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Guarantor (Tables)
12 Months Ended
Dec. 31, 2012
Condensed Consolidating Financial Information  
Condensed Balance Sheet
Consolidating Balance Sheet - December 31, 2012 (Dollars in thousands)
                   
        Guarantor Non-Guarantor Consolidating Total
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Assets               
Current assets:               
 Cash and cash equivalents  $ 7,259 $ - $ 39,139 $ - $ 46,398
 Accounts receivable, net    -   -   96,752   -   96,752
 Supplies inventory    -   -   18,406   -   18,406
 Deferred income taxes    3,088   -   -   -   3,088
 Prepaid and other current assets    19,342   -   13,160   (4,965)   27,537
  Total current assets    29,689   -   167,457   (4,965)   192,181
Property and equipment, net    9,199   -   157,413   -   166,612
Investments in unconsolidated affiliates and long-term notes receivable   1,413,061   1,381,596   -   (2,783,383)   11,274
Goodwill and other intangible assets, net    21,311   -   1,206   1,652,002   1,674,519
   Total assets  $ 1,473,260 $ 1,381,596 $ 326,076 $ (1,136,346) $ 2,044,586
Liabilities and Equity               
Current liabilities:               
 Current portion of long-term debt  $ 5,357 $ - $ 12,050 $ - $ 17,407
 Accounts payable    1,379   -   26,035   (3,905)   23,509
 Other accrued liabilities    29,380   -   15,177   (1,060)   43,497
  Total current liabilities    36,116   -   53,262   (4,965)   84,413
Long-term debt    599,423   -   52,747   (31,465)   620,705
Deferred income taxes    137,648   -   -   -   137,648
Other long-term liabilities    10,585   -   15,387   -   25,972
Noncontrolling interests – redeemable    -   -   61,939   113,443   175,382
Equity:               
  Total AmSurg Corp. equity    689,488   1,381,596   108,412   (1,490,008)   689,488
  Noncontrolling interests – non-redeemable    -   -   34,329   276,649   310,978
  Total equity    689,488   1,381,596   142,741   (1,213,359)   1,000,466
   Total liabilities and equity  $ 1,473,260 $ 1,381,596 $ 326,076 $ (1,136,346) $ 2,044,586

Consolidating Balance Sheet - December 31, 2011 (Dollars in thousands)
                   
        Guarantor Non-Guarantor Consolidating Total
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Assets               
Current assets:               
 Cash and cash equivalents  $ 8,530 $ - $ 32,188 $ - $ 40,718
 Accounts receivable, net    -   -   93,454   -   93,454
 Supplies inventory    -   -   15,039   -   15,039
 Deferred income taxes    2,129   -   -   -   2,129
 Prepaid and other current assets    13,339   -   11,286   (2,750)   21,875
  Total current assets    23,998   -   151,967   (2,750)   173,215
Property and equipment, net    8,574   -   135,984   -   144,558
Investments in unconsolidated affiliates and long-term notes receivable   1,145,683   1,113,430   -   (2,248,591)   10,522
Goodwill and other intangible assets, net    13,989   -   1,436   1,229,298   1,244,723
   Total assets  $ 1,192,244 $ 1,113,430 $ 289,387 $ (1,022,043) $ 1,573,018
Liabilities and Equity               
Current liabilities:               
 Current portion of long-term debt  $ - $ - $ 10,800 $ - $ 10,800
 Accounts payable    2,347   -   21,489   (2,294)   21,542
 Other accrued liabilities    19,485   -   12,283   (456)   31,312
  Total current liabilities    21,832   -   44,572   (2,750)   63,654
Long-term debt    426,000   -   50,762   (28,799)   447,963
Deferred income taxes    114,167   -   -   -   114,167
Other long-term liabilities    14,000   -   14,131   -   28,131
Noncontrolling interests – redeemable    -   -   64,150   106,486   170,636
Equity:               
  Total AmSurg Corp. equity    616,245   1,113,430   95,081   (1,208,511)   616,245
  Noncontrolling interests – non-redeemable    -   -   20,691   111,531   132,222
  Total equity    616,245   1,113,430   115,772   (1,096,980)   748,467
   Total liabilities and equity  $ 1,192,244 $ 1,113,430 $ 289,387 $ (1,022,043) $ 1,573,018
Condensed Income Statement
Consolidating Statement of Earnings - Year Ended December 31, 2012 (In thousands)
                   
