2024 Q1 Form 10-K Financial Statement
#000163883324000029 Filed on February 26, 2024
Income Statement
Concept | 2024 Q1 | 2023 Q4 | 2023 |
---|---|---|---|
Revenue | $717.4M | $735.4M | $2.743B |
YoY Change | 7.69% | 4.0% | 8.03% |
Cost Of Revenue | $540.7M | $521.2M | $2.011B |
YoY Change | 5.85% | 3.78% | 6.85% |
Gross Profit | $176.7M | $214.2M | $732.4M |
YoY Change | 13.71% | 4.54% | 11.43% |
Gross Profit Margin | 24.63% | 29.13% | 26.7% |
Selling, General & Admin | $54.60M | $41.50M | $205.8M |
YoY Change | 2.25% | -15.82% | 11.48% |
% of Gross Profit | 30.9% | 19.37% | 28.1% |
Research & Development | |||
YoY Change | |||
% of Gross Profit | |||
Depreciation & Amortization | $33.70M | $31.10M | $118.1M |
YoY Change | 0.0% | 5.07% | 2.87% |
% of Gross Profit | 19.07% | 14.52% | 16.13% |
Operating Expenses | $641.4M | $68.30M | $2.415B |
YoY Change | 3.48% | -2.01% | 10.08% |
Operating Profit | $76.00M | $145.9M | $328.0M |
YoY Change | 63.79% | 7.91% | -4.98% |
Interest Expense | -$47.30M | -$43.90M | -$193.0M |
YoY Change | 1.07% | -22.44% | -17.84% |
% of Operating Profit | -62.24% | -30.09% | -58.84% |
Other Income/Expense, Net | $400.0K | $8.600M | |
YoY Change | 473.33% | ||
Pretax Income | $28.70M | $52.70M | $135.0M |
YoY Change | -7275.0% | 58.73% | 22.39% |
Income Tax | $4.400M | $6.000M | -$300.0K |
% Of Pretax Income | 15.33% | 11.39% | -0.22% |
Net Earnings | -$12.40M | -$1.000M | -$11.90M |
YoY Change | -50.2% | -95.73% | -78.21% |
Net Earnings / Revenue | -1.73% | -0.14% | -0.43% |
Basic Earnings Per Share | -$0.10 | -$0.09 | |
Diluted Earnings Per Share | -$0.10 | -$0.01 | -$0.09 |
COMMON SHARES | |||
Basic Shares Outstanding | 126.6M shares | 126.5M shares | 125.6M shares |
Diluted Shares Outstanding | 126.0M shares | 125.6M shares |
Balance Sheet
Concept | 2024 Q1 | 2023 Q4 | 2023 |
---|---|---|---|
SHORT-TERM ASSETS | |||
Cash & Short-Term Investments | $185.2M | $195.9M | $195.9M |
YoY Change | -24.56% | -30.75% | -30.75% |
Cash & Equivalents | $185.2M | $195.9M | $195.9M |
Short-Term Investments | |||
Other Short-Term Assets | $107.7M | $96.50M | $127.5M |
YoY Change | 55.19% | 22.15% | 15.49% |
Inventory | $77.00M | $75.20M | $75.20M |
Prepaid Expenses | $31.70M | $31.00M | |
Receivables | $494.3M | $496.4M | $496.4M |
Other Receivables | $0.00 | $0.00 | $0.00 |
Total Short-Term Assets | $895.9M | $895.0M | $895.0M |
YoY Change | 3.11% | -2.82% | -2.82% |
LONG-TERM ASSETS | |||
Property, Plant & Equipment | $1.241B | $1.224B | $1.224B |
YoY Change | 10.93% | 5.91% | 5.91% |
Goodwill | $4.398B | $4.326B | |
YoY Change | 4.27% | 4.57% | |
Intangibles | $54.80M | ||
YoY Change | 29.55% | ||
Long-Term Investments | $188.7M | $184.1M | $184.1M |
YoY Change | -1.51% | -3.26% | -3.26% |
Other Assets | $112.4M | $103.3M | $192.8M |
YoY Change | -5.23% | -28.36% | -18.2% |
Total Long-Term Assets | $6.080B | $5.982B | $5.982B |
YoY Change | 5.29% | 3.83% | 3.83% |
TOTAL ASSETS | |||
Total Short-Term Assets | $895.9M | $895.0M | $895.0M |
Total Long-Term Assets | $6.080B | $5.982B | $5.982B |
Total Assets | $6.976B | $6.877B | $6.877B |
YoY Change | 5.0% | 2.91% | 2.91% |
SHORT-TERM LIABILITIES | |||
YoY Change | |||
Accounts Payable | $174.1M | $171.8M | $171.8M |
YoY Change | 20.57% | 13.32% | 13.32% |
Accrued Expenses | $222.3M | $219.9M | $219.9M |
YoY Change | 13.3% | 15.55% | 15.55% |
Deferred Revenue | |||
YoY Change | |||
Short-Term Debt | $0.00 | $0.00 | $0.00 |
YoY Change | |||
Long-Term Debt Due | $77.20M | $73.30M | $73.30M |
YoY Change | 22.73% | 16.72% | 16.72% |
Total Short-Term Liabilities | $523.4M | $523.0M | $523.0M |
YoY Change | 10.17% | 6.0% | 6.0% |
LONG-TERM LIABILITIES | |||
Long-Term Debt | $2.794B | $2.702B | $2.702B |
YoY Change | 10.39% | 5.58% | 5.58% |
Other Long-Term Liabilities | $46.30M | $41.10M | $290.0M |
YoY Change | -42.27% | -45.49% | -16.38% |
Total Long-Term Liabilities | $46.30M | $41.10M | $2.992B |
YoY Change | -42.27% | -45.49% | 2.96% |
TOTAL LIABILITIES | |||
Total Short-Term Liabilities | $523.4M | $523.0M | $523.0M |
Total Long-Term Liabilities | $46.30M | $41.10M | $2.992B |
Total Liabilities | $569.7M | $564.1M | $4.890B |
YoY Change | 2.59% | -0.83% | 4.39% |
SHAREHOLDERS EQUITY | |||
Retained Earnings | -$581.6M | -$569.2M | |
YoY Change | -0.12% | 2.14% | |
Common Stock | |||
YoY Change | |||
Preferred Stock | |||
YoY Change | |||
Treasury Stock (at cost) | |||
YoY Change | |||
Treasury Stock Shares | |||
Shareholders Equity | $1.967B | $1.987B | $1.987B |
YoY Change | |||
Total Liabilities & Shareholders Equity | $6.976B | $6.877B | $6.877B |
YoY Change | 5.0% | 2.91% | 2.91% |
Cashflow Statement
Concept | 2024 Q1 | 2023 Q4 | 2023 |
---|---|---|---|
OPERATING ACTIVITIES | |||
Net Income | -$12.40M | -$1.000M | -$11.90M |
YoY Change | -50.2% | -95.73% | -78.21% |
Depreciation, Depletion And Amortization | $33.70M | $31.10M | $118.1M |
YoY Change | 0.0% | 5.07% | 2.87% |
Cash From Operating Activities | $40.70M | $62.60M | $293.8M |
YoY Change | -45.37% | 769.44% | 85.01% |
INVESTING ACTIVITIES | |||
Capital Expenditures | $21.00M | $19.80M | $88.80M |
YoY Change | -13.58% | -12.78% | 10.17% |
Acquisitions | $54.60M | $80.00M | |
YoY Change | 34.15% | -45.36% | |
Other Investing Activities | $7.000M | -$38.30M | $33.70M |
YoY Change | 70.73% | -22.63% | 193.04% |
Cash From Investing Activities | -$83.10M | -$58.10M | -$225.6M |
YoY Change | 17.54% | -19.53% | -26.73% |
FINANCING ACTIVITIES | |||
Cash Dividend Paid | |||
YoY Change | |||
Common Stock Issuance & Retirement, Net | $0.00 | ||
YoY Change | -100.0% | ||
Debt Paid & Issued, Net | $120.2M | $807.1M | |
YoY Change | 655.97% | -6.37% | |
Cash From Financing Activities | $31.70M | -44.60M | -$155.2M |
YoY Change | -176.94% | -123.1% | -468.65% |
NET CHANGE | |||
Cash From Operating Activities | $40.70M | 62.60M | $293.8M |
Cash From Investing Activities | -$83.10M | -58.10M | -$225.6M |
Cash From Financing Activities | $31.70M | -44.60M | -$155.2M |
Net Change In Cash | -$10.70M | -40.10M | -$87.00M |
YoY Change | -71.39% | -131.3% | -18.69% |
FREE CASH FLOW | |||
Cash From Operating Activities | $40.70M | $62.60M | $293.8M |
Capital Expenditures | $21.00M | $19.80M | $88.80M |
Free Cash Flow | $19.70M | $42.80M | $205.0M |
YoY Change | -60.76% | -376.13% | 162.15% |
Facts In Submission
Frame | Concept Type | Concept / XBRL Key | Value | Unit |
---|---|---|---|---|
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 |
CY2023 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
88800000 | usd |
CY2022 | us-gaap |
Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
|
80600000 | usd |
CY2023 | us-gaap |
Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
|
80000000.0 | usd |
CY2023 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-14400000 | usd |
CY2022 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-11100000 | usd |
CY2023 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
14200000 | usd |
CY2021 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
11300000 | usd |
CY2023 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
-10600000 | 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 |
CY2023 | dei |
Entity Central Index Key
EntityCentralIndexKey
|
0001638833 | |
CY2023 | dei |
Document Fiscal Year Focus
DocumentFiscalYearFocus
|
2023 | |
CY2023 | dei |
Document Fiscal Period Focus
DocumentFiscalPeriodFocus
|
FY | |
CY2023 | dei |
Amendment Flag
AmendmentFlag
|
false | |
CY2023 | us-gaap |
Disposal Group Not Discontinued Operation Gain Loss On Disposal Statement Of Income Extensible List
DisposalGroupNotDiscontinuedOperationGainLossOnDisposalStatementOfIncomeExtensibleList
|
http://www.surgerypartners.com/20231231#GainLossOnDispositionOfAssetsAndDeconsolidation | |
CY2022Q4 | us-gaap |
Finance Lease Right Of Use Asset Statement Of Financial Position Extensible List
FinanceLeaseRightOfUseAssetStatementOfFinancialPositionExtensibleList
|
http://fasb.org/us-gaap/2023#PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization | |
CY2023Q4 | us-gaap |
Finance Lease Right Of Use Asset Statement Of Financial Position Extensible List
FinanceLeaseRightOfUseAssetStatementOfFinancialPositionExtensibleList
|
http://fasb.org/us-gaap/2023#PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization | |
CY2023Q4 | us-gaap |
Operating Lease Liability Current Statement Of Financial Position Extensible List
OperatingLeaseLiabilityCurrentStatementOfFinancialPositionExtensibleList
|
http://fasb.org/us-gaap/2023#OtherLiabilitiesCurrent | |
CY2022Q4 | us-gaap |
Operating Lease Liability Current Statement Of Financial Position Extensible List
