XML 20 R57.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
Mar. 31, 2015
Dec. 31, 2014
Mar. 31, 2014
Dec. 31, 2013
Assets        
Cash and cash equivalents $ 116,156us-gaap_CashAndCashEquivalentsAtCarryingValue $ 208,079us-gaap_CashAndCashEquivalentsAtCarryingValue $ 47,116us-gaap_CashAndCashEquivalentsAtCarryingValue $ 50,840us-gaap_CashAndCashEquivalentsAtCarryingValue
Restricted cash and marketable securities 10,957us-gaap_RestrictedCashAndInvestmentsCurrent 10,219us-gaap_RestrictedCashAndInvestmentsCurrent    
Accounts receivable, net 244,002us-gaap_AccountsReceivableNetCurrent 233,053us-gaap_AccountsReceivableNetCurrent    
Supplies inventory 20,473us-gaap_InventoryNet 19,974us-gaap_InventoryNet    
Prepaid and other current assets 97,361us-gaap_PrepaidExpenseAndOtherAssetsCurrent 115,362us-gaap_PrepaidExpenseAndOtherAssetsCurrent    
Total current assets 488,949us-gaap_AssetsCurrent 586,687us-gaap_AssetsCurrent    
Property and equipment, net 183,446us-gaap_PropertyPlantAndEquipmentNet 180,448us-gaap_PropertyPlantAndEquipmentNet    
Investments in and receivables from unconsolidated affiliates 79,311us-gaap_EquityMethodInvestments 75,475us-gaap_EquityMethodInvestments    
Goodwill 3,500,668us-gaap_Goodwill 3,381,149us-gaap_Goodwill    
Intangible assets, net 1,306,267us-gaap_IntangibleAssetsNetExcludingGoodwill 1,273,879us-gaap_IntangibleAssetsNetExcludingGoodwill    
Other assets 25,368us-gaap_OtherAssetsNoncurrent 25,886us-gaap_OtherAssetsNoncurrent    
Total assets 5,584,009us-gaap_Assets 5,523,524us-gaap_Assets    
Liabilities and Equity        
Current portion of long-term debt 18,858us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent 18,826us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent    
Accounts payable 25,808us-gaap_AccountsPayableCurrent 29,585us-gaap_AccountsPayableCurrent    
Accrued salaries and benefits 144,607us-gaap_EmployeeRelatedLiabilitiesCurrent 140,044us-gaap_EmployeeRelatedLiabilitiesCurrent    
Accrued interest 17,857us-gaap_InterestPayableCurrent 29,644us-gaap_InterestPayableCurrent    
Other accrued liabilities 75,701us-gaap_AccruedLiabilitiesCurrent 67,986us-gaap_AccruedLiabilitiesCurrent    
Total current liabilities 282,831us-gaap_LiabilitiesCurrent 286,085us-gaap_LiabilitiesCurrent    
Long-term debt 2,229,994us-gaap_LongTermDebtAndCapitalLeaseObligations 2,232,186us-gaap_LongTermDebtAndCapitalLeaseObligations    
Deferred income taxes 648,444us-gaap_DeferredTaxLiabilitiesNoncurrent 633,480us-gaap_DeferredTaxLiabilitiesNoncurrent    
Other long-term liabilities 92,485us-gaap_OtherLiabilitiesNoncurrent 89,443us-gaap_OtherLiabilitiesNoncurrent    
Intercompany payable 0amsg_IntercompanyLiabilities 0amsg_IntercompanyLiabilities    
Noncontrolling interests – redeemable 183,459us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount 184,099us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount    
Equity:        
Total AmSurg Corp. equity 1,701,676us-gaap_StockholdersEquity 1,679,547us-gaap_StockholdersEquity    
Noncontrolling interests – non-redeemable 445,120us-gaap_MinorityInterest 418,684us-gaap_MinorityInterest    
Total equity 2,146,796us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest 2,098,231us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest    
Total liabilities and equity 5,584,009us-gaap_LiabilitiesAndStockholdersEquity 5,523,524us-gaap_LiabilitiesAndStockholdersEquity    
Consolidation, Eliminations [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
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 (5,719)us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(4,818)us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total current assets (5,719)us-gaap_AssetsCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(4,818)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 (5,582,217)us-gaap_EquityMethodInvestments
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(5,425,210)us-gaap_EquityMethodInvestments
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Goodwill 1,950,704us-gaap_Goodwill
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
1,890,168us-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 0us-gaap_OtherAssetsNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(1,466)us-gaap_OtherAssetsNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total assets (3,637,232)us-gaap_Assets
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(3,541,326)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 (4,927)us-gaap_AccountsPayableCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(4,080)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 (792)us-gaap_AccruedLiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(738)us-gaap_AccruedLiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total current liabilities (5,719)us-gaap_LiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(4,818)us-gaap_LiabilitiesCurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Long-term debt (30,985)us-gaap_LongTermDebtAndCapitalLeaseObligations
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(28,412)us-gaap_LongTermDebtAndCapitalLeaseObligations
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Deferred income taxes 0us-gaap_DeferredTaxLiabilitiesNoncurrent
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(1,466)us-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 (1,228,157)amsg_IntercompanyLiabilities
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(1,227,989)amsg_IntercompanyLiabilities
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Noncontrolling interests – redeemable 120,666us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
120,555us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Equity:        
Total AmSurg Corp. equity (2,892,406)us-gaap_StockholdersEquity
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(2,774,257)us-gaap_StockholdersEquity
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Noncontrolling interests – non-redeemable 399,369us-gaap_MinorityInterest
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
375,061us-gaap_MinorityInterest
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total equity (2,493,037)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(2,399,196)us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Total liabilities and equity (3,637,232)us-gaap_LiabilitiesAndStockholdersEquity
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
(3,541,326)us-gaap_LiabilitiesAndStockholdersEquity
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ConsolidationEliminationsMember
   
