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Financial Information for the Company and Its Subsidiaries
6 Months Ended
Jun. 30, 2014
Condensed Financial Information of Parent Company Only Disclosure [Abstract]  
Financial Information for the Company and Its Subsidiaries
Financial Information for the Company and Its Subsidiaries

The 2020 Senior Unsecured Notes are senior unsecured obligations of the Company and are guaranteed by its existing and subsequently acquired or organized wholly-owned domestic subsidiaries.  The 2020 Senior Unsecured Notes are guaranteed on a full and unconditional and joint and several basis, with limited exceptions considered customary for such guarantees, including the release of the guarantee when a subsidiary's assets are sold. The following condensed consolidating financial statements present the Company (as parent issuer), the subsidiary guarantors, the subsidiary non-guarantors and consolidating adjustments. These condensed consolidating financial statements have been prepared and presented in accordance with Rule 3-10 of Regulation S-X "Financial Statements of Guarantors and Issuers of Guaranteed Securities Registered or Being Registered."  The operating and investing activities of the separate legal entities are fully interdependent and integrated. Accordingly, the results of the separate legal entities are not representative of what the operating results would be on a stand-alone basis.
Condensed Consolidating Balance Sheet - June 30, 2014 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
 
$
3,836

 
$

 
$
41,075

 
$

 
$
44,911

Accounts receivable, net
 

 

 
110,538

 

 
110,538

Supplies inventory
 

 

 
18,808

 

 
18,808

Deferred income taxes
 
3,386

 

 

 

 
3,386

Prepaid and other current assets
 
26,784

 

 
12,393

 
(4,519
)
 
34,658

Total current assets
 
34,006

 

 
182,814

 
(4,519
)
 
212,301

Property and equipment, net
 
9,837

 

 
159,002

 

 
168,839

Investments in unconsolidated affiliates and other
 
1,514,925

 
1,479,602

 
932

 
(2,968,913
)
 
26,546

Goodwill and intangible assets, net
 
19,990

 

 
839

 
1,794,493

 
1,815,322

Total assets
 
$
1,578,758

 
$
1,479,602

 
$
343,587

 
$
(1,178,939
)
 
$
2,223,008

Liabilities and Equity
 
 

 
 

 
 

 
 

 
 

Current liabilities:
 
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
 
$
10,714

 
$

 
$
9,494

 
$

 
$
20,208

Accounts payable
 
3,269

 

 
27,163

 
(4,079
)
 
26,353

Accrued liabilities
 
23,849

 

 
16,211

 
(440
)
 
39,620

Total current liabilities
 
37,832

 

 
52,868

 
(4,519
)
 
86,181

Long-term debt
 
535,071

 

 
54,118

 
(32,396
)
 
556,793

Deferred income taxes
 
194,181

 

 

 

 
194,181

Other long-term liabilities
 
7,372

 

 
18,323

 

 
25,695

Noncontrolling interests – redeemable
 

 

 
63,070

 
113,993

 
177,063

Equity:
 
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
 
804,302

 
1,479,602

 
114,690

 
(1,594,292
)
 
804,302

Noncontrolling interests – non-redeemable
 

 

 
40,518

 
338,275

 
378,793

Total equity
 
804,302

 
1,479,602

 
155,208

 
(1,256,017
)
 
1,183,095

Total liabilities and equity
 
$
1,578,758

 
$
1,479,602

 
$
343,587

 
$
(1,178,939
)
 
$
2,223,008

Condensed Consolidating Balance Sheet - December 31, 2013 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total 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 other
 
1,484,974

 
1,453,596

 

 
(2,922,178
)
 
16,392

Goodwill and 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

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 Statement of Earnings and Comprehensive Income - For the Three Months Ended June 30, 2014 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Revenues
 
$
6,364

 
$

 
$
279,518

 
$
(4,777
)
 
$
281,105

Operating expenses:
 
 
 
 
 
 
 
 
 
 
Salaries and benefits
 
15,282

 

 
69,708

 
(124
)
 
84,866

Supply cost
 

 

 
41,283

 

 
41,283

Other operating expenses
 
8,427

 

 
56,557

 
(4,653
)
 
60,331

Depreciation and amortization
 
815

 

 
7,735

 

 
8,550

Total operating expenses
 
24,524

 

 
175,283

 
(4,777
)
 
195,030

Gain on deconsolidation
 
1,366

 
1,366

 

 
(1,366
)
 
1,366

Equity in earnings of unconsolidated affiliates
 
54,639

 
54,639

 

 
(108,739
)
 
539

Operating income
 
37,845

 
56,005

 
104,235

 
(110,105
)
 
87,980

Interest expense
 
6,342

 

 
552

 

 
6,894

Earnings from continuing operations before income taxes
 
31,503

 
56,005

 
103,683

 
(110,105
)
 
81,086

Income tax expense
 
12,549

 

 
372

 

 
12,921

Net earnings from continuing operations
 
18,954

 
56,005

 
103,311

 
(110,105
)
 
68,165

Net earnings from discontinued operations
 
7

 

 

 

 
7

Net earnings and comprehensive income
 
18,961

 
56,005

 
103,311

 
(110,105
)
 