        Guarantor Non-Guarantor ConsolidatingTotal
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 19,907 $ - $ 923,503 $ (14,901) $ 928,509
Operating expenses:              
 Salaries and benefits   54,895   -   237,268   (450)   291,713
 Supply cost   -   -   132,044   -   132,044
 Other operating expenses   20,499   -   188,245   (14,451)   194,293
 Depreciation and amortization   2,860   -   27,218   -   30,078
  Total operating expenses   78,254   -   584,775   (14,901)   648,128
Equity in earnings of unconsolidated affiliates  178,137   178,137   -   (354,710)   1,564
  Operating income   119,790   178,137   338,728   (354,710)   281,945
Interest expense   14,803   -   2,169   -   16,972
 Earnings from continuing operations before income taxes   104,987   178,137   336,559   (354,710)   264,973
Income tax expense   41,059   -   1,568   -   42,627
 Net earnings from continuing operations   63,928   178,137   334,991   (354,710)   222,346
 Net earnings from discontinued operations   (1,365)   -   2,662   -   1,297
  Net earnings   62,563   178,137   337,653   (354,710)   223,643
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -   -   159,761   -   159,761
 Net earnings from discontinued operations  -   -   1,319   -   1,319
  Total net earnings attributable to noncontrolling interests   -   -   161,080   -   161,080
   Net earnings attributable to AmSurg Corp. common shareholders $ 62,563 $ 178,137 $ 176,573 $ (354,710) $ 62,563
Amounts attributable to AmSurg Corp. common shareholders:              
 Earnings from continuing operations, net of income tax $ 63,928 $ 178,137 $ 175,230 $ (354,710) $ 62,585
 Discontinued operations, net of income tax   (1,365)   -   1,343   -   (22)
   Net earnings attributable to AmSurg Corp. common shareholders $ 62,563 $ 178,137 $ 176,573 $ (354,710) $ 62,563
                   
Net earnings and comprehensive income, net of tax$ 62,563 $ 178,137 $ 337,653 $ (354,710) $ 223,643
 Less comprehensive income attributable to noncontrolling interests   -   -   161,080   -   161,080
  Comprehensive income attributable to AmSurg Corp.               
    common shareholders $ 62,563 $ 178,137 $ 176,573 $ (354,710) $ 62,563

Consolidating Statement of Earnings - Year Ended December 31, 2011 (In thousands)
                   
        Guarantor Non-Guarantor ConsolidatingTotal
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 11,253 $ - $ 774,335 $ (8,001) $ 777,587
Operating expenses:              
 Salaries and benefits   42,739   -   198,006   (359)   240,386
 Supply cost   -   -   102,356   -   102,356
 Other operating expenses   19,468   -   157,904   (7,642)   169,730
 Depreciation and amortization   2,487   -   23,385   -   25,872
  Total operating expenses   64,694   -   481,651   (8,001)   538,344
Equity in earnings of unconsolidated affiliates  152,409   152,409   -   (304,205)   613
  Operating income   98,968   152,409   292,684   (304,205)   239,856
Interest expense   13,195   -   2,135   -   15,330
 Earnings from continuing operations before income taxes   85,773   152,409   290,549   (304,205)   224,526
Income tax expense   34,072   -   1,182   -   35,254
 Net earnings from continuing operations   51,701   152,409   289,367   (304,205)   189,272
 Net earnings from discontinued operations   (1,704)   -   2,546   -   842
  Net earnings   49,997   152,409   291,913   (304,205)   190,114
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -   -   138,878   -   138,878
 Net earnings from discontinued operations  -   -   1,239   -   1,239
  Total net earnings attributable to noncontrolling interests   -   -   140,117   -   140,117
   Net earnings attributable to AmSurg Corp. common shareholders $ 49,997 $ 152,409 $ 151,796 $ (304,205) $ 49,997
Amounts attributable to AmSurg Corp. common shareholders:              
 Earnings from continuing operations, net of income tax $ 51,701 $ 152,409 $ 150,489 $ (304,205) $ 50,394
 Discontinued operations, net of income tax   (1,704)   -   1,307   -   (397)
   Net earnings attributable to AmSurg Corp. common shareholders $ 49,997 $ 152,409 $ 151,796 $ (304,205) $ 49,997
                   