Parent Company [Member]        
Assets        
Cash and cash equivalents 30,118us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
134,351us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
5,562us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
6,710us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
Restricted cash and marketable securities 0us-gaap_RestrictedCashAndInvestmentsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
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
0us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Prepaid and other current assets 51,155us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
47,997us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total current assets 81,273us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
182,348us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Property and equipment, net 11,910us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
10,391us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Investments in and receivables from unconsolidated affiliates 4,025,683us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
3,912,804us-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 66,001us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
67,678us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Other assets 3,734us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
3,323us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total assets 4,188,601us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
4,176,544us-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
8,700us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Accounts payable 2,255us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
1,849us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Accrued salaries and benefits 19,652us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
25,035us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Accrued interest 17,840us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
29,621us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Other accrued liabilities 7,272us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
8,051us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total current liabilities 55,719us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
73,256us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Long-term debt 2,204,775us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
2,206,950us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Deferred income taxes 218,564us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
209,400us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Other long-term liabilities 7,867us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
7,391us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Intercompany payable 0amsg_IntercompanyLiabilities
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
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 1,701,676us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
1,679,547us-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 1,701,676us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
1,679,547us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Total liabilities and equity 4,188,601us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
4,176,544us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_ParentCompanyMember
   
Guarantor Subsidiaries [Member]        
Assets        
Cash and cash equivalents 38,681us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
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
Restricted cash and marketable securities 0us-gaap_RestrictedCashAndInvestmentsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
0us-gaap_RestrictedCashAndInvestmentsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Accounts receivable, net 130,807us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
123,772us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Supplies inventory 286us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
301us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Prepaid and other current assets 32,196us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
58,388us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total current assets 201,970us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
205,932us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Property and equipment, net 8,665us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
9,972us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Investments in and receivables from unconsolidated affiliates 1,635,845us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,587,881us-gaap_EquityMethodInvestments
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Goodwill 1,549,964us-gaap_Goodwill
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,490,981us-gaap_Goodwill
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Intangible assets, net 1,237,487us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
1,203,218us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Other assets 1,040us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
943us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total assets 4,634,971us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
4,498,927us-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 224us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
35us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Accrued salaries and benefits 111,525us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
101,395us-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 39,909us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
44,305us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total current liabilities 151,658us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
145,735us-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 429,880us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
425,546us-gaap_DeferredTaxLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Other long-term liabilities 65,622us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
63,616us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Intercompany payable 1,228,136amsg_IntercompanyLiabilities
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
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 2,759,675us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
2,644,051us-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 2,759,675us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
2,644,051us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Total liabilities and equity 4,634,971us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
4,498,927us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_GuarantorSubsidiariesMember
   
Non-Guarantor Subsidiaries [Member]        
Assets        
Cash and cash equivalents 47,357us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
50,257us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
41,554us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
44,130us-gaap_CashAndCashEquivalentsAtCarryingValue
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
Restricted cash and marketable securities 10,957us-gaap_RestrictedCashAndInvestmentsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
10,219us-gaap_RestrictedCashAndInvestmentsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Accounts receivable, net 113,195us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
109,281us-gaap_AccountsReceivableNetCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Supplies inventory 20,187us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
19,673us-gaap_InventoryNet
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Prepaid and other current assets 19,729us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
13,795us-gaap_PrepaidExpenseAndOtherAssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total current assets 211,425us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
203,225us-gaap_AssetsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Property and equipment, net 162,871us-gaap_PropertyPlantAndEquipmentNet
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
160,085us-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 2,779us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
2,983us-gaap_IntangibleAssetsNetExcludingGoodwill
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Other assets 20,594us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
23,086us-gaap_OtherAssetsNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total assets 397,669us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
389,379us-gaap_Assets
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Liabilities and Equity        
Current portion of long-term debt 10,158us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
10,126us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Accounts payable 28,256us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
31,781us-gaap_AccountsPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Accrued salaries and benefits 13,430us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
13,614us-gaap_EmployeeRelatedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Accrued interest 17us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
23us-gaap_InterestPayableCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Other accrued liabilities 29,312us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
16,368us-gaap_AccruedLiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total current liabilities 81,173us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
71,912us-gaap_LiabilitiesCurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Long-term debt 56,204us-gaap_LongTermDebtAndCapitalLeaseObligations
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
53,648us-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 18,996us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
18,436us-gaap_OtherLiabilitiesNoncurrent
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Intercompany payable 21amsg_IntercompanyLiabilities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
8,010amsg_IntercompanyLiabilities
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Noncontrolling interests – redeemable 62,793us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
63,544us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Equity:        
Total AmSurg Corp. equity 132,731us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
130,206us-gaap_StockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Noncontrolling interests – non-redeemable 45,751us-gaap_MinorityInterest
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
43,623us-gaap_MinorityInterest
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total equity 178,482us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
173,829us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
   
Total liabilities and equity $ 397,669us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember
$ 389,379us-gaap_LiabilitiesAndStockholdersEquity
/ dei_LegalEntityAxis
= us-gaap_NonGuarantorSubsidiariesMember