000000.0 | usd |
CY2020 | us-gaap |
Professional Fees
ProfessionalFees
|
191400000 | usd |
CY2022 | sgry |
Operating And Finance Lease Expense
OperatingAndFinanceLeaseExpense
|
82400000 | usd |
CY2021 | sgry |
Operating And Finance Lease Expense
OperatingAndFinanceLeaseExpense
|
90600000 | usd |
CY2020 | sgry |
Operating And Finance Lease Expense
OperatingAndFinanceLeaseExpense
|
87400000 | usd |
CY2022 | us-gaap |
Other Cost And Expense Operating
OtherCostAndExpenseOperating
|
156700000 | usd |
CY2021 | us-gaap |
Other Cost And Expense Operating
OtherCostAndExpenseOperating
|
132400000 | usd |
CY2020 | us-gaap |
Other Cost And Expense Operating
OtherCostAndExpenseOperating
|
112800000 | usd |
CY2022 | us-gaap |
Operating Costs And Expenses
OperatingCostsAndExpenses
|
1964400000 | usd |
CY2021 | us-gaap |
Operating Costs And Expenses
OperatingCostsAndExpenses
|
1733700000 | usd |
CY2020 | us-gaap |
Operating Costs And Expenses
OperatingCostsAndExpenses
|
1480300000 | usd |
CY2022 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
102200000 | usd |
CY2021 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
104000000.0 | usd |
CY2020 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
97100000 | usd |
CY2022 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
114800000 | usd |
CY2021 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
98800000 | usd |
CY2020 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
94800000 | usd |
CY2022 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
47500000 | usd |
CY2021 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
39800000 | usd |
CY2020 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
23200000 | usd |
CY2022 | sgry |
Grant Revenue
GrantRevenue
|
2400000 | usd |
CY2021 | sgry |
Grant Revenue
GrantRevenue
|
37900000 | usd |
CY2020 | sgry |
Grant Revenue
GrantRevenue
|
46200000 | usd |
CY2022 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-11100000 | usd |
CY2021 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-2200000 | usd |
CY2020 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-5700000 | usd |
CY2022 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
12500000 | usd |
CY2021 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
11300000 | usd |
CY2020 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
10800000 | usd |
CY2022 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
29300000 | usd |
CY2021 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
0 | usd |
CY2020 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
-1200000 | usd |
CY2022 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-14900000 | usd |
CY2021 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-9100000 | usd |
CY2020 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
0 | usd |
CY2022 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
0 | usd |
CY2021 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
0 | usd |
CY2020 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
33500000 | usd |
CY2022 | us-gaap |
Other Nonrecurring Income Expense
OtherNonrecurringIncomeExpense
|
-16600000 | usd |
CY2021 | us-gaap |
Other Nonrecurring Income Expense
OtherNonrecurringIncomeExpense
|
-15500000 | usd |
CY2020 | us-gaap |
Other Nonrecurring Income Expense
OtherNonrecurringIncomeExpense
|
-1700000 | usd |
CY2022 | us-gaap |
Operating Expenses
OperatingExpenses
|
2194100000 | usd |
CY2021 | us-gaap |
Operating Expenses
OperatingExpenses
|
1922900000 | usd |
CY2020 | us-gaap |
Operating Expenses
OperatingExpenses
|
1677100000 | usd |
CY2022 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
345200000 | usd |
CY2021 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
302200000 | usd |
CY2020 | us-gaap |
Operating Income Loss
OperatingIncomeLoss
|
183000000.0 | usd |
CY2022 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-234900000 | usd |
CY2021 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-221000000.0 | usd |
CY2020 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-201800000 | usd |
CY2022 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
110300000 | usd |
CY2021 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
81200000 | usd |
CY2020 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
-18800000 | usd |
CY2022 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
23300000 | usd |
CY2021 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
10500000 | usd |
CY2020 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
-20100000 | usd |
CY2022 | us-gaap |
Profit Loss
ProfitLoss
|
87000000.0 | usd |
CY2021 | us-gaap |
Profit Loss
ProfitLoss
|
70700000 | usd |
CY2020 | us-gaap |
Profit Loss
ProfitLoss
|
1300000 | usd |
CY2022 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
141600000 | usd |
CY2021 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
141600000 | usd |
CY2020 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
117400000 | usd |
CY2022 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-54600000 | usd |
CY2021 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-70900000 | usd |
CY2020 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-116100000 | usd |
CY2022 | us-gaap |
Undistributed Earnings Loss Allocated To Participating Securities Basic
UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic
|
0 | usd |
CY2021 | us-gaap |
Undistributed Earnings Loss Allocated To Participating Securities Basic
UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic
|
10300000 | usd |
CY2020 | us-gaap |
Undistributed Earnings Loss Allocated To Participating Securities Basic
UndistributedEarningsLossAllocatedToParticipatingSecuritiesBasic
|
39500000 | usd |
CY2022 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-54600000 | usd |
CY2022 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-54600000 | usd |
CY2021 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-81200000 | usd |
CY2021 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-81200000 | usd |
CY2020 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-155600000 | usd |
CY2020 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-155600000 | usd |
CY2022 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-0.59 | |
CY2022 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.59 | |
CY2021 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-1.12 | |
CY2021 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-1.12 | |
CY2020 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-3.19 | |
CY2020 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-3.19 | |
CY2022 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
91952000 | shares |
CY2022 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
91952000 | shares |
CY2021 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
72427000 | shares |
CY2021 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
72427000 | shares |
CY2020 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48776000 | shares |
CY2020 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
48776000 | shares |
CY2022 | us-gaap |
Profit Loss
ProfitLoss
|
87000000.0 | usd |
CY2021 | us-gaap |
Profit Loss
ProfitLoss
|
70700000 | usd |
CY2020 | us-gaap |
Profit Loss
ProfitLoss
|
1300000 | usd |
CY2020 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationTax
|
0 | usd |
CY2021 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationTax
|
0 | usd |
CY2022 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationTax
|
0 | usd |
CY2022 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax
|
107700000 | usd |
CY2021 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax
|
29500000 | usd |
CY2020 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax
|
-10300000 | usd |
CY2022 | us-gaap |
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest
|
194700000 | usd |
CY2021 | us-gaap |
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest
|
100200000 | usd |
CY2020 | us-gaap |
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest
|
-9000000.0 | usd |
CY2022 | us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
|
141600000 | usd |
CY2021 | us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
|
141600000 | usd |
CY2020 | us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
