XML 84 R4.htm IDEA: XBRL DOCUMENT v2.4.1.9
Consolidated Statements Of Earnings (USD $)
In Thousands, except Per Share data, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Revenues $ 1,738,950us-gaap_HealthCareOrganizationRevenue $ 1,057,196us-gaap_HealthCareOrganizationRevenue $ 899,245us-gaap_HealthCareOrganizationRevenue
Provision for uncollectibles (139,274)us-gaap_ProvisionForDoubtfulAccounts (21,947)us-gaap_ProvisionForDoubtfulAccounts (20,005)us-gaap_ProvisionForDoubtfulAccounts
Net revenues 1,621,949us-gaap_Revenues 1,057,196us-gaap_Revenues 899,245us-gaap_Revenues
Operating expenses:      
Salaries and benefits 694,576us-gaap_LaborAndRelatedExpense 327,585us-gaap_LaborAndRelatedExpense 284,528us-gaap_LaborAndRelatedExpense
Supply cost 164,296us-gaap_HealthCareOrganizationMedicalSuppliesAndDrugsExpense 153,126us-gaap_HealthCareOrganizationMedicalSuppliesAndDrugsExpense 126,919us-gaap_HealthCareOrganizationMedicalSuppliesAndDrugsExpense
Other operating expenses 284,928us-gaap_OtherCostAndExpenseOperating 216,501us-gaap_OtherCostAndExpenseOperating 185,866us-gaap_OtherCostAndExpenseOperating
Transaction costs 33,890us-gaap_BusinessCombinationAcquisitionRelatedCosts 300us-gaap_BusinessCombinationAcquisitionRelatedCosts 700us-gaap_BusinessCombinationAcquisitionRelatedCosts
Depreciation and amortization 60,344us-gaap_DepreciationAndAmortization 32,400us-gaap_DepreciationAndAmortization 29,255us-gaap_DepreciationAndAmortization
Total operating expenses 1,238,034us-gaap_OperatingExpenses 729,912us-gaap_OperatingExpenses 627,268us-gaap_OperatingExpenses
Gain on deconsolidation 3,411us-gaap_DeconsolidationGainOrLossAmount 2,237us-gaap_DeconsolidationGainOrLossAmount 0us-gaap_DeconsolidationGainOrLossAmount
Equity in earnings of unconsolidated affiliates 7,038us-gaap_IncomeLossFromEquityMethodInvestments 3,151us-gaap_IncomeLossFromEquityMethodInvestments 1,564us-gaap_IncomeLossFromEquityMethodInvestments
Operating income 394,364us-gaap_OperatingIncomeLoss 332,672us-gaap_OperatingIncomeLoss 273,541us-gaap_OperatingIncomeLoss
Interest expense, net 83,285us-gaap_InterestExpense 29,525us-gaap_InterestExpense 16,950us-gaap_InterestExpense
Debt extinguishment costs 16,887us-gaap_GainsLossesOnExtinguishmentOfDebt 0us-gaap_GainsLossesOnExtinguishmentOfDebt 0us-gaap_GainsLossesOnExtinguishmentOfDebt
Earnings from continuing operations before income taxes 294,192us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest 303,147us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest 256,591us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
Income tax expense 48,103us-gaap_IncomeTaxExpenseBenefit 48,654us-gaap_IncomeTaxExpenseBenefit 40,893us-gaap_IncomeTaxExpenseBenefit
Net earnings from continuing operations 246,089us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest 254,493us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest 215,698us-gaap_IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
Net earnings (loss) from discontinued operations (1,296)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 7,051us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 7,945us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax
Net earnings 244,793us-gaap_ProfitLoss 261,544us-gaap_ProfitLoss 223,643us-gaap_ProfitLoss
Less net earnings attributable to noncontrolling interests 191,092us-gaap_NetIncomeLossAttributableToNoncontrollingInterest 188,841us-gaap_NetIncomeLossAttributableToNoncontrollingInterest 161,080us-gaap_NetIncomeLossAttributableToNoncontrollingInterest
Net earnings attributable to AmSurg Corp. shareholders 53,701us-gaap_NetIncomeLoss 72,703us-gaap_NetIncomeLoss 62,563us-gaap_NetIncomeLoss
Preferred stock dividends (4,503)us-gaap_PreferredStockDividendsAndOtherAdjustments 0us-gaap_PreferredStockDividendsAndOtherAdjustments 0us-gaap_PreferredStockDividendsAndOtherAdjustments
Net earnings attributable to AmSurg Corp. common shareholders 49,198us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic 72,703us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic 62,563us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic
Amounts attributable to AmSurg Corp. common shareholders:      
Earnings from continuing operations, net of income tax 50,777us-gaap_IncomeLossFromContinuingOperations 71,009us-gaap_IncomeLossFromContinuingOperations 60,037us-gaap_IncomeLossFromContinuingOperations
Earnings (loss) from discontinued operations, net of income tax (1,579)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity 1,694us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity 2,526us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity
Net earnings attributable to AmSurg Corp. common shareholders 49,198us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic 72,703us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic 62,563us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic
Basic earnings per share attributable to AmSurg Corp. common shareholders:      
Net earnings from continuing operations (usd per share) $ 1.29us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 2.27us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 1.95us-gaap_IncomeLossFromContinuingOperationsPerBasicShare
Net earnings from discontinued operations (usd per share) $ (0.04)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.05us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.08us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
Net earnings (usd per share) $ 1.25us-gaap_EarningsPerShareBasic $ 2.32us-gaap_EarningsPerShareBasic $ 2.03us-gaap_EarningsPerShareBasic
Diluted earnings per share attributable to AmSurg Corp. common shareholders:      
Net earnings from continuing operations (usd per share) $ 1.28us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 2.22us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 1.90us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare
Net earnings from discontinued operations (usd per share) $ (0.04)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.05us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.08us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
Net earnings (usd per share) $ 1.24us-gaap_EarningsPerShareDiluted $ 2.28us-gaap_EarningsPerShareDiluted $ 1.98us-gaap_EarningsPerShareDiluted
Weighted average number of shares and share equivalents outstanding:      
Basic (in shares) 39,311us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 31,338us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 30,773us-gaap_WeightedAverageNumberOfSharesOutstandingBasic
Diluted (in shares) 39,625us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 31,954us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 31,608us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding
Physician Services [Member]      
Provision for uncollectibles (117,001)us-gaap_ProvisionForDoubtfulAccounts
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
0us-gaap_ProvisionForDoubtfulAccounts
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
0us-gaap_ProvisionForDoubtfulAccounts
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
Net revenues $ 512,014us-gaap_Revenues
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
$ 0us-gaap_Revenues
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember
$ 0us-gaap_Revenues
/ us-gaap_StatementBusinessSegmentsAxis
= amsg_PhysicianServicesMember