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Financial Information for the Company and Its Subsidiaries
3 Months Ended
Mar. 31, 2015
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 - March 31, 2015 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
 
$
30,118

 
$
38,681

 
$
47,357

 
$

 
$
116,156

Restricted cash and marketable securities
 

 

 
10,957

 

 
10,957

Accounts receivable, net
 

 
130,807

 
113,195

 

 
244,002

Supplies inventory
 

 
286

 
20,187

 

 
20,473

Prepaid and other current assets
 
51,155

 
32,196

 
19,729

 
(5,719
)
 
97,361

Total current assets
 
81,273

 
201,970

 
211,425

 
(5,719
)
 
488,949

Property and equipment, net
 
11,910

 
8,665

 
162,871

 

 
183,446

Investments in and receivables from unconsolidated affiliates
 
4,025,683

 
1,635,845

 

 
(5,582,217
)
 
79,311

Goodwill
 

 
1,549,964

 

 
1,950,704

 
3,500,668

Intangible assets, net
 
66,001

 
1,237,487

 
2,779

 

 
1,306,267

Other assets
 
3,734

 
1,040

 
20,594

 

 
25,368

Total assets
 
$
4,188,601

 
$
4,634,971

 
$
397,669

 
$
(3,637,232
)
 
$
5,584,009

Liabilities and Equity
 
 

 
 

 
 

 
 

 
 

Current liabilities:
 
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
 
$
8,700

 
$

 
$
10,158

 
$

 
$
18,858

Accounts payable
 
2,255

 
224

 
28,256

 
(4,927
)
 
25,808

Accrued salaries and benefits
 
19,652

 
111,525

 
13,430

 

 
144,607

Accrued interest
 
17,840

 

 
17

 

 
17,857

Other accrued liabilities
 
7,272

 
39,909

 
29,312

 
(792
)
 
75,701

Total current liabilities
 
55,719

 
151,658

 
81,173

 
(5,719
)
 
282,831

Long-term debt
 
2,204,775

 

 
56,204

 
(30,985
)
 
2,229,994

Deferred income taxes
 
218,564

 
429,880

 

 

 
648,444

Other long-term liabilities
 
7,867

 
65,622

 
18,996

 

 
92,485

Intercompany payable
 

 
1,228,136

 
21

 
(1,228,157
)
 

Noncontrolling interests – redeemable
 

 

 
62,793

 
120,666

 
183,459

Equity:
 
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
 
1,701,676

 
2,759,675

 
132,731

 
(2,892,406
)
 
1,701,676

Noncontrolling interests – non-redeemable
 

 

 
45,751

 
399,369

 
445,120

Total equity
 
1,701,676

 
2,759,675

 
178,482

 
(2,493,037
)
 
2,146,796

Total liabilities and equity
 
$
4,188,601

 
$
4,634,971

 
$
397,669

 
$
(3,637,232
)
 
$
5,584,009

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 Statement of Earnings - For the Three Months Ended March 31, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
7,091

 
$
285,579

 
$
286,629

 
$
(8,854
)
 
$
570,445

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
17,643

 
211,601

 
73,063

 
(128
)
 
302,179

Supply cost

 
396

 
42,188

 

 
42,584

Other operating expenses
6,634

 
29,611

 
63,051

 
(8,726
)
 
90,570

Transaction costs
268

 
1,203

 

 

 
1,471

Depreciation and amortization
834

 
14,307

 
7,677

 

 
22,818

Total operating expenses
25,379

 
257,118

 
185,979

 
(8,854
)
 
459,622

Loss on deconsolidation
(188
)
 
(188
)
 
(35
)
 
188

 
(223
)
Equity in earnings of unconsolidated affiliates
60,387

 
54,583

 

 
(112,319
)
 
2,651

Operating income
41,911

 
82,856

 
100,615

 
(112,131
)
 
113,251

Interest expense, net
11,886

 
17,754

 
607

 

 
30,247

Earnings from operations before income taxes
30,025

 
65,102

 
100,008

 
(112,131
)
 
83,004

Income tax expense
8,987

 
4,903

 
359

 

 
14,249

Net earnings
21,038

 
60,199

 
99,649

 
(112,131
)
 
68,755

Net earnings attributable to noncontrolling interests

 

 
47,717

 

 
47,717

Net earnings attributable to AmSurg Corp. shareholders
21,038

 
60,199

 
51,932

 
(112,131
)
 
21,038

Preferred stock dividends
(2,264
)
 

 

 

 
(2,264
)
Net earnings attributable to AmSurg Corp. common shareholders
$
18,774

 
$
60,199

 
$
51,932

 
$
(112,131
)
 
$
18,774

Condensed Consolidating Statement of Earnings - For the Three Months Ended March 31, 2014 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
6,127

 
$

 
$
258,043

 
$
(4,609
)
 
$
259,561

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
14,485

 

 
67,785

 
(121
)
 
82,149

Supply cost

 

 
37,805

 

 
37,805

Other operating expenses
4,166

 

 
54,491

 
(4,488
)
 
54,169

Depreciation and amortization
825

 

