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Financial Information for the Company and Its Subsidiaries (Tables)
3 Months Ended
Mar. 31, 2015
Condensed Financial Information of Parent Company Only Disclosure [Abstract]  
Condensed Consolidating Balance Sheet
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 Operations
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
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