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Guarantor (Tables)
12 Months Ended
Dec. 31, 2013
Condensed Consolidating Financial Information  
Condensed Consolidating Balance Sheet
Condensed Consolidating Balance Sheet - December 31, 2013 (In thousands)
                   
        Guarantor Non-Guarantor Consolidating Total
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Assets               
Current assets:               
 Cash and cash equivalents  $ 6,710 $ - $ 44,130 $ - $ 50,840
 Accounts receivable, net    -   -   105,072   -   105,072
 Supplies inventory    33   -   18,381   -   18,414
 Deferred income taxes    3,097   -   -   -   3,097
 Prepaid and other current assets    23,993   -   13,971   (4,362)   33,602
  Total current assets    33,833   -   181,554   (4,362)   211,025
Property and equipment, net    9,829   -   160,066   -   169,895
Investments in unconsolidated affiliates and long-term notes receivable   1,484,974   1,453,596   -   (2,922,178)   16,392
Goodwill and other intangible assets, net    20,684   -   978   1,758,970   1,780,632
   Total assets  $ 1,549,320 $ 1,453,596 $ 342,598 $ (1,167,570) $ 2,177,944
Liabilities and Equity               
Current liabilities:               
 Current portion of long-term debt  $ 10,714 $ - $ 10,130 $ - $ 20,844
 Accounts payable    1,972   -   29,487   (3,958)   27,501
 Other accrued liabilities    27,419   -   14,510   (404)   41,525
  Total current liabilities    40,105   -   54,127   (4,362)   89,870
Long-term debt    561,429   -   53,246   (31,377)   583,298
Deferred income taxes    176,020   -   -   -   176,020
Other long-term liabilities    7,569   -   17,934   -   25,503
Noncontrolling interests – redeemable    -   -   63,704   113,993   177,697
Equity:               
  Total AmSurg Corp. equity    764,197   1,453,596   114,671   (1,568,267)   764,197
  Noncontrolling interests – non-redeemable    -   -   38,916   322,443   361,359
  Total equity    764,197   1,453,596   153,587   (1,245,824)   1,125,556
   Total liabilities and equity  $ 1,549,320 $ 1,453,596 $ 342,598 $ (1,167,570) $ 2,177,944

Condensed Consolidating Balance Sheet - December 31, 2012 (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
Condensed Consolidating Statement of Earnings and Comprehensive Income
Condensed Consolidating Statement of Earnings and Comprehensive Income - Year Ended December 31, 2013 (In thousands)
                   
        Guarantor Non-Guarantor Consolidating Total
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 24,167 $ - $ 1,072,694 $ (17,518) $ 1,079,343
Operating expenses:              
 Salaries and benefits   61,038   -   272,619   (467)   333,190
 Supply cost   -   -   157,771   -   157,771
 Other operating expenses   22,660   -   217,068   (17,051)   222,677
 Depreciation and amortization   3,186   -   29,842   -   33,028
  Total operating expenses   86,884   -   677,300   (17,518)   746,666
Gain on deconsolidation  2,237   2,237   -   (2,237)   2,237
Equity in earnings of unconsolidated affiliates  204,962   204,962   -   (406,773)   3,151
  Operating income   144,482   207,199   395,394   (409,010)   338,065
Interest expense   27,282   -   2,256   -   29,538
 Earnings from continuing operations before income taxes   117,200   207,199   393,138   (409,010)   308,527
Income tax expense   48,239   -   1,515   -   49,754
 Net earnings from continuing operations   68,961   207,199   391,623   (409,010)   258,773
 Net earnings (loss) from discontinued operations   3,742   -   (971)   -   2,771
  Net earnings   72,703   207,199   390,652   (409,010)   261,544
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -   -   186,120   -   186,120
 Net earnings from discontinued operations  -   -   2,721   -   2,721
  Total net earnings attributable to noncontrolling interests   -   -   188,841   -   188,841
   Net earnings attributable to AmSurg Corp. common shareholders $ 72,703 $ 207,199 $ 201,811 $ (409,010) $ 72,703
Amounts attributable to AmSurg Corp. common shareholders:              
 Earnings from continuing operations, net of income tax $ 68,961 $ 207,199 $ 205,503 $ (409,010) $ 72,653
 Discontinued operations, net of income tax   3,742   -   (3,692)   -   50
   Net earnings attributable to AmSurg Corp. common shareholders $ 72,703 $ 207,199 $ 201,811 $ (409,010) $ 72,703
                   
Net earnings and comprehensive income, net of income tax$ 72,703 $ 207,199 $ 390,652 $ (409,010) $ 261,544
 Less comprehensive income attributable to noncontrolling interests   -   -   188,841   -   188,841
  Comprehensive income attributable to AmSurg Corp.               
    common shareholders $ 72,703 $ 207,199 $ 201,811 $ (409,010) $ 72,703

