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Financial Information for the Company and Its Subsidiaries
12 Months Ended
Dec. 31, 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 and 2022 Senior Unsecured Notes are senior unsecured obligations of the Company and are guaranteed by its existing and subsequently acquired or organized 100% owned domestic subsidiaries.  The 2020 Senior Unsecured Notes and 2022 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 - December 31, 2014 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
 
$
134,351

 
$
23,471

 
$
50,257

 
$
—

 
$
208,079

Restricted cash and marketable securities
 
—

 
—

 
10,219

 
—

 
10,219

Accounts receivable, net
 
—

 
123,772

 
109,281

 
—

 
233,053

Supplies inventory
 
—

 
301

 
19,673

 
—

 
19,974

Prepaid and other current assets
 
47,997

 
58,388

 
13,795

 
(4,818
)
 
115,362

Total current assets
 
182,348

 
205,932

 
203,225

 
(4,818
)
 
586,687

Property and equipment, net
 
10,391

 
9,972

 
160,085

 
—

 
180,448

Investments in and receivables from unconsolidated affiliates
 
3,912,804

 
1,587,881

 
—

 
(5,425,210
)
 
75,475

Goodwill
 
—

 
1,490,981

 
—

 
1,890,168

 
3,381,149

Intangible assets, net
 
67,678

 
1,203,218

 
2,983

 
—

 
1,273,879

Other assets
 
3,323

 
943

 
23,086

 
(1,466
)
 
25,886

Total assets
 
$
4,176,544

 
$
4,498,927

 
$
389,379

 
$
(3,541,326
)
 
$
5,523,524

Liabilities and Equity
 
 

 
 

 
 

 
 

 
 

Current liabilities:
 
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
 
$
8,700

 
$
—

 
$
10,126

 
$
—

 
$
18,826

Accounts payable
 
1,849

 
35

 
31,781

 
(4,080
)
 
29,585

Accrued salaries and benefits
 
25,035

 
101,395

 
13,614

 
—

 
140,044

Accrued interest
 
29,621

 
—

 
23

 
—

 
29,644

Other accrued liabilities
 
8,051

 
44,305

 
16,368

 
(738
)
 
67,986

Total current liabilities
 
73,256

 
145,735

 
71,912

 
(4,818
)
 
286,085

Long-term debt
 
2,206,950

 
—

 
53,648

 
(28,412
)
 
2,232,186

Deferred income taxes
 
209,400

 
425,546

 
—

 
(1,466
)
 
633,480

Other long-term liabilities
 
7,391

 
63,616

 
18,436

 
—

 
89,443

Intercompany payable
 
—

 
1,219,979

 
8,010

 
(1,227,989
)
 
—

Noncontrolling interests – redeemable
 
—

 
—

 
63,544

 
120,555

 
184,099

Equity:
 
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
 
1,679,547

 
2,644,051

 
130,206

 
(2,774,257
)
 
1,679,547

Noncontrolling interests – non-redeemable
 
—

 
—

 
43,623

 
375,061

 
418,684

Total equity
 
1,679,547

 
2,644,051

 
173,829

 
(2,399,196
)
 
2,098,231

Total liabilities and equity
 
$
4,176,544

 
$
4,498,927

 
$
389,379

 
$
(3,541,326
)
 
$
5,523,524

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

Prepaid and other current assets
 
27,090

 
—

 
13,971

 
(4,362
)
 
36,699

Total current assets
 
33,833

 
—

 
181,554

 
(4,362
)
 
211,025

Property and equipment, net
 
6,024

 
—

 
157,666

 
—

 
163,690

Investments in and receivables from unconsolidated affiliates
 
1,484,108

 
1,453,596

 
—

 
(2,922,178
)
 
15,526

Goodwill
 
—

 
—

 
—

 
1,758,970

 
1,758,970

Intangible assets, net
 
24,489

 
—

 
3,378

 
—

 
27,867

Other assets
 
866

 
—

 
—

 
—

 
866

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 salaries and benefits
 
21,115

 
—

 
11,179

 
—

 
32,294

Accrued interest
 
1,847

 
—

 
38

 
—

 
1,885

Other accrued liabilities
 
4,457

 
—

 
3,293

 
(404
)
 
7,346

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 - Year Ended December 31, 2014 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenues
$
24,773

 
$
508,572

 
$
1,112,940

 
$
(24,336
)
 
$
1,621,949

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
65,697

 
350,615

 
284,050

 
(5,786
)
 
694,576

Supply cost
—

 
1,292

 
163,004

 
—

 
164,296

Other operating expenses
18,667

 
53,413

 
231,398

 
(18,550
)
 