68,172

Less net earnings and comprehensive income attributable to noncontrolling interests:
 
 
 
 
 
 
 
 
 
 
Net earnings from continuing operations
 

 

 
49,211

 

 
49,211

Net earnings from discontinued operations
 

 

 

 

 

Total net earnings and comprehensive income attributable to noncontrolling interests
 

 

 
49,211

 

 
49,211

Net earnings and comprehensive income attributable to AmSurg Corp. common shareholders
 
$
18,961

 
$
56,005

 
$
54,100

 
$
(110,105
)
 
$
18,961

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
 
$
18,954

 
$
56,005

 
$
54,100

 
$
(110,105
)
 
$
18,954

Discontinued operations, net of income tax
 
7

 

 

 

 
7

Net earnings and comprehensive income attributable to AmSurg Corp. common shareholders
 
$
18,961

 
$
56,005

 
$
54,100

 
$
(110,105
)
 
$
18,961

Condensed Consolidating Statement of Earnings and Comprehensive Income - For the Six Months Ended June 30, 2014 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Revenues
 
$
12,491

 
$

 
$
541,107

 
$
(9,386
)
 
$
544,212

Operating expenses:
 
 
 
 
 
 
 
 
 
 
Salaries and benefits
 
29,767

 

 
138,539

 
(246
)
 
168,060

Supply cost
 

 

 
80,003

 

 
80,003

Other operating expenses
 
12,594

 

 
112,146

 
(9,140
)
 
115,600

Depreciation and amortization
 
1,640

 

 
15,284

 

 
16,924

Total operating expenses
 
44,001

 

 
345,972

 
(9,386
)
 
380,587

Gain on deconsolidation
 
3,411

 
3,411

 

 
(3,411
)
 
3,411

Equity in earnings of unconsolidated affiliates
 
102,691

 
102,691

 

 
(204,079
)
 
1,303

Operating income
 
74,592

 
106,102

 
195,135

 
(207,490
)
 
168,339

Interest expense
 
12,793

 

 
1,064

 

 
13,857

Earnings from continuing operations before income taxes
 
61,799

 
106,102

 
194,071

 
(207,490
)
 
154,482

Income tax expense
 
25,253

 

 
725

 

 
25,978

Net earnings from continuing operations
 
36,546

 
106,102

 
193,346

 
(207,490
)
 
128,504

Net earnings (loss) from discontinued operations
 
(390
)
 

 
172

 

 
(218
)
Net earnings and comprehensive income
 
36,156

 
106,102

 
193,518

 
(207,490
)
 
128,286

Less net earnings and comprehensive income attributable to noncontrolling interests:
 
 
 
 
 
 
 
 
 
 
Net earnings from continuing operations
 

 

 
92,046

 

 
92,046

Net earnings from discontinued operations
 

 

 
84

 

 
84

Total net earnings and comprehensive income attributable to noncontrolling interests
 

 

 
92,130

 

 
92,130

Net earnings and comprehensive income attributable to AmSurg Corp. common shareholders
 
$
36,156

 
$
106,102

 
$
101,388

 
$
(207,490
)
 
$
36,156

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
 
$
36,546

 
$
106,102

 
$
101,300

 
$
(207,490
)
 
$
36,458

Discontinued operations, net of income tax
 
(390
)
 

 
88

 

 
(302
)
Net earnings and comprehensive income attributable to AmSurg Corp. common shareholders
 
$
36,156

 
$
106,102

 
$
101,388

 
$
(207,490
)
 
$
36,156


Condensed Consolidating Statement of Earnings and Comprehensive Income - For the Three Months Ended June 30, 2013 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Revenues
 
$
5,460

 
$

 
$
265,995

 
$
(4,353
)
 
$
267,102

Operating expenses:
 
 
 
 
 
 
 
 
 
 
Salaries and benefits
 
14,431

 

 
66,771

 
(117
)
 
81,085

Supply cost
 

 

 
38,989

 

 
38,989

Other operating expenses
 
5,171

 

 
52,990

 
(4,236
)
 
53,925

Depreciation and amortization
 
760

 

 
7,365

 

 
8,125

Total operating expenses
 
20,362

 

 
166,115

 
(4,353
)
 
182,124

Gain on deconsolidation
 

 

 

 

 

Equity in earnings of unconsolidated affiliates
 
52,926

 
52,926

 

 
(105,156
)
 
696

Operating income
 
38,024

 
52,926

 
99,880

 
(105,156
)
 
85,674

Interest expense
 
7,026

 

 
486

 

 
7,512

Earnings from continuing operations before income taxes
 
30,998

 
52,926

 
99,394

 
(105,156
)
 
78,162

Income tax expense
 
12,332

 

 
378

 

 
12,710

Net earnings from continuing operations
 
18,666

 
52,926

 
99,016

 
(105,156
)
 
65,452

Net earnings (loss) from discontinued operations
 
(103
)
 

 
487

 

 
384

Net earnings and comprehensive income
 
18,563

 
52,926

 
99,503

 
(105,156
)
 