Net earnings$ 49,997 $ 152,409 $ 291,913 $ (304,205) $ 190,114
Other comprehensive income, net of income tax:              
 Unrealized gain on interest rate swap, net of income tax   515   -   -   -   515
  Comprehensive income, net of income tax   50,512   152,409   291,913   (304,205)   190,629
 Less comprehensive income attributable to noncontrolling interests   -   -   140,117   -   140,117
  Comprehensive income attributable to AmSurg Corp.               
    common shareholders $ 50,512 $ 152,409 $ 151,796 $ (304,205) $ 50,512

Consolidating Statement of Earnings - Year Ended December 31, 2010 (In thousands)
                   
        Guarantor Non-Guarantor ConsolidatingTotal
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 6,267 $ - $ 690,492 $ (4,188) $ 692,571
Operating expenses:              
 Salaries and benefits   34,872   -   174,527   (337)   209,062
 Supply cost   -   -   89,863   -   89,863
 Other operating expenses   13,502   -   136,149   (3,851)   145,800
 Depreciation and amortization   2,108   -   22,557   -   24,665
  Total operating expenses   50,482   -   423,096   (4,188)   469,390
Equity in earnings of unconsolidated affiliates  141,456   141,456   -   (282,912)   -
  Operating income   97,241   141,456   267,396   (282,912)   223,181
Interest expense   11,269   -   2,207   -   13,476
 Earnings from continuing operations before income taxes   85,972   141,456   265,189   (282,912)   209,705
Income tax expense   31,783   -   1,208   -   32,991
 Net earnings from continuing operations   54,189   141,456   263,981   (282,912)   176,714
 Net earnings from discontinued operations   (4,364)   -   8,146   -   3,782
  Net earnings   49,825   141,456   272,127   (282,912)   180,496
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -   -   126,716   -   126,716
 Net earnings from discontinued operations  -   -   3,955   -   3,955
  Total net earnings attributable to noncontrolling interests   -   -   130,671   -   130,671
   Net earnings attributable to AmSurg Corp. common shareholders $ 49,825 $ 141,456 $ 141,456 $ (282,912) $ 49,825
Amounts attributable to AmSurg Corp. common shareholders:              
 Earnings from continuing operations, net of income tax $ 54,189 $ 141,456 $ 137,265 $ (282,912) $ 49,998
 Discontinued operations, net of income tax   (4,364)   -   4,191   -   (173)
   Net earnings attributable to AmSurg Corp. common shareholders $ 49,825 $ 141,456 $ 141,456 $ (282,912) $ 49,825
                   
Net earnings$ 49,825 $ 141,456 $ 272,127 $ (282,912) $ 180,496
Other comprehensive income, net of income tax:              
 Unrealized gain on interest rate swap, net of income tax   1,334   -   -   -   1,334
  Comprehensive income, net of income tax   51,159   141,456   272,127   (282,912)   181,830
 Less comprehensive income attributable to noncontrolling interests   -   -   130,671   -   130,671
  Comprehensive income attributable to AmSurg Corp.               
    common shareholders $ 51,159 $ 141,456 $ 141,456 $ (282,912) $ 51,159
Condensed Cash Flow Statement
Consolidating Statement of Cash Flows - Year Ended December 31, 2012 (In thousands)
                  