284,928

Transaction costs
29,004

 
4,886

 
—

 
—

 
33,890

Depreciation and amortization
4,044

 
25,610

 
30,690

 
—

 
60,344

Total operating expenses
117,412

 
435,816

 
709,142

 
(24,336
)
 
1,238,034

Gain on deconsolidation
3,411

 
3,411

 
—

 
(3,411
)
 
3,411

Equity in earnings of unconsolidated affiliates
234,246

 
211,889

 
—

 
(439,097
)
 
7,038

Operating income
145,018

 
288,056

 
403,798

 
(442,508
)
 
394,364

Interest expense, net
47,997

 
33,026

 
2,262

 
—

 
83,285

Debt extinguishment costs
16,887

 
—

 
—

 
—

 
16,887

Earnings from continuing operations before income taxes
80,134

 
255,030

 
401,536

 
(442,508
)
 
294,192

Income tax expense
29,166

 
17,373

 
1,564

 
—

 
48,103

Net earnings from continuing operations
50,968

 
237,657

 
399,972

 
(442,508
)
 
246,089

Net earnings (loss) from discontinued operations
2,733

 
—

 
(4,029
)
 
—

 
(1,296
)
Net earnings
53,701

 
237,657

 
395,943

 
(442,508
)
 
244,793

Net earnings attributable to noncontrolling interests
—

 
21

 
191,071

 
—

 
191,092

Net earnings attributable to AmSurg Corp. shareholders
53,701

 
237,636

 
204,872

 
(442,508
)
 
53,701

Preferred stock dividends
(4,503
)
 
—

 
—

 
—

 
(4,503
)
Net earnings attributable to AmSurg Corp. common shareholders
$
49,198

 
$
237,636

 
$
204,872

 
$
(442,508
)
 
$
49,198

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
46,465

 
$
237,636

 
$
209,184

 
$
(442,508
)
 
$
50,777

Earnings (loss) from discontinued operations, net of income tax
2,733

 
—

 
(4,312
)
 
—

 
(1,579
)
Net earnings attributable to AmSurg Corp. common shareholders
$
49,198

 
$
237,636

 
$
204,872

 
$
(442,508
)
 
$
49,198

Condensed Consolidating Statement of Earnings - Year Ended December 31, 2013 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenues
$
24,167

 
$
—

 
$
1,050,547

 
$
(17,518
)
 
$
1,057,196

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
61,038

 
—

 
267,014

 
(467
)
 
327,585

Supply cost
—

 
—

 
153,126

 
—

 
153,126

Other operating expenses
22,360

 
—

 
211,192

 
(17,051
)
 
216,501

Transaction costs
300

 
—

 
—

 
—

 
300

Depreciation and amortization
3,186

 
—

 
29,214

 
—

 
32,400

Total operating expenses
86,884

 
—

 
660,546

 
(17,518
)
 
729,912

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

 
390,001

 
(409,010
)
 
332,672

Interest expense, net
27,282

 
—

 
2,243

 
—

 
29,525

Earnings from continuing operations before income taxes
117,200

 
207,199

 
387,758

 
(409,010
)
 
303,147

Income tax expense
47,139

 
—

 
1,515

 
—

 
48,654

Net earnings from continuing operations
70,061

 
207,199

 
386,243

 
(409,010
)
 
254,493

Net earnings from discontinued operations
2,642

 
—

 
4,409

 
—

 
7,051

Net earnings
72,703

 
207,199

 
390,652

 
(409,010
)
 
261,544

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
$
70,061

 
$
207,199

 
$
202,759

 
$
(409,010
)
 
$
71,009

Earnings (loss) from discontinued operations, net of income tax
2,642

 
—

 
(948
)
 
—

 
1,694

Net earnings attributable to AmSurg Corp. common shareholders
$
72,703

 
$
207,199

 
$
201,811

 
$
(409,010
)
 
$
72,703


Condensed Consolidating Statement of Earnings - Year Ended December 31, 2012 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenues
$
19,907

 
$
—

 
$
894,239

 
$
(14,901
)
 
$
899,245

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
54,895

 
—

 
230,083

 
(450
)
 
284,528

Supply cost
—

 
—

 
126,919

 
—

 
126,919

Other operating expenses
19,799

 
—

 
180,518

 
(14,451
)
 
185,866

Transaction costs
700

 
—

 
—

 
—

 
700

Depreciation and amortization
2,860

 
—

 
26,395

 
—

 
29,255

Total operating expenses
78,254

 
—

 
563,915

 
(14,901
)
 
627,268

Equity in earnings of unconsolidated affiliates
178,137

 
178,137

 
—

 
(354,710
)
 
