Business Acquisition [Axis]
Business Acquisition [Axis]
Long-term deferred tax assets
Deferred Income Tax Assets, Net
Long-term debt
Long-Term Debt, Gross
Finance lease assets
Finance Lease, Right-of-Use Asset, after Accumulated Amortization
Property, Plant and Equipment [Abstract]
Property, Plant and Equipment [Abstract]
Preferred stock, shares outstanding (shares)
Preferred Stock, Shares Outstanding
Debt Instrument [Axis]
Debt Instrument [Axis]
Summary of Components of Indefinite-Lived Intangible Assets
Schedule of Indefinite-Lived Intangible Assets [Table Text Block]
Finance lease obligations
Total finance lease liabilities
Total lease obligations
Finance Lease, Liability
Property and equipment, excluding right-of-use finance lease asset, at cost
Property, Plant and Equipment, Gross
Adjusted EBITDA
Earnings Before Interest Taxes Depreciation And Amortization
Earnings Before Interest Taxes Depreciation And Amortization
Fair Value of Financial Instruments
Fair Value of Financial Instruments, Policy [Policy Text Block]
Additional paid-in capital
Additional Paid in Capital
Payment of premium on debt extinguishment
Debt Instrument, Prepayment Penalty Amount
Debt Instrument, Prepayment Penalty Amount
Fair Value Measurement [Domain]
Fair Value Measurement [Domain]
Debt instrument, basis spread on variable rate (percent)
Debt Instrument, Basis Spread on Variable Rate
2026
Finance Lease, Liability, to be Paid, Year Four
Depreciation expense
Depreciation
Exercised (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period
Net deferred tax assets
Deferred Tax Assets, Net
Interest rate derivative liability
Deferred Tax Assets, Hedging Transactions
Weighted-average discount rate, operating leases (percent)
Operating Lease, Weighted Average Discount Rate, Percent
Debt instrument, stated rate (percent)
Debt Instrument, Interest Rate, Stated Percentage
Equity-Based Compensation
Compensation Related Costs, Policy [Policy Text Block]
Exercise price (in USD per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Exercise Price
State
Current State and Local Tax Expense (Benefit)
Unusual Risk or Uncertainty, Nature [Domain]
Unusual Risk or Uncertainty, Nature [Domain]
2025
Finance Lease, Liability, to be Paid, Year Three
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
Acquisition and disposal of shares of non-controlling interests, net—redeemable
Redeemable Noncontrolling Interest, Increase (Decrease) From Redemptions Or Purchase Of Interests
Redeemable Noncontrolling Interest, Increase (Decrease) from Redemptions or Purchase of Interests
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Remaining amounts payable under TRA
Taxes Payable
Dilutive securities outstanding not included in the computation of diluted loss per share as their effect is antidilutive (shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Operating Leases
Lessee, Operating Lease, Liability, to be Paid [Abstract]
Redemption Period Six
Debt Instrument, Redemption, Period Six [Member]
Debt Instrument, Redemption, Period Six [Member]
Pay-fixed swap
Pay-fixed Swap Six [Member]
Pay-fixed Swap Six Member
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Number of states in which entity operates
Number of States in which Entity Operates
Equity Component [Domain]
Equity Component [Domain]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Secured Debt
Secured Debt [Member]
Additions for tax provisions of current year
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions
Amortization of leased assets
Finance Lease, Right-of-Use Asset, Amortization
Disposal Group Two
Disposal Group Two [Member]
Disposal Group Two
Lessee, Lease, Description [Line Items]
Lessee, Lease, Description [Line Items]
Related Party [Domain]
Related Party [Domain]
Current deferred accrued payroll and benefits
Deferred Employee-related Liabilities, CARES Act, Current
Deferred Employee-related Liabilities, CARES Act, Current
Hedging Designation [Domain]
Hedging Designation [Domain]
Tax Credit Carryforward, Name [Domain]
Tax Credit Carryforward, Name [Domain]
Operating Lease, Liability, Current, Statement of Financial Position [Extensible List]
Operating Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
Supplemental cash flow information:
Supplemental Cash Flow Information [Abstract]
Forfeited/Cancelled (in USD per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Deferred:
Deferred Federal, State and Local, Tax Expense (Benefit) [Abstract]
Plan Name [Domain]
Plan Name [Domain]
Long-term line of credit
Long-Term Line of Credit
Common stock, $0.01 par value; shares authorized - 300,000,000; shares issued and outstanding - 125,960,834 and 89,332,557, respectively
Common Stock, Value, Outstanding
Entity Address, State or Province
Entity Address, State or Province
Number of surgical facilities owned, majority interest
Number Of Surgical Facilities Owned, Majority Interest
Number of Surgical Facilities Owned, Majority Interest
Other comprehensive income (loss), net of tax:
Other Comprehensive Income (Loss), Net of Tax [Abstract]
Outstanding
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Award Type [Axis]
Award Type [Axis]
Section 163(j) interest
Deferred Tax Assets, Tax Deferred Expense, Interest Limitation
Deferred Tax Assets, Tax Deferred Expense, Interest Limitation
Current
Right-of-use operating lease liabilities
Operating Lease, Liability, Current
Cash paid for amounts included in the measurement of lease liabilities:
Cash Flow, Operating Activities, Lessee [Abstract]
Debt instrument, basis spread on variable rate, floor (percent)
Debt Instrument, Basis Spread On Variable Rate, Floor
Debt Instrument, Basis Spread On Variable Rate, Floor
Tax return reconciling differences
Effective Income Tax Rate Reconciliation, Other Reconciling Items, Amount
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Gain on contract termination
Gain on Contract Termination
Gain on Contract Termination
Liabilities
Liabilities
Weighted-average remaining lease term, operating leases
Operating Lease, Weighted Average Remaining Lease Term
Proceeds from disposals of facilities and other assets
Proceeds from Sale of Productive Assets
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Commitment threshold (percent)
Debt Instrument, Total Commitment Threshold
Debt Instrument, Total Commitment Threshold
Revolving Credit Facility
Revolving Credit Facility [Member]
Revenues
Revenue from Contract with Customer [Policy Text Block]
Document Type
Document Type
Weighted Average Exercise Price
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Property, and equipment useful life
Property, Plant and Equipment, Useful Life
Long-Term Debt
Long-Term Debt [Text Block]
Revenue from External Customer [Line Items]
Revenue from External Customer [Line Items]
Audit Information [Abstract]
Audit Information [Abstract]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Outstanding, beginning of the period (in USD per share)
Outstanding, end of the period (in USD per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Number of options to renew operating leases
Lessee, Operating Lease, Option To Extend, Number Of Options To Renew
Lessee, Operating Lease, Option To Extend, Number Of Options To Renew
Finance Leases
Finance Lease, Liability, to be Paid [Abstract]
Deferred income taxes
Deferred Income Tax Expense (Benefit)
Senior secured revolving credit facility
2017 Senior Secured Credit Facility [Member]
2017 Senior Secured Credit Facility [Member]
Three Pay-fixed Interest Rate Swaps Subject To Minimum Of 0.75%
Three Pay-fixed Interest Rate Swaps Subject To Minimum Of 0.75% [Member]
Three Pay-fixed Interest Rate Swaps Member
Other Current Liabilities
Other Liabilities Disclosure [Text Block]
2017 Senior Secured Credit Facility, Sixth Amendment, New Term Loans
2017 Senior Secured Credit Facility, Sixth Amendment, New Term Loans [Member]
2017 Senior Secured Credit Facility, Sixth Amendment, New Term Loans
Gain (loss) recognized in OCI (effective portion)
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Tranche One
Share-Based Payment Arrangement, Tranche One [Member]