|
117400000 | usd |
CY2022 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
53100000 | usd |
CY2021 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
-41400000 | usd |
CY2020 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
-126400000 | 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 |
CY2021 | us-gaap |
Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest
|
21800000 | usd |
CY2021 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
9000000.0 | usd |
CY2021 | us-gaap |
Adjustments To Additional Paid In Capital Dividends In Excess Of Retained Earnings
AdjustmentsToAdditionalPaidInCapitalDividendsInExcessOfRetainedEarnings
|
10300000 | usd |
CY2021 | us-gaap |
Stock Issued During Period Value Conversion Of Convertible Securities
StockIssuedDuringPeriodValueConversionOfConvertibleSecurities
|
439700000 | usd |
CY2021 | us-gaap |
Stock Issued During Period Value New Issues
StockIssuedDuringPeriodValueNewIssues
|
554200000 | usd |
CY2021 | us-gaap |
Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
|
29500000 | usd |
CY2021 | sgry |
Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet
|
131200000 | usd |
CY2021 | us-gaap |
Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
87600000 | usd |
CY2021Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
1969600000 | usd |
CY2022 | us-gaap |
Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest
|
42500000 | usd |
CY2022 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
22500000 | usd |
CY2022 | us-gaap |
Stock Issued During Period Value New Issues
StockIssuedDuringPeriodValueNewIssues
|
857700000 | usd |
CY2022 | us-gaap |
Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
|
107700000 | usd |
CY2022 | sgry |
Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet
|
44600000 | usd |
CY2022 | us-gaap |
Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
103700000 | usd |
CY2022Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2940900000 | usd |
CY2022 | us-gaap |
Profit Loss
ProfitLoss
|
87000000.0 | usd |
CY2021 | us-gaap |
Profit Loss
ProfitLoss
|
70700000 | usd |
CY2020 | us-gaap |
Profit Loss
ProfitLoss
|
1300000 | usd |
CY2022 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
114800000 | usd |
CY2021 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
98800000 | usd |
CY2020 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
94800000 | usd |
CY2022 | us-gaap |
Operating Lease Expense
OperatingLeaseExpense
|
34800000 | usd |
CY2021 | us-gaap |
Operating Lease Expense
OperatingLeaseExpense
|
39100000 | usd |
CY2020 | us-gaap |
Operating Lease Expense
OperatingLeaseExpense
|
39400000 | usd |
CY2022 | sgry |
Noncash Interest Income Expense Net
NoncashInterestIncomeExpenseNet
|
-25900000 | usd |
CY2021 | sgry |
Noncash Interest Income Expense Net
NoncashInterestIncomeExpenseNet
|
-22000000.0 | usd |
CY2020 | sgry |
Noncash Interest Income Expense Net
NoncashInterestIncomeExpenseNet
|
-4500000 | usd |
CY2022 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
18400000 | usd |
CY2021 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
17400000 | usd |
CY2020 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
13200000 | usd |
CY2022 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-11100000 | usd |
CY2021 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-2200000 | usd |
CY2020 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-5700000 | usd |
CY2022 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-14900000 | usd |
CY2021 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-9100000 | usd |
CY2020 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
0 | usd |
CY2022 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
21900000 | usd |
CY2021 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
8900000 | usd |
CY2020 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-21900000 | usd |
CY2022 | us-gaap |
Income Loss From Equity Method Investments Net Of Dividends Or Distributions
IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions
|
1800000 | usd |
CY2021 | us-gaap |
Income Loss From Equity Method Investments Net Of Dividends Or Distributions
IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions
|
-200000 | usd |
CY2020 | us-gaap |
Income Loss From Equity Method Investments Net Of Dividends Or Distributions
IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions
|
-500000 | usd |
CY2022 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
0 | usd |
CY2021 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
0 | usd |
CY2020 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
33500000 | usd |
CY2022 | us-gaap |
Other Noncash Income
OtherNoncashIncome
|
7500000 | usd |
CY2021 | us-gaap |
Other Noncash Income
OtherNoncashIncome
|
0 | usd |
CY2020 | us-gaap |
Other Noncash Income
OtherNoncashIncome
|
0 | usd |
CY2022 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
35300000 | usd |
CY2021 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
32100000 | usd |
CY2020 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
46600000 | usd |
CY2022 | sgry |
Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants
IncreaseDecreaseInMedicareAcceleratedPaymentsAndDeferredGovernmentalGrants
|
-58400000 | usd |
CY2021 | sgry |
Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants
IncreaseDecreaseInMedicareAcceleratedPaymentsAndDeferredGovernmentalGrants
|
-73600000 | usd |
CY2020 | sgry |
Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants
IncreaseDecreaseInMedicareAcceleratedPaymentsAndDeferredGovernmentalGrants
|
135200000 | usd |
CY2022 | sgry |
Increase Decrease In Settlement Payments
IncreaseDecreaseInSettlementPayments
|
0 | usd |
CY2021 | sgry |
Increase Decrease In Settlement Payments
IncreaseDecreaseInSettlementPayments
|
32200000 | usd |
CY2020 | sgry |
Increase Decrease In Settlement Payments
IncreaseDecreaseInSettlementPayments
|
4000000.0 | usd |
CY2022 | us-gaap |
Increase Decrease In Other Operating Capital Net
IncreaseDecreaseInOtherOperatingCapitalNet
|
67000000.0 | usd |
CY2021 | us-gaap |
Increase Decrease In Other Operating Capital Net
IncreaseDecreaseInOtherOperatingCapitalNet
|
43400000 | usd |
CY2020 | us-gaap |
Increase Decrease In Other Operating Capital Net
IncreaseDecreaseInOtherOperatingCapitalNet
|
8700000 | usd |
CY2022 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
158800000 | usd |
CY2021 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
87100000 | usd |
CY2020 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
246900000 | usd |
CY2022 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
80600000 | usd |
CY2021 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
57600000 | usd |
CY2020 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
42900000 | usd |
CY2022 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
146400000 | usd |
CY2021 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
285800000 | usd |
CY2020 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
104600000 | usd |
CY2022 | us-gaap |
Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
|
12900000 | usd |
CY2021 | us-gaap |
Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
|
6000000.0 | usd |
CY2020 | us-gaap |
Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
|
58500000 | usd |
CY2022 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
95100000 | usd |
CY2021 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
0 | usd |
CY2020 | us-gaap |
Payments To Acquire Equity Method Investments
PaymentsToAcquireEquityMethodInvestments
|
0 | usd |
CY2022 | us-gaap |
Proceeds From Sale Of Equity Method Investments
ProceedsFromSaleOfEquityMethodInvestments
|
12800000 | usd |
CY2021 | us-gaap |
Proceeds From Sale Of Equity Method Investments
ProceedsFromSaleOfEquityMethodInvestments
|
5400000 | usd |
CY2020 | us-gaap |
Proceeds From Sale Of Equity Method Investments
ProceedsFromSaleOfEquityMethodInvestments
|
0 | usd |
CY2022 | us-gaap |
Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
|
11500000 | usd |
CY2021 | us-gaap |
Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
|
-300000 | usd |
CY2020 | us-gaap |
Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
|
-600000 | usd |