1,564

Operating income
119,790

 
178,137

 
330,324

 
(354,710
)
 
273,541

Interest expense, net
14,803

 
—

 
2,147

 
—

 
16,950

Earnings from continuing operations before income taxes
104,987

 
178,137

 
328,177

 
(354,710
)
 
256,591

Income tax expense
39,339

 
—

 
1,554

 
—

 
40,893

Net earnings from continuing operations
65,648

 
178,137

 
326,623

 
(354,710
)
 
215,698

Net earnings (loss) from discontinued operations
(3,085
)
 
—

 
11,030

 
—

 
7,945

Net earnings
62,563

 
178,137

 
337,653

 
(354,710
)
 
223,643

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
$
65,648

 
$
178,137

 
$
170,962

 
$
(354,710
)
 
$
60,037

Earnings (loss) from discontinued operations, net of income tax
(3,085
)
 
—

 
5,611

 
—

 
2,526

Net earnings attributable to AmSurg Corp. common shareholders
$
62,563

 
$
178,137

 
$
176,573

 
$
(354,710
)
 
$
62,563


Condensed Consolidating Statement of Cash Flows - Year Ended December 31, 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
 
$
96,681

 
$
298,415

 
$
430,880

 
$
(413,605
)
 
$
412,371

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related transactions
 
(2,124,124
)
 
(2,188,191
)
 
1,520

 
2,126,737

 
(2,184,058
)
Acquisition of property and equipment
 
(7,877
)
 
(9,933
)
 
(22,407
)
 
—

 
(40,217
)
Proceeds from sale of interests in surgery centers
 
—

 
7,069

 
—

 
—

 
7,069

Purchases of marketable securities
 
—

 
—

 
(6,474
)
 
—

 
(6,474
)
Maturities of marketable securities
 
—

 
—

 
3,486

 
—

 
3,486

Other
 
(3,068
)
 
(6,594
)
 
4,721

 
—

 
(4,941
)
Net cash flows used in investing activities
 
(2,135,069
)
 
(2,197,649
)
 
(19,154
)
 
2,126,737

 
(2,225,135
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
2,040,000

 
—

 
8,958

 
—

 
2,048,958

Repayment on long-term borrowings
 
(396,493
)
 
—

 
(11,982
)
 
—

 
(408,475
)
Distributions to owners, including noncontrolling interests
 
—

 
(202,247
)
 
(401,455
)
 
413,605

 
(190,097
)
Capital contributions
 
—

 
2,124,124

 
—

 
(2,124,124
)
 
—

Proceeds from preferred stock offering
 
172,500

 
—

 
—

 
—

 
172,500

Cash dividends for preferred shares
 
(4,503
)
 
—

 
—

 
—

 
(4,503
)
Proceeds from common stock offering
 
439,875

 
—

 
—

 
—

 
439,875

Payments of equity issuance costs
 
(24,494
)
 
—

 
—

 
—

 
(24,494
)
Financing cost incurred
 
(65,811
)
 
—

 
—

 
—

 
(65,811
)
Changes in intercompany balances with affiliates, net
 
2,965

 
—

 
(2,965
)
 
—

 
—

Other financing activities, net
 
1,990

 
828

 
1,845

 
(2,613
)
 
2,050

Net cash flows provided by (used in) financing activities
 
2,166,029

 
1,922,705

 
(405,599
)
 
(1,713,132
)
 
1,970,003

Net increase in cash and cash equivalents
 
127,641

 
23,471

 
6,127

 
—

 
157,239

Cash and cash equivalents, beginning of period
 
6,710

 
—

 
44,130

 
—

 
50,840

Cash and cash equivalents, end of period
 
$
134,351

 
$
23,471

 
$
50,257

 
$
—

 
$
208,079

Condensed Consolidating Statement of Cash Flows - Year Ended December 31, 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
 
$
45,127

 
$
208,773

 
$
426,572

 
$
(347,648
)
 
$
332,824

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions 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 period
 
7,259

 
—

 
39,139

 
—

 
46,398

Cash and cash equivalents, end of period
 
$
6,710

 
$
—

 
$
44,130

 
$
—

 
$
50,840


Condensed Consolidating Statement of Cash Flows - Year Ended December 31, 2012 (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
 
$
(83,605
)
 
$
182,851

 
$
379,257

 
$
(182,851
)
 
$
295,652

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions 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 period
 
8,530

 
—

 
32,188

 
—

 
40,718

Cash and cash equivalents, end of period
 
$
7,259

 
$
—

 
$
39,139

 
$
—

 
$
46,398