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
Revision of Prior Period [Axis]
Revision of Prior Period [Axis]
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Series A Preferred Stock
Series A Preferred Stock [Member]
Related Party [Axis]
Related Party [Axis]
Estimated insurance recoveries
Estimated Insurance Recoveries
Professional and General and Workers' Compensation Insurance
Self Insurance Reserve [Policy Text Block]
Change in effective tax rate
Effective Income Tax Rate Reconciliation, Change in Enacted Tax Rate, Amount
Statistical Measurement [Domain]
Statistical Measurement [Domain]
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities and Equity [Abstract]
Aggregate acquisition date fair value
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Distributions to non-controlling interests—non-redeemable holders
Noncontrolling Interest, Decrease from Distributions to Noncontrolling Interest Holders
Amortization of leased assets
Finance Lease, Right-of-Use Asset, Amortization
Adjusted EBITDA
Earnings Before Interest Taxes Depreciation And Amortization
Earnings Before Interest Taxes Depreciation And Amortization
Salaries and benefits
Labor and Related Expense
Trading days
Temporary Equity, Threshold Trading Days
Temporary Equity, Threshold Trading Days
Security Exchange Name
Security Exchange Name
Payment of premium on debt extinguishment
Debt Instrument, Prepayment Penalty Amount
Debt Instrument, Prepayment Penalty Amount
Right-of-use finance lease asset
Finance Lease, Right-of-Use Asset, before Accumulated Amortization
Borrowings of long-term debt
Proceeds from Issuance of Long-term Debt
Total current liabilities
Liabilities, Current
PSUs
Performance Shares [Member]
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
Variable Rate [Domain]
Variable Rate [Domain]
Total lease payments
Finance Lease, Liability, Payment, Due
ASSETS
Assets:
Assets [Abstract]
Property, Plant and Equipment [Table]
Property, Plant and Equipment [Table]
Cash, Cash Equivalents and Restricted Cash
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]
Equity-based compensation
Shares Issued, Value, Share-based Payment Arrangement, after Forfeiture
Operating cash outflows from operating leases
Operating Lease, Payments
SAR Awards
Stock Appreciation Rights (SARs) [Member]
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
2023
Long-Term Debt, Maturity, Year Three
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Investor
Investor [Member]
Redemption Period Six
Debt Instrument, Redemption, Period Six [Member]
Debt Instrument, Redemption, Period Six [Member]
Non-cash purchases of property and equipment
Noncash or Part Noncash Acquisition, Fixed Assets Acquired
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible List]
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible List]
Shares repurchased (shares)
Treasury Stock, Shares, Acquired
2021
Lessee, Operating Lease, Liability, to be Paid, Year One
Outstanding, beginning of period (shares)
Outstanding, end of period (shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number
2024
Lessee, Operating Lease, Liability, to be Paid, Year Four
Unrecognized compensation cost
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
Less: Amounts attributable to participating securities
Undistributed Earnings (Loss) Allocated to Participating Securities, Basic
Long-term debt, less current maturities
Total long-term debt
Long-term Debt and Lease Obligation
Diagnostic Laboratory
Disposal Group Two [Member]
Disposal Group Two
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
State
Current State and Local Tax Expense (Benefit)
Capital loss carryforwards
Tax Credit Carryforward, Amount
Preferred stock, $0.01 par value; shares authorized - 20,000,000; shares issued or outstanding - none
Preferred Stock, Value, Issued
Total operating expenses
Operating Expenses
Other comprehensive (loss) income, net of tax:
Other Comprehensive Income (Loss), Net of Tax [Abstract]
Common stock, par value (in USD per share)
Common Stock, Par or Stated Value Per Share
Other long-term liabilities
Other Liabilities, Noncurrent
Long-term deferred tax assets
Deferred Income Tax Assets, Net
Financing cash outflows from finance leases
Finance Lease, Principal Payments
Number of surgical facilities owned, majority interest
Number Of Surgical Facilities Owned, Majority Interest
Number of Surgical Facilities Owned, Majority Interest
Inventories
Inventory, Net
Tranche Three
Share-based Payment Arrangement, Tranche Three [Member]
Section 163(j) interest
Deferred Tax Assets, Tax Deferred Expense, Interest Limitation
Deferred Tax Assets, Tax Deferred Expense, Interest Limitation
Revenue by service type as a percentage of total revenues
Concentration Risk, Percentage
Statement [Line Items]
Statement [Line Items]
Supplies
Supplies Expense
Class of Stock [Domain]
Class of Stock [Domain]
Computer and software
Computer Equipment [Member]
Statement [Table]
Statement [Table]
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Loss reclassified from accumulated OCI to interest expense (effective portion)
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Commitment threshold
Debt Instrument, Total Commitment Threshold
Debt Instrument, Total Commitment Threshold
Entity Small Business
Entity Small Business
Principles of Consolidation
Consolidation, Policy [Policy Text Block]
Start-up costs related to de novo surgical hospital
Start-Up Activities, Start-Up Costs
Start-Up Activities, Start-Up Costs
Shares sold in offering
Sale of Stock, Number of Shares Issued in Transaction
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Prepaid expenses
Prepaid Expense, Current
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
Amendment Flag
Amendment Flag
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions and Methodology [Abstract]
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions and Methodology [Abstract]
Denominator:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Accrued interest and penalties related to uncertain tax positions
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued
Senior secured revolving credit facility
2017 Senior Secured Credit Facility [Member]
2017 Senior Secured Credit Facility [Member]
Shares authorized under plan (shares)
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized
All other
All other
Corporate, Non-Segment [Member]
Accrued expenses and other
Other Accrued Liabilities, Current
Shares available for future grant (shares)
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant
Cumulative preferred dividends
Preferred Stock, Amount of Preferred Dividends in Arrears
Distributions to non-controlling interest holders
Payments of Ordinary Dividends, Noncontrolling Interest
Transaction, integration and acquisition costs
Business Combination, Integration Related Costs, And Merger Costs
Business Combination, Integration Related Costs, And Merger Costs
Equity-Based Compensation
Compensation Related Costs, Policy [Policy Text Block]
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]
Investments in Unconsolidated Affiliates
Equity Method Investments [Policy Text Block]
Redemption Period Three
Debt Instrument, Redemption, Period Three [Member]
Fair Value Measurement [Domain]
Fair Value Measurement [Domain]
Reconciliation of Adjusted EBITDA:
Segment Reporting, Other Significant Reconciling Item, Consolidated [Abstract]
Derivative Instruments and Hedging Activities
Derivatives, Policy [Policy Text Block]
Subsequent Events
Subsequent Events [Text Block]
Temporary Equity, by Class of Stock [Table]
Temporary Equity, by Class of Stock [Table]
Interest rate swap liability
Deferred Tax Assets, Hedging Transactions
Property, Plant and Equipment, Type [Axis]
Long-Lived Tangible Asset [Axis]
2022
Lessee, Operating Lease, Liability, to be Paid, Year Two
State and Local Jurisdiction
State and Local Jurisdiction [Member]
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Unusual Risk or Uncertainty, Nature [Domain]
Unusual Risk or Uncertainty, Nature [Domain]
Schedule of Lease Expense and Cash Flow Information
Lease, Cost [Table Text Block]
Total debt
Long-term Debt and Lease Obligation, Including Current Maturities
2023
Lessee, Operating Lease, Liability, to be Paid, Year Three
Other long-term assets
Other Assets, Noncurrent
Plan Name [Axis]
Plan Name [Axis]
Redeemable preferred stock, shares authorized (shares)
Temporary Equity, Shares Authorized
Total assets
Assets
Total assets
Assets
Tax receivable agreement expense
Tax Receivable Agreement Expense (Benefit)
Tax Receivable Agreement Expense (Benefit)
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
Additional cash consideration from working capital settlement payment
Business Combination, Consideration Transferred, Working Capital Adjustments
Business Combination, Consideration Transferred, Working Capital Adjustments
Reporting Unit [Domain]
Reporting Unit [Domain]
Finance Leases
Finance Lease, Liability, Payment, Due [Abstract]
Pre-tax gain (loss)
Disposal Group, Not Discontinued Operation, Gain (Loss) on Disposal
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Antidilutive Securities [Axis]
Antidilutive Securities [Axis]
Affiliate indebtedness receivable
Deferred Tax Assets, Affiliate Indebtedness Receivable
Deferred Tax Assets, Affiliate Indebtedness Receivable
Differences related to divested facilities
Effective Income Tax Reconciliation, Divestiture, Amount
Effective Income Tax Reconciliation, Divestiture, Amount
Stock option compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-based Payment Arrangement, Amount
Other
Other Intangible Assets [Member]
Restricted invested assets included in other long-term assets
Restricted Cash and Investments, Noncurrent
Liabilities
Liabilities
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Expected volatility
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate
Less: imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Contingent acquisition compensation expense
Business Combination, Contingent Acquisition Expense
Business Combination, Contingent Acquisition Expense
Schedule of Rollforward of Non-Controlling Interests - Redeemable
Redeemable Noncontrolling Interest [Table Text Block]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Number of States in which entity operates
Number of States in which Entity Operates
Unvested Shares
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Other operating assets and liabilities
Increase (Decrease) in Other Operating Assets and Liabilities, Net
Amounts due to patients and payors
Broker-Dealer, Payable to Customer
Increase in valuation allowance
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount
Additional Paid-in Capital
Additional Paid-in Capital [Member]
Interest on lease liabilities
Finance Lease, Interest Expense
Fair Value of Financial Instruments
Fair Value of Financial Instruments, Policy [Policy Text Block]
Common stock, shares outstanding (shares)
Beginning Balance, stockholders' equity (shares)
Ending Balance, stockholders' equity (shares)
Common Stock, Shares, Outstanding
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Capital loss carryforwards
Deferred Tax Assets, Capital Loss Carryforwards
Revolving Credit Facility
Revolving Credit Facility [Member]
Transaction and integration costs
Business Combination, Integration Related Costs
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
Payments for acquisitions, net of cash acquired
Total cash consideration, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Common stock, shares authorized (shares)
Common Stock, Shares Authorized
Property and equipment, excluding right-of-use finance lease asset, at cost
Property, Plant and Equipment, Gross
Federal
Deferred Federal Income Tax Expense (Benefit)
Schedule of Financial Information by Reportable Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Income Statement
Income Statement [Abstract]
Loss recognized in OCI (effective portion)
Unrealized Gain (Loss) on Interest Rate Cash Flow Hedges, Pretax, Accumulated Other Comprehensive Income (Loss)
Additional Shares Granted to Underwriters
Over-Allotment Option [Member]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Variable Interest Entity, Primary Beneficiary
Variable Interest Entity, Primary Beneficiary [Member]
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Accelerated payments
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grant Received, Accelerated Payments
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grant Received, Accelerated Payments
Less: unamortized debt issuance costs
Debt issuance costs and discount
Debt issuance costs and discount, net of issuance premium
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net
Accumulated Other Comprehensive Loss
AOCI Including Portion Attributable to Noncontrolling Interest [Member]
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Consolidated Entities [Axis]
Consolidated Entities [Axis]
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
Scenario [Domain]
Scenario [Domain]
Allowance for bad debts
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Allowance for Doubtful Accounts
Purchases of property and equipment
Cash purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Consolidation Items [Domain]
Consolidation Items [Domain]
Long-Term Debt
Long-term Debt [Text Block]
Number of facilities included in VIE
Variable Interest Entity, Number Of Facilities
Variable Interest Entity, Number of Facilities
Contingent consideration
Business Combination, Contingent Consideration, Liability
Goodwill and Intangible Assets
Goodwill and Intangible Assets Disclosure [Text Block]
Property, Plant and Equipment [Abstract]
Property, Plant and Equipment [Abstract]
Income from equity investments
Income (Loss) from Equity Method Investments
Other Current Liabilities
Other Liabilities Disclosure [Text Block]
Schedule of Guarantor Obligations [Table]
Schedule of Guarantor Obligations [Table]
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Entity [Domain]
Entity [Domain]
Acquisitions, including post acquisition adjustments
Goodwill, Acquired During Period
Property, and equipment useful life
Property, Plant and Equipment, Useful Life
Lessee, Lease, Description [Line Items]
Lessee, Lease, Description [Line Items]
Number of surgical facilities owned, consolidated
Number Of Surgical Facilities Owned, Consolidated
Number of Surgical Facilities Owned, Consolidated
Net deferred tax assets
Deferred Tax Assets, Net
Not Materially More Restrictive
Not Materially More Restrictive [Member]
Not Materially More Restrictive [Member]
Restricted shares
Restricted Stock [Member]
Consecutive trading days
Temporary Equity, Threshold Consecutive Trading Days
Temporary Equity, Threshold Consecutive Trading Days
Share-based Payment Arrangement [Abstract]
Share-based Payment Arrangement [Abstract]
Land
Land [Member]
Consolidated Entities [Domain]
Consolidated Entities [Domain]
Current
Right-of-use operating lease liabilities
Operating Lease, Liability, Current
Revenue from External Customer [Line Items]
Revenue from External Customer [Line Items]
Surgery Centers, Certain Assets Related to Anesthesia Business, Certain Imaging ASsets and Optical Products Purchasing Organization
Disposal Group One [Member]
Disposal Group One [Member]
Finance leases
Right-of-Use Asset Obtained in Exchange for Finance Lease Liability
Employee Stock Options and Stock Appreciation Rights
Employee Stock Options And Stock Appreciation Rights [Member]
Employee Stock Options And Stock Appreciation Rights [Member]
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
Schedule of Stock Options, Valuation Assumptions
Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Current Assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets
Schedule of Restricted and Performance Share-Based Activity
Share-based Payment Arrangement, Outstanding Award, Activity, Excluding Option [Table Text Block]
Optical products receivable
Optical Products Receivable
Optical Products Receivable
Interest Rate Swap
Interest Rate Swap [Member]
Impact of adoption of ASC 842
Cumulative Effect, Period of Adoption, Adjustment [Member]
Entity Registrant Name
Entity Registrant Name
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Weighted-average discount rate, operating leases
Operating Lease, Weighted Average Discount Rate, Percent
Physician income guarantees
Physician Income Guarantees [Member]
Physician Income Guarantees [Member]
Proceeds from grants received
Proceeds From Government Assistance
Proceeds From Government Assistance
Impairment charges
Impairment charges
Asset Impairment Charges
Schedule of Segment Revenue and Operating Income
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block]
Weighted Average Exercise Price
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
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
Less: imputed interest
Finance Lease, Liability, Undiscounted Excess Amount
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Self-pay
Self-Pay Revenue [Member]
Self-Pay Revenue [Member]
Other
Other Patient Service Revenue Sources [Member]
Other Patient Service Revenue Sources [Member]
Materially More Restrictive
Materially More Restrictive [Member]
Materially More Restrictive [Member]
Purchase price per share (in USD per share)
Shares Issued, Price Per Share
Sale of Stock [Axis]
Sale of Stock [Axis]
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Total deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance
Redemption Period Two
Debt Instrument, Redemption, Period Two [Member]
Tax receivable agreement expense
Other Tax Expense (Benefit)
Goodwill
Goodwill, beginning of period
Goodwill, end of period
Goodwill
Surgical Facility Services
Surgical Facility Services [Member]
Surgical Facility Services [Member]
Acquisitions and Disposals
Business Combinations And Disposals Disclosure [Text Block]
Business Combinations And Disposals Disclosure [Text Block]
Net operating loss carryforwards
Deferred Tax Assets, Operating Loss Carryforwards
Original balance of debt
Face value of debt issued
Debt Instrument, Face Amount
Preferred dividends
Adjustments to Additional Paid in Capital, Dividends in Excess of Retained Earnings
Buildings and improvements
Building and Building Improvements [Member]
6.750% senior unsecured notes due 2025
Senior Unsecured Notes Due 2025 [Member]
Senior Unsecured Notes Due 2025 [Member]
Other current assets
Other Assets, Current
Summary of Activity Related to Goodwill
Schedule of Goodwill [Table Text Block]
Forfeited/Cancelled (shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period
Operating lease liabilities:
Operating Lease, Liability [Abstract]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Accrued legal settlement
Estimated Litigation Liability, Current
Accounting Standards Update [Extensible List]
Accounting Standards Update [Extensible List]
Granted (in USD per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Customer
Customer Concentration Risk [Member]
Derivative Contract [Domain]
Derivative Contract [Domain]
Letter of Credit
Letter of Credit [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
Number of operating segments
Number of Operating Segments
Redemption Period Five
Debt Instrument, Redemption, Period Five [Member]
Forfeited/Cancelled (shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Non-cash interest expense (income), net
Noncash Interest Income (Expense), Net
Noncash Interest Income (Expense), Net
Accelerated payments, current portion
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grant Received, Accelerated Payments, Current
Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grant Received, Accelerated Payments, Current Portion
Net cash provided by (used in) financing activities
Net Cash Provided by (Used in) Financing Activities
Principal payments on long-term debt
Repayments of Long-term Debt
Facilities, Ambulatory Surgery Centers
Facilities, Ambulatory Surgery Centers [Member]
Facilities, Ambulatory Surgery Centers [Member]
Payments of preferred dividends
Payments of Ordinary Dividends, Preferred Stock and Preference Stock
Unrecognized tax benefits at beginning of year
Unrecognized tax benefits at end of year
Unrecognized Tax Benefits
Tax Credit Carryforward, Name [Domain]
Tax Credit Carryforward, Name [Domain]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets [Line Items]
Document Fiscal Year Focus
Document Fiscal Year Focus
2022
Finite-Lived Intangible Asset, Expected Amortization, Year Two
Government
Government Revenue [Member]
Government Revenue [Member]
Entity Current Reporting Status
Entity Current Reporting Status
Sale price to public (in USD per share)
Sale of Stock, Price Per Share
Other Liabilities Disclosure [Abstract]
Other Liabilities Disclosure [Abstract]
Changes in measurement of uncertain tax positions
Effective Income Tax Rate Reconciliation, Tax Contingency, Other, Amount
Earnings Per Share
Earnings Per Share, Policy [Policy Text Block]
Comprehensive (loss) income
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest
Vesting percentage
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage
Senior secured term loan
Senior secured term loan
2017 Term Loan, Maturing 2024 [Member]
2017 Term Loan, Maturing 2024 [Member]
Common stock, shares issued (shares)
Common Stock, Shares, Issued
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Operating lease, liability
Total operating lease liabilities
Total lease obligations
Operating Lease, Liability
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Percentage of debt principal redeemable
Debt Instrument, Redemption Price, Percentage of Principal Amount Redeemed
Organization and Summary of Accounting Policies
Basis of Presentation and Significant Accounting Policies [Text Block]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Redeemable preferred stock - Series A; shares authorized, issued and outstanding - 310,000; redemption value - $434.5 and $395.0, respectively
Balance at beginning of period
Balance at end of period
Temporary Equity, Carrying Amount, Attributable to Parent
Total Surgery Partners, Inc. stockholders' equity
Stockholders' Equity Attributable to Parent
Total aggregate consideration
Consideration transferred
Business Combination, Consideration Transferred
Entity Address, City or Town
Entity Address, City or Town
Accrued payroll and benefits
Employee-related Liabilities, Current
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Restricted Stock Awards
Restricted Stock Units (RSUs) [Member]
Schedule of Effect of Interest Rate Swaps
Schedule of Interest Rate Derivatives [Table Text Block]
2025
Lessee, Operating Lease, Liability, to be Paid, Year Five
Surgical Facilities, Including Surgical Hospital
Surgical Facilities, New Market [Member]
Surgical Facilities, New Market
Optical Services
Optical Services [Member]
Optical Services [Member]
Firm Shares
Public Stock Offering, Firm Shares [Member]
Public Stock Offering, Firm Shares
Right of use
Deferred Tax Liabilities, Leasing Arrangements
Valuation allowance
Less: Valuation allowance
Deferred Tax Assets, Valuation Allowance
Liabilities:
Liabilities [Abstract]
2023
Finite-Lived Intangible Asset, Expected Amortization, Year Three
Construction in progress
Construction in Progress [Member]
Revenues
Revenue from Contract with Customer [Policy Text Block]
Long-term
Finance Lease, Liability, Noncurrent
Other current liabilities
Total
Other Liabilities, Current
Other comprehensive loss
Other Comprehensive Income (Loss), Net of Tax
Leases [Abstract]
Leases [Abstract]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Total current assets
Assets, Current
Number of interest rate swaps held
Number of Interest Rate Derivatives Held
Less: Comprehensive income attributable to non-controlling interests
Comprehensive Income (Loss), Net of Tax, Attributable to Noncontrolling Interest
Net operating loss carryforwards
Operating Loss Carryforwards
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Schedule of Deferred Tax Assets and Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Alliance
Alliance [Member]
Alliance
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Property and equipment, at cost
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, before Accumulated Depreciation and Amortization
Disposal Group Name [Domain]
Disposal Group Name [Domain]
Fair value of non-controlling interests
Business Combination, Acquisition of Less than 100 Percent, Noncontrolling Interest, Fair Value
Noncash consideration
Noncash or Part Noncash Acquisition, Net Nonmonetary Assets Acquired (Liabilities Assumed)
2025
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Document Fiscal Period Focus
Document Fiscal Period Focus
Litigation settlement
Litigation-related charge
Gain (Loss) Related to Litigation Settlement
Initial term of operating leases
Lessor, Operating Lease, Term of Contract
Redemption price, percentage
Redemption price of debt
Debt Instrument, Redemption Price, Percentage
Entity Filer Category
Entity Filer Category
Common Stock
Common Stock [Member]
Product and Service [Domain]
Product and Service [Domain]
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Net income attributable to non-controlling interests
Effective Income Tax Rate Reconciliation, Noncontrolling Interest Income (Loss), Amount
Non-Controlling Interests
Consolidation, Subsidiaries or Other Investments, Consolidated Entities, Policy [Policy Text Block]
Matching contribution expense
Defined Contribution Plan, Cost
Weighted-average discount rate, finance leases
Finance Lease, Weighted Average Discount Rate, Percent
Secured Debt
Secured Debt [Member]
Revenue
Revenue Benchmark [Member]
Temporary Equity Disclosure [Abstract]
Temporary Equity Disclosure [Abstract]
Alternate base rate, floor
Debt Instrument, Alternate Base Rate, Floor
Debt Instrument, Alternate Base Rate, Floor
Unusual or Infrequent Item, or Both [Domain]
Unusual or Infrequent Item, or Both [Domain]
Revision of Prior Period [Domain]
Revision of Prior Period [Domain]
Debt instrument, stated rate
Debt Instrument, Interest Rate, Stated Percentage
Redeemable Preferred Stock
Redeemable Preferred Stock [Text Block]
Redeemable Preferred Stock [Text Block]
Cumulative preferred dividends (in USD per share)
Preferred Stock, Per Share Amounts of Preferred Dividends in Arrears
Exercised (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period
Maximum cash dividend declarable
Temporary Equity, Maximum Cash Dividend Declarable
Temporary Equity, Maximum Cash Dividend Declarable
Right-of-use operating lease assets
Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Operating Lease, Right-Of-Use Asset
Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Operating Lease, Right-Of-Use Asset
Net increase (decrease) in cash, cash equivalents and restricted cash
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
2018 Incremental Term Loan
2018 Incremental Term Loan [Member]
2018 Incremental Term Loan
Additional-paid-in-capital increase, due to tax effect of disposals of shares of noncontrolling interests
Non-Controlling Interest, Acquisitions and Disposals of Interests held by Non-Controlling Interest Holders, Tax
Non-Controlling Interest, Acquisitions and Disposals of Interests held by Non-Controlling Interest Holders, Tax
Stock options
Stock Option
Share-based Payment Arrangement, Option [Member]
Subsequent Events [Abstract]
Subsequent Events [Abstract]
Deferred:
Deferred Federal, State and Local, Tax Expense (Benefit) [Abstract]
Sale of Stock [Domain]
Sale of Stock [Domain]
State
Deferred State and Local Income Tax Expense (Benefit)
Total finance lease costs
Finance Lease, Cost
Finance Lease, Cost
2025
Long-Term Debt, Maturity, Year Five
Ownership [Domain]
Ownership [Domain]
(Loss) income before income taxes
(Loss) income before income taxes
Income (Loss) from Continuing Operations before Income Taxes, Domestic
Interest paid, net of interest income received
Interest Paid, Excluding Capitalized Interest, Operating Activities
Expected volatility, maximum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate, Maximum
Total stockholders' equity
Beginning Balance, stockholders' equity
Ending Balance, stockholders' equity
Adjustment to retained deficit
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest
Additional paid-in capital
Additional Paid in Capital
2021
Finite-Lived Intangible Asset, Expected Amortization, Year One
Class of Stock [Axis]
Class of Stock [Axis]
Cash paid for income taxes
Income Taxes Paid, Net
Impairments
Impairment of Intangible Assets (Excluding Goodwill)
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
New Accounting Pronouncements or Change in Accounting Principle [Table]
Accounting Standards Update and Change in Accounting Principle [Table]
Variable Interest Entity [Line Items]
Variable Interest Entity [Line Items]
Schedule of Unrecognized Tax Benefits Roll Forward
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
Subject to expiration
Deferred Tax Assets, Operating Loss Carryforwards, Subject to Expiration
Schedule of Long-Term Debt
Schedule of Debt [Table Text Block]
Projected tax savings period
Collaborative Tax Agreement, Projected Tax Savings, Term
Collaborative Tax Agreement, Projected Tax Savings, Term
Payable at end of period
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
Goodwill and Intangible Assets
Goodwill and Intangible Assets, Policy [Policy Text Block]
Depreciation
Depreciation
Entity Address, Address Line One
Entity Address, Address Line One
Non-compete agreements
Noncompete Agreements [Member]
Entity Emerging Growth Company
Entity Emerging Growth Company
Indefinite-lived intangible assets
Indefinite-lived Intangible Assets (Excluding Goodwill)
Deferred income taxes
Deferred Income Tax Expense (Benefit)
Redemption Period Four
Debt Instrument, Redemption, Period Four [Member]
Net (loss) income
Net Income (Loss), Including Portion Attributable to Nonredeemable Noncontrolling Interest
Finite-lived intangible assets, accumulated amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Maximum
Maximum [Member]
Cost of revenues
Operating Costs and Expenses
Federal Funds Effective Swap Rate
Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Preferred stock, shares authorized (shares)
Preferred Stock, Shares Authorized
Non-Controlling Interests— Non-Redeemable
Noncontrolling Interest
Noncontrolling Interest [Member]
Vesting period
Defined Contribution Plan, Vesting Period
Defined Contribution Plan, Vesting Period
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Net leverage ratio
Debt Instrument, Net Leverage Ratio
Debt Instrument, Net Leverage Ratio
Trading Symbol
Trading Symbol
Variable and short-term lease costs
Variable And Short-Term Lease, Cost
Variable And Short-Term Lease, Cost
2015 Omnibus Incentive Plan
2015 Omnibus Incentive Plan [Member]
2015 Omnibus Incentive Plan [Member]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Dividends accrued (there were no cash dividends declared)
Temporary Equity, Accretion of Dividends
Entity Shell Company
Entity Shell Company
Gain on escrow release
Business Combination, Gain (Loss) On Acquisition Escrow
Business Combination, Gain (Loss) On Acquisition Escrow
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
2022
Finance Lease, Liability, to be Paid, Year Two
Tax return reconciling differences
Effective Income Tax Rate Reconciliation, Other Reconciling Items, Amount
Entity Public Float
Entity Public Float
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
Acquisitions and Disposals
Business Combinations Policy [Policy Text Block]
Document Type
Document Type
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
Options and rights granted (shares)
Granted (shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross
Reporting Unit [Axis]
Reporting Unit [Axis]
Product Information [Line Items]
Product Information [Line Items]
Segments [Axis]
Segments [Axis]
Employee Benefit Plans
Retirement Benefits [Text Block]
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
Leases
Lessee, Leases [Policy Text Block]
Furniture and equipment
Furniture and Equipment [Member]
Furniture and Equipment [Member]
Repurchase of shares (shares)
Stock Repurchased During Period, Shares
Derivatives and Hedging Activities
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Intangible assets, net
Total intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Carrying value of liability, net of discount
Deferred Income Tax Liabilities, Net Of Discount
Deferred Income Tax Liabilities, Net Of Discount
Redemption price (in USD per share)
Temporary Equity, Redemption Price Per Share
2020 incremental term loans
2020 Incremental Loans [Member]
2020 Incremental Loans [Member]
Operating income
Operating Income (Loss)
Payments of debt issuance costs
Payments of Debt Issuance Costs
Impairment of Long-Lived Assets, Goodwill and Intangible Assets
Impairment or Disposal of Long-Lived Assets, Including Intangible Assets, Policy [Policy Text Block]
Professional, general and workers' compensation insurance reserve
Self Insurance Reserve
Total lease liabilities
Lease, Liability
Lease, Liability
Variable Rate [Axis]
Variable Rate [Axis]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Tranche Two
Share-based Payment Arrangement, Tranche Two [Member]
Repurchase of shares
Payments for Repurchase of Common Stock
Vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Entity Address, State or Province
Entity Address, State or Province
Vested (shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period
Tax (benefit) expense at U.S.federal statutory rate
Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount
Accounts payable
Accounts Payable, Current
Deferred financing costs
Deferred Tax Assets, Tax Deferred Expense, Deferred Financing Costs
Deferred Tax Assets, Tax Deferred Expense, Deferred Financing Costs
Net assets acquired:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net [Abstract]
Unusual or Infrequent Item, or Both [Line Items]
Unusual or Infrequent Item, or Both [Line Items]
Redeemable preferred stock, shares issued (shares)
Temporary Equity, Shares Issued
Retained deficit
Retained Earnings (Accumulated Deficit)
Right-of-use operating lease assets
Operating lease assets
Operating Lease, Right-of-Use Asset
Unamortized fair value discount
Debt Instrument, Unamortized Discount
Loss on debt extinguishment
Loss on debt extinguishment
Gain (Loss) on Extinguishment of Debt
Depreciation on property and equipment
Deferred Tax Liabilities, Property, Plant and Equipment
Revenue Source
Product Concentration Risk [Member]
Private insurance
Private Insurance [Member]
Private Insurance [Member]
2021
Finance Lease, Liability, to be Paid, Year One
Property and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Stockholders' equity:
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest [Abstract]
Notes payable and other secured loans
Notes Payable and Secured Loans [Member]
Notes Payable and Secured Loans [Member]
Litigation settlement
Effective Income Tax Rate Reconciliation, Litigation Settlement, Amount
Effective Income Tax Rate Reconciliation, Litigation Settlement, Amount
Surgery Partners, Inc
Surgery Partners, Inc [Member]
Surgery Partners, Inc
Income Taxes
Income Tax, Policy [Policy Text Block]
Total lease costs
Lease, Cost
Purchase of equity investments
Cash investment for purchase of equity investment
Payments to Acquire Equity Method Investments
Outstanding options, exercisable (shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number
Other investing activities
Payments for (Proceeds from) Other Investing Activities
One Month LIBOR
One Month London Interbank Offered Rate (LIBOR) [Member]
One Month London Interbank Offered Rate (LIBOR) [Member]
Thereafter
Long-Term Debt, Maturity, after Year Five
Unusual Risk or Uncertainty, Nature [Axis]
Unusual Risk or Uncertainty, Nature [Axis]
Share price (in USD per share)
Fair value of stock options granted (in USD per share)
Share Price
Business Acquisition [Axis]
Business Acquisition [Axis]
COVID-19 Pandemic
COVID-19 Pandemic [Member]
COVID-19 Pandemic
Forecast
Forecast [Member]
Interest payable
Interest Payable, Current
Entity Voluntary Filers
Entity Voluntary Filers
Acquisition costs
Business Combination, Acquisition Related Costs
Tax Credit Carryforward [Axis]
Tax Credit Carryforward [Axis]
Thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Grant funds
Grant funds
Grant Revenue
Grant Revenue
Credit Facility [Axis]
Credit Facility [Axis]
Preferred stock, shares issued (shares)
Preferred Stock, Shares Issued
Summary of Other Current Liabilities
Other Current Liabilities [Table Text Block]
Quarterly installment of original principal
Debt Instrument, Quarterly Maturity Installments
Debt Instrument, Quarterly Maturity Installments
Interest rate swap agreement
Derivative Liability, Noncurrent
Expected volatility, minimum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate, Minimum
Business Combinations [Abstract]
Net loss per share attributable to common stockholders - basic and diluted (in USD per share)
Basic and diluted loss per share (in USD per share)
Earnings Per Share, Basic and Diluted
Tax Receivable Agreement liability
Effective Income Tax Rate Reconciliation, Tax Receivable Agreement, Amount
Effective Income Tax Rate Reconciliation, Tax Receivable Agreement, Amount
Capital Loss Carryforward
Capital Loss Carryforward [Member]
Operating Leases
Lessee, Operating Lease, Liability, Payment, Due [Abstract]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Redemption Period One
Debt Instrument, Redemption, Period One [Member]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Debt instrument, margin in addition to base rate
Debt Instrument, Margin In Addition To Base Rate
Debt Instrument, Margin In Addition To Base Rate
Reconciliation of Numerator and Denominator of Basic and Diluted EPS
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Leases
Lessee, Finance Leases [Text Block]
Number of interests sold
Disposal Group, Not Discontinued Operation, Number Of Interests Disposed
Disposal Group, Not Discontinued Operation, Number Of Interests Disposed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Long-term line of credit
Long-term Line of Credit
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Facilities, Surgical Hospitals
Facilities, Surgical Hospitals [Member]
Facilities, Surgical Hospitals [Member]
Entity Central Index Key
Entity Central Index Key
Related Party [Domain]
Related Party [Domain]
Other litigation costs
Litigation Settlement, Expense
Tax receivable agreement liability
Tax Receivable Agreement Liability, Current
Tax Receivable Agreement Liability, Current
Number of reporting units
Number of Reporting Units
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
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Summary of Components of Finite-Lived Intangible Assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Senior Notes
Senior Notes [Member]
Change in valuation allowance
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount
Segments [Domain]
Segments [Domain]
10.000% senior unsecured notes due 2027
Senior Unsecured Notes, Due 2027 [Member]
