XML 107 R5.htm IDEA: XBRL DOCUMENT v2.4.1.9
Consolidated Statements Of Changes In Equity (USD $)
In Thousands, except Share data, unless otherwise specified
Total
Common Stock [Member]
Mandatory Convertible Preferred Stock [Member]
Retained Earnings [Member]
Non-Controlling Interests - Non-Redeemable [Member]
Total Equity (Permanent) [Member]
Non-controlling Interests - Redeemable (Temporary Equity) [Member]
Balance at Dec. 31, 2011   $ 173,187us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
$ 0us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
$ 443,058us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
$ 132,222us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
$ 748,467us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
$ 170,636us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Balance (in shares) at Dec. 31, 2011   31,284,000us-gaap_SharesIssued
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
0us-gaap_SharesIssued
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
       
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Net earnings 223,643us-gaap_ProfitLoss     62,563us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
26,303us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
88,866us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
134,777us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Issuance of restricted stock (in shares)   281,000us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardGross
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Cancellation of restricted stock (in shares)   (2,000)us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardForfeited
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Stock options exercised   18,214us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      18,214us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Stock options exercised (in shares) 841,599us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised 842,000us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Stock repurchased   (13,101)us-gaap_StockRepurchasedDuringPeriodValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      (13,101)us-gaap_StockRepurchasedDuringPeriodValue
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Stock repurchased (in shares)   (464,000)us-gaap_StockRepurchasedDuringPeriodShares
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Share-based compensation   6,692us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      6,692us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Tax benefit related to exercise of stock options   1,834us-gaap_AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      1,834us-gaap_AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Distributions to noncontrolling interests, net of capital contributions         (26,514)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
(26,514)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
(136,356)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Acquisitions and other transactions impacting noncontrolling interests   252us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
    174,615us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
174,867us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
6,957us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Disposals and other transactions impacting noncontrolling interests   (3,211)us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
    4,352us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
1,141us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
(632)us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Balance at Dec. 31, 2012   183,867us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
0us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
505,621us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
310,978us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
1,000,466us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
175,382us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Balance (in shares) at Dec. 31, 2012   31,941,000us-gaap_SharesIssued
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
0us-gaap_SharesIssued
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
       
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Net earnings 261,544us-gaap_ProfitLoss     72,703us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
49,789us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
122,492us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
139,052us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Issuance of restricted stock (in shares)   292,000us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardGross
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Cancellation of restricted stock (in shares)   (16,000)us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardForfeited
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Stock options exercised   33,349us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      33,349us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Stock options exercised (in shares) 1,392,366us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised 1,393,000us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Stock repurchased   (45,964)us-gaap_StockRepurchasedDuringPeriodValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      (45,964)us-gaap_StockRepurchasedDuringPeriodValue
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Stock repurchased (in shares)   (1,257,000)us-gaap_StockRepurchasedDuringPeriodShares
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Share-based compensation   8,321us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      8,321us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Tax benefit related to exercise of stock options   7,247us-gaap_AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      7,247us-gaap_AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Distributions to noncontrolling interests, net of capital contributions         (49,533)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
(49,533)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
(134,298)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Acquisitions and other transactions impacting noncontrolling interests   679us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
    48,115us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
48,794us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
(319)us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Disposals and other transactions impacting noncontrolling interests   (1,626)us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
    2,010us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
384us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
(2,120)us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Balance at Dec. 31, 2013 1,125,556us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest 185,873us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
0us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
578,324us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
361,359us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
1,125,556us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
177,697us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Balance (in shares) at Dec. 31, 2013   32,353,000us-gaap_SharesIssued
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
0us-gaap_SharesIssued
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
       
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Net earnings 244,793us-gaap_ProfitLoss     53,701us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
56,048us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
109,749us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
135,044us-gaap_ProfitLoss
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Issuance of stock   693,289us-gaap_StockIssuedDuringPeriodValueNewIssues
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
166,632us-gaap_StockIssuedDuringPeriodValueNewIssues
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
    859,921us-gaap_StockIssuedDuringPeriodValueNewIssues
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Issuance of stock (in shares)   15,490,000us-gaap_StockIssuedDuringPeriodSharesNewIssues
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
1,725,000us-gaap_StockIssuedDuringPeriodSharesNewIssues
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
       
Issuance of restricted stock (in shares)   272,000us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardGross
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Cancellation of restricted stock (in shares)   (12,000)us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardForfeited
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Stock options exercised   2,630us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      2,630us-gaap_StockIssuedDuringPeriodValueStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Stock options exercised (in shares) 111,743us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised 111,000us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Stock repurchased   (4,615)us-gaap_StockRepurchasedDuringPeriodValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      (4,615)us-gaap_StockRepurchasedDuringPeriodValue
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Stock repurchased (in shares)   (101,000)us-gaap_StockRepurchasedDuringPeriodShares
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
         
Share-based compensation   10,104us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      10,104us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Tax benefit related to exercise of stock options   3,177us-gaap_AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
      3,177us-gaap_AdjustmentToAdditionalPaidInCapitalIncomeTaxEffectFromShareBasedCompensationNet
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Dividends paid on preferred stock       (4,503)us-gaap_DividendsPreferredStock
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
  (4,503)us-gaap_DividendsPreferredStock
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
 
Distributions to noncontrolling interests, net of capital contributions         (56,439)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
(56,439)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
(133,594)us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Acquisitions and other transactions impacting noncontrolling interests   744us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
    54,725us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
55,469us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
6,482us-gaap_NoncontrollingInterestIncreaseFromBusinessCombination
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Disposals and other transactions impacting noncontrolling interests   (5,809)us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
    2,991us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
(2,818)us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
(1,530)us-gaap_NoncontrollingInterestDecreaseFromDeconsolidation
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Balance at Dec. 31, 2014 $ 2,098,231us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest $ 885,393us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
$ 166,632us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember
$ 627,522us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_RetainedEarningsMember
$ 418,684us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsNonRedeemableMember
$ 2,098,231us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_TotalEquityPermanentMember
$ 184,099us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_StatementEquityComponentsAxis
= amsg_NonControllingInterestsRedeemableMember
Balance (in shares) at Dec. 31, 2014   48,113,000us-gaap_SharesIssued
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_CommonStockIncludingAdditionalPaidInCapitalMember
1,725,000us-gaap_SharesIssued
/ us-gaap_StatementEquityComponentsAxis
= us-gaap_PreferredStockIncludingAdditionalPaidInCapitalMember