Transaction, integration and acquisition costs
Business Combination, Integration Related Costs, And Merger Costs
Business Combination, Integration Related Costs, And Merger Costs
Number of deconsolidations
Number of deconsolidations
Number of deconsolidations
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Adjustments to unrealized attributes
Effective Income Tax Rate Reconciliation, Adjustments, To Unrealized Attributes, Amount
Effective Income Tax Rate Reconciliation, Adjustments, To Unrealized Attributes, Amount
Income Statement Location [Axis]
Income Statement Location [Axis]
Tranche Three
Share-Based Payment Arrangement, Tranche Three [Member]
Pay-fixed swap
Pay-fixed Swap Five [Member]
Pay-fixed Swap Five Member
Net cash provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Other long-term liabilities
Other Noncurrent Liabilities [Member]
Long-term
Finance Lease, Liability, Noncurrent
Acquisition escrow
Acquisition Escrow Liability Current
Acquisition Escrow Liability Current
Decrease in operating lease liabilities
Increase (Decrease) in Operating Lease Liability
Amortization of accumulated OCI related
Other Comprehensive Income (Loss), Cash Flow Hedge, Reclassification for Discontinuance, before Tax
Schedule of Income Tax Expense (Benefit)
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
Summary of Components of Finite-Lived Intangible Assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
DOJ settlement payments
Increase (Decrease) in Settlement Payments
Increase (Decrease) in Settlement Payments
Derivative Contract [Domain]
Derivative Contract [Domain]
Entity Registrant Name
Entity Registrant Name
Subsequent Events
Subsequent Events [Text Block]
Medical malpractice liability
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Contingencies
Series of Individually Immaterial Business Acquisitions
Series of Individually Immaterial Business Acquisitions [Member]
Employee Benefit Plans
Retirement Benefits [Text Block]
Other income, net
Other Nonrecurring (Income) Expense
Leases [Abstract]
Leases [Abstract]
Other Comprehensive Income Location [Domain]
Other Comprehensive Income Location [Domain]
Total stockholders' equity
Beginning Balance
Ending Balance
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest
Net operating loss carryforwards
Deferred Tax Assets, Operating Loss Carryforwards
Principles of Consolidation
Consolidation, Policy [Policy Text Block]
Asset Class [Domain]
Asset Class [Domain]
Differences related to divested facilities
Effective Income Tax Reconciliation, Divestiture, Amount
Effective Income Tax Reconciliation, Divestiture, Amount
Minimum
Minimum [Member]
Entity Emerging Growth Company
Entity Emerging Growth Company
Common stock, par value (in USD per share)
Common Stock, Par or Stated Value Per Share
Decrease in operating lease assets
Increase (Decrease) in Operating Lease, Right-Of-Use Assets
Increase (Decrease) in Operating Lease, Right-Of-Use Assets
Stock option compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-Based Payment Arrangement, Amount
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Distributions to non-controlling interest holders
Payments of Ordinary Dividends, Noncontrolling Interest
Trading Symbol
Trading Symbol
Entity File Number
Entity File Number
2026
Finite-Lived Intangible Asset, Expected Amortization, Year Four
Other Comprehensive Income
Other Comprehensive Income (Loss) [Member]
Interest payable
Interest Payable, Current
Less: Comprehensive income attributable to non-controlling interests
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest
Repayments of unsecured notes
Repayments of Unsecured Debt
Derivative Instruments and Hedging Activities
Derivatives, Policy [Policy Text Block]
Awards granted during period (shares)
Granted/Earned (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Schedule of Variable Interest Entities [Table]
Schedule of Variable Interest Entities [Table]
Revenue by service type as a proportion of total revenues (percent)
Concentration Risk, Percentage
Liabilities assumed in acquisition
Business Combination, Consideration Transferred, Liabilities Incurred
Income Taxes
Income Tax Disclosure [Text Block]
Revenue from related parties
Revenue from Related Parties
Credit Facility [Domain]
Credit Facility [Domain]
Total intangible assets, gross carrying amount
Intangible Assets, Gross (Excluding Goodwill)
Cost of revenues
Operating Costs and Expenses
Net loss per share attributable to common stockholders - basic (in USD per share)
Basic (in USD per share)
Earnings Per Share, Basic
All other
All other
Corporate, Non-Segment [Member]
Payments related to ownership transactions with non-controlling interest holders
Payments to Noncontrolling Interests
Prepaid expenses
Prepaid Expense, Current
Entity Interactive Data Current
Entity Interactive Data Current
Fair Value, by Balance Sheet Grouping [Table]
Fair Value, by Balance Sheet Grouping [Table]
Property, Plant and Equipment [Table]
Property, Plant and Equipment [Table]
Changes in operating assets and liabilities, net of acquisitions and divestitures:
Increase (Decrease) in Operating Capital [Abstract]
Portion at Fair Value Measurement
Portion at Fair Value Measurement [Member]
Disposal Group, Not Discontinued Operation, Gain (Loss) on Disposal, Statement of Income or Comprehensive Income [Extensible Enumeration]
Disposal Group, Not Discontinued Operation, Gain (Loss) on Disposal, Statement of Income or Comprehensive Income [Extensible Enumeration]
2027
Finance Lease, Liability, to be Paid, Year Five
Equity-based compensation
Shares Issued, Value, Share-Based Payment Arrangement, after Forfeiture
Thereafter
Long-Term Debt, Maturity, after Year Five
Income Taxes
Income Tax, Policy [Policy Text Block]
Current:
Current Federal, State and Local, Tax Expense (Benefit) [Abstract]
Current assets:
Assets, Current [Abstract]
Operating lease liabilities:
Operating Lease, Liability [Abstract]
Surgical Facilities and In-Development De Novo Surgical Facilities
Surgical Facilities and In-Development De Novo Surgical Facilities [Member]
Surgical Facilities and In-Development De Novo Surgical Facilities
Distributions to non-controlling interest —redeemable holders
Redeemable Noncontrolling Interest, Decrease From Distributions To Noncontrolling Interest Holders
Redeemable Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders
Retained deficit
Retained Earnings (Accumulated Deficit)
Accumulated Other Comprehensive (Loss) Income
AOCI Including Portion Attributable to Noncontrolling Interest [Member]
Schedule of Finite-Lived Intangible Assets [Table]
Schedule of Finite-Lived Intangible Assets [Table]
Allowance for bad debts
Deferred Tax Asset, Tax Deferred Expense, Reserve and Accrual, Accounts Receivable, Allowance for Credit Loss
Sale Of Stock [Table]
Sale Of Stock [Table]
Sale Of Stock
Number of facilities included in VIE
Variable Interest Entity, Number Of Facilities
Variable Interest Entity, Number of Facilities
Document Fiscal Year Focus
Document Fiscal Year Focus
Summary of Scheduled Amortization
Finite-Lived Intangible Assets Amortization Expense [Table Text Block]
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Financing cash outflows from finance leases
Finance Lease, Principal Payments
Three Pay-fixed Interest Rate Swaps
Three Pay-fixed Interest Rate Swaps [Member]
Three Pay-fixed Interest Rate Swaps Member
Receive-fixed swap
Receive-fixed Swap One [Member]
Receive-fixed Swap One Member
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Repayments of grants received
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grant Received, Repayments
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grant Received, Repayments
Product Information [Line Items]
Product Information [Line Items]
Non-cash lease expense
Operating Lease, Expense
Physician Practices
Physician Practices [Member]
Physician Practices
Common stock, shares outstanding (shares)
Beginning Balance (shares)
Ending Balance (shares)
Common Stock, Shares, Outstanding
Investments in and advances to affiliates