    Parent Guarantor Non-Guarantor Consolidating Total
    Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                  
Cash flows from operating activities:              
  Net cash flows provided by (used in) operating activities $ (83,605) $ 182,851 $ 379,257 $ (182,851) $ 295,652
Cash flows from investing activities:              
 Acquisition of interests in surgery centers and related transactions   (90,029)   (280,189)   -   92,830   (277,388)
 Acquisition of property and equipment   (3,681)   -   (25,183)   -   (28,864)
 Proceeds from sale of interests in surgery centers   -   7,309   -   -   7,309
  Net cash flows used in investing activities   (93,710)   (272,880)   (25,183)   92,830   (298,943)
Cash flows from financing activities:              
 Proceeds from long-term borrowings   560,000   -   5,566   -   565,566
 Repayment on long-term borrowings   (381,220)   -   (12,944)   -   (394,164)
 Distributions to owners, including noncontrolling interests   -   -   (345,792)   182,851   (162,941)
 Capital contributions  -   90,029   -   (90,029)   -
 Changes in intercompany balances with affiliates, net  (2,666)   -   2,666   -   -
 Other financing activities, net  (70)   -   3,381   (2,801)   510
  Net cash flows provided by (used in) financing activities   176,044   90,029   (347,123)   90,021   8,971
Net increase (decrease) in cash and cash equivalents   (1,271)   -   6,951   -   5,680
Cash and cash equivalents, beginning of year  8,530   -   32,188   -   40,718
Cash and cash equivalents, end of year$ 7,259 $ - $ 39,139 $ - $ 46,398

Consolidating Statement of Cash Flows - Year Ended December 31, 2011 (In thousands)
                  
    Parent Guarantor Non-Guarantor Consolidating Total
    Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                  
Cash flows from operating activities:              
  Net cash flows provided by (used in) operating activities $ (67,911) $ 151,558 $ 311,334 $ (151,558) $ 243,423
Cash flows from investing activities:              
 Acquisition of interests in surgery centers and related transactions   (84,597)   (243,429)   -   88,803   (239,223)
 Acquisition of property and equipment   (2,858)   -   (19,312)   -   (22,170)
 Proceeds from sale of interests in surgery centers   -   7,274   (248)   -   7,026
  Net cash flows used in investing activities   (87,455)   (236,155)   (19,560)   88,803   (254,367)
Cash flows from financing activities:              
 Proceeds from long-term borrowings   281,100   -   7,769   -   288,869
 Repayment on long-term borrowings   (118,100)   -   (11,007)   -   (129,107)
 Distributions to owners, including noncontrolling interests   -   -   (290,282)   151,558   (138,724)
 Capital contributions  -   84,597   -   (84,597)   -
 Changes in intercompany balances with affiliates, net  (178)   -   178   -   -
 Other financing activities, net  (3,609)   -   4,292   (4,206)   (3,523)
  Net cash flows provided by (used in) financing activities   159,213   84,597   (289,050)   62,755   17,515
Net increase in cash and cash equivalents   3,847   -   2,724   -   6,571
Cash and cash equivalents, beginning of year  4,683   -   29,464   -   34,147
Cash and cash equivalents, end of year$ 8,530 $ - $ 32,188 $ - $ 40,718

Consolidating Statement of Cash Flows - Year Ended December 31, 2010 (In thousands)
                  
    Parent Guarantor Non-Guarantor Consolidating Total
    Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                  
Cash flows from operating activities:              
  Net cash flows provided by operating activities $ 20,905 $ 143,049 $ 298,359 $ (231,738) $ 230,575
Cash flows from investing activities:              
 Acquisition of interests in surgery centers and related transactions   -   (54,420)   -   730   (53,690)
 Acquisition of property and equipment   (2,138)   -   (17,137)   -   (19,275)
 Proceeds from sale of interests in surgery centers   -   60   -   -   60
  Net cash flows used in investing activities   (2,138)   (54,360)   (17,137)   730   (72,905)
Cash flows from financing activities:              
 Proceeds from long-term borrowings   173,800   -   2,819   -   176,619
 Repayment on long-term borrowings   (187,100)   -   (8,860)   -   (195,960)
 Distributions to owners, including noncontrolling interests   -   (88,689)   (275,159)   231,738   (132,110)
 Changes in intercompany balances with affiliates, net  (799)   -   799   -   -
 Other financing activities, net  (1,573)   -   854   (730)   (1,449)
  Net cash flows used in financing activities   (15,672)   (88,689)   (279,547)   231,008   (152,900)
Net increase in cash and cash equivalents   3,095   -   1,675   -   4,770
Cash and cash equivalents, beginning of year  1,588   -   27,789   -   29,377
Cash and cash equivalents, end of year$ 4,683 $ - $ 29,464 $ - $ 34,147