Senior Unsecured Notes, Due 2027 [Member]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
2024
Long-Term Debt, Maturity, Year Four
Amortization of intangible assets
Deferred Tax Assets, Tax Deferred Expense, Amortization Of Intangible Assets
Deferred Tax Assets, Tax Deferred Expense, Amortization Of Intangible Assets
Majority Shareholder
Majority Shareholder [Member]
Increase in outstanding commitments
Line Of Credit Facility, Maximum Borrowing Capacity, Increase
Line Of Credit Facility, Maximum Borrowing Capacity, Increase
Finance lease costs:
Finance Lease, Cost1 [Abstract]
Finance Lease, Cost1 [Abstract]
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Previously Owned Real Property Associated with Existing Non-Consolidated Surgical Facility
Disposal Group Three [Member]
Disposal Group Three
Shares repurchased, average price per share (in USD per share)
Treasury Stock Acquired, Average Cost Per Share
Goodwill impairment
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Impairment Losses, Amount
Accounts Receivable
Receivable [Policy Text Block]
Federal
Current Federal Tax Expense (Benefit)
Current notional amount
Derivative, Notional Amount
Other service revenues
Healthcare Organization, Other Service [Member]
Healthcare Organization, Other Service [Member]
Amortization expense
Amortization of Intangible Assets
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
Segment Reporting
Segment Reporting Disclosure [Text Block]
Initial public offering
Stock Issued During Period, Value, New Issues
Operating cash outflows from finance leases
Finance Lease, Interest Payment on Liability
Scenario [Axis]
Scenario [Axis]
Rent paid under finance lease agreement, allocated to principal and interest
Finance Lease, Principal And Interest Payments
Finance Lease, Principal And Interest Payments
Title of 12(b) Security
Title of 12(b) Security
Right-of-use operating lease liabilities
Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Lease Obligation
Total
Finite-Lived Intangible Assets, Net
Vesting [Domain]
Vesting [Domain]
Maturity of Finance Leases
Finance Lease, Liability, Fiscal Year Maturity [Table Text Block]
Previously Reported
Previously Reported [Member]
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]
Net proceeds from stock offering
Sale of Stock, Consideration Received on Transaction
Other
Stockholders' Equity, Other
Depreciation and amortization
Depreciation, Depletion and Amortization
Schedule of Income Tax (Benefit) Expense
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Product and Service [Axis]
Product and Service [Axis]
Proceeds from disposals of facilities and other assets
Proceeds from Sale of Productive Assets
Debt Redemption Percentages
Debt Instrument Redemption [Table Text Block]
Activity Related to Redeemable Preferred Stock
Temporary Equity [Table Text Block]
2025
Finance Lease, Liability, to be Paid, Year Five
2022
Long-Term Debt, Maturity, Year Two
Surgical Facility
Surgical Facility [Member]
Surgical Facility [Member]
Net loss attributable to common stockholders
Net Income (Loss) Available to Common Stockholders, Basic
Non-cash lease expense
Operating Lease, Expense
Loss recognized in OCI (effective portion)
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
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
Debt Instrument [Axis]
Debt Instrument [Axis]
Antidilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
Operating Segments
Operating Segments [Member]
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Physician Practice
Physician Practice [Member]
Physician Practice
State income tax, net of U.S. federal tax benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Current liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Long-term Debt
Subsequent Event
Subsequent Event [Member]
Domestic Tax Authority
Domestic Tax Authority [Member]
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Options cancelled (shares)
Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Cancelled In Period
Share-Based Compensation Arrangement By Share-Based Payment Award, Options, Cancelled In Period
Current maturities of long-term debt
Less: Current maturities
Long-term Debt and Lease Obligation, Current
Threshold share price (in USD per share)
Temporary Equity, Threshold Share Price
Temporary Equity, Threshold Share Price
Fair Value
Estimate of Fair Value Measurement [Member]
Right-of-use operating lease liabilities
Long-term
Operating Lease, Liability, Noncurrent
2024
Finite-Lived Intangible Asset, Expected Amortization, Year Four
Current assets:
Assets, Current [Abstract]
Stock repurchase program, remaining authorized repurchase amount
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Lease expense
Operating And Finance Lease, Expense
Operating And Finance Lease, Expense
Comprehensive loss attributable to Surgery Partners, Inc.
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
2023
Finance Lease, Liability, to be Paid, Year Three
Expected dividends
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Preferred stock, par value (in USD per share)
Preferred Stock, Par or Stated Value Per Share
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Schedule of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Loss reclassified from accumulated OCI to interest expense (effective portion)
Derivative Instruments, Loss Reclassified from Accumulated OCI into Income, Effective Portion
2021
Long-Term Debt, Maturity, Year One
Legal Entity [Axis]
Legal Entity [Axis]
City Area Code
City Area Code
Cash paid for amounts included in the measurement of lease liabilities:
Cash Flow, Operating Activities, Lessee [Abstract]
Loss (gain) on disposals and deconsolidations, net
Loss (gain) on disposals and deconsolidations, net
Gain (Loss) On Disposition Of Assets And Deconsolidation
Gain (Loss) On Disposition of Assets And Deconsolidation
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Document Period End Date
Document Period End Date
Other
Other Services [Member]
Other Services [Member]
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]
Non-Controlling Interests - Redeemable [Roll Forward]
Redeemable Noncontrolling Interest [Roll Forward]
Redeemable Noncontrolling Interest [Roll Forward]
Stock repurchase program, authorized amount
Stock Repurchase Program, Authorized Amount
Operating Lease, Liability, Current, Statement of Financial Position [Extensible List]
Operating Lease, Liability, Current, Statement of Financial Position [Extensible List]
Net income (loss)
Net income (loss)
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Schedule of Revenue Sources for Patient Service Revenues
Disaggregation of Revenue [Table Text Block]
Number of consecutive trading days, threshold
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
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Equity-based compensation expense
Share-based Payment Arrangement, Noncash Expense
Repurchase of shares
Stock Repurchased During Period, Value
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
Other financing activities
Proceeds from (Payments for) Other Financing Activities
Cover [Abstract]
Base Rate
Base Rate [Member]
Surgery Centers, Surgical Hospitals, and Optical Laboratory
Disposal Group Four [Member]
Disposal Group Four
Current:
Current Federal, State and Local, Tax Expense (Benefit) [Abstract]
Remaining amounts payable under TRA
Taxes Payable
Long-term debt
Total
Long-term Debt
Leases
Lessee, Operating Leases [Text Block]
Customer relationships
Customer Relationships [Member]
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Medical equipment
Medical Equipment [Member]
Medical Equipment [Member]
Equity Components [Axis]
Equity Components [Axis]
Derivative activity
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Total gross deferred tax assets
Deferred Tax Assets, Gross