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures
Goodwill
Goodwill, beginning of period
Goodwill, end of period
Goodwill
Property, Plant and Equipment, Type [Axis]
Long-Lived Tangible Asset [Axis]
Number of surgical facilities owned, consolidated
Number Of Surgical Facilities Owned, Consolidated
Number of Surgical Facilities Owned, Consolidated
Income tax (expense) benefit
Total income tax expense (benefit)
Income Tax Expense (Benefit)
Valuation allowance
Less: Valuation allowance
Deferred Tax Assets, Valuation Allowance
Entity Public Float
Entity Public Float
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Not Materially More Restrictive
Not Materially More Restrictive [Member]
Not Materially More Restrictive [Member]
Disposal Group One
Disposal Group One [Member]
Disposal Group One [Member]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Transaction and integration costs
Business Combination, Integration Related Costs
Senior Notes
Senior Notes [Member]
Physician income guarantees
Physician Income Guarantees [Member]
Physician Income Guarantees [Member]
Number of interests sold
Disposal Group, Not Discontinued Operation, Number Of Businesses Disposed
Disposal Group, Not Discontinued Operation, Number Of Businesses Disposed
Proceeds from grants received
Proceeds From Government Assistance
Proceeds From Government Assistance
Variable Interest Entity [Line Items]
Variable Interest Entity [Line Items]
Cash and cash equivalents at beginning of period
Cash and cash equivalents at end of period
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents
Exercised
Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Exercised, Weighted Average Remaining Contractual Term
Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Exercised, Weighted Average Remaining Contractual Term
Current liabilities:
Liabilities, Current [Abstract]
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Amount
Interest on lease liabilities
Finance Lease, Interest Expense
Income Statement Location [Domain]
Income Statement Location [Domain]
Self-pay
Self-Pay Revenue [Member]
Self-Pay Revenue [Member]
Other
Other Patient Service Revenue Sources [Member]
Other Patient Service Revenue Sources [Member]
Amendment Flag
Amendment Flag
Materially More Restrictive
Materially More Restrictive [Member]
Materially More Restrictive [Member]
Useful lives of intangible assets
Finite-Lived Intangible Asset, Useful Life
Operating lease costs
Operating Lease, Cost
Sale Of Stock [Line Items]
Sale Of Stock [Line Items]
Sale Of Stock
Other Comprehensive loss (income)
Other Comprehensive Income (Loss), Net of Tax
Acquisitions, including post acquisition adjustments
Goodwill, Acquired During Period
Reconciliation of Adjusted EBITDA:
Segment Reporting, Other Significant Reconciling Item, Consolidated [Abstract]
Construction in progress
Construction in Progress [Member]
Deferred tax assets:
Components of Deferred Tax Assets [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Other long-term assets
Other Assets, Noncurrent
Goodwill and Intangible Assets
Goodwill and Intangible Assets, Policy [Policy Text Block]
Outstanding options, exercisable (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number
Weighted Average Remaining Contractual Term (years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Additional Disclosures [Abstract]
Surgical Facility Services
Surgical Facility Services [Member]
Surgical Facility Services [Member]
Depreciation and amortization
Depreciation, Depletion and Amortization
Commitment fee (percent)
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Acquisitions and Disposals
Business Combinations And Disposals Disclosure [Text Block]
Business Combinations And Disposals Disclosure [Text Block]
Thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Interest rate cap
Interest Rate Cap Two [Member]
Interest Rate Cap Two
6.750% senior unsecured notes due 2025
6.750% Senior Unsecured Notes due 2025
Senior Unsecured Notes Due 2025 [Member]
Senior Unsecured Notes Due 2025 [Member]
Less: Unamortized debt issuance costs
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net
Reclassification out of Accumulated Other Comprehensive Income [Table]
Reclassification out of Accumulated Other Comprehensive Income [Table]
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Schedule of Effect of Interest Rate Swaps
Schedule of Interest Rate Derivatives [Table Text Block]
Operating cash outflows from operating leases
Operating Lease, Payments
Salaries and benefits
Labor and Related Expense
Principal payments on long-term debt
Repayments of Long-Term Debt
Stock options
Stock Option
Share-Based Payment Arrangement, Option [Member]
Accrued vacation and incentive compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Compensated Absences and Incentive Compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Compensated Absences and Incentive Compensation
Pre-tax gain (loss) on disposal
Disposal Group, Not Discontinued Operation, Gain (Loss) on Disposal
Professional, general and workers' compensation claim liabilities
Self Insurance Reserve
Common stock, shares authorized (shares)
Common Stock, Shares Authorized
Non-cash interest expense, net
Noncash Interest Income (Expense), Net
Noncash Interest Income (Expense), Net
Schedule of Guarantor Obligations [Table]
Schedule of Guarantor Obligations [Table]
Statement of Comprehensive Income [Abstract]
Statement of Comprehensive Income [Abstract]
Total operating expenses
Operating Expenses
Maximum
Maximum [Member]
Facilities, Ambulatory Surgery Centers
Facilities, Ambulatory Surgery Centers [Member]
Facilities, Ambulatory Surgery Centers [Member]
Non-Controlling Interests
Consolidation, Subsidiaries or Other Investments, Consolidated Entities, Policy [Policy Text Block]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Derivatives in cash flow hedging relationships
Designated as Hedging Instrument [Member]
Government
Government Revenue [Member]
Government Revenue [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Investor
Investor [Member]
Other non-cash income
Other Noncash Income
Schedule of Carrying Values and Estimated Fair Values of Debt Instruments
Schedule of Carrying Values and Estimated Fair Values of Debt Instruments [Table Text Block]
Variable Interest Entities
Consolidation, Variable Interest Entity, Policy [Policy Text Block]
Senior secured term loan
Senior secured term loan
2017 Term Loan, Maturing 2024 [Member]
2017 Term Loan, Maturing 2024 [Member]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Title of 12(b) Security
Title of 12(b) Security
Preferred dividends
Adjustments to Additional Paid in Capital, Dividends in Excess of Retained Earnings
Schedule of Unrecognized Tax Benefits Roll Forward
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Income Tax Expense
Income Tax Expense (Benefit) [Member]
Income Tax Expense (Benefit)
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Six Undersigned Interest Rate Swaps
Six Undersigned Interest Rate Swaps [Member]
Six Undersigned Interest Rate Swaps
Segment Reporting
Segment Reporting Disclosure [Text Block]
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities and Equity [Abstract]
Fair Value
Estimate of Fair Value Measurement [Member]
Payment under settlement agreement
Litigation Settlement, Amount Awarded to Other Party
Denominator:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Optical Services
Optical Services [Member]
Optical Services [Member]
Inventories
Inventory, Net
Accounts payable
Accounts Payable, Current
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Number of business entities acquired
Number of Businesses Acquired
Unamortized fair value discount
Debt Instrument, Unamortized Discount
Firm Shares
Public Stock Offering, Firm Shares [Member]
Public Stock Offering, Firm Shares
Less: Accumulated depreciation
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, Accumulated Depreciation and Amortization
Schedule of Product Information [Table]
Schedule of Product Information [Table]
Proceeds from equity offerings
Proceeds from Issuance of Common Stock
Weighted average shares outstanding - basic (shares)
Weighted Average Number of Shares Outstanding, Basic
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Pay-fixed swap
Pay-fixed Swap One [Member]
Pay-fixed Swap One Member
Current notional amount
Derivative, Notional Amount
Preferred stock, $0.01 par value; shares authorized - 20,310,000; shares issued or outstanding - none
Preferred Stock, Value, Issued
Non-controlling interests—redeemable
Balance at beginning of period
Balance at end of period
Redeemable Noncontrolling Interest, Equity, Carrying Amount
Restricted shares
Restricted Stock [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Schedule of Long-Term Debt
Schedule of Debt [Table Text Block]
Alliance
Alliance [Member]
Alliance
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Three Interest Rate Swaps That Pay 1-Month LIBOR Subject To Minimum Of 1.00%
Three Interest Rate Swaps That Pay 1-Month LIBOR Subject To Minimum Of 1.00% [Member]
Three Interest Rate Swaps That Pay 1-Month LIBOR Subject To Minimum Of 1.00%
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-Term Debt Instruments [Table]
Leases
Lessee, Leases [Policy Text Block]
Equity-Based Compensation
Share-Based Payment Arrangement [Text Block]
Increase in finance lease assets
Increase (Decrease) in Finance Lease, Right-Of-Use Assets
Increase (Decrease) in Finance Lease, Right-Of-Use Assets
Revenue from External Customers by Products and Services [Table]
Revenue from External Customers by Products and Services [Table]
Non-Controlling Interests— Non-Redeemable
Noncontrolling Interest [Member]
Awards exercisable (in shares)
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Exercisable, Number
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Exercisable, Number
Schedule of Deferred Tax Assets and Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Related Party [Axis]
Related Party [Axis]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Net income attributable to non-controlling interests—redeemable
Net Income (Loss) Attributable to Redeemable Noncontrolling Interest
Land
Land [Member]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Disposal Group Name [Domain]
Disposal Group Name [Domain]
Payments for acquisitions, net of cash acquired
Total cash consideration, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
Redemption Period One
Debt Instrument, Redemption, Period One [Member]
Current Fiscal Year End Date
Current Fiscal Year End Date
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net
Total intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Tranche Two
Share-Based Payment Arrangement, Tranche Two [Member]
Interest rate derivative asset
Deferred Tax Liabilities, Derivatives
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Total current liabilities
Liabilities, Current
Reporting Unit [Domain]
Reporting Unit [Domain]
Right-of-use finance lease assets
Finance Lease, Right-of-Use Asset, before Accumulated Amortization
Net (loss) income
Net Income (Loss), Including Portion Attributable to Nonredeemable Noncontrolling Interest
Professional and General and Workers' Compensation Insurance
Self Insurance Reserve [Policy Text Block]
Customer
Customer Concentration Risk [Member]
Subject to expiration
Deferred Tax Assets, Operating Loss Carryforwards, Subject to Expiration
Uncertain tax positions that would impact effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Term of award
Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period
Schedule of Interest Rate Swaps and Interest Rate Caps Outstanding
Schedule of Derivative Instruments [Table Text Block]
Change in effective tax rate
Effective Income Tax Rate Reconciliation, Change in Enacted Tax Rate, Amount
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Other financing activities
Proceeds from (Payments for) Other Financing Activities
Additional Shares Granted to Underwriters
Over-Allotment Option [Member]
Total finance lease costs
Finance Lease, Cost
Finance Lease, Cost
Change in valuation allowance
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount
Weighted-average remaining lease term, finance leases
Finance Lease, Weighted Average Remaining Lease Term
Outstanding balance on debt
Line of Credit Facility, Remaining Borrowing Capacity
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Credit Facility [Axis]
Credit Facility [Axis]
Long-term debt, less current maturities
Total long-term debt
Long-Term Debt and Lease Obligation
Subsequent Event [Table]
Subsequent Event [Table]
Vested (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period
Right-of-use assets obtained in exchange for lease obligations:
Right-Of-Use Asset Obtained In Exchange For Lease Obligations [Abstract]
Right-Of-Use Asset Obtained In Exchange For Lease Obligations
Entity Tax Identification Number
Entity Tax Identification Number
Shares authorized under plan (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized
Awards outstanding (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Non-Option Equity Instruments, Outstanding, Number
Pay-fixed swap
Pay-fixed Swap Four [Member]
Pay-fixed Swap Four Member
Projected tax savings period
Collaborative Tax Agreement, Projected Tax Savings, Term
Collaborative Tax Agreement, Projected Tax Savings, Term
Proportion of shares payable at end of period (as a percent)
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Payable At End Of Performance Period
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Payable At End Of Performance Period
Consolidated Entities [Domain]
Consolidated Entities [Domain]
Other litigation costs
Litigation Settlement, Expense
Schedule of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Net (decrease) increase in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
State income tax, net of U.S. federal tax benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount
Entity Central Index Key
Entity Central Index Key
Antidilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
Voluntary prepayment of debt
Repayments of Secured Debt
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
City Area Code
City Area Code
ASSETS
Assets:
Assets [Abstract]
Other operating assets and liabilities
Increase (Decrease) in Other Operating Assets and Liabilities, Net
Vesting period
Defined Contribution Plan, Vesting Period
Defined Contribution Plan, Vesting Period
Net leverage ratio
Debt Instrument, Net Leverage Ratio
Debt Instrument, Net Leverage Ratio
Sale of Stock [Axis]
Sale of Stock [Axis]
Noncash consideration
Noncash or Part Noncash Acquisition, Net Nonmonetary Assets Acquired (Liabilities Assumed)
Debt Instrument, Redemption, Period [Axis]
Debt Instrument, Redemption, Period [Axis]
Asset Class [Axis]
Asset Class [Axis]
Earnings Per Share
Earnings Per Share, Policy [Policy Text Block]
Variable and short-term lease costs
Variable And Short-Term Lease, Cost
Variable And Short-Term Lease, Cost
2023
Long-Term Debt, Maturity, Year One
Equity-based compensation expense
Share-Based Payment Arrangement, Noncash Expense
Purchases of equity investments
Payments to Acquire Equity Method Investments
Variable Rate [Axis]
Variable Rate [Axis]
Other long-term liabilities
Other Liabilities, Noncurrent
Equity in earnings of unconsolidated affiliates
Income (Loss) from Equity Method Investments
2015 Omnibus Incentive Plan
2015 Omnibus Incentive Plan [Member]
2015 Omnibus Incentive Plan [Member]
Purchases of property and equipment
Cash purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
2023
Finite-Lived Intangible Asset, Expected Amortization, Year One
Thereafter
Finance Lease, Liability, to be Paid, after Year Five
Schedule of Reconciliation of Numerator and Denominator of Basic and Diluted Earnings per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Gain on escrow release
Business Combination, Gain (Loss) On Acquisition Escrow
Business Combination, Gain (Loss) On Acquisition Escrow
Operating leases
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grants, Deferred Accelerated Payments
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grants, Deferred Accelerated Payments
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grants, Deferred Accelerated Payments
Number of annual installments
Share-Based Compensation Arrangement By Share-Based Payment Award, Number Of Annual Installments
Share-Based Compensation Arrangement By Share-Based Payment Award, Number Of Annual Installments
Net income attributable to non-controlling interests
Effective Income Tax Rate Reconciliation, Noncontrolling Interest Income (Loss), Amount
Gain reclassified from accumulated OCI into income
Reclassification from Accumulated Other Comprehensive Income, Current Period, Net of Tax
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Total lease payments
Lessee, Operating Lease, Liability, to be Paid
Net income
Net income
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Variable Interest Entity, Primary Beneficiary
Variable Interest Entity, Primary Beneficiary [Member]
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
2024
Long-Term Debt, Maturity, Year Two
Furniture and equipment
Furniture and Equipment [Member]
Furniture and Equipment [Member]
Acquisitions and Disposals
Business Combinations Policy [Policy Text Block]
Reclassification Adjustment out of Accumulated Other Comprehensive Income on Derivatives [Line Items]
Reclassification Adjustment out of Accumulated Other Comprehensive Income on Derivatives [Line Items]
Schedule of Restricted and Performance Share-Based Activity
Share-Based Payment Arrangement, Outstanding Award, Activity, Excluding Option [Table Text Block]
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Current maturities of long-term debt
Less: Current maturities
Long-Term Debt and Lease Obligation, Current
Depreciation on property and equipment
Deferred Tax Liabilities, Property, Plant and Equipment
Three Pay-fixed, Receive 1-Month LIBOR, Subject To Minimum Of 1.00%
Three Pay-fixed, Receive 1-Month LIBOR, Subject To Minimum Of 1.00% [Member]
Three Pay-fixed, Receive 1-Month LIBOR, Subject To Minimum Of 1.00%
Supplies
Supplies Expense
Carrying value of liability, net of discount
Deferred Income Tax Liabilities, Net Of Discount
Deferred Income Tax Liabilities, Net Of Discount
Gain recognized in income
Derivative, Gain on Derivative
Other investing activities
Payments for (Proceeds from) Other Investing Activities
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Share-based Payment Arrangement [Abstract]
Share-Based Payment Arrangement [Abstract]
Preferred share conversion
Stock Issued During Period, Value, Conversion of Convertible Securities
Total lease liabilities
Lease, Liability
Lease, Liability
Redemption Period Three
Debt Instrument, Redemption, Period Three [Member]
Domestic Tax Authority
Domestic Tax Authority [Member]
Credit Facility
Credit Facility [Member]
Credit Facility
Property and equipment, net
Property and equipment, net
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, after Accumulated Depreciation and Amortization
Net loss attributable to Surgery Partners, Inc.
Net loss attributable to Surgery Partners, Inc.
Net Income (Loss) Attributable to Parent
Deferred financing costs
Deferred Tax Assets, Tax Deferred Expense, Deferred Financing Costs
Deferred Tax Assets, Tax Deferred Expense, Deferred Financing Costs
Leases
Lessee, Finance Leases [Text Block]
Other
Other Intangible Assets [Member]
Schedule of Maturities of Debt
Schedule of Maturities of Long-Term Debt [Table Text Block]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Federal Funds Effective Swap Rate
Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Redemption price, percentage (percent)
Redemption price of debt (percent)
Debt Instrument, Redemption Price, Percentage
Change in federal valuation allowance
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount
Private insurance
Private Insurance [Member]
Private Insurance [Member]
Notes payable and other secured loans
Notes Payable and Secured Loans [Member]
Notes Payable and Secured Loans [Member]
Vesting rate (as a percent)
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Rights, Percentage
Leases
Lessee, Operating Leases [Text Block]
Number of interest rate swaps held
Number of Interest Rate Derivatives Held
Litigation settlement
Effective Income Tax Rate Reconciliation, Litigation Settlement, Amount
Effective Income Tax Rate Reconciliation, Litigation Settlement, Amount
Plan Name [Axis]
Plan Name [Axis]
Total debt
Long-Term Debt and Lease Obligation, Including Current Maturities
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Number of operating segments
Number of Operating Segments
One Month LIBOR
One Month London Interbank Offered Rate (LIBOR) [Member]
One Month London Interbank Offered Rate (LIBOR) [Member]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Summary of Other Current Liabilities
Other Current Liabilities [Table Text Block]
Organization and Summary of Accounting Policies
Basis of Presentation and Significant Accounting Policies [Text Block]
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Forfeited/Cancelled (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period
Document Annual Report
Document Annual Report
Grant funds
Grant funds
Grant Revenue
Grant Revenue
Gain (loss) reclassified from accumulated OCI into income
Loss reclassified from accumulated OCI into income
Gain recognized in income
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Equity offering
Stock Issued During Period, Value, New Issues
Schedule of Property and Equipment
Property, Plant and Equipment [Table Text Block]
Receive-fixed swap
Receive-fixed Swap Three [Member]
Receive-fixed Swap Three Member
Tax Receivable Agreement liability
Effective Income Tax Rate Reconciliation, Tax Receivable Agreement, Amount
Effective Income Tax Rate Reconciliation, Tax Receivable Agreement, Amount
Preferred stock, shares issued (shares)
Preferred Stock, Shares Issued
Unvested Shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Segments [Axis]
Segments [Axis]
Unusual Risk or Uncertainty, Nature [Axis]
Unusual Risk or Uncertainty, Nature [Axis]
Product and Service [Domain]
Product and Service [Domain]
Entity Shell Company
Entity Shell Company
2023
Lessee, Operating Lease, Liability, to be Paid, Year One
2025
Long-Term Debt, Maturity, Year Three
Deferred tax liabilities:
Components of Deferred Tax Liabilities [Abstract]
Subsequent Event
Subsequent Event [Member]
Consolidation Items [Domain]
Consolidation Items [Domain]
Revenue
Revenue Benchmark [Member]
Facilities, Surgical Hospitals
Facilities, Surgical Hospitals [Member]
Facilities, Surgical Hospitals [Member]
Document Period End Date
Document Period End Date
Tax receivable agreement liability
Tax Receivable Agreement Liability, Current
Tax Receivable Agreement Liability, Current
Less: amounts allocated to participating securities
Undistributed Earnings (Loss) Allocated to Participating Securities, Including Dividends Accrued
Undistributed Earnings (Loss) Allocated to Participating Securities, Including Dividends Accrued
Total assets
Assets
Total assets
Assets
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
PSUs
Performance Shares [Member]
Antidilutive Securities [Axis]
Antidilutive Securities [Axis]
Interest rate swaps
Interest Rate Swap [Member]
Exercised (in USD per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
2027
Lessee, Operating Lease, Liability, to be Paid, Year Five
10.000% senior unsecured notes due 2027
10.000% Senior Unsecured Notes due 2027
Senior Unsecured Notes, Due 2027 [Member]
Senior Unsecured Notes, Due 2027 [Member]
Stock repurchase program, authorized amount
Stock Repurchase Program, Authorized Amount
Accrued payroll and benefits
Employee-related Liabilities, Current
Amortization of intangible assets
Deferred Tax Assets, Tax Deferred Expense, Amortization Of Intangible Assets
Deferred Tax Assets, Tax Deferred Expense, Amortization Of Intangible Assets
Segments [Domain]
Segments [Domain]
Payments of preferred dividends
Payments of Ordinary Dividends, Preferred Stock and Preference Stock
Finance lease costs:
Finance Lease, Cost1 [Abstract]
Finance Lease, Cost1 [Abstract]