CY2022 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-307900000 | usd |
CY2021 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-331700000 | usd |
CY2020 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-88400000 | usd |
CY2022 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
862000000.0 | usd |
CY2021 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
343200000 | usd |
CY2020 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
216300000 | usd |
CY2022 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
217800000 | usd |
CY2021 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
299400000 | usd |
CY2020 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
429400000 | usd |
CY2022 | sgry |
Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
|
11300000 | usd |
CY2021 | sgry |
Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
|
0 | usd |
CY2022 | us-gaap |
Payments Of Dividends Preferred Stock And Preference Stock
PaymentsOfDividendsPreferredStockAndPreferenceStock
|
0 | usd |
CY2021 | us-gaap |
Payments Of Dividends Preferred Stock And Preference Stock
PaymentsOfDividendsPreferredStockAndPreferenceStock
|
5100000 | usd |
CY2020 | sgry |
Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
|
0 | usd |
CY2022 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
882900000 | usd |
CY2021 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
581800000 | usd |
CY2020 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
0 | usd |
CY2022 | us-gaap |
Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
|
25200000 | usd |
CY2021 | us-gaap |
Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
|
27600000 | usd |
CY2020 | us-gaap |
Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
|
0 | usd |
CY2022 | us-gaap |
Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
|
146800000 | usd |
CY2021 | us-gaap |
Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
|
131000000.0 | usd |
CY2020 | us-gaap |
Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
|
109600000 | usd |
CY2022 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
3400000 | usd |
CY2021 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
28400000 | usd |
CY2020 | us-gaap |
Payments To Minority Shareholders
PaymentsToMinorityShareholders
|
27400000 | usd |
CY2022 | us-gaap |
Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
|
0 | usd |
CY2021 | us-gaap |
Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
|
11700000 | usd |
CY2020 | us-gaap |
Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
|
8500000 | usd |
CY2020 | us-gaap |
Payments Of Dividends Preferred Stock And Preference Stock
PaymentsOfDividendsPreferredStockAndPreferenceStock
|
0 | usd |
CY2022 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-9900000 | usd |
CY2021 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-17900000 | usd |
CY2020 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-900000 | usd |
CY2022 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
42100000 | usd |
CY2021 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
316300000 | usd |
CY2020 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
66700000 | usd |
CY2022 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
-107000000.0 | usd |
CY2021 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
71700000 | usd |
CY2020 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
225200000 | usd |
CY2021Q4 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
|
389900000 | 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 |
CY2022Q4 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
|
282900000 | usd |
CY2021Q4 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
|
389900000 | usd |
CY2020Q4 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
|
318200000 | usd |
CY2022 | us-gaap |
Interest Paid Net
InterestPaidNet
|
218700000 | usd |
CY2021 | us-gaap |
Interest Paid Net
InterestPaidNet
|
194300000 | usd |
CY2020 | us-gaap |
Interest Paid Net
InterestPaidNet
|
203600000 | usd |
CY2022 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1800000 | usd |
CY2021 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1500000 | usd |
CY2020 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1700000 | usd |
CY2022 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
29900000 | usd |
CY2021 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
22300000 | usd |
CY2020 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
27700000 | usd |
CY2022Q4 | sgry |
Number Of Surgical Facilities Owned
NumberOfSurgicalFacilitiesOwned
|
146 | facility |
CY2022Q4 | us-gaap |
Number Of States In Which Entity Operates
NumberOfStatesInWhichEntityOperates
|
31 | state |
CY2022Q4 | sgry |
Number Of Surgical Facilities Owned Majority Interest
NumberOfSurgicalFacilitiesOwnedMajorityInterest
|
93 | facility |
CY2022Q4 | sgry |
Number Of Surgical Facilities Owned Consolidated
NumberOfSurgicalFacilitiesOwnedConsolidated
|
118 | facility |
CY2022 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2539300000 | usd |
CY2021 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2225100000 | usd |
CY2020 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1860100000 | usd |
CY2022 | us-gaap |
Revenue From Related Parties
RevenueFromRelatedParties
|
15700000 | usd |
CY2021 | us-gaap |
Revenue From Related Parties
RevenueFromRelatedParties
|
9300000 | usd |
CY2020 | us-gaap |
Revenue From Related Parties
RevenueFromRelatedParties
|
9900000 | usd |
CY2021Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
330200000 | usd |
CY2021Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
330200000 | usd |
CY2020Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
306800000 | usd |
CY2022 | us-gaap |
Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
|
44500000 | usd |
CY2021 | us-gaap |
Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
|
48900000 | usd |
CY2022 | sgry |
Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests
RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests
|
10400000 | usd |
CY2021 | sgry |
Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests
RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests
|
17900000 | usd |
CY2022 | sgry |
Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders
RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
43100000 | usd |
CY2021 | sgry |
Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders
RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
43400000 | usd |
CY2022Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
342000000.0 | usd |
CY2022 | sgry |
Number Of Deconsolidations
NumberOfDeconsolidations
|
2 | integer |
CY2022 | sgry |
Proceeds From Government Assistance
ProceedsFromGovernmentAssistance
|
2000000 | usd |
CY2021 | sgry |
Proceeds From Government Assistance
ProceedsFromGovernmentAssistance
|
27000000 | usd |
CY2022 | sgry |
Grant Revenue
GrantRevenue
|
2400000 | usd |
CY2021 | sgry |
Grant Revenue
GrantRevenue
|
37900000 | usd |
CY2020 | sgry |
Grant Revenue
GrantRevenue
|
46200000 | usd |
CY2022Q4 | sgry |
Unrecognized Grant Funds Received
UnrecognizedGrantFundsReceived
|
3000000 | usd |
CY2021Q4 | sgry |
Unrecognized Grant Funds Received
UnrecognizedGrantFundsReceived
|
4000000 | usd |
CY2022 | sgry |
Coronavirus Aid Relief And Economic Security Act Cares Act Government Grant Received Repayments
CoronavirusAidReliefAndEconomicSecurityActCARESActGovernmentGrantReceivedRepayments
|
60000000 | usd |
CY2021 | sgry |
Coronavirus Aid Relief And Economic Security Act Cares Act Government Grant Received Repayments
CoronavirusAidReliefAndEconomicSecurityActCARESActGovernmentGrantReceivedRepayments
|
60000000 | usd |
CY2021Q4 | sgry |
Coronavirus Aid Relief And Economic Security Act Cares Act Government Grants Deferred Accelerated Payments
CoronavirusAidReliefAndEconomicSecurityActCARESActGovernmentGrantsDeferredAcceleratedPayments
|
60000000 | usd |
CY2022Q4 | sgry |
Deferred Employee Related Liabilities Cares Act Current
DeferredEmployeeRelatedLiabilitiesCARESActCurrent
|
0 | usd |
CY2021Q4 | sgry |
Deferred Employee Related Liabilities Cares Act Current
DeferredEmployeeRelatedLiabilitiesCARESActCurrent
|
8500000 | usd |
CY2022Q4 | sgry |
