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Financial Information for the Company and Its Subsidiaries
6 Months Ended
Jun. 30, 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 - June 30, 2015 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
 
$
43,658

 
$
27,112

 
$
55,519

 
$

 
$
126,289

Restricted cash and marketable securities
 

 

 
11,581

 

 
11,581

Accounts receivable, net
 

 
140,678

 
119,194

 

 
259,872

Supplies inventory
 

 
288

 
20,697

 

 
20,985

Prepaid and other current assets
 
31,245

 
31,467

 
25,379

 
(4,234
)
 
83,857

Total current assets
 
74,903

 
199,545

 
232,370

 
(4,234
)
 
502,584

Property and equipment, net
 
12,786

 
8,661

 
167,308

 

 
188,755

Investments in and receivables from unconsolidated affiliates
 
4,086,890

 
1,698,299

 

 
(5,701,510
)
 
83,679

Goodwill
 

 
1,551,050

 

 
2,034,971

 
3,586,021

Intangible assets, net
 
64,165

 
1,215,583

 
2,629

 

 
1,282,377

Other assets
 
3,735

 
1,001

 
19,880

 

 
24,616

Total assets
 
$
4,242,479

 
$
4,674,139

 
$
422,187

 
$
(3,670,773
)
 
$
5,668,032

Liabilities and Equity
 
 

 
 

 
 

 
 

 
 

Current liabilities:
 
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
 
$
8,700

 
$

 
$
11,078

 
$

 
$
19,778

Accounts payable
 
1,956

 
2,527

 
27,372

 
(3,341
)
 
28,514

Accrued salaries and benefits
 
26,405

 
100,159

 
15,155

 

 
141,719

Accrued interest
 
29,793

 

 
11

 

 
29,804

Other accrued liabilities
 
7,867

 
49,384

 
40,791

 
(893
)
 
97,149

Total current liabilities
 
74,721

 
152,070

 
94,407

 
(4,234
)
 
316,964

Long-term debt
 
2,202,600

 

 
55,051

 
(27,968
)
 
2,229,683

Deferred income taxes
 
219,566

 
404,101

 

 

 
623,667

Other long-term liabilities
 
7,934

 
64,586

 
19,434

 

 
91,954

Intercompany payable
 

 
1,228,157

 

 
(1,228,157
)
 

Noncontrolling interests – redeemable
 

 

 
64,511

 
120,666

 
185,177

Equity:
 
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
 
1,737,658

 
2,825,225

 
138,497

 
(2,963,722
)
 
1,737,658

Noncontrolling interests – non-redeemable
 

 

 
50,287

 
432,642

 
482,929

Total equity
 
1,737,658

 
2,825,225

 
188,784

 
(2,531,080
)
 
2,220,587

Total liabilities and equity
 
$
4,242,479

 
$
4,674,139

 
$
422,187

 
$
(3,670,773
)
 
$
5,668,032

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 June 30, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
7,079

 
$
329,579

 
$
314,780

 
$
(9,488
)
 
$
641,950

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
15,511

 
228,618

 
76,391

 
(124
)
 
320,396

Supply cost

 
489

 
45,335

 
(34
)
 
45,790

Other operating expenses
5,783

 
42,099

 
66,450

 
(9,330
)
 
105,002

Transaction costs
324

 
1,658

 

 

 
1,982

Depreciation and amortization
1,056

 
14,617

 
7,939

 

 
23,612

Total operating expenses
22,674

 
287,481

 
196,115

 
(9,488
)
 
496,782

Loss on deconsolidation

 
(3,035
)
 

 

 
(3,035
)
Equity in earnings of unconsolidated affiliates
76,931

 
64,513

 

 
(137,455
)
 
3,989

Operating income
61,336

 
103,576

 
118,665

 
(137,455
)
 
146,122

Interest expense, net
11,978

 
17,624

 
580

 

 
30,182

Earnings from operations before income taxes
49,358

 
85,952

 
118,085

 
(137,455
)
 
115,940

Income tax expense
15,683

 
9,021

 
489

 

 
25,193

Net earnings
33,675

 
76,931

 
117,596

 
(137,455
)
 
90,747

Net earnings attributable to noncontrolling interests

 

 
57,072

 

 
57,072

Net earnings attributable to AmSurg Corp. shareholders
33,675

 
76,931

 
60,524

 
(137,455
)
 
33,675

Preferred stock dividends
(2,264
)
 

 

 

 
(2,264
)
Net earnings attributable to AmSurg Corp. common shareholders
$
31,411

 
$
76,931

 
$
60,524

 
$
(137,455
)
 
$
31,411


Condensed Consolidating Statement of Earnings - For the Six Months Ended June 30, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
14,170