Minimum
Minimum [Member]
Property and equipment, net
Property and equipment, net
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, after Accumulated Depreciation and Amortization
General Business Tax Credit Carryforward
General Business Tax Credit Carryforward [Member]
Long-term debt
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Long-term Debt
Right of use
Deferred Tax Assets, Right Of Use
Deferred Tax Assets, Right Of Use
Medical malpractice liability
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Contingencies
Less: Net income attributable to non-controlling interests
Net Income (Loss) Attributable to Noncontrolling Interest
Entity Interactive Data Current
Entity Interactive Data Current
Exercised (in USD per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Granted
Share-based Compensation Arrangement by Share-based Payment Award, Options, Granted, Weighted Average Remaining Contractual Term
Share-based Compensation Arrangement by Share-based Payment Award, Options, Granted, Weighted Average Remaining Contractual Term
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Schedule of Stock Options Activity
Share-based Payment Arrangement, Option, Activity [Table Text Block]
Unusual or Infrequent Item, or Both [Axis]
Unusual or Infrequent Item, or Both [Axis]
Payment under settlement agreement
Litigation Settlement, Amount Awarded to Other Party
Derivative [Table]
Derivative [Table]
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Total deferred tax liabilities
Deferred Tax Liabilities, Gross
Other operating expenses
Other Cost and Expense, Operating
Total intangible assets, gross carrying amount
Intangible Assets, Gross (Excluding Goodwill)
Total leased assets
Lease, Right-Of-Use Asset
Lease, Right-of-Use Asset
Amount estimated to be reclassified as a reduction to interest expense over next 12 months
Cash Flow Hedge Gain (Loss) to be Reclassified within Twelve Months
Percentage of principal
Debt Instrument, Interest Rate, Effective Percentage
Consolidation Items [Axis]
Consolidation Items [Axis]
Goodwill impairment loss
Goodwill, Impairment Loss
Accounts receivable
Accounts Receivable, after Allowance for Credit Loss, Current
Total lease payments
Lessee, Operating Lease, Liability, to be Paid
Percentage of voting interest held
Noncontrolling Interest, Ownership Percentage by Parent
Other deferred assets
Deferred Tax Assets, Other
Public Offering
Public Stock Offering [Member]
Public Stock Offering
Risk-free interest rate, minimum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate, Minimum
Number of surgical facilities owned
Number of Surgical Facilities Owned
Number of Surgical Facilities Owned
Deferred tax liabilities:
Components of Deferred Tax Liabilities [Abstract]
Debt Instrument, Redemption, Period [Domain]
Debt Instrument, Redemption, Period [Domain]
Income from equity investments, net of distributions received
Income (Loss) from Equity Method Investments, Net of Dividends or Distributions
Weighted average common shares outstanding - basic and diluted (shares)
Weighted Average Number of Shares Outstanding, Basic and Diluted
Document Transition Report
Document Transition Report
Debt Instrument, Redemption, Period [Axis]
Debt Instrument, Redemption, Period [Axis]
Numerator:
Net Income (Loss) Attributable to Parent [Abstract]
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
Vesting [Axis]
Vesting [Axis]
Management rights agreements
Management Rights [Member]
Management Rights [Member]
Ancillary Services
Ancillary Services [Member]
Ancillary Services [Member]
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Cumulative Effect, Period of Adoption [Axis]
Cumulative Effect, Period of Adoption [Axis]
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
Credit Facility [Domain]
Credit Facility [Domain]
Deferred tax assets:
Components of Deferred Tax Assets [Abstract]
Uncertain tax positions that would impact effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Average expected term (years)
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term
Entity File Number
Entity File Number
Weighted-average remaining lease term, operating leases
Operating Lease, Weighted Average Remaining Lease Term
Number of surgical facilities acquired
Equity Method Investment, Number Of Noncontrolling Interests Acquired
Equity Method Investment, Number Of Noncontrolling Interests Acquired
Common stock, $0.01 par value; shares authorized - 300,000,000; shares issued and outstanding - 50,461,706 and 49,298,940, respectively
Common Stock, Value, Outstanding
Valuation allowance that if recognized, would credit directly to contributed capital
Deferred Taxes, Business Combination, Valuation Allowance, Allocated to Contributed Capital
Proceeds from noncontrolling interests
Proceeds from Noncontrolling Interests
Equity-based compensation
Share-based Payment Arrangement, Expense
Revenues
Total revenues
Revenue from Contract with Customer, Including Assessed Tax
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Document Annual Report
Document Annual Report
Interest Limitation
Interest Limitation [Member]
Interest Limitation [Member]
2024
Finance Lease, Liability, to be Paid, Year Four
Retirement Benefits [Abstract]
Retirement Benefits [Abstract]
Professional and medical fees
Professional Fees
Subsequent Event [Table]
Subsequent Event [Table]
Equity-based compensation (shares)
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Cost report liabilities
Cost Report Liabilities, Current
Cost Report Liabilities, Current
Non-controlling interests—non-redeemable
Stockholders' Equity Attributable to Noncontrolling Interest
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
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Revenue from External Customers by Products and Services [Table]
Revenue from External Customers by Products and Services [Table]
Schedule of Product Information [Table]
Schedule of Product Information [Table]
Bain Capital
Bain Capital [Member]
Bain Capital
Other deferred liabilities
Deferred Tax Liabilities, Other
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]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Statement of Comprehensive Income [Abstract]
Statement of Comprehensive Income [Abstract]
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Total liabilities and stockholders' equity
Liabilities and Equity
Number of business entities acquired
Number of Businesses Acquired
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Income Taxes
Income Tax Disclosure [Text Block]
Portion at Fair Value Measurement
Portion at Fair Value Measurement [Member]
Schedule of Revenues by Service Type
Schedules of Concentration of Risk, by Risk Factor [Table Text Block]
Operating lease costs
Operating Lease, Cost
Aggregate acquisition date fair value
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
General and administrative expenses
General and Administrative Expense
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
Weighted-average remaining lease term, finance leases
Finance Lease, Weighted Average Remaining Lease Term
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible List]
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible List]
Useful lives of intangible assets
Finite-Lived Intangible Asset, Useful Life
Equity Component [Domain]
Equity Component [Domain]
Surgical Facilities, Existing Markets
Surgical Facilities, Existing Markets [Member]
Surgical Facilities, Existing Markets
Entity Tax Identification Number
Entity Tax Identification Number
Interest expense, net
Interest expense, net
Interest Income (Expense), Nonoperating, Net
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
Equity-Based Compensation
Share-based Payment Arrangement [Text Block]
Net loss attributable to Surgery Partners, Inc.
Net loss attributable to Surgery Partners, Inc.