Variable Interest Entity Number Of Facilities
VariableInterestEntityNumberOfFacilities
|
6 | facility |
CY2022Q4 | sgry |
Variable Interest Entity Number Of Facilities
VariableInterestEntityNumberOfFacilities
|
5 | physician_practice |
CY2022Q4 | us-gaap |
Finance Lease Right Of Use Asset Before Accumulated Amortization
FinanceLeaseRightOfUseAssetBeforeAccumulatedAmortization
|
631300000 | usd |
CY2021Q4 | us-gaap |
Finance Lease Right Of Use Asset Before Accumulated Amortization
FinanceLeaseRightOfUseAssetBeforeAccumulatedAmortization
|
393600000 | usd |
CY2022Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset Before Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetBeforeAccumulatedDepreciationAndAmortization
|
1250900000 | usd |
CY2021Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset Before Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetBeforeAccumulatedDepreciationAndAmortization
|
902000000.0 | usd |
CY2022Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAccumulatedDepreciationAndAmortization
|
374300000 | usd |
CY2021Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAccumulatedDepreciationAndAmortization
|
272300000 | usd |
CY2022Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset After Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization
|
876600000 | usd |
CY2021Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset After Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization
|
629700000 | usd |
CY2022 | us-gaap |
Depreciation
Depreciation
|
112100000 | usd |
CY2021 | us-gaap |
Depreciation
Depreciation
|
94500000 | usd |
CY2020 | us-gaap |
Depreciation
Depreciation
|
90500000 | usd |
CY2022 | us-gaap |
Number Of Reporting Units
NumberOfReportingUnits
|
2 | reporting_unit |
CY2022 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
0 | usd |
CY2021 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
0 | usd |
CY2021Q4 | us-gaap |
Goodwill
Goodwill
|
3911800000 | usd |
CY2020Q4 | us-gaap |
Goodwill
Goodwill
|
3468000000 | usd |
CY2022 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
269700000 | usd |
CY2021 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
447000000.0 | usd |
CY2022 | sgry |
Goodwill Written Off Related To Sale Of Business Unit And Deconsolidations
GoodwillWrittenOffRelatedToSaleOfBusinessUnitAndDeconsolidations
|
44400000 | usd |
CY2021 | sgry |
Goodwill Written Off Related To Sale Of Business Unit And Deconsolidations
GoodwillWrittenOffRelatedToSaleOfBusinessUnitAndDeconsolidations
|
3200000 | usd |
CY2022Q4 | us-gaap |
Goodwill
Goodwill
|
4137100000 | usd |
CY2021Q4 | us-gaap |
Goodwill
Goodwill
|
3911800000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
52400000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
25100000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
27300000 | usd |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
44400000 | usd |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
19500000 | usd |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
24900000 | usd |
CY2022Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
15000000.0 | usd |
CY2022Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
15000000.0 | usd |
CY2021Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
18800000 | usd |
CY2021Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
18800000 | usd |
CY2022Q4 | us-gaap |
Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
|
67400000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
25100000 | usd |
CY2022Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
42300000 | usd |
CY2021Q4 | us-gaap |
Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
|
63200000 | usd |
CY2021Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
19500000 | usd |
CY2021Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
43700000 | usd |
CY2022 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
6400000 | usd |
CY2021 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
6900000 | usd |
CY2020 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
4800000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
7200000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
6000000.0 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
2100000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
1800000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
1100000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense After Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
|
9100000 | usd |
CY2022Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
27300000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
585700000 | usd |
CY2021Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
364600000 | usd |
CY2022Q4 | us-gaap |
Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net
DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet
|
10200000 | usd |
CY2021Q4 | us-gaap |
Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net
DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet
|
16500000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
|
2621800000 | usd |
CY2021Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
|
2938800000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
62800000 | usd |
CY2021Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
60400000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
2559000000 | usd |
CY2021Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
2878400000 | usd |
CY2021 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-9100000 | usd |
CY2022 | sgry |
Lessee Operating Lease Option To Extend Number Of Options To Renew
LesseeOperatingLeaseOptionToExtendNumberOfOptionsToRenew
|
1 | lease_renewal_option |
CY2022Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
|
62800000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
|
49700000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
|
227700000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
|
1404400000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
|
348500000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
|
541000000.0 | usd |
CY2022Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
2634100000 | usd |
CY2022Q4 | us-gaap |
Lessor Operating Lease Term Of Contract
LessorOperatingLeaseTermOfContract
|
P10Y | |
CY2022Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
279100000 | usd |
CY2021Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
324100000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Right Of Use Asset
FinanceLeaseRightOfUseAsset
|
529600000 | usd |
CY2021Q4 | us-gaap |
Finance Lease Right Of Use Asset
FinanceLeaseRightOfUseAsset
|
329600000 | usd |
CY2022Q4 | sgry |
Lease Right Of Use Asset
LeaseRightOfUseAsset
|
808700000 | usd |
CY2021Q4 | sgry |
Lease Right Of Use Asset
LeaseRightOfUseAsset
|
653700000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
36500000 | usd |
CY2021Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
40100000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
271400000 | usd |
CY2021Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
315600000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability
OperatingLeaseLiability
|
307900000 | usd |
CY2021Q4 | us-gaap |
Operating Lease Liability
OperatingLeaseLiability
|
355700000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
|
20900000 | usd |
CY2021Q4 | us-gaap |
Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
|
19000000.0 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
|
564800000 | usd |
CY2021Q4 | us-gaap |
Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
|
345600000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
585700000 | usd |
CY2021Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
364600000 | usd |
CY2022Q4 | sgry |
Lease Liability
LeaseLiability
|
893600000 | usd |
CY2021Q4 | sgry |
Lease Liability
LeaseLiability
|
720300000 | usd |
CY2022 | sgry |
Increase Decrease In Finance Lease Liability
IncreaseDecreaseInFinanceLeaseLiability
|
170600000 | usd |
CY2022 | sgry |
Increase Decrease In Finance Lease Right Of Use Assets
IncreaseDecreaseInFinanceLeaseRightOfUseAssets
|
169100000 | usd |
CY2022 | us-gaap |
Increase Decrease In Operating Lease Liability
