Surgery Partners, Inc.
Business
Surgery Partners, Inc. owns and operates a national network of surgical facilities and ancillary services providing an integrated outpatient delivery model for surgical and related care. The company offers ambulatory surgery center and short-stay surgical hospital services, anesthesia, urgent care, multi-specialty physician practice support, management and contracting services, and facility development and acquisition. Operations are organized in a single Surgical Facilities segment encompassing ASCs, surgical hospitals, anesthesia services, urgent care and physician practices. Services are delivered across a national footprint through owned, majority-owned and managed partnerships in multiple states and local payor contracting channels.
Summary from filing dated 2025-03-07
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenues | 3,309 | 3,114 | 2,743 | 2,539 | 2,225 | |
| Salaries and benefits | 971 | 908 | 794 | 746 | 644 | |
| Supplies | 879 | 813 | 745 | 710 | 636 | |
| Professional and medical fees | 405 | 357 | 297 | 269 | 230 | |
| Lease expense | 88 | 90 | 85 | 82 | 91 | |
| Other operating expenses | 201 | 202 | 175 | 157 | 132 | |
| Cost of revenues | 2,544 | 2,369 | 2,096 | 1,964 | 1,734 | |
| General and administrative expenses | 118 | 139 | 121 | 102 | 104 | |
| Depreciation and amortization | 176 | 153 | 118 | 115 | 99 | |
| Transaction and integration costs | 74 | 100 | 62 | 48 | 40 | |
| Net loss on disposals, consolidations and deconsolidations | 30 | 41 | 14 | 11 | 2 | |
| Equity in earnings of unconsolidated affiliates | −23 | −20 | −14 | −13 | −11 | |
| Litigation settlements | 7 | −800,000 | 11 | −29 | 0 | |
| Loss on debt extinguishment | 1 | 5 | 16 | 15 | 9 | |
| Other income, net | −9 | −20 | −8 | −19 | −16 | |
| Total operating expenses | 2,919 | 2,766 | 2,415 | 2,194 | 1,923 | |
| Operating income | 390 | 349 | 328 | 345 | 302 | |
| Interest expense, net | −273 | −202 | −193 | −235 | −221 | |
| Income before income taxes | 117 | 147 | 135 | 110 | 81 | |
| Income tax (expense) benefit | −18 | −135 | 300,000 | −23 | −11 | |
| Net income | 99 | 13 | 135 | 87 | 71 | |
| Less: Net income attributable to non-controlling interests | −177 | −181 | −147 | −142 | −142 | |
| Net loss attributable to Surgery Partners, Inc. | −78 | −168 | −12 | −55 | −71 | |
| Basic (in USD per share) | −0.61 | −1.33 | −0.09 | −0.59 | −1.12 | |
| Diluted (in USD per share) | −0.61 | −1.33 | −0.09 | −0.59 | −1.12 | |
| Basic (shares) | 127 | 126 | 126 | 92 | 72 | |
| Diluted (shares) | 127 | 126 | 126 | 92 | 72 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 240 | 270 | 196 | 283 | 390 | |
| Accounts receivable | 602 | 579 | 496 | 456 | 430 | |
| Inventories | 97 | 88 | 75 | 71 | 61 | |
| Prepaid expenses | 41 | 36 | 31 | 31 | 26 | |
| Other current assets | 171 | 146 | 97 | 79 | 39 | |
| Total current assets | 1,151 | 1,119 | 895 | 921 | 946 | |
| Property and equipment, net | 1,153 | 1,088 | 969 | 877 | 630 | |
| Intangible assets, net | 41 | 46 | 55 | 42 | 44 | |
| Goodwill | 5,195 | 5,068 | 4,326 | 4,137 | 3,912 | |
| Investments in and advances to affiliates | 234 | 215 | 184 | 190 | 89 | |
| Right-of-use operating lease assets | 289 | 296 | 255 | 279 | 324 | |
| Other long-term assets | 57 | 58 | 103 | 144 | 59 | |
| Total assets | 8,120 | 7,890 | 6,877 | 6,682 | 6,118 | |
| Accounts payable | 209 | 209 | 172 | 152 | 125 | |