65,836

Less net earnings and comprehensive income attributable to noncontrolling interests:
 
 
 
 
 
 
 
 
 
 
Net earnings from continuing operations
 

 

 
47,035

 

 
47,035

Net earnings from discontinued operations
 

 

 
238

 

 
238

Total net earnings and comprehensive income attributable to noncontrolling interests
 

 

 
47,273

 

 
47,273

Net earnings and comprehensive income attributable to AmSurg Corp. common shareholders
 
$
18,563

 
$
52,926

 
$
52,230

 
$
(105,156
)
 
$
18,563

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
 
$
18,666

 
$
52,926

 
$
51,981

 
$
(105,156
)
 
$
18,417

Discontinued operations, net of income tax
 
(103
)
 

 
249

 

 
146

Net earnings and comprehensive income attributable to AmSurg Corp. common shareholders
 
$
18,563

 
$
52,926

 
$
52,230

 
$
(105,156
)
 
$
18,563

Condensed Consolidating Statement of Earnings and Comprehensive Income - For the Six Months Ended June 30, 2013 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Revenues
 
$
11,176

 
$

 
$
522,706

 
$
(8,591
)
 
$
525,291

Operating expenses:
 
 
 
 
 
 
 
 
 
 
Salaries and benefits
 
29,852

 

 
132,421

 
(230
)
 
162,043

Supply cost
 

 

 
76,202

 

 
76,202

Other operating expenses
 
10,231

 

 
104,782

 
(8,361
)
 
106,652

Depreciation and amortization
 
1,532

 

 
14,601

 

 
16,133

Total operating expenses
 
41,615

 

 
328,006

 
(8,591
)
 
361,030

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

 
194,700

 
(206,901
)
 
167,596

Interest expense
 
13,949

 

 
1,105

 

 
15,054

Earnings from continuing operations before income taxes
 
60,730

 
105,118

 
193,595

 
(206,901
)
 
152,542

Income tax expense
 
24,210

 

 
769

 

 
24,979

Net earnings from continuing operations
 
36,520

 
105,118

 
192,826

 
(206,901
)
 
127,563

Net earnings (loss) from discontinued operations
 
(146
)
 

 
692

 

 
546

Net earnings and comprehensive income
 
36,374

 
105,118

 
193,518

 
(206,901
)
 
128,109

Less net earnings and comprehensive income attributable to noncontrolling interests:
 
 
 
 
 
 
 
 
 
 
Net earnings from continuing operations
 

 

 
91,396

 

 
91,396

Net earnings from discontinued operations
 

 

 
339

 

 
339

Total net earnings and comprehensive income 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
 
$
36,520

 
$
105,118

 
$
101,430

 
$
(206,901
)
 
$
36,167

Discontinued operations, net of income tax
 
(146
)
 

 
353

 

 
207

Net earnings and comprehensive income attributable to AmSurg Corp. common shareholders
 
$
36,374

 
$
105,118

 
$
101,783

 
$
(206,901
)
 
$
36,374



Condensed Consolidating Statement of Cash Flows - For the Six Months Ended June 30, 2014 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Cash flows from operating activities:
 
 

 
 
 
 
 
 
 
 
Net cash flows provided by operating activities
 
$
27,919

 
$
102,284

 
$
202,508

 
$
(179,130
)
 
$
153,581

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisition of interests in surgery centers and related transactions
 

 
(26,880
)
 

 
2,443

 
(24,437
)
Acquisition of property and equipment
 
(1,949
)
 

 
(14,126
)
 

 
(16,075
)
Proceeds from sale of interests in surgery centers
 

 
2,092

 

 

 
2,092

Other
 
(1,259
)
 
(122
)
 

 

 
(1,381
)
Net cash flows used in investing activities
 
(3,208
)
 
(24,910
)
 
(14,126
)
 
2,443

 
(39,801
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
70,000

 

 
4,246

 

 
74,246

Repayment on long-term borrowings
 
(96,358
)
 

 
(5,968
)
 

 
(102,326
)
Distributions to owners, including noncontrolling interests
 

 
(76,846
)
 
(194,294
)
 
179,130

 
(92,010
)
Changes in intercompany balances with affiliates, net
 
(1,020
)
 

 
1,020

 

 

Other financing activities, net
 
(207
)
 
(528
)
 
3,559

 
(2,443
)
 
381

Net cash flows used in financing activities
 
(27,585
)
 
(77,374
)
 
(191,437
)
 
176,687

 
(119,709
)
Net decrease in cash and cash equivalents
 
(2,874
)
 

 
(3,055
)
 

 
(5,929
)
Cash and cash equivalents, beginning of period
 
6,710

 

 
44,130

 

 
50,840

Cash and cash equivalents, end of period
 
$
3,836

 
$

 
$
41,075

 
$

 
$
44,911

Condensed Consolidating Statement of Cash Flows - For the Six Months Ended June 30, 2013 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Cash flows from operating activities:
 
 

 
 
 
 
 
 
 
 
Net cash flows provided by 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 used in financing activities
 
(33,464
)
 
(84,261
)
 
(197,952
)
 
187,415

 
(128,262
)
Net 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