 
7,434

 

 
8,259

Total operating expenses
19,476

 

 
167,515

 
(4,609
)
 
182,382

Gain on deconsolidation
2,045

 
2,045

 

 
(2,045
)
 
2,045

Equity in earnings of unconsolidated affiliates
48,052

 
48,052

 

 
(95,340
)
 
764

Operating income
36,748

 
50,097

 
90,528

 
(97,385
)
 
79,988

Interest expense
6,452

 

 
508

 

 
6,960

Earnings from continuing operations before income taxes
30,296

 
50,097

 
90,020

 
(97,385
)
 
73,028

Income tax expense
12,704

 

 
278

 

 
12,982

Net earnings from continuing operations
17,592

 
50,097

 
89,742

 
(97,385
)
 
60,046

Net earnings (loss) from discontinued operations
(397
)
 

 
465

 

 
68

Net earnings
17,195

 
50,097

 
90,207

 
(97,385
)
 
60,114

Net earnings attributable to noncontrolling interests

 

 
42,919

 

 
42,919

Net earnings attributable to AmSurg Corp. common shareholders
$
17,195

 
$
50,097

 
$
47,288

 
$
(97,385
)
 
$
17,195

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
17,592

 
$
50,097

 
$
47,088

 
$
(97,385
)
 
$
17,392

Discontinued operations, net of income tax
(397
)
 

 
200

 

 
(197
)
Net earnings attributable to AmSurg Corp. common shareholders
$
17,195

 
$
50,097

 
$
47,288

 
$
(97,385
)
 
$
17,195


Condensed Consolidating Statement of Cash Flows - For the Three Months Ended March 31, 2015 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Cash flows from operating activities:
 
 

 
 
 
 
 
 
 
 
Net cash flows provided by (used in) operating activities
 
$
(33,779
)
 
$
91,981

 
$
102,821

 
$
(62,196
)
 
$
98,827

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
 
(62,056
)
 
(127,047
)
 

 
62,525

 
(126,578
)
Acquisition of property and equipment
 
(2,678
)
 
(2,538
)
 
(9,567
)
 

 
(14,783
)
Other
 

 
(1,322
)
 
1,102

 

 
(220
)
Net cash flows used in investing activities
 
(64,734
)
 
(130,907
)
 
(8,465
)
 
62,525

 
(141,581
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 

 

 
2,227

 

 
2,227

Repayment on long-term borrowings
 
(2,175
)
 

 
(3,038
)
 

 
(5,213
)
Distributions to owners, including noncontrolling interests
 

 
(10,241
)
 
(99,157
)
 
62,196

 
(47,202
)
Capital contributions
 

 
62,056

 

 
(62,056
)
 

Cash dividends for preferred shares
 
(2,264
)
 

 

 

 
(2,264
)
Changes in intercompany balances with affiliates, net
 
(2,573
)
 

 
2,573

 

 

Other financing activities, net
 
1,292

 
2,321

 
139

 
(469
)
 
3,283

Net cash flows provided by (used in) financing activities
 
(5,720
)
 
54,136

 
(97,256
)
 
(329
)
 
(49,169
)
Net increase (decrease) in cash and cash equivalents
 
(104,233
)
 
15,210

 
(2,900
)
 

 
(91,923
)
Cash and cash equivalents, beginning of period
 
134,351

 
23,471

 
50,257

 

 
208,079

Cash and cash equivalents, end of period
 
$
30,118

 
$
38,681

 
$
47,357

 
$

 
$
116,156

Condensed Consolidating Statement of Cash Flows - For the Three Months Ended March 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
 
$
18,482

 
$
48,096

 
$
96,257

 
$
(93,016
)
 
$
69,819

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
 

 
(5,082
)
 

 
44

 
(5,038
)
Acquisition of property and equipment
 
(1,237
)
 

 
(5,801
)
 

 
(7,038
)
Proceeds from sale of interests in surgery centers
 

 
1,111

 

 

 
1,111

Other
 
(629
)
 
211

 

 

 
(418
)
Net cash flows used in investing activities
 
(1,866
)
 
(3,760
)
 
(5,801
)
 
44

 
(11,383
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
30,000

 

 
1,945

 

 
31,945

Repayment on long-term borrowings
 
(47,679
)
 

 
(3,174
)
 

 
(50,853
)
Distributions to owners, including noncontrolling interests
 

 
(44,920
)
 
(91,290
)
 
93,016

 
(43,194
)
Changes in intercompany balances with affiliates, net
 
556

 

 
(556
)
 

 

Other financing activities, net
 
(641
)
 
584

 
43

 
(44
)
 
(58
)
Net cash flows used in financing activities
 
(17,764
)
 
(44,336
)
 
(93,032
)
 
92,972

 
(62,160
)
Net decrease in cash and cash equivalents
 
(1,148
)
 

 
(2,576
)
 

 
(3,724
)
Cash and cash equivalents, beginning of period
 
6,710

 

 
44,130

 

 
50,840

Cash and cash equivalents, end of period
 
$
5,562

 
$

 
$
41,554

 
$

 
$
47,116