Earnings Per Share
Earnings Per Share [Text Block]
Other deferred liabilities
Deferred Tax Liabilities, Other
Interest rate caps
Interest Rate Cap [Member]
Amounts due to patients and payors
Broker-Dealer, Payable to Customer
Disposed of by Sale
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Cash and Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Comprehensive income (loss)
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest
Award Type [Domain]
Award Type [Domain]
Loss on debt extinguishment
Loss on debt extinguishment
Gain (Loss) on Extinguishment of Debt
Income Tax Contingency [Table]
Income Tax Contingency [Table]
Accounts Receivable
Receivable [Policy Text Block]
Computer and software
Computer and software
Computer Equipment [Member]
Litigation settlements and other litigation costs
Gain (Loss) Related to Litigation Settlement And Other Litigation Costs
Gain (Loss) Related to Litigation Settlement And Other Litigation Costs
Revenues
Total revenues
Revenue from Contract with Customer, Including Assessed Tax
Equity offering (shares)
Stock Issued During Period, Shares, New Issues
Surgical Facilities and Physician Practices
Surgical Facilities And Physician Practices [Member]
Surgical Facilities And Physician Practices
Rent paid under finance lease agreement, allocated to principal and interest
Finance Lease, Principal And Interest Payments
Finance Lease, Principal And Interest Payments
Entity Address, City or Town
Entity Address, City or Town
Operating expenses:
Operating Expenses [Abstract]
Goodwill impairment
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Impairment Losses, Amount
Non-controlling interests—non-redeemable
Stockholders' Equity Attributable to Noncontrolling Interest
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Surgical Facilities
Surgical Facilities [Member]
Surgical Facilities
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Auditor Name
Auditor Name
Share price (in USD per share)
Share Price
Net operating loss carryforwards
Operating Loss Carryforwards
Less: Amounts attributable to participating securities
Undistributed Earnings (Loss) Allocated to Participating Securities, Basic
OCI, Cash Flow Hedge, Reclassification for Discontinuance, Statement of Income or Comprehensive Income [Extensible Enumeration]
OCI, Cash Flow Hedge, Reclassification for Discontinuance, Statement of Income or Comprehensive Income [Extensible Enumeration]
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Restricted Stock Awards
Restricted Stock Units (RSUs) [Member]
Derivative liability, notional amount
Derivative liability, notional amount
Derivative Liability, Notional Amount
Disposals and deconsolidations
Goodwill, Written Off Related To Sale Of Business Unit And Deconsolidations
Goodwill, Written Off Related To Sale Of Business Unit And Deconsolidations
LIBOR
London Interbank Offered Rate (LIBOR) [Member]
Subsequent Events [Abstract]
Subsequent Events [Abstract]
Derivative activity, net of tax of $0
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax
Receive-fixed swap
Receive-fixed Swap Two [Member]
Receive-fixed Swap Two Member
State
Deferred State and Local Income Tax Expense (Benefit)
Amortization expense
Amortization of Intangible Assets
Unrecognized grant funds received
Unrecognized Grant Funds Received
Unrecognized Grant Funds Received
Summary of Activity Related to Goodwill
Schedule of Goodwill [Table Text Block]
Interest paid, net of interest income received
Unpaid interest
Interest Paid, Excluding Capitalized Interest, Operating Activities
Increase in outstanding commitment
Line Of Credit Facility, Increase In Maximum Borrowing Capacity
Line Of Credit Facility, Increase In Maximum Borrowing Capacity
2025
Lessee, Operating Lease, Liability, to be Paid, Year Three
Inventories
Inventory, Policy [Policy Text Block]
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Total Surgery Partners, Inc. stockholders' equity
Stockholders' Equity Attributable to Parent
Derivatives and Hedging Activities
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Capital loss carryforwards
Tax Credit Carryforward, Amount
Finance leases
Right-of-Use Asset Obtained in Exchange for Finance Lease Liability
Forfeited/Cancelled (in USD per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Vesting [Domain]
Vesting [Domain]
Other deferred assets
Deferred Tax Assets, Other
Stock sold in offering (shares)
Sale of Stock, Number of Shares Issued in Transaction
Finite-lived intangible assets, accumulated amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Other Comprehensive Income Location [Axis]
Other Comprehensive Income Location [Axis]
Numerator:
Net Income (Loss) Attributable to Parent [Abstract]
2025
Finite-Lived Intangible Asset, Expected Amortization, Year Three
2027
Long-Term Debt, Maturity, Year Five
Retained Deficit
Retained Earnings [Member]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Litigation settlements
Loss on litigation settlements
Gain (loss) on litigation settlement
Gain (Loss) Related to Litigation Settlement
Total lease costs
Lease, Cost
Common Stock
Common Stock [Member]
Schedule of Lease Expense and Cash Flow Information
Lease, Cost [Table Text Block]
Shares available for future grant (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant
Statement [Table]
Statement [Table]
Vested (in USD per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Letter of Credit
Letter of Credit [Member]
Right-of-use operating lease liabilities
Long-term
Operating Lease, Liability, Noncurrent
Lease expense
Operating And Finance Lease, Expense
Operating And Finance Lease, Expense
Matching contribution expense
Defined Contribution Plan, Cost
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Indefinite-lived intangible assets
Indefinite-Lived Intangible Assets (Excluding Goodwill)
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Accounts receivable
Accounts Receivable, after Allowance for Credit Loss, Current
Equity Components [Axis]
Equity Components [Axis]
Loss on disposals and deconsolidations, net
Loss on disposals and deconsolidations, net
Gain (Loss) On Disposition Of Assets And Deconsolidation
Gain (Loss) On Disposition of Assets And Deconsolidation
Interest expense, net
Interest expense, net
Interest Income (Expense), Nonoperating, Net
Tax Credit Carryforward [Axis]
Tax Credit Carryforward [Axis]
Other service revenues
Other Services [Member]
Other Services [Member]
Statement [Line Items]
Statement [Line Items]
Schedule of Components of Right-of-use Assets and Liabilities Related to Leases
Assets And Liabilities, Lessee [Table Text Block]
Assets And Liabilities, Lessee [Table Text Block]
Equity in earnings of unconsolidated affiliates, net of distributions received
Income (Loss) from Equity Method Investments, Net of Dividends or Distributions
Non-Controlling Interests - Redeemable [Roll Forward]
Redeemable Noncontrolling Interest [Roll Forward]
Redeemable Noncontrolling Interest [Roll Forward]
Outstanding, beginning of the period (shares)
Outstanding, end of the period (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Fair value of investments
Investment Owned, at Fair Value
Variable Rate [Domain]
Variable Rate [Domain]
Finite-lived intangible assets, gross carrying amount
Finite-Lived Intangible Assets, Gross
Threshold of consecutive trading days
Share-Based Compensation Arrangement By Share-Based Payment Award, Threshold Consecutive Trading Days
Share-Based Compensation Arrangement By Share-Based Payment Award, Threshold Consecutive Trading Days
Right-of-use operating lease assets
Operating lease assets
Operating Lease, Right-of-Use Asset
Auditor Firm ID
Auditor Firm ID
Medicare accelerated payments and deferred governmental grants
Increase (Decrease) In Medicare Accelerated Payments And Deferred Governmental Grants
Increase (Decrease) In Medicare Accelerated Payments And Deferred Governmental Grants
Finance Lease, Liability, Current, Statement of Financial Position [Extensible List]
Finance Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
Document Transition Report