 
$
615,158

 
$
601,409

 
$
(18,342
)
 
$
1,212,395

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
33,154

 
440,219

 
149,454

 
(252
)
 
622,575

Supply cost

 
885

 
87,523

 
(34
)
 
88,374

Other operating expenses
12,417

 
71,710

 
129,501

 
(18,056
)
 
195,572

Transaction costs
592

 
2,861

 

 

 
3,453

Depreciation and amortization
1,890

 
28,924

 
15,616

 

 
46,430

Total operating expenses
48,053

 
544,599

 
382,094

 
(18,342
)
 
956,404

Loss on deconsolidation
(188
)
 
(3,223
)
 
(35
)
 
188

 
(3,258
)
Equity in earnings of unconsolidated affiliates
137,318

 
119,096

 

 
(249,774
)
 
6,640

Operating income
103,247

 
186,432

 
219,280

 
(249,586
)
 
259,373

Interest expense, net
23,864

 
35,378

 
1,187

 

 
60,429

Earnings from operations before income taxes
79,383

 
151,054

 
218,093

 
(249,586
)
 
198,944

Income tax expense
24,670

 
13,924

 
848

 

 
39,442

Net earnings
54,713

 
137,130

 
217,245

 
(249,586
)
 
159,502

Net earnings attributable to noncontrolling interests

 

 
104,789

 

 
104,789

Net earnings attributable to AmSurg Corp. shareholders
54,713

 
137,130

 
112,456

 
(249,586
)
 
54,713

Preferred stock dividends
(4,528
)
 

 

 

 
(4,528
)
Net earnings attributable to AmSurg Corp. common shareholders
$
50,185

 
$
137,130

 
$
112,456

 
$
(249,586
)
 
$
50,185


Condensed Consolidating Statement of Earnings - For the Three Months Ended June 30, 2014 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
6,364

 
$

 
$
276,640

 
$
(4,777
)
 
$
278,227

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
15,282

 

 
68,896

 
(125
)
 
84,053

Supply cost

 

 
40,873

 

 
40,873

Other operating expenses
4,849

 

 
55,615

 
(4,652
)
 
55,812

Transaction costs
3,579

 

 

 

 
3,579

Depreciation and amortization
815

 

 
7,621

 

 
8,436

Total operating expenses
24,525

 

 
173,005

 
(4,777
)
 
192,753

Gain on deconsolidation
1,366

 
1,366

 

 
(1,366
)
 
1,366

Equity in earnings of unconsolidated affiliates
54,639

 
54,639

 

 
(108,739
)
 
539

Operating income
37,844

 
56,005

 
103,635

 
(110,105
)
 
87,379

Interest expense
6,341

 

 
551

 

 
6,892

Earnings from continuing operations before income taxes
31,503

 
56,005

 
103,084

 
(110,105
)
 
80,487

Income tax expense
12,549

 

 
249

 

 
12,798

Net earnings from continuing operations
18,954

 
56,005

 
102,835

 
(110,105
)
 
67,689

Net earnings from discontinued operations
7

 

 
476

 

 
483

Net earnings
18,961

 
56,005

 
103,311

 
(110,105
)
 
68,172

Net earnings attributable to noncontrolling interests

 

 
49,211

 

 
49,211

Net earnings attributable to AmSurg Corp. common shareholders
$
18,961

 
$
56,005

 
$
54,100

 
$
(110,105
)
 
$
18,961

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
18,954

 
$
56,005

 
$
53,917

 
$
(110,105
)
 
$
18,771

Discontinued operations, net of income tax
7

 

 
183

 

 
190

Net earnings attributable to AmSurg Corp. common shareholders
$
18,961

 
$
56,005

 
$
54,100

 
$
(110,105
)
 
$
18,961


Condensed Consolidating Statement of Earnings - For the Six Months Ended June 30, 2014 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
12,491

 
$

 
$
534,683

 
$
(9,386
)
 
$
537,788

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
29,767

 

 
136,681

 
(246
)
 
166,202

Supply cost

 

 
78,678

 

 
78,678

Other operating expenses
9,015

 

 
110,106

 
(9,140
)
 
109,981

Transaction costs
3,579

 

 

 

 
3,579

Depreciation and amortization
1,640

 

 
15,055

 

 
16,695

Total operating expenses
44,001

 

 
340,520

 
(9,386
)
 
375,135

Gain on deconsolidation
3,411

 
3,411

 

 
(3,411
)
 
3,411

Equity in earnings of unconsolidated affiliates
102,691

 
102,691

 

 
(204,079
)
 
1,303

Operating income
74,592

 
106,102

 
194,163

 
(207,490
)
 
167,367

Interest expense
12,793

 

 
1,059

 

