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Guarantor (Tables)
6 Months Ended
Jun. 30, 2013
Condensed Consolidating Financial Information  
Condensed Balance Sheet
Consolidating Balance Sheet - June 30, 2013 (Dollars in thousands)
                   
        Guarantor Non-Guarantor Consolidating Total
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Assets               
Current assets:               
 Cash and cash equivalents  $ 4,795 $ -  $ 35,128 $ -  $ 39,923
 Accounts receivable, net    -    -    105,305   -    105,305
 Supplies inventory    -    -    18,253   -    18,253
 Deferred income taxes    3,773   -    -    -    3,773
 Prepaid and other current assets    22,825   -    11,148   (4,640)   29,333
  Total current assets    31,393   -    169,834   (4,640)   196,587
Property and equipment, net    8,842   -    154,539   -    163,381
Investments in unconsolidated affiliates and long-term notes receivable   1,430,651   1,400,617   -    (2,814,351)   16,917
Goodwill and other intangible assets, net    21,496   -    1,092   1,675,235   1,697,823
   Total assets  $ 1,492,382 $ 1,400,617 $ 325,465 $ (1,143,756) $ 2,074,708
Liabilities and Equity               
Current liabilities:               
 Current portion of long-term debt  $ 10,714 $ -  $ 10,960 $ -  $ 21,674
 Accounts payable    1,074   -    24,434   (4,576)   20,932
 Accrued liabilities    20,969   -    14,977   (63)   35,883
  Total current liabilities    32,757   -    50,371   (4,639)   78,489
Long-term debt    574,286   -    50,110   (30,034)   594,362
Deferred income taxes    155,904   -    -    -    155,904
Other long-term liabilities    10,769   -    16,619   -    27,388
Noncontrolling interests – redeemable    -    -    61,263   113,837   175,100
Equity:               
  Total AmSurg Corp. equity    718,666   1,400,617   110,210   (1,510,827)   718,666
  Noncontrolling interests – non-redeemable    -    -    36,892   287,907   324,799
  Total equity    718,666   1,400,617   147,102   (1,222,920)   1,043,465
   Total liabilities and equity  $ 1,492,382 $ 1,400,617 $ 325,465 $ (1,143,756) $ 2,074,708

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
 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
Condensed Income Statement
Consolidating Statement of Earnings and Comprehensive Income - For the Three Months Ended June 30, 2013 (In thousands)
                   
        Guarantor Non-Guarantor ConsolidatingTotal
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 5,796 $ -  $ 267,899 $ (4,353) $ 269,342
Operating expenses:              
 Salaries and benefits   14,431   -    67,405   (117)   81,719
 Supply cost   -    -    39,516   -    39,516
 Other operating expenses   5,171   -    53,515   (4,236)   54,450
 Depreciation and amortization   760   -    7,427   -    8,187
  Total operating expenses   20,362   -    167,863   (4,353)   183,872
Gain on deconsolidation  -    -    -    -    -
Equity in earnings of unconsolidated affiliates  52,590   52,590   -    (104,484)   696
  Operating income   38,024   52,590   100,036   (104,484)   86,166
Interest expense   7,026   -    487   -    7,513
 Earnings from continuing operations before income taxes   30,998   52,590   99,549   (104,484)   78,653
Income tax expense   12,435   -    382   -    12,817
 Net earnings from continuing operations   18,563   52,590   99,167   (104,484)   65,836
 Net earnings from discontinued operations   -    -    -    -    -
  Net earnings and comprehensive income  18,563   52,590   99,167   (104,484)   65,836
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -    -    47,273   -    47,273
 Net earnings from discontinued operations  -    -    -    -    -
  Total net earnings attributable to noncontrolling interests   -    -    47,273   -    47,273
   Net earnings and comprehensive income attributable              
    to AmSurg Corp. common shareholders $ 18,563 $ 52,590 $ 51,894 $ (104,484) $ 18,563
Amounts attributable to AmSurg Corp. common shareholders:              
 Earnings from continuing operations, net of income tax $ 18,563 $ 52,590 $ 51,894 $ (104,484) $ 18,563
 Discontinued operations, net of income tax   -    -    -    -    -
   Net earnings and comprehensive income attributable              
    to AmSurg Corp. common shareholders $ 18,563 $ 52,590 $ 51,894 $ (104,484) $ 18,563

Consolidating Statement of Earnings and Comprehensive Income - For the Six Months Ended June 30, 2013 (In thousands)
                   