Condensed Consolidating Statement of Earnings and Comprehensive Income - Year Ended December 31, 2012 (In thousands)
                   
        Guarantor Non-Guarantor Consolidating Total
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 19,907 $ - $ 918,176 $ (14,901) $ 923,182
Operating expenses:              
 Salaries and benefits   54,895   -   235,618   (450)   290,063
 Supply cost   -   -   131,055   -   131,055
 Other operating expenses   20,499   -   186,977   (14,451)   193,025
 Depreciation and amortization   2,860   -   26,990   -   29,850
  Total operating expenses   78,254   -   580,640   (14,901)   643,993
Equity in earnings of unconsolidated affiliates  178,137   178,137   -   (354,710)   1,564
  Operating income   119,790   178,137   337,536   (354,710)   280,753
Interest expense   14,803   -   2,164   -   16,967
 Earnings from continuing operations before income taxes   104,987   178,137   335,372   (354,710)   263,786
Income tax expense   40,810   -   1,554   -   42,364
 Net earnings from continuing operations   64,177   178,137   333,818   (354,710)   221,422
 Net (loss) earnings from discontinued operations   (1,614)   -   3,835   -   2,221
  Net earnings   62,563   178,137   337,653   (354,710)   223,643
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -   -   159,187   -   159,187
 Net earnings from discontinued operations  -   -   1,893   -   1,893
  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 $ 64,177 $ 178,137 $ 174,631 $ (354,710) $ 62,235
 Discontinued operations, net of income tax   (1,614)   -   1,942   -   328
   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 income 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

Condensed Consolidating Statement of Earnings and Comprehensive Income - Year Ended December 31, 2011 (In thousands)
                   
        Guarantor Non-Guarantor Consolidating Total
     Parent Issuer Subsidiaries Subsidiaries Adjustments Consolidated
                   
Revenues$ 11,253 $ - $ 768,823 $ (8,001) $ 772,075
Operating expenses:              
 Salaries and benefits   42,739   -   196,358   (359)   238,738
 Supply cost   -   -   101,364   -   101,364
 Other operating expenses   19,468   -   156,521   (7,642)   168,347
 Depreciation and amortization   2,487   -   23,158   -   25,645
  Total operating expenses   64,694   -   477,401   (8,001)   534,094
Equity in earnings of unconsolidated affiliates  152,409   152,409   -   (304,205)   613
  Operating income   98,968   152,409   291,422   (304,205)   238,594
Interest expense   13,195   -   2,132   -   15,327
 Earnings from continuing operations before income taxes   85,773   152,409   289,290   (304,205)   223,267
Income tax expense   33,806   -   1,167   -   34,973
 Net earnings from continuing operations   51,967   152,409   288,123   (304,205)   188,294
 Net (loss) earnings from discontinued operations   (1,970)   -   3,790   -   1,820
  Net earnings   49,997   152,409   291,913   (304,205)   190,114
Less net earnings attributable to noncontrolling interests:              
 Net earnings from continuing operations   -   -   138,269   -   138,269
 Net earnings from discontinued operations  -   -   1,848   -   1,848
  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 $ 51,967 $ 152,409 $ 149,854 $ (304,205) $ 50,025
 Discontinued operations, net of income tax   (1,970)   -   1,942   -   (28)
   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
Condensed Consolidating Cash Flow Statement
Condensed Consolidating Statement of Cash Flows - Year Ended December 31, 2013 (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 $ 45,127 $ 208,773 $ 426,572 $ (347,648) $ 332,824
Cash flows from investing activities:              
 Acquisition of interests in surgery centers and related transactions   -   (74,288)   -   694   (73,594)
 Acquisition of property and equipment   (3,693)   -   (25,163)   -   (28,856)
 Proceeds from sale of interests in surgery centers   -   3,553   -   -   3,553
 Other  -   159   -   -   159
  Net cash flows used in investing activities   (3,693)   (70,576)   (25,163)   694   (98,738)
Cash flows from financing activities:              
 Proceeds from long-term borrowings   152,700   -   9,504   -   162,204
 Repayment on long-term borrowings   (188,081)   -   (14,002)   -   (202,083)
 Distributions to owners, including noncontrolling interests   -   (138,875)   (392,922)   347,648   (184,149)
 Changes in intercompany balances with affiliates, net  88   -   (88)   -   -
 Other financing activities, net  (6,690)   678   1,090   (694)   (5,616)
  Net cash flows used in financing activities   (41,983)   (138,197)   (396,418)   346,954   (229,644)
Net increase (decrease) in cash and cash equivalents   (549)   -   4,991   -   4,442
Cash and cash equivalents, beginning of year  7,259   -   39,139   -   46,398
Cash and cash equivalents, end of year$ 6,710 $ - $ 44,130 $ - $ 50,840

Condensed 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

Condensed 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