OperatingLeaseLiabilityCurrentStatementOfFinancialPositionExtensibleList
|
http://fasb.org/us-gaap/2023#OtherLiabilitiesCurrent | |
CY2023Q4 | us-gaap |
Finance Lease Liability Current Statement Of Financial Position Extensible List
FinanceLeaseLiabilityCurrentStatementOfFinancialPositionExtensibleList
|
http://fasb.org/us-gaap/2023#LongTermDebtAndCapitalLeaseObligationsCurrent | |
CY2022Q4 | us-gaap |
Finance Lease Liability Current Statement Of Financial Position Extensible List
FinanceLeaseLiabilityCurrentStatementOfFinancialPositionExtensibleList
|
http://fasb.org/us-gaap/2023#LongTermDebtAndCapitalLeaseObligationsCurrent | |
CY2022Q4 | us-gaap |
Finance Lease Liability Noncurrent Statement Of Financial Position Extensible List
FinanceLeaseLiabilityNoncurrentStatementOfFinancialPositionExtensibleList
|
http://fasb.org/us-gaap/2023#LongTermDebtAndCapitalLeaseObligations | |
CY2023Q4 | us-gaap |
Finance Lease Liability Noncurrent Statement Of Financial Position Extensible List
FinanceLeaseLiabilityNoncurrentStatementOfFinancialPositionExtensibleList
|
http://fasb.org/us-gaap/2023#LongTermDebtAndCapitalLeaseObligations | |
CY2023 | us-gaap |
Oci Cash Flow Hedge Reclassification For Discontinuance Statement Of Income Or Comprehensive Income Extensible Enumeration
OciCashFlowHedgeReclassificationForDiscontinuanceStatementOfIncomeOrComprehensiveIncomeExtensibleEnumeration
|
http://fasb.org/us-gaap/2023#InterestIncomeExpenseNonoperatingNet | |
CY2023 | dei |
Document Annual Report
DocumentAnnualReport
|
true | |
CY2023 | dei |
Current Fiscal Year End Date
CurrentFiscalYearEndDate
|
--12-31 | |
CY2023 | dei |
Document Transition Report
DocumentTransitionReport
|
false | |
CY2023 | dei |
Entity File Number
EntityFileNumber
|
001-37576 | |
CY2023 | dei |
Entity Registrant Name
EntityRegistrantName
|
Surgery Partners, Inc. | |
CY2023 | dei |
Entity Incorporation State Country Code
EntityIncorporationStateCountryCode
|
DE | |
CY2023 | dei |
Entity Tax Identification Number
EntityTaxIdentificationNumber
|
47-3620923 | |
CY2023 | dei |
Entity Address Address Line1
EntityAddressAddressLine1
|
340 Seven Springs Way, Suite 600 | |
CY2023 | dei |
Entity Address City Or Town
EntityAddressCityOrTown
|
Brentwood | |
CY2023 | dei |
Entity Address State Or Province
EntityAddressStateOrProvince
|
TN | |
CY2023 | dei |
Entity Address Postal Zip Code
EntityAddressPostalZipCode
|
37027 | |
CY2023 | dei |
City Area Code
CityAreaCode
|
615 | |
CY2023 | dei |
Local Phone Number
LocalPhoneNumber
|
234-5900 | |
CY2023 | dei |
Security12b Title
Security12bTitle
|
Common Stock, par value $0.01 per share | |
CY2023 | dei |
Trading Symbol
TradingSymbol
|
SGRY | |
CY2023 | dei |
Security Exchange Name
SecurityExchangeName
|
NASDAQ | |
CY2023 | dei |
Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
|
Yes | |
CY2023 | dei |
Entity Voluntary Filers
EntityVoluntaryFilers
|
No | |
CY2023 | dei |
Entity Current Reporting Status
EntityCurrentReportingStatus
|
Yes | |
CY2023 | dei |
Entity Interactive Data Current
EntityInteractiveDataCurrent
|
Yes | |
CY2023 | dei |
Entity Filer Category
EntityFilerCategory
|
Large Accelerated Filer | |
CY2023 | dei |
Entity Small Business
EntitySmallBusiness
|
false | |
CY2023 | dei |
Entity Emerging Growth Company
EntityEmergingGrowthCompany
|
false | |
CY2023 | dei |
Icfr Auditor Attestation Flag
IcfrAuditorAttestationFlag
|
true | |
CY2023 | dei |
Document Fin Stmt Error Correction Flag
DocumentFinStmtErrorCorrectionFlag
|
false | |
CY2023 | dei |
Entity Shell Company
EntityShellCompany
|
false | |
CY2023Q2 | dei |
Entity Public Float
EntityPublicFloat
|
4700000000 | usd |
CY2024Q1 | dei |
Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
|
126607086 | shares |
CY2023 | dei |
Auditor Name
AuditorName
|
Deloitte & Touche LLP | |
CY2023Q4 | ecd |
Non Rule10b51 Arr Adopted Flag
NonRule10b51ArrAdoptedFlag
|
false | |
CY2023Q4 | ecd |
Rule10b51 Arr Adopted Flag
Rule10b51ArrAdoptedFlag
|
false | |
CY2023Q4 | ecd |
Rule10b51 Arr Trmntd Flag
Rule10b51ArrTrmntdFlag
|
false | |
CY2023Q4 | ecd |
Non Rule10b51 Arr Trmntd Flag
NonRule10b51ArrTrmntdFlag
|
false | |
CY2023 | dei |
Auditor Firm
AuditorFirmId
|
34 | |
CY2023 | dei |
Auditor Location
AuditorLocation
|
Nashville, Tennessee | |
CY2023Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
195900000 | usd |
CY2022Q4 | us-gaap |
Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
|
282900000 | usd |
CY2023Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
496400000 | usd |
CY2022Q4 | us-gaap |
Accounts Receivable Net Current
AccountsReceivableNetCurrent
|
456300000 | usd |
CY2023Q4 | us-gaap |
Inventory Net
InventoryNet
|
75200000 | usd |
CY2022Q4 | us-gaap |
Inventory Net
InventoryNet
|
71400000 | usd |
CY2023Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
31000000.0 | usd |
CY2022Q4 | us-gaap |
Prepaid Expense Current
PrepaidExpenseCurrent
|
31400000 | usd |
CY2023Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
96500000 | usd |
CY2022Q4 | us-gaap |
Other Assets Current
OtherAssetsCurrent
|
79000000.0 | usd |
CY2023Q4 | us-gaap |
Assets Current
AssetsCurrent
|
895000000.0 | usd |
CY2022Q4 | us-gaap |
Assets Current
AssetsCurrent
|
921000000.0 | usd |
CY2023Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset After Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization
|
968700000 | usd |
CY2022Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset After Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization
|
876600000 | usd |
CY2023Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
54800000 | usd |
CY2022Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
42300000 | usd |
CY2023Q4 | us-gaap |
Goodwill
Goodwill
|
4326000000 | usd |
CY2022Q4 | us-gaap |
Goodwill
Goodwill
|
4137100000 | usd |
CY2023Q4 | us-gaap |
Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
|
184100000 | usd |
CY2022Q4 | us-gaap |
Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
|
190300000 | usd |
CY2023Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
255300000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
279100000 | usd |
CY2023Q4 | us-gaap |
Deferred Income Tax Assets Net
DeferredIncomeTaxAssetsNet
|
89500000 | usd |
CY2022Q4 | us-gaap |
Deferred Income Tax Assets Net
DeferredIncomeTaxAssetsNet
|
91500000 | usd |
CY2023Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
103300000 | usd |
CY2022Q4 | us-gaap |
Other Assets Noncurrent
OtherAssetsNoncurrent
|
144200000 | usd |
CY2023Q4 | us-gaap |
Assets
Assets
|
6876700000 | usd |
CY2022Q4 | us-gaap |
Assets
Assets
|
6682100000 | usd |
CY2023Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
171800000 | usd |
CY2022Q4 | us-gaap |
Accounts Payable Current
AccountsPayableCurrent
|
151600000 | usd |
CY2023Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
73800000 | usd |
CY2022Q4 | us-gaap |
Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
|
68900000 | usd |
CY2023Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
204100000 | usd |
CY2022Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
210100000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
73300000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
62800000 | usd |
CY2023Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
523000000.0 | usd |
CY2022Q4 | us-gaap |
Liabilities Current
LiabilitiesCurrent
|
493400000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
2701800000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
2559000000 | usd |
CY2023Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
248900000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
271400000 | usd |
CY2023Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
41100000 | usd |
CY2022Q4 | us-gaap |
Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
|
75400000 | usd |
CY2023Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
327400000 | usd |
CY2022Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
342000000.0 | usd |
CY2023Q4 | 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 | |
CY2023Q4 | 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 Outstanding
PreferredStockSharesOutstanding
|
0 | shares |
CY2023Q4 | us-gaap |
Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
|
0 | shares |
CY2022Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2023Q4 | us-gaap |
Preferred Stock Shares Issued
PreferredStockSharesIssued
|
0 | shares |
CY2023Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
0 | usd |
CY2022Q4 | us-gaap |
Preferred Stock Value
PreferredStockValue
|
0 | usd |
CY2022Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2023Q4 | us-gaap |
Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
|
0.01 | |
CY2023Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
300000000 | shares |
CY2022Q4 | us-gaap |
Common Stock Shares Authorized
CommonStockSharesAuthorized
|
300000000 | shares |
CY2023Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
126593727 | shares |
CY2023Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
126593727 | shares |
CY2022Q4 | us-gaap |
Common Stock Shares Issued
CommonStockSharesIssued
|
125960834 | shares |
CY2022Q4 | us-gaap |
Common Stock Shares Outstanding
CommonStockSharesOutstanding
|
125960834 | shares |
CY2023Q4 | us-gaap |
Common Stock Value Outstanding
CommonStockValueOutstanding
|
1300000 | usd |
CY2022Q4 | us-gaap |
Common Stock Value Outstanding
CommonStockValueOutstanding
|
1300000 | usd |
CY2023Q4 | us-gaap |
Additional Paid In Capital
AdditionalPaidInCapital
|
2497600000 | usd |
CY2022Q4 | us-gaap |
Additional Paid In Capital
AdditionalPaidInCapital
|
2478000000 | usd |
CY2023Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
57500000 | usd |
CY2022Q4 | us-gaap |
Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
|
76200000 | usd |
CY2023Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
-569200000 | usd |
CY2022Q4 | us-gaap |
Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
|
-557300000 | usd |
CY2023Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
1987200000 | usd |
CY2022Q4 | us-gaap |
Stockholders Equity
StockholdersEquity
|
1998200000 | usd |
CY2023Q4 | us-gaap |
Minority Interest
MinorityInterest
|
1047300000 | usd |
CY2022Q4 | us-gaap |
Minority Interest
MinorityInterest
|
942700000 | usd |
CY2023Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
3034500000 | usd |
CY2022Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
2940900000 | usd |
CY2023Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
6876700000 | usd |
CY2022Q4 | us-gaap |
Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
|
6682100000 | usd |
CY2023 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2743300000 | 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 |
CY2023 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
793800000 | usd |
CY2022 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
746400000 | usd |
CY2021 | us-gaap |
Labor And Related Expense
LaborAndRelatedExpense
|
644300000 | usd |
CY2023 | us-gaap |
Supplies Expense
SuppliesExpense
|
745000000.0 | usd |
CY2022 | us-gaap |
Supplies Expense
SuppliesExpense
|
709700000 | usd |
CY2021 | us-gaap |
Supplies Expense
SuppliesExpense
|
636400000 | usd |
CY2023 | us-gaap |
Professional Fees
ProfessionalFees
|
296800000 | usd |
CY2022 | us-gaap |
Professional Fees
ProfessionalFees
|
269200000 | usd |
CY2021 | us-gaap |
Professional Fees
ProfessionalFees
|
230000000.0 | usd |
CY2023 | sgry |
Operating And Finance Lease Expense
OperatingAndFinanceLeaseExpense
|
84900000 | usd |
CY2022 | sgry |
Operating And Finance Lease Expense
OperatingAndFinanceLeaseExpense
|
82400000 | usd |
CY2021 | sgry |
Operating And Finance Lease Expense
OperatingAndFinanceLeaseExpense
|
90600000 | usd |
CY2023 | us-gaap |
Other Cost And Expense Operating
OtherCostAndExpenseOperating
|
175300000 | usd |
CY2022 | us-gaap |
Other Cost And Expense Operating
OtherCostAndExpenseOperating
|
156700000 | usd |
CY2021 | us-gaap |
Other Cost And Expense Operating
OtherCostAndExpenseOperating
|
132400000 | usd |
CY2023 | us-gaap |
Operating Costs And Expenses
OperatingCostsAndExpenses
|
2095800000 | usd |
CY2022 | us-gaap |
Operating Costs And Expenses
OperatingCostsAndExpenses
|
1964400000 | usd |
CY2021 | us-gaap |
Operating Costs And Expenses
OperatingCostsAndExpenses
|
1733700000 | usd |
CY2023 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
120900000 | usd |
CY2022 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
102200000 | usd |
CY2021 | us-gaap |
General And Administrative Expense
GeneralAndAdministrativeExpense
|
104000000.0 | usd |
CY2023 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
118100000 | usd |
CY2022 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
114800000 | usd |
CY2021 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
98800000 | usd |
CY2023 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
61700000 | usd |
CY2022 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
47500000 | usd |
CY2021 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
39800000 | usd |
CY2023 | sgry |
Grant Revenue
GrantRevenue
|
1100000 | usd |
CY2022 | sgry |
Grant Revenue
GrantRevenue
|
2400000 | usd |
CY2021 | sgry |
Grant Revenue
GrantRevenue
|
37900000 | usd |
CY2021 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-2200000 | usd |
CY2022 | us-gaap |
Income Loss From Equity Method Investments
IncomeLossFromEquityMethodInvestments
|
12500000 | 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 |
CY2021 | us-gaap |
Other Nonrecurring Income Expense
OtherNonrecurringIncomeExpense
|
-15500000 | usd |
CY2023 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-193000000.0 | usd |
CY2023 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
135000000.0 | usd |
CY2022 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
110300000 | usd |
CY2023 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
-300000 | usd |
CY2022 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
23300000 | usd |
CY2021 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
10500000 | usd |
CY2023 | us-gaap |
Profit Loss
ProfitLoss
|
135300000 | usd |
CY2022 | us-gaap |
Profit Loss
ProfitLoss
|
87000000.0 | usd |
CY2021 | us-gaap |
Profit Loss
ProfitLoss
|
70700000 | usd |
CY2023 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
147200000 | 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 |
CY2023 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-11900000 | usd |
CY2022 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-54600000 | usd |
CY2021 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-70900000 | usd |
CY2023 | sgry |
Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued
UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued
|
0 | 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 |
CY2023 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-11900000 | usd |
CY2023 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-11900000 | 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 Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-81200000 | usd |
CY2021 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-81200000 | usd |
CY2021 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-1.12 | |
CY2023 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
125613000 | shares |
CY2023 | us-gaap |
Profit Loss
ProfitLoss
|
135300000 | usd |
CY2022 | us-gaap |
Profit Loss
ProfitLoss
|
87000000.0 | usd |
CY2022 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationTax
|
0 | usd |
CY2023 | 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 |
CY2023 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification And Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax
|
-18700000 | 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 |
CY2023 | us-gaap |
Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest
|
116600000 | 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 |
CY2023 | us-gaap |
Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
|
147200000 | 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 |
CY2023 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
-30600000 | usd |
CY2022 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
53100000 | usd |
CY2021 | us-gaap |
Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
|
-41400000 | 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 |
CY2023 | us-gaap |
Net Income Loss Including Portion Attributable To Nonredeemable Noncontrolling Interest
NetIncomeLossIncludingPortionAttributableToNonredeemableNoncontrollingInterest
|
97500000 | usd |
CY2023 | us-gaap |
Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
|
18500000 | usd |
CY2023 | us-gaap |
Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
|
-18700000 | usd |
CY2023 | sgry |
Non Controlling Interest Acquisitions And Disposals Of Interests Held By Non Controlling Interest Holders Net
NonControllingInterestAcquisitionsAndDisposalsOfInterestsHeldByNonControllingInterestHoldersNet
|
99300000 | usd |
CY2023 | us-gaap |
Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
103000000.0 | usd |
CY2023Q4 | us-gaap |
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
|
3034500000 | usd |
CY2023 | us-gaap |