        Guarantor Non-Guarantor ConsolidatingTotal
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 11,176 $ -  $ 526,818 $ (8,591) $ 529,403
Operating expenses:              
 Salaries and benefits   29,852   -    133,678   (230)   163,300
 Supply cost   -    -    77,160   -    77,160
 Other operating expenses   10,231   -    105,841   (8,361)   107,711
 Depreciation and amortization   1,532   -    14,737   -    16,269
  Total operating expenses   41,615   -    331,416   (8,591)   364,440
Gain on deconsolidation  2,237   2,237   -    (2,237)   2,237
Equity in earnings of unconsolidated affiliates  102,881   102,881   -    (204,664)   1,098
  Operating income   74,679   105,118   195,402   (206,901)   168,298
Interest expense   13,949   -    1,108   -    15,057
 Earnings from continuing operations before income taxes   60,730   105,118   194,294   (206,901)   153,241
Income tax expense   24,356   -    776   -    25,132
 Net earnings from continuing operations   36,374   105,118   193,518   (206,901)   128,109
 Net earnings from discontinued operations   -    -    -    -    -
  Net earnings   36,374   105,118   193,518   (206,901)   128,109
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -    -    91,735   -    91,735
 Net earnings from discontinued operations  -    -    -    -    -
  Total net earnings attributable to noncontrolling interests   -    -    91,735   -    91,735
   Net earnings and comprehensive income attributable              
    to AmSurg Corp. common shareholders $ 36,374 $ 105,118 $ 101,783 $ (206,901) $ 36,374
Amounts attributable to AmSurg Corp. common shareholders:              
 Earnings from continuing operations, net of income tax $ 36,374 $ 105,118 $ 101,783 $ (206,901) $ 36,374
 Discontinued operations, net of income tax   -    -    -    -    -
   Net earnings and comprehensive income attributable               
    to AmSurg Corp. common shareholders $ 36,374 $ 105,118 $ 101,783 $ (206,901) $ 36,374

Consolidating Statement of Earnings and Comprehensive Income - For the Three Months Ended June 30, 2012 (In thousands)
                   
        Guarantor Non-Guarantor ConsolidatingTotal
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 4,500 $ -  $ 229,635 $ (3,809) $ 230,326
Operating expenses:              
 Salaries and benefits   12,445   -    58,245   (86)   70,604
 Supply cost   -    -    33,029   -    33,029
 Other operating expenses   5,118   -    47,003   (3,723)   48,398
 Depreciation and amortization   688   -    6,741   -    7,429
  Total operating expenses   18,251   -    145,018   (3,809)   159,460
Gain on deconsolidation  -    -    -    -    -
Equity in earnings of unconsolidated affiliates  44,336   44,336   -    (88,356)   316
  Operating income   30,585   44,336   84,617   (88,356)   71,182
Interest expense   3,573   -    585   -    4,158
 Earnings from continuing operations before income taxes   27,012   44,336   84,032   (88,356)   67,024
Income tax expense   10,737   -    425   -    11,162
 Net earnings from continuing operations   16,275   44,336   83,607   (88,356)   55,862
 Net earnings (loss) from discontinued operations   (739)   -    422   -    (317)
  Net earnings and comprehensive income  15,536   44,336   84,029   (88,356)   55,545
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -    -    39,802   -    39,802
 Net earnings from discontinued operations  -    -    207   -    207
  Total net earnings attributable to noncontrolling interests   -    -    40,009   -    40,009
   Net earnings and comprehensive income attributable              
    to AmSurg Corp. common shareholders $ 15,536 $ 44,336 $ 44,020 $ (88,356) $ 15,536
Amounts attributable to AmSurg Corp. common shareholders:              
 Earnings from continuing operations, net of income tax $ 16,275 $ 44,336 $ 43,805 $ (88,356) $ 16,060
 Discontinued operations, net of income tax   (739)   -    215   -    (524)
   Net earnings and comprehensive income attributable              
    to AmSurg Corp. common shareholders $ 15,536 $ 44,336 $ 44,020 $ (88,356) $ 15,536

Consolidating Statement of Earnings and Comprehensive Income - For the Six Months Ended June 30, 2012 (In thousands)
                   