 
13,852

Earnings from continuing operations before income taxes
61,799

 
106,102

 
193,104

 
(207,490
)
 
153,515

Income tax expense
25,253

 

 
527

 

 
25,780

Net earnings from continuing operations
36,546

 
106,102

 
192,577

 
(207,490
)
 
127,735

Net earnings (loss) from discontinued operations
(390
)
 

 
941

 

 
551

Net earnings
36,156

 
106,102

 
193,518

 
(207,490
)
 
128,286

Net earnings attributable to noncontrolling interests

 

 
92,130

 

 
92,130

Net earnings attributable to AmSurg Corp. common shareholders
$
36,156

 
$
106,102

 
$
101,388

 
$
(207,490
)
 
$
36,156

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
36,546

 
$
106,102

 
$
101,005

 
$
(207,490
)
 
$
36,163

Discontinued operations, net of income tax
(390
)
 

 
383

 

 
(7
)
Net earnings attributable to AmSurg Corp. common shareholders
$
36,156

 
$
106,102

 
$
101,388

 
$
(207,490
)
 
$
36,156



Condensed Consolidating Statement of Cash Flows - For the Six Months Ended June 30, 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
 
$
(27,553
)
 
$
172,907

 
$
232,423

 
$
(126,382
)
 
$
251,395

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
 
(51,852
)
 
(197,718
)
 

 
53,538

 
(196,032
)
Acquisition of property and equipment
 
(4,490
)
 
(9,424
)
 
(18,751
)
 

 
(32,665
)
Purchases of marketable securities
 

 

 
(1,245
)
 

 
(1,245
)
Maturities of marketable securities
 

 

 
2,988

 

 
2,988

Other
 

 
(1,441
)
 
(546
)
 

 
(1,987
)
Net cash flows used in investing activities
 
(56,342
)
 
(208,583
)
 
(17,554
)
 
53,538

 
(228,941
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 

 

 
7,795

 

 
7,795

Repayment on long-term borrowings
 
(4,350
)
 

 
(5,938
)
 

 
(10,288
)
Distributions to owners, including noncontrolling interests
 

 
(15,108
)
 
(212,307
)
 
126,382

 
(101,033
)
Capital contributions
 

 
51,852

 

 
(51,852
)
 

Cash dividends for preferred shares
 
(4,528
)
 

 

 

 
(4,528
)
Changes in intercompany balances with affiliates, net
 
444

 

 
(444
)
 

 

Other financing activities, net
 
1,636

 
2,573

 
1,287

 
(1,686
)
 
3,810

Net cash flows provided by (used in) financing activities
 
(6,798
)
 
39,317

 
(209,607
)
 
72,844

 
(104,244
)
Net increase (decrease) in cash and cash equivalents
 
(90,693
)
 
3,641

 
5,262

 

 
(81,790
)
Cash and cash equivalents, beginning of period
 
134,351

 
23,471

 
50,257

 

 
208,079

Cash and cash equivalents, end of period
 
$
43,658

 
$
27,112

 
$
55,519

 
$

 
$
126,289

Condensed Consolidating Statement of Cash Flows - For the Six Months Ended June 30, 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
 
$
27,919

 
$
102,284

 
$
202,508

 
$
(179,130
)
 
$
153,581

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
 

 
(26,880
)
 

 
2,443

 
(24,437
)
Acquisition of property and equipment
 
(1,949
)
 

 
(14,126
)
 

 
(16,075
)
Proceeds from sale of interests in surgery centers
 

 
2,092

 

 

 
2,092

Other
 
(1,259
)
 
(122
)
 

 

 
(1,381
)
Net cash flows used in investing activities
 
(3,208
)
 
(24,910
)
 
(14,126
)
 
2,443

 
(39,801
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
70,000

 

 
4,246

 

 
74,246

Repayment on long-term borrowings
 
(96,358
)
 

 
(5,968
)
 

 
(102,326
)
Distributions to owners, including noncontrolling interests
 

 
(76,846
)
 
(194,294
)
 
179,130

 
(92,010
)
Changes in intercompany balances with affiliates, net
 
(1,020
)
 

 
1,020

 

 

Other financing activities, net
 
(207
)
 
(528
)
 
3,559

 
(2,443
)
 
381

Net cash flows used in financing activities
 
(27,585
)
 
(77,374
)
 
(191,437
)
 
176,687

 
(119,709
)
Net decrease in cash and cash equivalents
 
(2,874
)
 

 
(3,055
)
 

 
(5,929
)
Cash and cash equivalents, beginning of period
 
6,710

 

 
44,130

 

 
50,840

Cash and cash equivalents, end of period
 
$
3,836

 
$

 
$
41,075

 
$

 
$
44,911