Profit Loss
ProfitLoss
|
135300000 | usd |
CY2022 | us-gaap |
Profit Loss
ProfitLoss
|
87000000.0 | usd |
CY2021 | us-gaap |
Profit Loss
ProfitLoss
|
70700000 | usd |
CY2023 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
118100000 | usd |
CY2022 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
114800000 | usd |
CY2021 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
98800000 | usd |
CY2023 | us-gaap |
Operating Lease Expense
OperatingLeaseExpense
|
35200000 | usd |
CY2022 | us-gaap |
Operating Lease Expense
OperatingLeaseExpense
|
34800000 | usd |
CY2021 | us-gaap |
Operating Lease Expense
OperatingLeaseExpense
|
39100000 | usd |
CY2023 | sgry |
Noncash Interest Income Expense Net
NoncashInterestIncomeExpenseNet
|
-25000000.0 | usd |
CY2022 | sgry |
Noncash Interest Income Expense Net
NoncashInterestIncomeExpenseNet
|
-25900000 | usd |
CY2021 | sgry |
Noncash Interest Income Expense Net
NoncashInterestIncomeExpenseNet
|
-22000000.0 | usd |
CY2023 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
17700000 | usd |
CY2022 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
18400000 | usd |
CY2021 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
17400000 | usd |
CY2023 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-14400000 | 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 |
CY2023 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-15500000 | 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 |
CY2023 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
-1700000 | usd |
CY2022 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
21900000 | usd |
CY2021 | us-gaap |
Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
|
8900000 | usd |
CY2023 | us-gaap |
Income Loss From Equity Method Investments Net Of Dividends Or Distributions
IncomeLossFromEquityMethodInvestmentsNetOfDividendsOrDistributions
|
2200000 | 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 |
CY2023 | us-gaap |
Other Noncash Income
OtherNoncashIncome
|
0 | usd |
CY2022 | us-gaap |
Other Noncash Income
OtherNoncashIncome
|
7500000 | usd |
CY2021 | us-gaap |
Other Noncash Income
OtherNoncashIncome
|
0 | usd |
CY2023 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
47200000 | usd |
CY2022 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
35300000 | usd |
CY2021 | us-gaap |
Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
|
32100000 | usd |
CY2023 | sgry |
Increase Decrease In Medicare Accelerated Payments And Deferred Governmental Grants
IncreaseDecreaseInMedicareAcceleratedPaymentsAndDeferredGovernmentalGrants
|
-1200000 | 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 |
CY2023 | sgry |
Increase Decrease In Settlement Payments
IncreaseDecreaseInSettlementPayments
|
0 | usd |
CY2022 | sgry |
Increase Decrease In Settlement Payments
IncreaseDecreaseInSettlementPayments
|
0 | usd |
CY2021 | sgry |
Increase Decrease In Settlement Payments
IncreaseDecreaseInSettlementPayments
|
32200000 | usd |
CY2023 | us-gaap |
Increase Decrease In Other Operating Capital Net
IncreaseDecreaseInOtherOperatingCapitalNet
|
15100000 | 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 |
CY2023 | us-gaap |
Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
|
293800000 | usd |
CY2021 | us-gaap |
Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
|
6000000.0 | 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 |
CY2023 | us-gaap |
Proceeds From Sale Of Equity Method Investments
ProceedsFromSaleOfEquityMethodInvestments
|
1400000 | 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 |
CY2023 | us-gaap |
Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
|
33700000 | 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 |
CY2023 | us-gaap |
Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
|
-225600000 | 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 |
CY2023 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
807100000 | usd |
CY2022 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
862000000.0 | usd |
CY2021 | us-gaap |
Repayments Of Long Term Debt
RepaymentsOfLongTermDebt
|
343200000 | usd |
CY2023 | us-gaap |
Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
|
826600000 | 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 |
CY2023 | us-gaap |
Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
|
24300000 | usd |
CY2022 | us-gaap |
Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
|
0 | usd |
CY2021 | us-gaap |
Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
|
11700000 | usd |
CY2023 | sgry |
Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
|
0 | usd |
CY2022 | sgry |
Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
|
11300000 | usd |
CY2021 | sgry |
Debt Instrument Prepayment Penalty Amount
DebtInstrumentPrepaymentPenaltyAmount
|
0 | usd |
CY2023 | us-gaap |
Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
|
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 |
CY2023 | us-gaap |
Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
|
0 | usd |
CY2022 | us-gaap |
Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
|
25200000 | usd |
CY2021 | us-gaap |
Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
|
27600000 | usd |
CY2023 | us-gaap |
Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
|
146100000 | usd |
CY2022 | us-gaap |
Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
|
146800000 | usd |
CY2021 | us-gaap |
Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
|
131000000.0 | usd |
CY2023 | us-gaap |
Proceeds From Payments To Minority Shareholders
ProceedsFromPaymentsToMinorityShareholders
|
8200000 | usd |
CY2022 | us-gaap |
Proceeds From Payments To Minority Shareholders
ProceedsFromPaymentsToMinorityShareholders
|
-3400000 | usd |
CY2021 | us-gaap |
Proceeds From Payments To Minority Shareholders
ProceedsFromPaymentsToMinorityShareholders
|
-28400000 | usd |
CY2023 | us-gaap |
Payments Of Dividends Preferred Stock And Preference Stock
PaymentsOfDividendsPreferredStockAndPreferenceStock
|
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 |
CY2023 | us-gaap |
Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
|
-12500000 | 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 |
CY2023 | us-gaap |
Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
|
-155200000 | 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 |
CY2023 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
|
-87000000.0 | 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 |
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 |
CY2023Q4 | us-gaap |
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
|
195900000 | 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 |
CY2023 | us-gaap |
Interest Paid Net
InterestPaidNet
|
169600000 | usd |
CY2022 | us-gaap |
Interest Paid Net
InterestPaidNet
|
218700000 | usd |
CY2021 | us-gaap |
Interest Paid Net
InterestPaidNet
|
194300000 | usd |
CY2023 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1400000 | usd |
CY2022 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1800000 | usd |
CY2021 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1500000 | usd |
CY2023 | us-gaap |
Noncash Or Part Noncash Acquisition Fixed Assets Acquired1
NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1
|
18000000.0 | 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 |
CY2023Q4 | sgry |
Number Of Surgical Facilities Owned
NumberOfSurgicalFacilitiesOwned
|
162 | facility |
CY2023Q4 | us-gaap |
Number Of States In Which Entity Operates
NumberOfStatesInWhichEntityOperates
|
33 | state |
CY2023Q4 | sgry |
Number Of Surgical Facilities Owned Majority Interest
NumberOfSurgicalFacilitiesOwnedMajorityInterest
|
90 | facility |
CY2023Q4 | sgry |
Number Of Surgical Facilities Owned Consolidated
NumberOfSurgicalFacilitiesOwnedConsolidated
|
123 | facility |
CY2022 | sgry |
Number Of Deconsolidations
NumberOfDeconsolidations
|
2 | integer |
CY2023 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2743300000 | 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 |
CY2023 | sgry |
Grant Revenue
GrantRevenue
|
1100000 | usd |
CY2022 | sgry |
Grant Revenue
GrantRevenue
|
2400000 | usd |
CY2021 | sgry |
Grant Revenue
GrantRevenue
|
37900000 | usd |
CY2022Q4 | sgry |
Unrecognized Grant Funds Received
UnrecognizedGrantFundsReceived
|
3000000 | 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 |
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 |
CY2023 | us-gaap |
Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
|
37800000 | usd |
CY2022 | us-gaap |
Net Income Loss Attributable To Redeemable Noncontrolling Interest
