XML 71 R54.htm IDEA: XBRL DOCUMENT
v3.20.4

Goodwill and Intangible Assets - Additional Information (Details) |  | 9 Months Ended | 12 Months Ended
--- | --- | --- | ---
Oct. 01, 2020 USD ($) reporting_unit | Sep. 30, 2020 USD ($) | Dec. 31, 2020 USD ($) reporting_unit | Dec. 31, 2019 USD ($) | Dec. 31, 2018 USD ($)
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Number of reporting units | reporting_unit | 3 |  | 3 |  |
Goodwill impairment loss |  |  | $ 5,400,000 |  |
Goodwill |  |  | 3,468,000,000.0 | $ 3,402,400,000 | $ 3,382,800,000
Amortization expense |  |  | $ 4,300,000 | 4,600,000 | 4,900,000
Physician income guarantees | Minimum |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Useful lives of intangible assets |  |  | 3 years |  |
Physician income guarantees | Maximum |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Useful lives of intangible assets |  |  | 4 years |  |
Non-compete agreements | Minimum |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Useful lives of intangible assets |  |  | 2 years |  |
Non-compete agreements | Maximum |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Useful lives of intangible assets |  |  | 5 years |  |
Management rights agreements |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Useful lives of intangible assets |  |  | 15 years |  |
Customer relationships | Minimum |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Useful lives of intangible assets |  |  | 3 years |  |
Customer relationships | Maximum |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Useful lives of intangible assets |  |  | 10 years |  |
Surgical Facility Services |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Goodwill | $ 3,300,000,000 |  |  |  |
Ancillary Services |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Goodwill impairment loss |  | $ 28,600,000 |  |  | 60,700,000
Goodwill | 0 |  |  |  |
Alliance |  |  |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |  |  |
Goodwill impairment loss |  | $ 4,900,000 |  | $ 2,500,000 | $ 13,700,000
Goodwill | $ 4,200,000 |  |  |  |

X
- Definition The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3602-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(2) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6388964&loc=d3e16225-109274 + Details
Name: | us-gaap_AmortizationOfIntangibleAssets
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Useful life of finite-lived intangible assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + Details
Name: | us-gaap_FiniteLivedIntangibleAssetUsefulLife
Namespace Prefix: | us-gaap_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_FiniteLivedIntangibleAssetsLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(10)(1)) -URI http://asc.fasb.org/extlink&oid=120398452&loc=d3e534808-122878 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=120320667&loc=SL49117168-202975 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=99380562&loc=d3e13770-109266 + Details
Name: | us-gaap_Goodwill
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of loss from the write-down of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 2 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13854-109267 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3602-108585 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=99380562&loc=d3e13777-109266 + Details
Name: | us-gaap_GoodwillImpairmentLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Number of reporting units tested for impairment of goodwill. A reporting unit is an operating segment or one level below an operating segment. + References No definition available. + Details
Name: | us-gaap_NumberOfReportingUnits
Namespace Prefix: | us-gaap_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=sgry_PhysicianIncomeGuaranteesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_RangeAxis=srt_MinimumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_RangeAxis=srt_MaximumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=us-gaap_NoncompeteAgreementsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=sgry_ManagementRightsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=us-gaap_CustomerRelationshipsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ReportingUnitAxis=sgry_SurgicalFacilityServicesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ReportingUnitAxis=sgry_AncillaryServicesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ReportingUnitAxis=sgry_AllianceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |