XML 79 R91.htm IDEA: XBRL DOCUMENT v2.4.1.9
Financial Information for the Company and Its Subsidiaries (Balance Sheets) (Details) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Assets        
Cash and cash equivalents $ 208,079us-gaap_CashAndCashEquivalentsAtCarryingValue $ 50,840us-gaap_CashAndCashEquivalentsAtCarryingValue $ 46,398us-gaap_CashAndCashEquivalentsAtCarryingValue $ 40,718us-gaap_CashAndCashEquivalentsAtCarryingValue
Restricted cash and marketable securities 10,219us-gaap_RestrictedCashAndInvestmentsCurrent 0us-gaap_RestrictedCashAndInvestmentsCurrent    
Accounts receivable, net 233,053us-gaap_AccountsReceivableNetCurrent 105,072us-gaap_AccountsReceivableNetCurrent    
Supplies inventory 19,974us-gaap_InventoryNet 18,414us-gaap_InventoryNet    
Prepaid and other current assets 115,362us-gaap_PrepaidExpenseAndOtherAssetsCurrent 36,699us-gaap_PrepaidExpenseAndOtherAssetsCurrent    
Total current assets 586,687us-gaap_AssetsCurrent 211,025us-gaap_AssetsCurrent    
Property and equipment, net 180,448us-gaap_PropertyPlantAndEquipmentNet 163,690us-gaap_PropertyPlantAndEquipmentNet    
Investments in and receivables from unconsolidated affiliates 75,475us-gaap_EquityMethodInvestments 15,526us-gaap_EquityMethodInvestments    
Goodwill 3,381,149us-gaap_Goodwill 1,758,970us-gaap_Goodwill 1,652,002us-gaap_Goodwill  
Intangible assets, net 1,273,879us-gaap_IntangibleAssetsNetExcludingGoodwill 27,867us-gaap_IntangibleAssetsNetExcludingGoodwill    
Other assets 25,886us-gaap_OtherAssetsNoncurrent 866us-gaap_OtherAssetsNoncurrent    
Total assets 5,523,524us-gaap_Assets 2,177,944us-gaap_Assets    
Liabilities and Equity        
Current portion of long-term debt 18,826us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent 20,844us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent    
Accounts payable 29,585us-gaap_AccountsPayableCurrent 27,501us-gaap_AccountsPayableCurrent    
Accrued salaries and benefits 140,044us-gaap_EmployeeRelatedLiabilitiesCurrent 32,294us-gaap_EmployeeRelatedLiabilitiesCurrent    
Accrued interest 29,644us-gaap_InterestPayableCurrent 1,885us-gaap_InterestPayableCurrent    
Other accrued liabilities 67,986us-gaap_AccruedLiabilitiesCurrent 7,346us-gaap_AccruedLiabilitiesCurrent    
Total current liabilities 286,085us-gaap_LiabilitiesCurrent 89,870us-gaap_LiabilitiesCurrent    
Long-term debt 2,232,186us-gaap_LongTermDebtAndCapitalLeaseObligations 583,298us-gaap_LongTermDebtAndCapitalLeaseObligations    
Deferred income taxes 633,480us-gaap_DeferredTaxLiabilitiesNoncurrent 176,020us-gaap_DeferredTaxLiabilitiesNoncurrent    
Other long-term liabilities 89,443us-gaap_OtherLiabilitiesNoncurrent 25,503us-gaap_OtherLiabilitiesNoncurrent    
Intercompany payable 0amsg_IntercompanyLiabilities      
Noncontrolling interests – redeemable 184,099us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount 177,697us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount    
Equity:        
Total AmSurg Corp. equity 1,679,547us-gaap_StockholdersEquity 764,197us-gaap_StockholdersEquity    
Noncontrolling interests – non-redeemable 418,684us-gaap_MinorityInterest 361,359us-gaap_MinorityInterest    
Total equity 2,098,231us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest 1,125,556us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest    
Total liabilities and equity 5,523,524us-gaap_LiabilitiesAndStockholdersEquity 2,177,944us-gaap_LiabilitiesAndStockholdersEquity    
Consolidating Adjustments [Member]        
Assets        
Cash and cash equivalents 0us-gaap_CashAndCashEquivalentsAtCarryingValue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_CashAndCashEquivalentsAtCarryingValue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_CashAndCashEquivalentsAtCarryingValue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_CashAndCashEquivalentsAtCarryingValue
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
Restricted cash and marketable securities 0us-gaap_RestrictedCashAndInvestmentsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
     