NetIncomeLossAttributableToRedeemableNoncontrollingInterest
|
44500000 | usd |
CY2023 | sgry |
Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests
RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests
|
-9300000 | usd |
CY2022 | sgry |
Redeemable Noncontrolling Interest Increase Decrease From Redemptions Or Purchase Of Interests
RedeemableNoncontrollingInterestIncreaseDecreaseFromRedemptionsOrPurchaseOfInterests
|
10400000 | usd |
CY2023 | sgry |
Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders
RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
43100000 | usd |
CY2022 | sgry |
Redeemable Noncontrolling Interest Decrease From Distributions To Noncontrolling Interest Holders
RedeemableNoncontrollingInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
|
43100000 | usd |
CY2023Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
327400000 | usd |
CY2022Q4 | us-gaap |
Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
|
342000000.0 | usd |
CY2023Q4 | sgry |
Variable Interest Entity Number Of Facilities
VariableInterestEntityNumberOfFacilities
|
7 | facility |
CY2023Q4 | sgry |
Variable Interest Entity Number Of Facilities
VariableInterestEntityNumberOfFacilities
|
5 | physician_practice |
CY2023Q4 | us-gaap |
Finance Lease Right Of Use Asset Before Accumulated Amortization
FinanceLeaseRightOfUseAssetBeforeAccumulatedAmortization
|
716300000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Right Of Use Asset Before Accumulated Amortization
FinanceLeaseRightOfUseAssetBeforeAccumulatedAmortization
|
631300000 | usd |
CY2023Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset Before Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetBeforeAccumulatedDepreciationAndAmortization
|
1423100000 | usd |
CY2022Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset Before Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetBeforeAccumulatedDepreciationAndAmortization
|
1250900000 | usd |
CY2023Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAccumulatedDepreciationAndAmortization
|
454400000 | usd |
CY2022Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAccumulatedDepreciationAndAmortization
|
374300000 | usd |
CY2023Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset After Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization
|
968700000 | usd |
CY2022Q4 | us-gaap |
Property Plant And Equipment And Finance Lease Right Of Use Asset After Accumulated Depreciation And Amortization
PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortization
|
876600000 | usd |
CY2023 | us-gaap |
Depreciation
Depreciation
|
112800000 | usd |
CY2022 | us-gaap |
Depreciation
Depreciation
|
112100000 | usd |
CY2021 | us-gaap |
Depreciation
Depreciation
|
94500000 | usd |
CY2023 | us-gaap |
Number Of Reporting Units
NumberOfReportingUnits
|
2 | reporting_unit |
CY2023 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
0 | usd |
CY2021 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
0 | usd |
CY2022 | us-gaap |
Goodwill Impairment Loss
GoodwillImpairmentLoss
|
0 | usd |
CY2022Q4 | us-gaap |
Goodwill
Goodwill
|
4137100000 | usd |
CY2021Q4 | us-gaap |
Goodwill
Goodwill
|
3911800000 | usd |
CY2023 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
225900000 | usd |
CY2022 | us-gaap |
Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
|
269700000 | usd |
CY2023 | sgry |
Goodwill Written Off Related To Sale Of Business Unit And Deconsolidations
GoodwillWrittenOffRelatedToSaleOfBusinessUnitAndDeconsolidations
|
37000000.0 | usd |
CY2022 | sgry |
Goodwill Written Off Related To Sale Of Business Unit And Deconsolidations
GoodwillWrittenOffRelatedToSaleOfBusinessUnitAndDeconsolidations
|
44400000 | usd |
CY2023Q4 | us-gaap |
Goodwill
Goodwill
|
4326000000 | usd |
CY2022Q4 | us-gaap |
Goodwill
Goodwill
|
4137100000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
|
72800000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
32600000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
40200000 | 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 |
CY2023Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
14600000 | usd |
CY2023Q4 | us-gaap |
Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
|
14600000 | 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 |
CY2023Q4 | us-gaap |
Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
|
87400000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
|
32600000 | usd |
CY2023Q4 | us-gaap |
Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
|
54800000 | 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 |
CY2023 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
7600000 | usd |
CY2022 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
6400000 | usd |
CY2021 | us-gaap |
Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
|
6900000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
|
5800000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
|
5300000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
|
5000000.0 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
|
3800000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
|
3300000 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Amortization Expense After Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
|
17000000.0 | usd |
CY2023Q4 | us-gaap |
Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
|
40200000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
693600000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
585700000 | usd |
CY2023Q4 | us-gaap |
Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net
DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet
|
27100000 | usd |
CY2022Q4 | us-gaap |
Debt Instrument Unamortized Discount Premium And Debt Issuance Costs Net
DebtInstrumentUnamortizedDiscountPremiumAndDebtIssuanceCostsNet
|
10200000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
|
2775100000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Including Current Maturities
LongTermDebtAndCapitalLeaseObligationsIncludingCurrentMaturities
|
2621800000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
73300000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
|
62800000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
2701800000 | usd |
CY2022Q4 | us-gaap |
Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
|
2559000000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
|
73300000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
|
264800000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
|
62600000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
|
376400000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
|
51100000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
|
1975600000 | usd |
CY2023Q4 | us-gaap |
Long Term Debt
LongTermDebt
|
2803800000 | usd |
CY2023Q4 | us-gaap |
Lessor Operating Lease Term Of Contract
LessorOperatingLeaseTermOfContract
|
P10Y | |
CY2023 | sgry |
Lessee Operating Lease Option To Extend Number Of Options To Renew
LesseeOperatingLeaseOptionToExtendNumberOfOptionsToRenew
|
1 | lease_renewal_option |
CY2023Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
255300000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
|
279100000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Right Of Use Asset
FinanceLeaseRightOfUseAsset
|
587000000.0 | usd |
CY2022Q4 | us-gaap |
Finance Lease Right Of Use Asset
FinanceLeaseRightOfUseAsset
|
529600000 | usd |
CY2023Q4 | sgry |
Lease Right Of Use Asset
LeaseRightOfUseAsset
|
842300000 | usd |
CY2022Q4 | sgry |
Lease Right Of Use Asset
LeaseRightOfUseAsset
|
808700000 | usd |
CY2023Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
37600000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
36500000 | usd |
CY2023Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
248900000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
|
271400000 | usd |
CY2023Q4 | us-gaap |
Operating Lease Liability
OperatingLeaseLiability
|
286500000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability
OperatingLeaseLiability
|
307900000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
|
25400000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
|
20900000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
|
668200000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
|
564800000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
693600000 | usd |
CY2022Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
585700000 | usd |
CY2023Q4 | sgry |
Lease Liability
LeaseLiability
|
980100000 | usd |
CY2022Q4 | sgry |
Lease Liability
LeaseLiability
|
893600000 | usd |
CY2023 | sgry |