IncreaseDecreaseInOperatingLeaseLiability
|
-65700000 | usd |
CY2022 | sgry |
Increase Decrease In Operating Lease Right Of Use Assets
IncreaseDecreaseInOperatingLeaseRightOfUseAssets
|
-64200000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
|
P9Y2M12D | |
CY2022Q4 | us-gaap |
Finance Lease Weighted Average Remaining Lease Term1
FinanceLeaseWeightedAverageRemainingLeaseTerm1
|
P20Y8M12D | |
CY2021Q4 | us-gaap |
Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
|
P8Y9M18D | |
CY2021Q4 | us-gaap |
Finance Lease Weighted Average Remaining Lease Term1
FinanceLeaseWeightedAverageRemainingLeaseTerm1
|
P16Y9M18D | |
CY2022Q4 | us-gaap |
Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
|
0.091 | |
CY2022Q4 | us-gaap |
Finance Lease Weighted Average Discount Rate Percent
FinanceLeaseWeightedAverageDiscountRatePercent
|
0.088 | |
CY2021Q4 | us-gaap |
Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
|
0.097 | |
CY2021Q4 | us-gaap |
Finance Lease Weighted Average Discount Rate Percent
FinanceLeaseWeightedAverageDiscountRatePercent
|
0.087 | |
CY2022 | us-gaap |
Operating Lease Cost
OperatingLeaseCost
|
65500000 | usd |
CY2021 | us-gaap |
Operating Lease Cost
OperatingLeaseCost
|
76400000 | usd |
CY2022 | us-gaap |
Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
|
38800000 | usd |
CY2021 | us-gaap |
Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
|
25100000 | usd |
CY2022 | us-gaap |
Finance Lease Interest Expense
FinanceLeaseInterestExpense
|
42700000 | usd |
CY2021 | us-gaap |
Finance Lease Interest Expense
FinanceLeaseInterestExpense
|
27400000 | usd |
CY2022 | sgry |
Finance Lease Cost
FinanceLeaseCost
|
81500000 | usd |
CY2021 | sgry |
Finance Lease Cost
FinanceLeaseCost
|
52500000 | usd |
CY2022 | sgry |
Variable And Short Term Lease Cost
VariableAndShortTermLeaseCost
|
18500000 | usd |
CY2021 | sgry |
Variable And Short Term Lease Cost
VariableAndShortTermLeaseCost
|
17800000 | usd |
CY2022 | us-gaap |
Lease Cost
LeaseCost
|
165500000 | usd |
CY2021 | us-gaap |
Lease Cost
LeaseCost
|
146700000 | usd |
CY2022 | us-gaap |
Operating Lease Payments
OperatingLeasePayments
|
63200000 | usd |
CY2021 | us-gaap |
Operating Lease Payments
OperatingLeasePayments
|
74300000 | usd |
CY2022 | us-gaap |
Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
|
41700000 | usd |
CY2021 | us-gaap |
Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
|
26500000 | usd |
CY2022 | us-gaap |
Finance Lease Principal Payments
FinanceLeasePrincipalPayments
|
24600000 | usd |
CY2021 | us-gaap |
Finance Lease Principal Payments
FinanceLeasePrincipalPayments
|
20100000 | usd |
CY2022 | us-gaap |
Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
|
57300000 | usd |
CY2021 | us-gaap |
Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
|
68700000 | usd |
CY2022 | us-gaap |
Right Of Use Asset Obtained In Exchange For Finance Lease Liability
RightOfUseAssetObtainedInExchangeForFinanceLeaseLiability
|
180200000 | usd |
CY2021 | us-gaap |
Right Of Use Asset Obtained In Exchange For Finance Lease Liability
RightOfUseAssetObtainedInExchangeForFinanceLeaseLiability
|
73400000 | usd |
CY2022Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
|
61900000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Payments Due Next Twelve Months
FinanceLeaseLiabilityPaymentsDueNextTwelveMonths
|
68700000 | usd |
CY2022Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
|
58600000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Payments Due Year Two
FinanceLeaseLiabilityPaymentsDueYearTwo
|
64300000 | usd |
CY2022Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
|
53100000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Payments Due Year Three
FinanceLeaseLiabilityPaymentsDueYearThree
|
62200000 | usd |
CY2022Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
|
49300000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Payments Due Year Four
FinanceLeaseLiabilityPaymentsDueYearFour
|
60200000 | usd |
CY2022Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
|
41100000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Payments Due Year Five
FinanceLeaseLiabilityPaymentsDueYearFive
|
58500000 | usd |
CY2022Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
|
192100000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Payments Due After Year Five
FinanceLeaseLiabilityPaymentsDueAfterYearFive
|
1099400000 | usd |
CY2022Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
|
456100000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Payments Due
FinanceLeaseLiabilityPaymentsDue
|
1413300000 | usd |
CY2022Q4 | us-gaap |
Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
|
148200000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Undiscounted Excess Amount
FinanceLeaseLiabilityUndiscountedExcessAmount
|
827600000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability
OperatingLeaseLiability
|
307900000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
585700000 | usd |
CY2022Q4 | us-gaap |
Derivative Notional Amount
DerivativeNotionalAmount
|
1518200000 | usd |
CY2021Q4 | us-gaap |
Derivative Notional Amount
DerivativeNotionalAmount
|
1533600000 | usd |
CY2022 | us-gaap |
Cash Flow Hedge Gain Loss To Be Reclassified Within Twelve Months
CashFlowHedgeGainLossToBeReclassifiedWithinTwelveMonths
|
30400000 | usd |
CY2022Q4 | us-gaap |
Derivative Asset Notional Amount
DerivativeAssetNotionalAmount
|
113400000 | usd |
CY2022Q4 | us-gaap |
Derivative Liability Notional Amount
DerivativeLiabilityNotionalAmount
|
40400000 | usd |
CY2021Q4 | us-gaap |
Derivative Asset Notional Amount
DerivativeAssetNotionalAmount
|
23600000 | usd |
CY2021Q4 | us-gaap |
Derivative Liability Notional Amount
DerivativeLiabilityNotionalAmount
|
58200000 | usd |
CY2022 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Reclassification For Discontinuance Before Tax
OtherComprehensiveIncomeLossCashFlowHedgeReclassificationForDiscontinuanceBeforeTax
|
21400000 | usd |
CY2021 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Reclassification For Discontinuance Before Tax
OtherComprehensiveIncomeLossCashFlowHedgeReclassificationForDiscontinuanceBeforeTax
|
14000000 | usd |
CY2020 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Reclassification For Discontinuance Before Tax
OtherComprehensiveIncomeLossCashFlowHedgeReclassificationForDiscontinuanceBeforeTax
|
0 | usd |
CY2022 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-54600000 | usd |
CY2021 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-70900000 | usd |
CY2020 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-116100000 | usd |
CY2022 | sgry |
Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued
UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued
|
0 | usd |
CY2021 | sgry |
Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued
UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued
|
10300000 | usd |
CY2020 | sgry |
Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued
UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued
|
39500000 | usd |
CY2022 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-54600000 | usd |
CY2022 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-54600000 | usd |
CY2021 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-81200000 | usd |
CY2021 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-81200000 | usd |
CY2020 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-155600000 | usd |
CY2020 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-155600000 | usd |
CY2022 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
91952000 | shares |
CY2022 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
91952000 | shares |
CY2021 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
72427000 | shares |
CY2021 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
72427000 | shares |
CY2020 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
48776000 | shares |
CY2020 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
48776000 | shares |
CY2022 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.59 | |
CY2022 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-0.59 | |
CY2021 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-1.12 | |
CY2021 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-1.12 | |
CY2020 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-3.19 | |
CY2020 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-3.19 | |
CY2022Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2022Q4 | us-gaap |
Sale Of Stock Price Per Share
SaleOfStockPricePerShare
|
24.50 | |
CY2021Q1 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2021Q1 | us-gaap |
Sale Of Stock Price Per Share
SaleOfStockPricePerShare
|
30.25 | |
CY2021Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2021Q4 | us-gaap |
Sale Of Stock Price Per Share
SaleOfStockPricePerShare
|
46.50 | |
CY2017Q4 | us-gaap |
Stock Repurchase Program Authorized Amount1
StockRepurchaseProgramAuthorizedAmount1
|
50000000 | usd |
CY2022Q4 | us-gaap |
Stock Repurchase Program Remaining Authorized Repurchase Amount1
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount1
|
46000000 | usd |
CY2022 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1800000 | usd |
CY2021 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1500000 | usd |
CY2020 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1700000 | usd |
CY2022 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
0 | usd |
CY2021 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
0 | usd |
CY2020 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
-200000 | usd |
CY2022 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
1500000 | usd |
CY2021 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
1500000 | usd |
CY2020 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
1900000 | usd |
CY2022 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
17500000 | usd |
CY2021 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
7900000 | usd |
CY2020 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
-22200000 | usd |
CY2022 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
4300000 | usd |
CY2021 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
1100000 | usd |
CY2020 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
400000 | usd |
CY2022 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
23300000 | usd |
CY2021 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
10500000 | usd |
CY2020 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
-20100000 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
|
23200000 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
|
17100000 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
|
-4000000.0 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
|
6000000.0 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
|
2300000 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
|
2400000 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
29100000 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
20900000 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
4100000 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
|
30200000 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
|
29900000 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
|
24800000 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost
IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost
|
-2500000 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost
IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost
|
-1700000 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost
IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost
|
1200000 | usd |
CY2022 | sgry |
Effective Income Tax Reconciliation Divestiture Amount
EffectiveIncomeTaxReconciliationDivestitureAmount
|
-1400000 | usd |
CY2021 | sgry |
Effective Income Tax Reconciliation Divestiture Amount
EffectiveIncomeTaxReconciliationDivestitureAmount
|
-2600000 | usd |
CY2020 | sgry |
Effective Income Tax Reconciliation Divestiture Amount
EffectiveIncomeTaxReconciliationDivestitureAmount
|
-700000 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Other Reconciling Items
IncomeTaxReconciliationOtherReconcilingItems
|
-1000000.0 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Other Reconciling Items
IncomeTaxReconciliationOtherReconcilingItems
|
1300000 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation Other Reconciling Items
IncomeTaxReconciliationOtherReconcilingItems
|
0 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Change In Enacted Tax Rate
IncomeTaxReconciliationChangeInEnactedTaxRate
|
-500000 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Change In Enacted Tax Rate
IncomeTaxReconciliationChangeInEnactedTaxRate
|
0 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation Change In Enacted Tax Rate
IncomeTaxReconciliationChangeInEnactedTaxRate
|
-800000 | usd |
CY2022 | sgry |
Effective Income Tax Rate Reconciliation Tax Receivable Agreement Amount
EffectiveIncomeTaxRateReconciliationTaxReceivableAgreementAmount
|
400000 | usd |
CY2021 | sgry |
Effective Income Tax Rate Reconciliation Tax Receivable Agreement Amount
EffectiveIncomeTaxRateReconciliationTaxReceivableAgreementAmount
|
700000 | usd |
CY2020 | sgry |
Effective Income Tax Rate Reconciliation Tax Receivable Agreement Amount
EffectiveIncomeTaxRateReconciliationTaxReceivableAgreementAmount
|
900000 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Nondeductible Expense Impairment Losses
IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses
|
0 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Nondeductible Expense Impairment Losses
IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses
|
0 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation Nondeductible Expense Impairment Losses
IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses
|
4300000 | usd |
CY2022 | sgry |
Effective Income Tax Rate Reconciliation Litigation Settlement Amount
EffectiveIncomeTaxRateReconciliationLitigationSettlementAmount
|
0 | usd |
CY2021 | sgry |
Effective Income Tax Rate Reconciliation Litigation Settlement Amount
EffectiveIncomeTaxRateReconciliationLitigationSettlementAmount
|
0 | usd |
CY2020 | sgry |
Effective Income Tax Rate Reconciliation Litigation Settlement Amount
EffectiveIncomeTaxRateReconciliationLitigationSettlementAmount
|
-3700000 | usd |
CY2022 | sgry |
Effective Income Tax Rate Reconciliation Adjustments To Unrealized Attributes Amount
EffectiveIncomeTaxRateReconciliationAdjustmentsToUnrealizedAttributesAmount
|
0 | usd |
CY2021 | sgry |
Effective Income Tax Rate Reconciliation Adjustments To Unrealized Attributes Amount
EffectiveIncomeTaxRateReconciliationAdjustmentsToUnrealizedAttributesAmount
|
2300000 | usd |
CY2020 | sgry |
Effective Income Tax Rate Reconciliation Adjustments To Unrealized Attributes Amount
EffectiveIncomeTaxRateReconciliationAdjustmentsToUnrealizedAttributesAmount
|
0 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
|
200000 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
|
100000 | usd |
CY2020 | us-gaap |
Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
|
1000000.0 | usd |
CY2022 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
23300000 | usd |
CY2021 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
10500000 | usd |
CY2020 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
-20100000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies
|
4100000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies
|
3600000 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Compensationand Benefits Compensated Absencesand Incentive Compensation
DeferredTaxAssetsTaxDeferredExpenseCompensationandBenefitsCompensatedAbsencesandIncentiveCompensation
|
3100000 | usd |
CY2021Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Compensationand Benefits Compensated Absencesand Incentive Compensation
DeferredTaxAssetsTaxDeferredExpenseCompensationandBenefitsCompensatedAbsencesandIncentiveCompensation
|
3000000.0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
146000000.0 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
152100000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
2900000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
3000000.0 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Amortization Of Intangible Assets
DeferredTaxAssetsTaxDeferredExpenseAmortizationOfIntangibleAssets
|