        Guarantor Non-Guarantor ConsolidatingTotal
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 9,645 $ -  $ 456,867 $ (7,287) $ 459,225
Operating expenses:              
 Salaries and benefits   26,599   -    116,293   (173)   142,719
 Supply cost   -    -    65,126   -    65,126
 Other operating expenses   9,859   -    92,785   (7,114)   95,530
 Depreciation and amortization   1,345   -    13,425   -    14,770
  Total operating expenses   37,803   -    287,629   (7,287)   318,145
Gain on deconsolidation  -    -    -    -    -
Equity in earnings of unconsolidated affiliates  88,579   88,579   -    (176,447)   711
  Operating income   60,421   88,579   169,238   (176,447)   141,791
Interest expense   7,282   -    1,143   -    8,425
 Earnings from continuing operations before income taxes   53,139   88,579   168,095   (176,447)   133,366
Income tax expense   21,133   -    845   -    21,978
 Net earnings from continuing operations   32,006   88,579   167,250   (176,447)   111,388
 Net earnings (loss) from discontinued operations   (1,694)   -    790   -    (904)
  Net earnings   30,312   88,579   168,040   (176,447)   110,484
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -    -    79,774   -    79,774
 Net earnings from discontinued operations  -    -    398   -    398
  Total net earnings attributable to noncontrolling interests   -    -    80,172   -    80,172
   Net earnings and comprehensive income attributable              
    to AmSurg Corp. common shareholders $ 30,312 $ 88,579 $ 87,868 $ (176,447) $ 30,312
Amounts attributable to AmSurg Corp. common shareholders:              
 Earnings from continuing operations, net of income tax $ 32,006 $ 88,579 $ 87,476 $ (176,447) $ 31,614
 Discontinued operations, net of income tax   (1,694)   -    392   -    (1,302)
   Net earnings and comprehensive income attributable               
    to AmSurg Corp. common shareholders $ 30,312 $ 88,579 $ 87,868 $ (176,447) $ 30,312
Condensed Cash Flow Statement
Consolidating Statement of Cash Flows - For the Six Months Ended June 30, 2013 (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 $ 32,189 $ 102,630 $ 205,224 $ (187,493) $ 152,550
Cash flows from investing activities:              
 Acquisition of interests in surgery centers and related transactions   -    (18,424)   -    78   (18,346)
 Acquisition of property and equipment   (1,189)   -    (11,283)   -    (12,472)
 Other  -    55   -    -    55
  Net cash flows used in investing activities   (1,189)   (18,369)   (11,283)   78   (30,763)
Cash flows from financing activities:              
 Proceeds from long-term borrowings   66,700   -    4,222   -    70,922
 Repayment on long-term borrowings   (89,224)   -    (6,998)   -    (96,222)
 Distributions to owners, including noncontrolling interests   -    (84,863)   (194,156)   187,493   (91,526)
 Changes in intercompany balances with affiliates, net  1,431   -    (1,431)   -    -
 Other financing activities, net  (12,371)   602   411   (78)   (11,436)
  Net cash flows provided by (used in) financing activities   (33,464)   (84,261)   (197,952)   187,415   (128,262)
Net increase (decrease) in cash and cash equivalents   (2,464)   -    (4,011)   -    (6,475)
Cash and cash equivalents, beginning of period  7,259   -    39,139   -    46,398
Cash and cash equivalents, end of period$ 4,795 $ -  $ 35,128 $ -  $ 39,923

Consolidating Statement of Cash Flows - For the Six Months Ended June 30, 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 $ 35,844 $ 91,782 $ 175,182 $ (159,184) $ 143,624
Cash flows from investing activities:              
 Acquisition of interests in surgery centers and related transactions   -    (10,040)   -    68   (9,972)
 Acquisition of property and equipment   (1,391)   -    (13,178)   -    (14,569)
 Other  -    -    -    -    -
  Net cash flows used in investing activities   (1,391)   (10,040)   (13,178)   68   (24,541)
Cash flows from financing activities:              
 Proceeds from long-term borrowings   32,000   -    1,378   -    33,378
 Repayment on long-term borrowings   (67,000)   -    (5,517)   -    (72,517)
 Distributions to owners, including noncontrolling interests   -    (82,801)   (159,142)   159,184   (82,759)
 Changes in intercompany balances with affiliates, net  (1,195)   -    1,195   -    -
 Other financing activities, net  (1,773)   1,059   528   (68)   (254)
  Net cash flows provided by (used in) financing activities   (37,968)   (81,742)   (161,558)   159,116   (122,152)
Net increase (decrease) in cash and cash equivalents   (3,515)   -    446   -    (3,069)
Cash and cash equivalents, beginning of period  8,530   -    32,188   -    40,718
Cash and cash equivalents, end of period$ 5,015 $ -  $ 32,634 $ -  $ 37,649