Increase Decrease In Finance Lease Liability
IncreaseDecreaseInFinanceLeaseLiability
|
97100000 | usd |
CY2023 | sgry |
Increase Decrease In Finance Lease Right Of Use Assets
IncreaseDecreaseInFinanceLeaseRightOfUseAssets
|
95700000 | usd |
CY2023 | us-gaap |
Increase Decrease In Operating Lease Liability
IncreaseDecreaseInOperatingLeaseLiability
|
-38400000 | usd |
CY2023 | sgry |
Increase Decrease In Operating Lease Right Of Use Assets
IncreaseDecreaseInOperatingLeaseRightOfUseAssets
|
-36900000 | usd |
CY2023Q4 | us-gaap |
Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
|
P9Y2M12D | |
CY2023Q4 | us-gaap |
Finance Lease Weighted Average Remaining Lease Term1
FinanceLeaseWeightedAverageRemainingLeaseTerm1
|
P20Y6M | |
CY2022Q4 | us-gaap |
Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
|
P9Y2M12D | |
CY2022Q4 | us-gaap |
Finance Lease Weighted Average Remaining Lease Term1
FinanceLeaseWeightedAverageRemainingLeaseTerm1
|
P20Y8M12D | |
CY2023Q4 | us-gaap |
Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
|
0.082 | |
CY2023Q4 | us-gaap |
Finance Lease Weighted Average Discount Rate Percent
FinanceLeaseWeightedAverageDiscountRatePercent
|
0.082 | |
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 | |
CY2023 | us-gaap |
Operating Lease Cost
OperatingLeaseCost
|
65700000 | usd |
CY2022 | us-gaap |
Operating Lease Cost
OperatingLeaseCost
|
65500000 | usd |
CY2023 | us-gaap |
Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
|
39900000 | usd |
CY2022 | us-gaap |
Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
|
38800000 | usd |
CY2023 | us-gaap |
Finance Lease Interest Expense
FinanceLeaseInterestExpense
|
48600000 | usd |
CY2022 | us-gaap |
Finance Lease Interest Expense
FinanceLeaseInterestExpense
|
42700000 | usd |
CY2023 | sgry |
Finance Lease Cost
FinanceLeaseCost
|
88500000 | usd |
CY2022 | sgry |
Finance Lease Cost
FinanceLeaseCost
|
81500000 | usd |
CY2023 | sgry |
Variable And Short Term Lease Cost
VariableAndShortTermLeaseCost
|
20100000 | usd |
CY2022 | sgry |
Variable And Short Term Lease Cost
VariableAndShortTermLeaseCost
|
18500000 | usd |
CY2023 | us-gaap |
Lease Cost
LeaseCost
|
174300000 | usd |
CY2022 | us-gaap |
Lease Cost
LeaseCost
|
165500000 | usd |
CY2023 | us-gaap |
Operating Lease Payments
OperatingLeasePayments
|
63700000 | usd |
CY2022 | us-gaap |
Operating Lease Payments
OperatingLeasePayments
|
63200000 | usd |
CY2023 | us-gaap |
Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
|
45800000 | usd |
CY2022 | us-gaap |
Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
|
41700000 | usd |
CY2023 | us-gaap |
Finance Lease Principal Payments
FinanceLeasePrincipalPayments
|
26700000 | usd |
CY2022 | us-gaap |
Finance Lease Principal Payments
FinanceLeasePrincipalPayments
|
24600000 | usd |
CY2023 | us-gaap |
Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
|
60100000 | usd |
CY2022 | us-gaap |
Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
|
57300000 | usd |
CY2023 | us-gaap |
Right Of Use Asset Obtained In Exchange For Finance Lease Liability
RightOfUseAssetObtainedInExchangeForFinanceLeaseLiability
|
167500000 | usd |
CY2022 | us-gaap |
Right Of Use Asset Obtained In Exchange For Finance Lease Liability
RightOfUseAssetObtainedInExchangeForFinanceLeaseLiability
|
180200000 | usd |
CY2023Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
|
59100000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Payments Due Next Twelve Months
FinanceLeaseLiabilityPaymentsDueNextTwelveMonths
|
77200000 | usd |
CY2023Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
|
54600000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Payments Due Year Two
FinanceLeaseLiabilityPaymentsDueYearTwo
|
75600000 | usd |
CY2023Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
|
50600000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Payments Due Year Three
FinanceLeaseLiabilityPaymentsDueYearThree
|
72800000 | usd |
CY2023Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
|
42600000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Payments Due Year Four
FinanceLeaseLiabilityPaymentsDueYearFour
|
69100000 | usd |
CY2023Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
|
33100000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Payments Due Year Five
FinanceLeaseLiabilityPaymentsDueYearFive
|
65200000 | usd |
CY2023Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
|
169700000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Payments Due After Year Five
FinanceLeaseLiabilityPaymentsDueAfterYearFive
|
1220600000 | usd |
CY2023Q4 | us-gaap |
Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
|
409700000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Payments Due
FinanceLeaseLiabilityPaymentsDue
|
1580500000 | usd |
CY2023Q4 | us-gaap |
Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
|
123200000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability Undiscounted Excess Amount
FinanceLeaseLiabilityUndiscountedExcessAmount
|
886900000 | usd |
CY2023Q4 | us-gaap |
Operating Lease Liability
OperatingLeaseLiability
|
286500000 | usd |
CY2023Q4 | us-gaap |
Finance Lease Liability
FinanceLeaseLiability
|
693600000 | usd |
CY2023Q4 | us-gaap |
Derivative Notional Amount
DerivativeNotionalAmount
|
1360100000 | usd |
CY2022Q4 | us-gaap |
Derivative Notional Amount
DerivativeNotionalAmount
|
1518200000 | usd |
CY2023 | us-gaap |
Cash Flow Hedge Gain Loss To Be Reclassified Within Twelve Months
CashFlowHedgeGainLossToBeReclassifiedWithinTwelveMonths
|
-53800000 | usd |
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 |
CY2023 | us-gaap |
Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
|
125613000 | 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 |
CY2023 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-0.09 | |
CY2023Q4 | us-gaap |
Derivative Asset Notional Amount
DerivativeAssetNotionalAmount
|
57400000 | usd |
CY2023Q4 | us-gaap |
Derivative Liability Notional Amount
DerivativeLiabilityNotionalAmount
|
17800000 | usd |
CY2022Q4 | us-gaap |
Derivative Asset Notional Amount
DerivativeAssetNotionalAmount
|
113400000 | usd |
CY2022Q4 | us-gaap |
Derivative Liability Notional Amount
DerivativeLiabilityNotionalAmount
|
40400000 | usd |
CY2023 | us-gaap |
Other Comprehensive Income Loss Cash Flow Hedge Reclassification For Discontinuance Before Tax
OtherComprehensiveIncomeLossCashFlowHedgeReclassificationForDiscontinuanceBeforeTax
|
19600000 | 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 |
CY2023 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-11900000 | usd |
CY2022 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-54600000 | usd |
CY2021 | us-gaap |
Net Income Loss
NetIncomeLoss
|
-70900000 | usd |
CY2023 | sgry |
Undistributed Earnings Loss Allocatedto Participating Securities Including Dividends Accrued
UndistributedEarningsLossAllocatedtoParticipatingSecuritiesIncludingDividendsAccrued
|
0 | 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 |
CY2023 | us-gaap |
Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
|
-11900000 | usd |
CY2023 | us-gaap |
Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
|
-11900000 | 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 |
CY2023 | us-gaap |
Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
|
125613000 | shares |
CY2022 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-0.59 | |
CY2021 | us-gaap |
Earnings Per Share Basic
EarningsPerShareBasic
|
-1.12 | |
CY2023 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.09 | |
CY2022 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-0.59 | |
CY2021 | us-gaap |
Earnings Per Share Diluted
EarningsPerShareDiluted
|
-1.12 | |
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 |
CY2023Q4 | us-gaap |
Stock Repurchase Program Remaining Authorized Repurchase Amount1
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount1
|
46000000 | usd |
CY2023 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1400000 | usd |
CY2022 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1800000 | usd |
CY2021 | us-gaap |
Income Taxes Paid Net
IncomeTaxesPaidNet
|
1500000 | usd |
CY2023 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
0 | usd |
CY2022 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
0 | usd |
CY2021 | us-gaap |
Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
|
0 | usd |
CY2023 | us-gaap |
Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
|
1400000 | 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 |
CY2023 | us-gaap |
Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
|
-1500000 | 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 |
