2023 Q1 Form 10-K Financial Statement

#000163883323000021 Filed on March 01, 2023

View on sec.gov

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%

Facts In Submission

Frame Concept Type Concept / XBRL Key Value Unit
CY2023Q1 dei Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
126027716 shares
CY2022 dei Entity Central Index Key
EntityCentralIndexKey
0001638833
CY2022 dei Document Fiscal Year Focus
DocumentFiscalYearFocus
2022
CY2022 dei Document Fiscal Period Focus
DocumentFiscalPeriodFocus
FY
CY2022 dei Amendment Flag
AmendmentFlag
false
CY2022 us-gaap Disposal Group Not Discontinued Operation Gain Loss On Disposal Statement Of Income Extensible List
DisposalGroupNotDiscontinuedOperationGainLossOnDisposalStatementOfIncomeExtensibleList
http://www.surgerypartners.com/20221231#GainLossOnDispositionOfAssetsAndDeconsolidation
CY2022Q4 us-gaap Finance Lease Right Of Use Asset Statement Of Financial Position Extensible List
FinanceLeaseRightOfUseAssetStatementOfFinancialPositionExtensibleList
http://fasb.org/us-gaap/2022#PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization
CY2021Q4 us-gaap Finance Lease Right Of Use Asset Statement Of Financial Position Extensible List
FinanceLeaseRightOfUseAssetStatementOfFinancialPositionExtensibleList
http://fasb.org/us-gaap/2022#PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization
CY2022Q4 us-gaap Operating Lease Liability Current Statement Of Financial Position Extensible List
OperatingLeaseLiabilityCurrentStatementOfFinancialPositionExtensibleList
http://fasb.org/us-gaap/2022#OtherLiabilitiesCurrent
CY2021Q4 us-gaap Operating Lease Liability Current Statement Of Financial Position Extensible List
OperatingLeaseLiabilityCurrentStatementOfFinancialPositionExtensibleList
http://fasb.org/us-gaap/2022#OtherLiabilitiesCurrent
CY2021Q4 us-gaap Finance Lease Liability Current Statement Of Financial Position Extensible List
FinanceLeaseLiabilityCurrentStatementOfFinancialPositionExtensibleList
http://fasb.org/us-gaap/2022#LongTermDebtAndCapitalLeaseObligationsCurrent
CY2022Q4 us-gaap Finance Lease Liability Current Statement Of Financial Position Extensible List
FinanceLeaseLiabilityCurrentStatementOfFinancialPositionExtensibleList
http://fasb.org/us-gaap/2022#LongTermDebtAndCapitalLeaseObligationsCurrent
CY2021Q4 us-gaap Finance Lease Liability Noncurrent Statement Of Financial Position Extensible List
FinanceLeaseLiabilityNoncurrentStatementOfFinancialPositionExtensibleList
http://fasb.org/us-gaap/2022#LongTermDebtAndCapitalLeaseObligations
CY2022Q4 us-gaap Finance Lease Liability Noncurrent Statement Of Financial Position Extensible List
FinanceLeaseLiabilityNoncurrentStatementOfFinancialPositionExtensibleList
http://fasb.org/us-gaap/2022#LongTermDebtAndCapitalLeaseObligations
CY2022 us-gaap Oci Cash Flow Hedge Reclassification For Discontinuance Statement Of Income Or Comprehensive Income Extensible Enumeration
OciCashFlowHedgeReclassificationForDiscontinuanceStatementOfIncomeOrComprehensiveIncomeExtensibleEnumeration
http://fasb.org/us-gaap/2022#InterestIncomeExpenseNonoperatingNet
CY2022 dei Document Type
DocumentType
10-K
CY2022 dei Document Annual Report
DocumentAnnualReport
true
CY2022 dei Document Period End Date
DocumentPeriodEndDate
2022-12-31
CY2022 dei Current Fiscal Year End Date
CurrentFiscalYearEndDate
--12-31
CY2022 dei Document Transition Report
DocumentTransitionReport
false
CY2022 dei Entity File Number
EntityFileNumber
001-37576
CY2022 dei Entity Registrant Name
EntityRegistrantName
Surgery Partners, Inc.
CY2022 dei Entity Incorporation State Country Code
EntityIncorporationStateCountryCode
DE
CY2022 dei Entity Tax Identification Number
EntityTaxIdentificationNumber
47-3620923
CY2022 dei Entity Address Address Line1
EntityAddressAddressLine1
340 Seven Springs Way, Suite 600
CY2022 dei Entity Address City Or Town
EntityAddressCityOrTown
Brentwood
CY2022 dei Entity Address State Or Province
EntityAddressStateOrProvince
TN
CY2022 dei Entity Address Postal Zip Code
EntityAddressPostalZipCode
37027
CY2022 dei City Area Code
CityAreaCode
615
CY2022 dei Local Phone Number
LocalPhoneNumber
234-5900
CY2022 dei Security12b Title
Security12bTitle
Common Stock, par value $0.01 per share
CY2022 dei Trading Symbol
TradingSymbol
SGRY
CY2022 dei Security Exchange Name
SecurityExchangeName
NASDAQ
CY2022 dei Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
Yes
CY2022 dei Entity Voluntary Filers
EntityVoluntaryFilers
No
CY2022 dei Entity Current Reporting Status
EntityCurrentReportingStatus
Yes
CY2022 dei Entity Interactive Data Current
EntityInteractiveDataCurrent
Yes
CY2022 dei Entity Filer Category
EntityFilerCategory
Large Accelerated Filer
CY2022 dei Entity Small Business
EntitySmallBusiness
false
CY2022 dei Entity Emerging Growth Company
EntityEmergingGrowthCompany
false
CY2022 dei Icfr Auditor Attestation Flag
IcfrAuditorAttestationFlag
true
CY2022 dei Entity Shell Company
EntityShellCompany
false
CY2022Q2 dei Entity Public Float
EntityPublicFloat
1100000000 usd
CY2022 dei Auditor Firm
AuditorFirmId
34
CY2022 dei Auditor Name
AuditorName
Deloitte & Touche LLP
CY2022 dei Auditor Location
AuditorLocation
Nashville, Tennessee
CY2022Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
282900000 usd
CY2021Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
389900000 usd
CY2022Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
456300000 usd
CY2021Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
430200000 usd
CY2022Q4 us-gaap Inventory Net
InventoryNet
71400000 usd
CY2021Q4 us-gaap Inventory Net
InventoryNet
61100000 usd
CY2022Q4 us-gaap Prepaid Expense Current
PrepaidExpenseCurrent
31400000 usd
CY2021Q4 us-gaap Prepaid Expense Current
PrepaidExpenseCurrent
25600000 usd
CY2022Q4 us-gaap Other Assets Current
OtherAssetsCurrent
79000000.0 usd
CY2021Q4 us-gaap Other Assets Current
OtherAssetsCurrent
39300000 usd
CY2022Q4 us-gaap Assets Current
AssetsCurrent
921000000.0 usd
CY2021Q4 us-gaap Assets Current
AssetsCurrent
946100000 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
CY2022Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
42300000 usd
CY2021Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
43700000 usd
CY2022Q4 us-gaap Goodwill
Goodwill
4137100000 usd
CY2021Q4 us-gaap Goodwill
Goodwill
3911800000 usd
CY2022Q4 us-gaap Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
190300000 usd
CY2021Q4 us-gaap Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
88700000 usd
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 Deferred Income Tax Assets Net
DeferredIncomeTaxAssetsNet
91500000 usd
CY2021Q4 us-gaap Deferred Income Tax Assets Net
DeferredIncomeTaxAssetsNet
114400000 usd
CY2022Q4 us-gaap Other Assets Noncurrent
OtherAssetsNoncurrent
144200000 usd
CY2021Q4 us-gaap Other Assets Noncurrent
OtherAssetsNoncurrent
59100000 usd
CY2022Q4 us-gaap Assets
Assets
6682100000 usd
CY2021Q4 us-gaap Assets
Assets
6117600000 usd
CY2022Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
151600000 usd
CY2021Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
124900000 usd
CY2022Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
68900000 usd
CY2021Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
77100000 usd
CY2022Q4 sgry Medicare Accelerated Payments And Deferred Governmental Grants Current
MedicareAcceleratedPaymentsAndDeferredGovernmentalGrantsCurrent
3200000 usd
CY2021Q4 sgry Medicare Accelerated Payments And Deferred Governmental Grants Current
MedicareAcceleratedPaymentsAndDeferredGovernmentalGrantsCurrent
64400000 usd
CY2022Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
206900000 usd
CY2021Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
210000000.0 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 Liabilities Current
LiabilitiesCurrent
493400000 usd
CY2021Q4 us-gaap Liabilities Current
LiabilitiesCurrent
536800000 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
CY2022Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
271400000 usd
CY2021Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
315600000 usd
CY2022Q4 us-gaap Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
75400000 usd
CY2021Q4 us-gaap Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
87000000.0 usd
CY2022Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
342000000.0 usd
CY2021Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
330200000 usd
CY2021Q4 us-gaap Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
0.01
CY2022Q4 us-gaap Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
0.01
CY2021Q4 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
20310000 shares
CY2022Q4 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
20310000 shares
CY2022Q4 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
0 shares
CY2022Q4 us-gaap Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
0 shares
CY2021Q4 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
0 shares
CY2021Q4 us-gaap Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
0 shares
CY2022Q4 us-gaap Preferred Stock Value
PreferredStockValue
0 usd
CY2021Q4 us-gaap Preferred Stock Value
PreferredStockValue
0 usd
CY2021Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
0.01
CY2022Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
0.01
CY2021Q4 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
300000000 shares
CY2022Q4 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
300000000 shares
CY2022Q4 us-gaap Common Stock Shares Outstanding
CommonStockSharesOutstanding
125960834 shares
CY2022Q4 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
125960834 shares
CY2021Q4 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
89332557 shares
CY2021Q4 us-gaap Common Stock Shares Outstanding
CommonStockSharesOutstanding
89332557 shares
CY2022Q4 us-gaap Common Stock Value Outstanding
CommonStockValueOutstanding
1300000 usd
CY2021Q4 us-gaap Common Stock Value Outstanding
CommonStockValueOutstanding
900000 usd
CY2022Q4 us-gaap Additional Paid In Capital
AdditionalPaidInCapital
2478000000 usd
CY2021Q4 us-gaap Additional Paid In Capital
AdditionalPaidInCapital
1622300000 usd
CY2022Q4 us-gaap Accumulated Other Comprehensive Income Loss Net Of Tax
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

Files In Submission

Name View Source Status
sgry-20221231_def.xml Edgar Link unprocessable
sgry-20221231_cal.xml Edgar Link unprocessable
0001638833-23-000021-index-headers.html Edgar Link pending
0001638833-23-000021-index.html Edgar Link pending
0001638833-23-000021.txt Edgar Link pending
0001638833-23-000021-xbrl.zip Edgar Link pending
Financial_Report.xlsx Edgar Link pending
MetaLinks.json Edgar Link pending
R1.htm Edgar Link pending
R10.htm Edgar Link pending
R11.htm Edgar Link pending
R12.htm Edgar Link pending
R13.htm Edgar Link pending
R14.htm Edgar Link pending
R15.htm Edgar Link pending
R16.htm Edgar Link pending
R17.htm Edgar Link pending
R18.htm Edgar Link pending
R19.htm Edgar Link pending
R2.htm Edgar Link pending
R20.htm Edgar Link pending
R21.htm Edgar Link pending
R22.htm Edgar Link pending
R23.htm Edgar Link pending
R24.htm Edgar Link pending
R25.htm Edgar Link pending
R26.htm Edgar Link pending
R27.htm Edgar Link pending
R28.htm Edgar Link pending
R29.htm Edgar Link pending
R3.htm Edgar Link pending
R30.htm Edgar Link pending
R31.htm Edgar Link pending
R32.htm Edgar Link pending
R33.htm Edgar Link pending
R34.htm Edgar Link pending
R35.htm Edgar Link pending
R36.htm Edgar Link pending
R37.htm Edgar Link pending
R38.htm Edgar Link pending
R39.htm Edgar Link pending
R4.htm Edgar Link pending
R40.htm Edgar Link pending
R41.htm Edgar Link pending
R42.htm Edgar Link pending
R43.htm Edgar Link pending
R44.htm Edgar Link pending
R45.htm Edgar Link pending
R46.htm Edgar Link pending
R47.htm Edgar Link pending
FilingSummary.xml Edgar Link unprocessable
R48.htm Edgar Link pending
R49.htm Edgar Link pending
R5.htm Edgar Link pending
R50.htm Edgar Link pending
R51.htm Edgar Link pending
R52.htm Edgar Link pending
R53.htm Edgar Link pending
R54.htm Edgar Link pending
R55.htm Edgar Link pending
R56.htm Edgar Link pending
R57.htm Edgar Link pending
R58.htm Edgar Link pending
R59.htm Edgar Link pending
R6.htm Edgar Link pending
R60.htm Edgar Link pending
R61.htm Edgar Link pending
R62.htm Edgar Link pending
R63.htm Edgar Link pending
R64.htm Edgar Link pending
R65.htm Edgar Link pending
R66.htm Edgar Link pending
R67.htm Edgar Link pending
R68.htm Edgar Link pending
R69.htm Edgar Link pending
R7.htm Edgar Link pending
R70.htm Edgar Link pending
R71.htm Edgar Link pending
R72.htm Edgar Link pending
R73.htm Edgar Link pending
R74.htm Edgar Link pending
R75.htm Edgar Link pending
R76.htm Edgar Link pending
R77.htm Edgar Link pending
R78.htm Edgar Link pending
R79.htm Edgar Link pending
R8.htm Edgar Link pending
R80.htm Edgar Link pending
R81.htm Edgar Link pending
R82.htm Edgar Link pending
R9.htm Edgar Link pending
report.css Edgar Link pending
sgry-20221231.htm Edgar Link pending
sgry-20221231.xsd Edgar Link pending
sgry-20221231_g1.jpg Edgar Link pending
Show.js Edgar Link pending
ye2022exhibit1015.htm Edgar Link pending
ye2022exhibit1041.htm Edgar Link pending
ye2022exhibit211.htm Edgar Link pending
ye2022exhibit231.htm Edgar Link pending
sgry-20221231_lab.xml Edgar Link unprocessable
sgry-20221231_pre.xml Edgar Link unprocessable
sgry-20221231_htm.xml Edgar Link completed
ye2022exhibit311.htm Edgar Link pending
ye2022exhibit312.htm Edgar Link pending
ye2022exhibit321.htm Edgar Link pending
ye2022exhibit41.htm Edgar Link pending