Net Income (Loss) Attributable to Parent
Changes in operating assets and liabilities, net of acquisitions and divestitures:
Increase (Decrease) in Operating Capital [Abstract]
Schedule of Variable Interest Entities [Table]
Schedule of Variable Interest Entities [Table]
Payments related to ownership transactions with non-controlling interest holders
Payments to Noncontrolling Interests
LIBOR
London Interbank Offered Rate (LIBOR) [Member]
Current Fiscal Year End Date
Current Fiscal Year End Date
Operating expenses:
Operating Expenses [Abstract]
Finance lease obligations
Total finance lease liabilities
Total lease obligations
Finance Lease, Liability
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
Reserve adjustments
SEC Schedule, 12-09, Valuation Allowances and Reserves, Increase (Decrease) Adjustment
Intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill
Options/SARs
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
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
Less: Accumulated depreciation
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, Accumulated Depreciation and Amortization
Other income
Other Nonrecurring (Income) Expense
Thereafter
Finance Lease, Liability, to be Paid, after Year Five
Supplemental cash flow information:
Supplemental Cash Flow Information [Abstract]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Deferred tax liabilities, current
Deferred Income Tax Liabilities, Net Of Discount, Current
Deferred Income Tax Liabilities, Net Of Discount, Current
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Net income attributable to non-controlling interests—redeemable
Net Income (Loss) Attributable to Redeemable Noncontrolling Interest
Property, Plant and Equipment, Type [Domain]
Long-Lived Tangible Asset [Domain]
Risk-free interest rate, maximum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate, Maximum
Cash dividends declared
Temporary Equity, Dividends, Adjustment
Schedule of Property and Equipment
Property, Plant and Equipment [Table Text Block]
Preferred stock dividend rate
Preferred Stock, Dividend Rate, Percentage
Stock issued during period (shares)
Stock Issued During Period, Shares, New Issues
Outstanding balance on debt
Line of Credit Facility, Remaining Borrowing Capacity
Finite-lived intangible assets, gross carrying amount
Finite-Lived Intangible Assets, Gross
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
Restricted and Performance Shares
Restricted Stock And Performance Shares [Member]
Restricted Stock And Performance Shares
Finance lease assets
Finance Lease, Right-of-Use Asset, after Accumulated Amortization
TRA liability
Deferred Tax Asset, Tax Receivable Agreement
Deferred Tax Asset, Tax Receivable Agreement
Patient service revenues
Healthcare Organization, Patient Service [Member]
Healthcare Organization, Patient Service [Member]
Maturity of Operating Leases
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Basis of Presentation
Basis of Accounting, Policy [Policy Text Block]
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Amount
Debt instrument, basis spread on variable rate
Debt Instrument, Basis Spread on Variable Rate
Investments in and advances to affiliates
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures
Forfeited/Cancelled (in USD per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Ownership [Axis]
Ownership [Axis]
Increase (Decrease) in Temporary Equity [Roll Forward]
Increase (Decrease) in Temporary Equity [Roll Forward]
Variable Interest Entities
Consolidation, Variable Interest Entity, Policy [Policy Text Block]
Carrying Amount
Reported Value Measurement [Member]
Plan Name [Domain]
Plan Name [Domain]
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Dividends declared but unpaid
Dividends Payable
Increase in right-of-use operating lease assets and liabilities
Operating leases
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Inventories
Inventory, Policy [Policy Text Block]
Income tax (benefit) expense
Total income tax (benefit) expense
Income Tax Expense (Benefit)
Cash, cash equivalents and restricted cash at beginning of period
Cash, cash equivalents and restricted cash at end of period
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Property and Equipment
Property, Plant and Equipment, Policy [Policy Text Block]
Summary of Scheduled Maturities of Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Temporary Equity [Line Items]
Temporary Equity [Line Items]
Current
Finance Lease, Liability, Current
Local Phone Number
Local Phone Number
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Cumulative Effect, Period of Adoption [Domain]
Cumulative Effect, Period of Adoption [Domain]
Redeemable preferred stock, shares outstanding (shares)
Temporary Equity, Shares Outstanding
Summary of Scheduled Amortization
Finite-lived Intangible Assets Amortization Expense [Table Text Block]
Reconciliation of Assets from Segment to Consolidated
Reconciliation of Assets from Segment to Consolidated [Table Text Block]
Tranche One
Share-based Payment Arrangement, Tranche One [Member]
Derivative [Line Items]
Derivative [Line Items]
Summary of Components of Indefinite-Lived Intangible Assets
Schedule of Indefinite-Lived Intangible Assets [Table Text Block]
Long-term debt
Long-term Debt, Gross
Reductions for tax positions of prior year
Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions
Schedule of Finite-Lived Intangible Assets [Table]
Schedule of Finite-Lived Intangible Assets [Table]
Unusual or Infrequent Item, or Both [Table]
Unusual or Infrequent Item, or Both [Table]
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Award Type [Axis]
Award Type [Axis]
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]
Other long-term assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets
Surgical Facility and Physician Practice
Surgical Facility And Physician Practice [Member]
Surgical Facility And Physician Practice [Member]
Retained Deficit
Retained Earnings [Member]
Preferred stock, shares outstanding (shares)
Preferred Stock, Shares Outstanding
Medicare accelerated payments and deferred governmental grants
Medicare Accelerated Payments And Deferred Governmental Grants, Current
Medicare Accelerated Payments And Deferred Governmental Grants, Current
Measurement Basis [Axis]
Measurement Basis [Axis]
Finance Lease, Liability, Current, Statement of Financial Position [Extensible List]
Finance Lease, Liability, Current, Statement of Financial Position [Extensible List]
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Weighted Average Remaining Contractual Term (years)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Additional Disclosures [Abstract]
Outstanding
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Award Type [Domain]
Award Type [Domain]
Property and Equipment
Property, Plant and Equipment Disclosure [Text Block]
Commitment fee
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Fair Value, by Balance Sheet Grouping [Table]
Fair Value, by Balance Sheet Grouping [Table]
Earnings Per Share
Earnings Per Share [Text Block]
Deferred accrued payroll and benefits
Deferred Employee-related Liabilities, Current
Deferred Employee-related Liabilities, Current
Interest accrued on payment under Tax Receivable Agreement, basis spread on variable rate
Collaborative Tax Agreement, Interest Rate, Basis Spread on Variable Rate
Collaborative Tax Agreement, Interest Rate, Basis Spread on Variable Rate
Finance lease liabilities:
Finance Lease Liability [Abstract]
Non-controlling interests—redeemable
Non-controlling interest, beginning balance
Non-controlling interest, ending balance
Redeemable Noncontrolling Interest, Equity, Carrying Amount
Current liabilities:
Liabilities, Current [Abstract]
Tax rate
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent
Guarantor Obligations [Line Items]
Guarantor Obligations [Line Items]
Business Combinations And Disposals [Abstract]
Business Combinations And Disposals [Abstract]
Business Combinations And Disposals [Abstract]
Income Tax Contingency [Table]
Income Tax Contingency [Table]
Recent Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Redeemable preferred stock, redemption value
Redeemable Noncontrolling Interest, Equity, Preferred, Redemption Value