Document Transition Report
Local Phone Number
Local Phone Number
Schedule of Stock Options Activity
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Operating income
Operating Income (Loss)
Other operating expenses
Other Cost and Expense, Operating
State and Local Jurisdiction
State and Local Jurisdiction [Member]
Goodwill and Intangible Assets
Goodwill and Intangible Assets Disclosure [Text Block]
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible List]
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration]
Property and Equipment
Property, Plant and Equipment, Policy [Policy Text Block]
Preferred stock, par value (in USD per share)
Preferred Stock, Par or Stated Value Per Share
2026
Lessee, Operating Lease, Liability, to be Paid, Year Four
Income Statement
Income Statement [Abstract]
Options and rights granted (shares)
Granted (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross
Federal
Deferred Federal Income Tax Expense (Benefit)
Additional Paid-in Capital
Additional Paid-in Capital [Member]
Medical equipment
Medical Equipment [Member]
Medical Equipment [Member]
Document Fiscal Period Focus
Document Fiscal Period Focus
Hurricane-related impacts
Unusual or Infrequent Item, or Both, Net (Gain) Loss
Proceeds from sales of equity investments
Proceeds from Sale of Equity Method Investments
Derivative [Line Items]
Derivative [Line Items]
Weighted average shares outstanding - diluted (shares)
Weighted Average Number of Shares Outstanding, Diluted
Guarantor Obligations [Line Items]
Guarantor Obligations [Line Items]
Right of use
Deferred Tax Assets, Right Of Use
Deferred Tax Assets, Right Of Use
Buildings and improvements
Building and Building Improvements [Member]
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
Base Rate
Base Rate [Member]
Carrying Amount
Reported Value Measurement [Member]
Granted/Earned (in USD per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value
Operating Segments
Operating Segments [Member]
Amount estimated to be reclassified as a reduction to interest expense over next 12 months
Cash Flow Hedge Gain (Loss) to be Reclassified within 12 Months
Private Placement
Private Placement [Member]
Preferred stock, shares authorized (shares)
Preferred Stock, Shares Authorized
Revenue Source
Product Concentration Risk [Member]
Less: Net income attributable to non-controlling interests
Net Income (Loss) Attributable to Noncontrolling Interest
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Borrowings of long-term debt
Proceeds from Issuance of Long-Term Debt
Net loss attributable to common stockholders
Net Income (Loss) Available to Common Stockholders, Basic
Common stock, shares issued (shares)
Common Stock, Shares, Issued
Total leased assets
Lease, Right-Of-Use Asset
Lease, Right-of-Use Asset
Derivative activity, tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, Tax
Acquisition costs
Business Combination, Acquisition Related Costs
Current
Finance Lease, Liability, Current
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Public Offering
Public Stock Offering [Member]
Public Stock Offering
Professional and medical fees
Professional Fees
Original balance of debt
Face value of debt issued
Debt Instrument, Face Amount
Finance lease liabilities:
Finance Lease, Liability [Abstract]
Number of surgical facilities owned
Number of Surgical Facilities Owned
Number of Surgical Facilities Owned
Comprehensive income (loss) attributable to Surgery Partners, Inc.
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Schedule of Debt Redemption Percentages
Debt Instrument Redemption [Table Text Block]
Schedule of Financial Information by Reportable Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Entity Current Reporting Status
Entity Current Reporting Status
Other current liabilities
Total
Other Liabilities, Current
2023
Finance Lease, Liability, to be Paid, Year One
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Tax rate (percent)
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent
Derivative [Table]
Derivative [Table]
Outstanding, beginning of period (shares)
Outstanding, end of period (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number
Management rights agreements
Management Rights [Member]
Management Rights [Member]
Ancillary services revenues
Ancillary Services
Ancillary Services [Member]
Ancillary Services [Member]
Other
Stockholders' Equity, Other
2024
Finance Lease, Liability, to be Paid, Year Two
Liabilities:
Liabilities [Abstract]
Basis of Presentation
Basis of Accounting, Policy [Policy Text Block]
Basis differences of partnerships and joint ventures
Deferred Tax Liabilities, Basis Differences of Partnerships and Joint Ventures
Deferred Tax Liabilities, Basis Differences of Partnerships and Joint Ventures
Debt Instrument, Redemption, Period [Domain]
Debt Instrument, Redemption, Period [Domain]
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible List]
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible Enumeration]
Forfeited/Cancelled (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Long-term debt
Total
Long-Term Debt
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Sale price to public (in USD per share)
Sale of Stock, Price Per Share
Accumulated other comprehensive income (loss)
Accumulated Other Comprehensive Income (Loss), Net of Tax
Options Shares
Share-Based Payment Arrangement [Member]
Total current assets
Assets, Current
Cash paid for income taxes
Income Taxes Paid, Net
Entity Small Business
Entity Small Business
Measurement Basis [Axis]
Measurement Basis [Axis]
Number of reporting units
Number of Reporting Units
Total
Finite-Lived Intangible Assets, Net
Interest Limitation
Interest Limitation [Member]
Interest Limitation [Member]
Schedule of Reconciliation of Assets from Segment to Consolidated
Reconciliation of Assets from Segment to Consolidated [Table Text Block]
Distributions to non-controlling interests—non-redeemable holders
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders
Unrecognized compensation cost
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
Derivative asset, notional amount
Derivative Asset, Notional Amount
Options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward]
Schedule of Revenues by Service Type
Schedules of Concentration of Risk, by Risk Factor [Table Text Block]
Property and Equipment
Property, Plant and Equipment Disclosure [Text Block]
Cost report liabilities
Cost Report Liabilities, Current
Cost Report Liabilities, Current
Property, Plant and Equipment, Type [Domain]
Long-Lived Tangible Asset [Domain]
In development De Novo Surgical Facilities
In development De Novo Surgical Facilities [Member]
In development De Novo Surgical Facilities
One Month SOFR
One Month Secured Overnight Financing Rate SOFR [Member]
One Month Secured Overnight Financing Rate SOFR
Three Receive-fixed Interest Rate Swaps
Three Receive-fixed Interest Rate Swaps [Member]
Three Receive-fixed Interest Rate Swaps Member
Consolidated Entities [Axis]
Consolidated Entities [Axis]
Software development costs
Deferred Tax Asset Software Development Costs
Deferred Tax Asset Software Development Costs
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Reporting Unit [Axis]
Reporting Unit [Axis]
Business Combination and Asset Acquisition [Abstract]
Equity-based compensation (shares)
Shares Issued, Shares, Share-Based Payment Arrangement, after Forfeiture
Payments of debt issuance costs
Payments of Debt Issuance Costs
Total operating lease liabilities
Total lease obligations
Operating Lease, Liability
Initial term of operating leases
Lessor, Operating Lease, Term of Contract
Total lease payments
Finance Lease, Liability, to be Paid
Schedule of Maturity of Finance Leases
Finance Lease, Liability, Fiscal Year Maturity [Table Text Block]
2024
Finite-Lived Intangible Asset, Expected Amortization, Year Two
Undesignated derivative activity
Undesignated Derivative Activity
Undesignated Derivative Activity
Increase in finance lease liabilities
Increase (Decrease) in Finance Lease Liability
Increase (Decrease) in Finance Lease Liability
Net proceeds from stock offering
Sale of Stock, Consideration Received on Transaction
2026
Long-Term Debt, Maturity, Year Four
Hedging Designation [Axis]
Hedging Designation [Axis]
Surgical Facilities, Existing Markets
Surgical Facilities, Existing Markets [Member]
Surgical Facilities, Existing Markets
Auditor Location
Auditor Location
Entity Filer Category
Entity Filer Category
Schedule of Rollforward of Non-Controlling Interests - Redeemable
Redeemable Noncontrolling Interest [Table Text Block]
Stockholders' equity:
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest [Abstract]
Federal
Current Federal Tax Expense (Benefit)
Equity-based compensation expense
Share-Based Payment Arrangement, Expense
Security Exchange Name
Security Exchange Name
Outstanding, beginning of period (in USD per share)
Outstanding, end of period (in USD per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price
SOFR
Secured Overnight Financing Rate (SOFR) [Member]
Secured Overnight Financing Rate (SOFR)
Other Liabilities Disclosure [Abstract]
Other Liabilities Disclosure [Abstract]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Outstanding letters of credit
Letters of Credit Outstanding, Amount
Preferred share conversion (shares)
Stock Issued During Period, Shares, Conversion of Convertible Securities
Restricted units granted, earned during period (shares)
Share-Based Payment Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Earned In Period
Share-Based Payment Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Earned In Period
SAR Awards
Stock Appreciation Rights (SARs) [Member]
Cover [Abstract]
Entity Voluntary Filers
Entity Voluntary Filers
Goodwill impairment loss
Goodwill, Impairment Loss
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Weighted-average discount rate, finance leases (percent)
Finance Lease, Weighted Average Discount Rate, Percent
Acquisition and disposal of shares of non-controlling interests, net
Non-Controlling Interest, Acquisitions And Disposals Of Interests Held By Non-Controlling Interest Holders, Net
Non-Controlling Interest, Acquisitions And Disposals Of Interests Held By Non-Controlling Interest Holders, Net
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Pay-fixed swap
Pay-fixed Swap Two [Member]
Pay-fixed Swap Two Member
Redemption Period Two
Debt Instrument, Redemption, Period Two [Member]
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Total liabilities and stockholders' equity
Liabilities and Equity
Deferred tax liabilities, current
Deferred Income Tax Liabilities, Net Of Discount, Current
Deferred Income Tax Liabilities, Net Of Discount, Current
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]
Long-term Debt, Type [Axis]
Long-Term Debt, Type [Axis]
Stock repurchase program, remaining authorized repurchase amount
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Total gross deferred tax assets
Deferred Tax Assets, Gross
Derivatives not designated as hedging instruments
Not Designated as Hedging Instrument [Member]
Recognized non-controlling interests
Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Fair Value
Schedule of Segment Revenue and Operating Income
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block]
Equity Method Investments
Equity Method Investments [Member]
Accrued interest and penalties related to uncertain tax positions
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued
Less: imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Vesting [Axis]
Vesting [Axis]
Net loss per share attributable to common stockholders - diluted (in USD per share)
Diluted (in USD per share)
Earnings Per Share, Diluted
Net loss attributable to common stockholders (diluted)
Net Income (Loss) Available to Common Stockholders, Diluted
Sale of Stock [Domain]
Sale of Stock [Domain]
Vesting period
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Payments of equity offering costs
Underwriting discounts, commissions and other related costs related to offering
Payments of Stock Issuance Costs
Consolidation Items [Axis]
Consolidation Items [Axis]
2024
Lessee, Operating Lease, Liability, to be Paid, Year Two
Other current assets
Other Assets, Current
Unrecognized tax benefits at beginning of year
Unrecognized tax benefits at end of year
Unrecognized Tax Benefits
Total deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance
Forfeited/Cancelled
Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Forfeited, Weighted Average Remaining Contractual Term
Share-Based Compensation Arrangement By Share-based Payment Award, Options, Forfeited, Weighted Average Remaining Contractual Term
Amortization of intangible assets
Deferred Tax Liabilities, Intangible Assets
Restricted and Performance Shares
Restricted Stock And Performance Shares [Member]
Restricted Stock And Performance Shares
TRA liability
Deferred Tax Asset, Tax Receivable Agreement
Deferred Tax Asset, Tax Receivable Agreement
Total patient service revenues
Healthcare Organization, Patient Service [Member]
Healthcare Organization, Patient Service [Member]
Income (loss) before income taxes
Income (loss) before income taxes
Income (Loss) from Continuing Operations before Income Taxes, Domestic
Schedule of Maturity of Operating Leases
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Entity Address, Address Line One
Entity Address, Address Line One
Pay-fixed swap
Pay-fixed Swap Three [Member]
Pay-fixed Swap Three Member
Product and Service [Axis]
Product and Service [Axis]
Investments in Unconsolidated Affiliates
Equity Method Investments [Policy Text Block]
Variable interest rate of derivative instrument (percent)
Derivative, Variable Interest Rate
Estimated insurance recoveries
Estimated Insurance Recoveries
Right of use
Deferred Tax Liabilities, Leasing Arrangements
Other long-term assets
Other Noncurrent Assets [Member]
Schedule of Revenue Sources for Patient Service Revenues
Disaggregation of Revenue [Table Text Block]
Total deferred tax liabilities
Deferred Tax Liabilities, Gross
Non-compete agreements
Noncompete Agreements [Member]
Property and equipment, at cost
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, before Accumulated Depreciation and Amortization
Operating cash outflows from finance leases
Finance Lease, Interest Payment on Liability
Impairment of Long-Lived Assets, Goodwill and Intangible Assets
Impairment or Disposal of Long-Lived Assets, Including Intangible Assets, Policy [Policy Text Block]
2027
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Non-cash purchases of property and equipment
Noncash or Part Noncash Acquisition, Fixed Assets Acquired
Weighted Average Grant Date Fair Value
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Accrued expenses and other
Other Accrued Liabilities, Current
Medicare accelerated payments and deferred governmental grants
Medicare Accelerated Payments And Deferred Governmental Grants, Current
Medicare Accelerated Payments And Deferred Governmental Grants, Current
General and administrative expenses
General and Administrative Expense
Long-term Debt, Type [Domain]
Long-Term Debt, Type [Domain]
Retirement Benefits [Abstract]
Retirement Benefits [Abstract]
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Tax expense (benefit) at U.S.federal statutory rate
Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Interest rate cap
Interest Rate Cap One [Member]
Interest Rate Cap One
Less: imputed interest
Finance Lease, Liability, Undiscounted Excess Amount
Number of surgical facilities contributed as non-cash consideration
Disposal Group, Number Of Surgical Facilities Contributed As Non-Cash Consideration
Disposal Group, Number Of Surgical Facilities Contributed As Non-Cash Consideration
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Impairment charges
Impairment charges
Asset Impairment Charges
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Interest accrued on payment under Tax Receivable Agreement, basis spread on variable rate (percent)
Collaborative Tax Agreement, Interest Rate, Basis Spread on Variable Rate
Collaborative Tax Agreement, Interest Rate, Basis Spread on Variable Rate