0 | usd |
CY2021Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Amortization Of Intangible Assets
DeferredTaxAssetsTaxDeferredExpenseAmortizationOfIntangibleAssets
|
1200000 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Deferred Financing Costs
DeferredTaxAssetsTaxDeferredExpenseDeferredFinancingCosts
|
5100000 | usd |
CY2021Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Deferred Financing Costs
DeferredTaxAssetsTaxDeferredExpenseDeferredFinancingCosts
|
8300000 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Interest Limitation
DeferredTaxAssetsTaxDeferredExpenseInterestLimitation
|
137700000 | usd |
CY2021Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Interest Limitation
DeferredTaxAssetsTaxDeferredExpenseInterestLimitation
|
99400000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Hedging Transactions
DeferredTaxAssetsHedgingTransactions
|
10500000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Hedging Transactions
DeferredTaxAssetsHedgingTransactions
|
15000000.0 | usd |
CY2022Q4 | sgry |
Deferred Tax Asset Tax Receivable Agreement
DeferredTaxAssetTaxReceivableAgreement
|
100000 | usd |
CY2021Q4 | sgry |
Deferred Tax Asset Tax Receivable Agreement
DeferredTaxAssetTaxReceivableAgreement
|
600000 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Right Of Use
DeferredTaxAssetsRightOfUse
|
52500000 | usd |
CY2021Q4 | sgry |
Deferred Tax Assets Right Of Use
DeferredTaxAssetsRightOfUse
|
51100000 | usd |
CY2022Q4 | sgry |
Deferred Tax Asset Software Development Costs
DeferredTaxAssetSoftwareDevelopmentCosts
|
1000000.0 | usd |
CY2021Q4 | sgry |
Deferred Tax Asset Software Development Costs
DeferredTaxAssetSoftwareDevelopmentCosts
|
0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
9200000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
11100000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
372200000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
348400000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
114700000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
113000000.0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
257500000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
235400000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
2000000.0 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
2600000 | usd |
CY2022Q4 | sgry |
Deferred Tax Liabilities Basis Differencesof Partnershipsand Joint Ventures
DeferredTaxLiabilitiesBasisDifferencesofPartnershipsandJointVentures
|
87400000 | usd |
CY2021Q4 | sgry |
Deferred Tax Liabilities Basis Differencesof Partnershipsand Joint Ventures
DeferredTaxLiabilitiesBasisDifferencesofPartnershipsandJointVentures
|
73000000.0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Leasing Arrangements
DeferredTaxLiabilitiesLeasingArrangements
|
44400000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Liabilities Leasing Arrangements
DeferredTaxLiabilitiesLeasingArrangements
|
44200000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
1300000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Derivatives
DeferredTaxLiabilitiesDerivatives
|
29500000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Liabilities Derivatives
DeferredTaxLiabilitiesDerivatives
|
0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
1400000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
1200000 | usd |
CY2022Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
166000000.0 | usd |
CY2021Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
121000000.0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
91500000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
114400000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
114700000 | usd |
CY2021Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
113000000 | usd |
CY2022 | us-gaap |
Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
|
1700000 | usd |
CY2021Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
100000 | usd |
CY2020Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
100000 | usd |
CY2022 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
0 | usd |
CY2021 | us-gaap |
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
|
0 | usd |
CY2022Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
100000 | usd |
CY2021Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
100000 | usd |
CY2022Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
100000 | usd |
CY2021Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
100000 | usd |
CY2022Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
100000 | usd |
CY2021Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
100000 | usd |
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 | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
|
0 | shares |
CY2021 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
9155 | shares |
CY2021 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
6.28 | |
CY2021 | sgry |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercised Weighted Average Remaining Contractual Term
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisedWeightedAverageRemainingContractualTerm
|
P7Y8M12D | |
CY2021 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
|
366500 | shares |
CY2021 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
|
13.42 | |
CY2021 | sgry |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeited Weighted Average Remaining Contractual Term
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeitedWeightedAverageRemainingContractualTerm
|
P7Y2M12D | |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
2384860 | shares |
CY2021Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
12.82 | |
CY2021 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P7Y | |
CY2022 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
|
0 | shares |
CY2021Q4 | us-gaap |
Self Insurance Reserve
SelfInsuranceReserve
|
19800000 | usd |
CY2022 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
301998 | shares |
CY2022 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
13.42 | |
CY2022 | sgry |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercised Weighted Average Remaining Contractual Term
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisedWeightedAverageRemainingContractualTerm
|
P6Y2M12D | |
CY2022 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
|
134502 | shares |
CY2022 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
|
13.42 | |
CY2022 | sgry |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeited Weighted Average Remaining Contractual Term
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeitedWeightedAverageRemainingContractualTerm
|
P6Y2M12D | |
CY2022Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
1948360 | shares |
CY2022Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
12.69 | |
CY2022 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P5Y10M24D | |
CY2022Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
|
1898360 | shares |
CY2022Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
|
19100000 | usd |
CY2022 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
18400000 | usd |
CY2021 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
17400000 | usd |
CY2020 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
13200000 | usd |
CY2022 | sgry |
Defined Contribution Plan Vesting Period
DefinedContributionPlanVestingPeriod
|
P5Y | |
CY2022 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
11100000 | usd |
CY2021 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
9700000 | usd |
CY2020 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
7200000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
36500000 | usd |
CY2021Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
40100000 | usd |
CY2022Q4 | srt |
Payables To Customers
PayablesToCustomers
|
31900000 | usd |
CY2021Q4 | srt |
Payables To Customers
PayablesToCustomers
|
26000000.0 | usd |
CY2022Q4 | sgry |
Acquisition Escrow Liability Current
AcquisitionEscrowLiabilityCurrent
|
28800000 | usd |
CY2021Q4 | sgry |
Acquisition Escrow Liability Current
AcquisitionEscrowLiabilityCurrent
|
1200000 | usd |
CY2022Q4 | sgry |
Cost Report Liabilities Current
CostReportLiabilitiesCurrent
|
23500000 | usd |
CY2021Q4 | sgry |
Cost Report Liabilities Current
CostReportLiabilitiesCurrent
|
26400000 | usd |
CY2022Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
19400000 | usd |
CY2021Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
29200000 | usd |
CY2022Q4 | sgry |
Tax Receivable Agreement Liability Current
TaxReceivableAgreementLiabilityCurrent
|
1300000 | usd |
CY2021Q4 | sgry |
Tax Receivable Agreement Liability Current
TaxReceivableAgreementLiabilityCurrent
|
19700000 | usd |
CY2022Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
65500000 | usd |
CY2021Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
67400000 | usd |
CY2022Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
206900000 | usd |
CY2021Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
210000000.0 | usd |
CY2022Q4 | us-gaap |
Self Insurance Reserve
SelfInsuranceReserve
|
20800000 | usd |
CY2022Q4 | us-gaap |
Estimated Insurance Recoveries
EstimatedInsuranceRecoveries
|
12700000 | usd |
CY2021Q4 | us-gaap |
Estimated Insurance Recoveries
EstimatedInsuranceRecoveries
|
8700000 | usd |
CY2021Q2 | us-gaap |
Litigation Settlement Amount Awarded To Other Party
LitigationSettlementAmountAwardedToOtherParty
|
30700000 | usd |
CY2022Q1 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
32800000 | usd |
CY2022 | sgry |
Collaborative Tax Agreement Projected Tax Savings Term
CollaborativeTaxAgreementProjectedTaxSavingsTerm
|
P5Y | |
CY2022 | us-gaap |
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
|
0.24 | |
CY2022Q4 | us-gaap |
Taxes Payable Current And Noncurrent
TaxesPayableCurrentAndNoncurrent
|
1900000 | usd |
CY2021Q4 | us-gaap |
Taxes Payable Current And Noncurrent
TaxesPayableCurrentAndNoncurrent
|
22000000 | usd |
CY2022Q4 | sgry |
Deferred Income Tax Liabilities Net Of Discount
DeferredIncomeTaxLiabilitiesNetOfDiscount
|
1600000 | usd |
CY2021Q4 | sgry |
Deferred Income Tax Liabilities Net Of Discount
DeferredIncomeTaxLiabilitiesNetOfDiscount
|
19700000 | usd |
CY2022Q4 | sgry |
Deferred Income Tax Liabilities Net Of Discount Current
DeferredIncomeTaxLiabilitiesNetOfDiscountCurrent
|
1300000 | usd |
CY2021Q4 | sgry |
Deferred Income Tax Liabilities Net Of Discount Current
DeferredIncomeTaxLiabilitiesNetOfDiscountCurrent
|
19700000 | usd |
CY2022 | us-gaap |
Number Of Operating Segments
NumberOfOperatingSegments
|
2 | segment |
CY2022 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2539300000 | usd |
CY2021 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2225100000 | usd |
CY2020 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
1860100000 | usd |
CY2022 | sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
380200000 | usd |
CY2021 | sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
339600000 | usd |
CY2020 | sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
256600000 | usd |
CY2022 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
110300000 | usd |
CY2021 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
81200000 | usd |
CY2020 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
-18800000 | usd |
CY2022 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
141600000 | usd |
CY2021 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
141600000 | usd |
CY2020 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
117400000 | usd |
CY2022 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-234900000 | usd |
CY2021 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-221000000.0 | usd |
CY2020 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-201800000 | usd |
CY2022 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
114800000 | usd |
CY2021 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
98800000 | usd |
CY2020 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
94800000 | usd |
CY2022 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
18400000 | usd |
CY2021 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
17400000 | usd |
CY2020 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
13200000 | usd |
CY2022 | sgry |
Business Combination Integration Related Costs And Merger Costs
BusinessCombinationIntegrationRelatedCostsAndMergerCosts
|
48600000 | usd |
CY2021 | sgry |
Business Combination Integration Related Costs And Merger Costs
BusinessCombinationIntegrationRelatedCostsAndMergerCosts
|
46100000 | usd |
CY2020 | sgry |
Business Combination Integration Related Costs And Merger Costs
BusinessCombinationIntegrationRelatedCostsAndMergerCosts
|
38200000 | usd |
CY2022 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-11100000 | usd |
CY2021 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-2200000 | usd |
CY2020 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-5700000 | usd |
CY2022 | sgry |
Gain Loss Relatedto Litigation Settlement And Other Litigation Costs
GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts
|
24700000 | usd |
CY2021 | sgry |
Gain Loss Relatedto Litigation Settlement And Other Litigation Costs
GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts
|
-5600000 | usd |
CY2020 | sgry |
Gain Loss Relatedto Litigation Settlement And Other Litigation Costs
GainLossRelatedtoLitigationSettlementAndOtherLitigationCosts
|
-6400000 | usd |
CY2022 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-14900000 | usd |
CY2021 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-9100000 | usd |
CY2020 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
0 | usd |
CY2022 | sgry |
Undesignated Derivative Activity
UndesignatedDerivativeActivity
|
8000000.0 | usd |
CY2021 | sgry |
Undesignated Derivative Activity
UndesignatedDerivativeActivity
|
0 | usd |
CY2021 | us-gaap |
Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
|
6300000 | usd |
CY2020 | sgry |
Undesignated Derivative Activity
UndesignatedDerivativeActivity
|
0 | usd |
CY2022 | us-gaap |
Unusual Or Infrequent Item Net Gain Loss
UnusualOrInfrequentItemNetGainLoss
|
1500000 | usd |
CY2021 | us-gaap |
Unusual Or Infrequent Item Net Gain Loss
UnusualOrInfrequentItemNetGainLoss
|
-200000 | usd |
CY2020 | us-gaap |
Unusual Or Infrequent Item Net Gain Loss
UnusualOrInfrequentItemNetGainLoss
|
0 | usd |
CY2022 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
0 | usd |
CY2021 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
0 | usd |
CY2020 | us-gaap |
Asset Impairment Charges
AssetImpairmentCharges
|
33500000 | usd |
CY2022 | sgry |
Business Combination Gain Loss On Acquisition Escrow
BusinessCombinationGainLossOnAcquisitionEscrow
|
0 | usd |
CY2021 | sgry |
Business Combination Gain Loss On Acquisition Escrow
BusinessCombinationGainLossOnAcquisitionEscrow
|
0 | usd |
CY2020 | sgry |
Business Combination Gain Loss On Acquisition Escrow
BusinessCombinationGainLossOnAcquisitionEscrow
|
800000 | usd |
CY2022 | sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
380200000 | usd |
CY2021 | sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
339600000 | usd |
CY2020 | sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
256600000 | usd |
CY2022 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
47500000 | usd |
CY2021 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
39800000 | usd |
CY2020 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
23200000 | usd |
CY2022 | us-gaap |
Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
|
1100000 | usd |
CY2020 | us-gaap |
Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
|
15000000 | usd |
CY2022 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
29300000 | usd |
CY2020 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
-1200000 | usd |
CY2022 | us-gaap |
Litigation Settlement Expense
LitigationSettlementExpense
|
4600000 | usd |
CY2021 | us-gaap |
Litigation Settlement Expense
LitigationSettlementExpense
|
5600000 | usd |
CY2020 | us-gaap |
Litigation Settlement Expense
LitigationSettlementExpense
|
5200000 | usd |
CY2022Q4 | us-gaap |
Assets
Assets
|
6682100000 | usd |
CY2021Q4 | us-gaap |
Assets
Assets
|
6117600000 | usd |
CY2022 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
80600000 | usd |
CY2021 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
57600000 | usd |
CY2020 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
42900000 | usd |