Accounts receivable, net 0us-gaap_AccountsReceivableNetCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_AccountsReceivableNetCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Supplies inventory 0us-gaap_InventoryNet
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_InventoryNet
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Prepaid and other current assets (4,818)us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(4,362)us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total current assets (4,818)us-gaap_AssetsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(4,362)us-gaap_AssetsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Property and equipment, net 0us-gaap_PropertyPlantAndEquipmentNet
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_PropertyPlantAndEquipmentNet
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Investments in and receivables from unconsolidated affiliates (5,425,210)us-gaap_EquityMethodInvestments
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(2,922,178)us-gaap_EquityMethodInvestments
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Goodwill 1,890,168us-gaap_Goodwill
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
1,758,970us-gaap_Goodwill
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Intangible assets, net 0us-gaap_IntangibleAssetsNetExcludingGoodwill
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_IntangibleAssetsNetExcludingGoodwill
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Other assets (1,466)us-gaap_OtherAssetsNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_OtherAssetsNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total assets (3,541,326)us-gaap_Assets
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(1,167,570)us-gaap_Assets
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Liabilities and Equity        
Current portion of long-term debt 0us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Accounts payable (4,080)us-gaap_AccountsPayableCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(3,958)us-gaap_AccountsPayableCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Accrued salaries and benefits 0us-gaap_EmployeeRelatedLiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_EmployeeRelatedLiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Accrued interest 0us-gaap_InterestPayableCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_InterestPayableCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Other accrued liabilities (738)us-gaap_AccruedLiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(404)us-gaap_AccruedLiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total current liabilities (4,818)us-gaap_LiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(4,362)us-gaap_LiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Long-term debt (28,412)us-gaap_LongTermDebtAndCapitalLeaseObligations
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(31,377)us-gaap_LongTermDebtAndCapitalLeaseObligations
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Deferred income taxes (1,466)us-gaap_DeferredTaxLiabilitiesNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_DeferredTaxLiabilitiesNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Other long-term liabilities 0us-gaap_OtherLiabilitiesNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
0us-gaap_OtherLiabilitiesNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Intercompany payable (1,227,989)amsg_IntercompanyLiabilities
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
     
Noncontrolling interests – redeemable 120,555us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
113,993us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Equity:        
Total AmSurg Corp. equity (2,774,257)us-gaap_StockholdersEquity
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(1,568,267)us-gaap_StockholdersEquity
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Noncontrolling interests – non-redeemable 375,061us-gaap_MinorityInterest
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
322,443us-gaap_MinorityInterest
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total equity (2,399,196)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(1,245,824)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total liabilities and equity (3,541,326)us-gaap_LiabilitiesAndStockholdersEquity
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(1,167,570)us-gaap_LiabilitiesAndStockholdersEquity
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Parent Company [Member]        
Assets        
Cash and cash equivalents 134,351us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
6,710us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
7,259us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
8,530us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
Restricted cash and marketable securities 0us-gaap_RestrictedCashAndInvestmentsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
     