| Accrued payroll and benefits | 65 | 60 | 74 | 69 | 77 | |
| Other current liabilities | 243 | 254 | 204 | 210 | 210 | |
| Current maturities of long-term debt | 99 | 101 | 73 | 63 | 60 | |
| Total current liabilities | 616 | 624 | 523 | 493 | 537 | |
| Long-term debt, less current maturities | 3,603 | 3,269 | 2,702 | 2,559 | 2,878 | |
| Right-of-use operating lease liabilities | 280 | 292 | 249 | 271 | 316 | |
| Long-term deferred tax liabilities | 53 | 39 | 0 | — | — | |
| Other long-term liabilities | 41 | 30 | 41 | 75 | 87 | |
| Non-controlling interestsredeemable | 396 | 439 | 327 | 342 | 330 | |
| Preferred stock, $0.01 par value; shares authorized - 20,310,000; shares issued or outstanding - none | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $0.01 par value; shares authorized - 300,000,000; shares issued and outstanding - 129,321,144 and 127,109,383, respectively | 1 | 1 | 1 | 1 | 900,000 | |
| Additional paid-in capital | 2,541 | 2,521 | 2,498 | 2,478 | 1,622 | |
| Accumulated other comprehensive (loss) income | −14 | 5 | 58 | 76 | −32 | |
| Retained deficit | −815 | −737 | −569 | −557 | −503 | |
| Total Surgery Partners, Inc. stockholders' equity | 1,713 | 1,790 | 1,987 | 1,998 | 1,089 | |
| Non-controlling interestsnon-redeemable | 1,418 | 1,407 | 1,047 | 943 | 881 | |
| Total stockholders' equity | 3,131 | 3,196 | 3,035 | 2,941 | 1,970 | |
| Total liabilities and stockholders' equity | 8,120 | 7,890 | 6,877 | 6,682 | 6,118 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Non-cash lease expense | 38 | 39 | 35 | 35 | 39 | |
| Non-cash interest expense, net | 10 | 7 | 25 | 26 | 22 | |
| Equity-based compensation expense | 15 | 33 | 18 | 18 | 17 | |
| Deferred income taxes | 17 | 132 | −2 | 22 | 9 | |
| Equity in earnings of unconsolidated affiliates, net of distributions received | −800,000 | −2 | −2 | −2 | 200,000 | |
| Accounts receivable | −54 | −72 | −47 | −35 | −32 | |
| Other operating assets and liabilities | −57 | −47 | −16 | −67 | −43 | |
| Net cash provided by operating activities | 274 | 300 | 294 | 159 | 87 | |
| Purchases of property and equipment | −79 | −90 | −89 | −81 | −58 | |
| Payments for acquisitions, net of cash acquired | −162 | −379 | −80 | −146 | −286 | |
| Proceeds from disposals of facilities and other assets | 47 | 3 | 26 | 13 | 6 | |
| Purchases of equity investments | −13 | −2 | −50 | −95 | 0 | |
| Proceeds from sales of equity investments | 2 | 5 | 1 | 13 | 5 | |
| Other investing activities | −41 | −25 | −34 | −12 | 300,000 | |
| Net cash used in investing activities | −247 | −489 | −226 | −308 | −332 | |
| Principal payments on long-term debt | −1,040 | −1,279 | −807 | −862 | −343 | |
| Borrowings of long-term debt | 1,203 | 1,730 | 827 | 218 | 299 | |
| Payments of debt issuance costs | −4 | −15 | −24 | 0 | −12 | |
| Distributions to non-controlling interest holders | −226 | −171 | −146 | −147 | −131 | |
| Proceeds (payments) related to ownership transactions with non-controlling interest holders | 600,000 | 10 | 8 | −3 | −28 | |
| Other financing activities | 9 | −13 | −13 | −10 | −18 | |
| Net cash (used in) provided by financing activities | −57 | 262 | −155 | 42 | 316 | |
| Net (decrease) increase in cash and cash equivalents | −30 | 74 | −87 | −107 | 72 | |
| Interest paid, net of interest income received | 257 | 200 | 170 | 219 | 194 | |
| Cash paid for income taxes | 1 | 2 | 1 | 2 | 2 | |
| Non-cash purchases of property and equipment | 14 | 13 | 18 | 30 | 22 |