CY2023 | us-gaap |
Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
|
-200000 | 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 |
CY2023 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
-300000 | usd |
CY2022 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
23300000 | usd |
CY2021 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
10500000 | usd |
CY2023 | us-gaap |
Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
|
28400000 | 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 |
CY2023 | us-gaap |
Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
|
900000 | 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 |
CY2023 | us-gaap |
Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
|
21500000 | 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 |
CY2023 | us-gaap |
Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
|
30900000 | 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 |
CY2023 | us-gaap |
Income Tax Reconciliation Nondeductible Expense Share Based Compensation Cost
IncomeTaxReconciliationNondeductibleExpenseShareBasedCompensationCost
|
100000 | 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 |
CY2023 | sgry |
Effective Income Tax Reconciliation Divestiture Amount
EffectiveIncomeTaxReconciliationDivestitureAmount
|
-18900000 | usd |
CY2022 | sgry |
Effective Income Tax Reconciliation Divestiture Amount
EffectiveIncomeTaxReconciliationDivestitureAmount
|
-1400000 | usd |
CY2021 | sgry |
Effective Income Tax Reconciliation Divestiture Amount
EffectiveIncomeTaxReconciliationDivestitureAmount
|
-2600000 | usd |
CY2023 | us-gaap |
Income Tax Reconciliation Other Reconciling Items
IncomeTaxReconciliationOtherReconcilingItems
|
-1000000.0 | 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 |
CY2023 | us-gaap |
Income Tax Reconciliation Change In Enacted Tax Rate
IncomeTaxReconciliationChangeInEnactedTaxRate
|
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 |
CY2023 | sgry |
Effective Income Tax Rate Reconciliation Tax Receivable Agreement Amount
EffectiveIncomeTaxRateReconciliationTaxReceivableAgreementAmount
|
0 | 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 |
CY2023 | sgry |
Effective Income Tax Rate Reconciliation Adjustments To Unrealized Attributes Amount
EffectiveIncomeTaxRateReconciliationAdjustmentsToUnrealizedAttributesAmount
|
0 | 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 |
CY2023 | us-gaap |
Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
|
-400000 | usd |
CY2022 | us-gaap |
Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
|
200000 | usd |
CY2021 | us-gaap |
Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
|
100000 | usd |
CY2023 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
-300000 | usd |
CY2022 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
23300000 | usd |
CY2021 | us-gaap |
Income Tax Expense Benefit
IncomeTaxExpenseBenefit
|
10500000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies
|
3600000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Contingencies
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsContingencies
|
4100000 | usd |
CY2023Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Compensationand Benefits Compensated Absencesand Incentive Compensation
DeferredTaxAssetsTaxDeferredExpenseCompensationandBenefitsCompensatedAbsencesandIncentiveCompensation
|
3000000.0 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Compensationand Benefits Compensated Absencesand Incentive Compensation
DeferredTaxAssetsTaxDeferredExpenseCompensationandBenefitsCompensatedAbsencesandIncentiveCompensation
|
3100000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
143600000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
|
146000000.0 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
1200000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
|
2900000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Capital Loss Carryforwards
DeferredTaxAssetsCapitalLossCarryforwards
|
1800000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Capital Loss Carryforwards
DeferredTaxAssetsCapitalLossCarryforwards
|
0 | usd |
CY2023Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Deferred Financing Costs
DeferredTaxAssetsTaxDeferredExpenseDeferredFinancingCosts
|
3300000 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Deferred Financing Costs
DeferredTaxAssetsTaxDeferredExpenseDeferredFinancingCosts
|
5100000 | usd |
CY2023Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Interest Limitation
DeferredTaxAssetsTaxDeferredExpenseInterestLimitation
|
162300000 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Tax Deferred Expense Interest Limitation
DeferredTaxAssetsTaxDeferredExpenseInterestLimitation
|
137700000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Hedging Transactions
DeferredTaxAssetsHedgingTransactions
|
4700000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Hedging Transactions
DeferredTaxAssetsHedgingTransactions
|
10500000 | usd |
CY2023Q4 | sgry |
Deferred Tax Asset Tax Receivable Agreement
DeferredTaxAssetTaxReceivableAgreement
|
0 | usd |
CY2022Q4 | sgry |
Deferred Tax Asset Tax Receivable Agreement
DeferredTaxAssetTaxReceivableAgreement
|
100000 | usd |
CY2023Q4 | sgry |
Deferred Tax Assets Right Of Use
DeferredTaxAssetsRightOfUse
|
47200000 | usd |
CY2022Q4 | sgry |
Deferred Tax Assets Right Of Use
DeferredTaxAssetsRightOfUse
|
52500000 | usd |
CY2023Q4 | sgry |
Deferred Tax Asset Software Development Costs
DeferredTaxAssetSoftwareDevelopmentCosts
|
1700000 | usd |
CY2022Q4 | sgry |
Deferred Tax Asset Software Development Costs
DeferredTaxAssetSoftwareDevelopmentCosts
|
1000000.0 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
9600000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Other
DeferredTaxAssetsOther
|
9200000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
382000000.0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Gross
DeferredTaxAssetsGross
|
372200000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
150100000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
114700000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
231900000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Net
DeferredTaxAssetsNet
|
257500000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
3000000.0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
|
2000000.0 | usd |
CY2023Q4 | sgry |
Deferred Tax Liabilities Basis Differencesof Partnershipsand Joint Ventures
DeferredTaxLiabilitiesBasisDifferencesofPartnershipsandJointVentures
|
84200000 | usd |
CY2022Q4 | sgry |
Deferred Tax Liabilities Basis Differencesof Partnershipsand Joint Ventures
DeferredTaxLiabilitiesBasisDifferencesofPartnershipsandJointVentures
|
87400000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Liabilities Leasing Arrangements
DeferredTaxLiabilitiesLeasingArrangements
|
35600000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Leasing Arrangements
DeferredTaxLiabilitiesLeasingArrangements
|
44400000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
3000000.0 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
|
1300000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Liabilities Derivatives
DeferredTaxLiabilitiesDerivatives
|
15100000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Derivatives
DeferredTaxLiabilitiesDerivatives
|
29500000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
1500000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
|
1400000 | usd |
CY2023Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
142400000 | usd |
CY2022Q4 | us-gaap |
Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
|
166000000.0 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
89500000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
|
91500000 | usd |
CY2023Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
150100000 | usd |
CY2022Q4 | us-gaap |
Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
|
114700000 | usd |
CY2023 | us-gaap |
Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
|
35400000 | usd |
CY2022Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
100000 | usd |
CY2021Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
100000 | usd |
CY2023 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
100000 | usd |
CY2022 | us-gaap |
Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
|
0 | usd |
CY2023Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
0 | usd |
CY2022Q4 | us-gaap |
Unrecognized Tax Benefits
UnrecognizedTaxBenefits
|
100000 | usd |
CY2023Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
0 | usd |
CY2022Q4 | us-gaap |
Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
|
100000 | usd |
CY2023Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
0 | usd |
CY2022Q4 | us-gaap |
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
|
100000 | usd |
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 |
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 | |
CY2023 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
|
0 | shares |
CY2023 | us-gaap |
Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
|
103141 | shares |
CY2023 | us-gaap |
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
|
12.92 | |
CY2023 | sgry |
Share Based Compensation Arrangement By Share Based Payment Award Options Exercised Weighted Average Remaining Contractual Term
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisedWeightedAverageRemainingContractualTerm
|
P4Y | |
CY2023 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod
|
0 | shares |
CY2023Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
|
1845219 | shares |
CY2023Q4 | us-gaap |
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
|
12.68 | |
CY2023 | us-gaap |
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
|
P5Y | |
CY2023Q4 | us-gaap |
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
|
25700000 | usd |
CY2023 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
17700000 | usd |
CY2022 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
18400000 | usd |
CY2021 | us-gaap |
Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
|
17400000 | usd |
CY2023 | sgry |
Defined Contribution Plan Vesting Period
DefinedContributionPlanVestingPeriod
|
P5Y | |
CY2023 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
12600000 | usd |
CY2022 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
11100000 | usd |
CY2021 | us-gaap |
Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
|
9700000 | usd |
CY2023Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
37600000 | usd |
CY2022Q4 | us-gaap |
Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
|
36500000 | usd |
CY2023Q4 | srt |
Payables To Customers
PayablesToCustomers
|
23900000 | usd |
CY2022Q4 | srt |
Payables To Customers
PayablesToCustomers
|
31900000 | usd |
CY2023Q4 | sgry |
Cost Report Liabilities Current
CostReportLiabilitiesCurrent
|
23900000 | usd |
CY2022Q4 | sgry |
Cost Report Liabilities Current
CostReportLiabilitiesCurrent
|
23500000 | usd |
CY2023Q4 | sgry |
Acquisition Escrow Liability Current
AcquisitionEscrowLiabilityCurrent
|
10200000 | usd |
CY2022Q4 | sgry |
Acquisition Escrow Liability Current
AcquisitionEscrowLiabilityCurrent
|
28800000 | usd |
CY2023Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
17800000 | usd |
CY2022Q4 | us-gaap |
Interest Payable Current
InterestPayableCurrent
|
19400000 | usd |
CY2023Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
90700000 | usd |
CY2022Q4 | us-gaap |
Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
|
70000000.0 | usd |
CY2023Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
204100000 | usd |
CY2022Q4 | us-gaap |
Other Liabilities Current
OtherLiabilitiesCurrent
|
210100000 | usd |
CY2023Q4 | us-gaap |
Self Insurance Reserve
SelfInsuranceReserve
|
18200000 | usd |
CY2022Q4 | us-gaap |
Self Insurance Reserve
SelfInsuranceReserve
|
20800000 | usd |
CY2023Q4 | us-gaap |
Estimated Insurance Recoveries
EstimatedInsuranceRecoveries
|
10200000 | usd |
CY2022Q4 | us-gaap |
Estimated Insurance Recoveries
EstimatedInsuranceRecoveries
|
12700000 | 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 |
CY2023 | us-gaap |
Number Of Operating Segments
NumberOfOperatingSegments
|
2 | segment |
CY2023 | us-gaap |
Revenue From Contract With Customer Including Assessed Tax
RevenueFromContractWithCustomerIncludingAssessedTax
|
2743300000 | 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 |
CY2023 | sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
438100000 | 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 |
CY2023 | us-gaap |
Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
|
135000000.0 | 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 |
CY2023 | us-gaap |
Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
|
147200000 | 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 |
CY2023 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-193000000.0 | usd |
CY2022 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-234900000 | usd |
CY2021 | us-gaap |
Interest Income Expense Nonoperating Net
InterestIncomeExpenseNonoperatingNet
|
-221000000.0 | usd |
CY2023 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
118100000 | usd |
CY2022 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
114800000 | usd |
CY2021 | us-gaap |
Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
|
98800000 | usd |
CY2023 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
17700000 | usd |
CY2022 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
18400000 | usd |
CY2021 | us-gaap |
Share Based Compensation
ShareBasedCompensation
|
17400000 | usd |
CY2023 | sgry |
Business Combination Integration Related Costs And Merger Costs
BusinessCombinationIntegrationRelatedCostsAndMergerCosts
|
64900000 | 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 |
CY2023 | sgry |
Gain Loss On Disposition Of Assets And Deconsolidation
GainLossOnDispositionOfAssetsAndDeconsolidation
|
-14400000 | 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 |
CY2023 | sgry |
Gain Loss Related To Litigation Settlement And Regulatory Change Impact
GainLossRelatedToLitigationSettlementAndRegulatoryChangeImpact
|
-17500000 | usd |
CY2022 | sgry |
Gain Loss Related To Litigation Settlement And Regulatory Change Impact
GainLossRelatedToLitigationSettlementAndRegulatoryChangeImpact
|
24700000 | usd |
CY2021 | sgry |
Gain Loss Related To Litigation Settlement And Regulatory Change Impact
GainLossRelatedToLitigationSettlementAndRegulatoryChangeImpact
|
-5600000 | usd |
CY2023 | us-gaap |
Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
|
-15500000 | 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 |
CY2023 | sgry |
Undesignated Derivative Activity
UndesignatedDerivativeActivity
|
-600000 | usd |
CY2022 | sgry |
Undesignated Derivative Activity
UndesignatedDerivativeActivity
|
8000000.0 | usd |
CY2021 | sgry |
Undesignated Derivative Activity
UndesignatedDerivativeActivity
|
0 | usd |
CY2023 | us-gaap |
Other Nonoperating Income Expense
OtherNonoperatingIncomeExpense
|
8600000 | usd |
CY2022 | us-gaap |
Other Nonoperating Income Expense
OtherNonoperatingIncomeExpense
|
1500000 | usd |
CY2021 | us-gaap |
Other Nonoperating Income Expense
OtherNonoperatingIncomeExpense
|
-200000 | usd |
CY2023 | sgry |
Earnings Before Interest Taxes Depreciation And Amortization
EarningsBeforeInterestTaxesDepreciationAndAmortization
|
438100000 | 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 |
CY2023 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
61700000 | usd |
CY2022 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
47500000 | usd |
CY2021 | us-gaap |
Business Combination Integration Related Costs
BusinessCombinationIntegrationRelatedCosts
|
39800000 | usd |
CY2023 | us-gaap |
Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
|
3200000 | usd |
CY2022 | us-gaap |
Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
|
1100000 | usd |
CY2021 | us-gaap |
Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
|
6300000 | usd |
CY2023 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
-10600000 | usd |
CY2022 | us-gaap |
Gain Loss Related To Litigation Settlement
GainLossRelatedToLitigationSettlement
|
29300000 | usd |
CY2023 | us-gaap |
Litigation Settlement Expense
LitigationSettlementExpense
|
2500000 | usd |
CY2022 | us-gaap |
Litigation Settlement Expense
LitigationSettlementExpense
|
4600000 | usd |
CY2021 | us-gaap |
Litigation Settlement Expense
LitigationSettlementExpense
|
5600000 | usd |
CY2023 | sgry |
Interest Expense Impact Of Change In Letter Of Protection Regulation
InterestExpenseImpactOfChangeInLetterOfProtectionRegulation
|
4400000 | usd |
CY2023Q4 | us-gaap |
Assets
Assets
|
6876700000 | usd |
CY2022Q4 | us-gaap |
Assets
Assets
|
6682100000 | usd |
CY2023 | us-gaap |
Segment Expenditure Addition To Long Lived Assets
SegmentExpenditureAdditionToLongLivedAssets
|
88800000 | usd |
CY2022 | us-gaap |
Segment Expenditure Addition To Long Lived Assets
SegmentExpenditureAdditionToLongLivedAssets
|
80600000 | usd |
CY2021 | us-gaap |
Segment Expenditure Addition To Long Lived Assets
SegmentExpenditureAdditionToLongLivedAssets
|
57600000 | usd |