Accounts receivable, net 0us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
0us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Supplies inventory 0us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
33us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Prepaid and other current assets 47,997us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
27,090us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total current assets 182,348us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
33,833us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Property and equipment, net 10,391us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
6,024us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Investments in and receivables from unconsolidated affiliates 3,912,804us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
1,484,108us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Goodwill 0us-gaap_Goodwill
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
0us-gaap_Goodwill
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Intangible assets, net 67,678us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
24,489us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Other assets 3,323us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
866us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total assets 4,176,544us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
1,549,320us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Liabilities and Equity        
Current portion of long-term debt 8,700us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
10,714us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Accounts payable 1,849us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
1,972us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Accrued salaries and benefits 25,035us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
21,115us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Accrued interest 29,621us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
1,847us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Other accrued liabilities 8,051us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
4,457us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total current liabilities 73,256us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
40,105us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Long-term debt 2,206,950us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
561,429us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Deferred income taxes 209,400us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
176,020us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Other long-term liabilities 7,391us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
7,569us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Intercompany payable 0amsg_IntercompanyLiabilities
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
     
Noncontrolling interests – redeemable 0us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
0us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Equity:        
Total AmSurg Corp. equity 1,679,547us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
764,197us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Noncontrolling interests – non-redeemable 0us-gaap_MinorityInterest
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
0us-gaap_MinorityInterest
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total equity 1,679,547us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
764,197us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total liabilities and equity 4,176,544us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
1,549,320us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Guarantor Subsidiaries [Member]        
Assets        
Cash and cash equivalents 23,471us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
Restricted cash and marketable securities 0us-gaap_RestrictedCashAndInvestmentsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
     
Accounts receivable, net 123,772us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Supplies inventory 301us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Prepaid and other current assets 58,388us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total current assets 205,932us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Property and equipment, net 9,972us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Investments in and receivables from unconsolidated affiliates 1,587,881us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,453,596us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Goodwill 1,490,981us-gaap_Goodwill
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_Goodwill
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Intangible assets, net 1,203,218us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Other assets 943us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total assets 4,498,927us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,453,596us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Liabilities and Equity        
Current portion of long-term debt 0us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Accounts payable 35us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Accrued salaries and benefits 101,395us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Accrued interest 0us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Other accrued liabilities 44,305us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total current liabilities 145,735us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Long-term debt 0us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Deferred income taxes 425,546us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Other long-term liabilities 63,616us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Intercompany payable 1,219,979amsg_IntercompanyLiabilities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
     
Noncontrolling interests – redeemable 0us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Equity:        
Total AmSurg Corp. equity 2,644,051us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,453,596us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Noncontrolling interests – non-redeemable 0us-gaap_MinorityInterest
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_MinorityInterest
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total equity 2,644,051us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,453,596us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total liabilities and equity 4,498,927us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,453,596us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Non-Guarantor Subsidiaries [Member]        
Assets        
Cash and cash equivalents 50,257us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
44,130us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
39,139us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
32,188us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Restricted cash and marketable securities 10,219us-gaap_RestrictedCashAndInvestmentsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
     
Accounts receivable, net 109,281us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
105,072us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Supplies inventory 19,673us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
18,381us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Prepaid and other current assets 13,795us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
13,971us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total current assets 203,225us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
181,554us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Property and equipment, net 160,085us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
157,666us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Investments in and receivables from unconsolidated affiliates 0us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
0us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Goodwill 0us-gaap_Goodwill
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
0us-gaap_Goodwill
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Intangible assets, net 2,983us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
3,378us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Other assets 23,086us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
0us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total assets 389,379us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
342,598us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Liabilities and Equity        
Current portion of long-term debt 10,126us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
10,130us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Accounts payable 31,781us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
29,487us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Accrued salaries and benefits 13,614us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
11,179us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Accrued interest 23us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
38us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Other accrued liabilities 16,368us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
3,293us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total current liabilities 71,912us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
54,127us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Long-term debt 53,648us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
53,246us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Deferred income taxes 0us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
0us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Other long-term liabilities 18,436us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
17,934us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Intercompany payable 8,010amsg_IntercompanyLiabilities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
     
Noncontrolling interests – redeemable 63,544us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
63,704us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Equity:        
Total AmSurg Corp. equity 130,206us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
114,671us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Noncontrolling interests – non-redeemable 43,623us-gaap_MinorityInterest
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
38,916us-gaap_MinorityInterest
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total equity 173,829us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
153,587us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total liabilities and equity $ 389,379us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
$ 342,598us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember