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Financial Information for the Company and Its Subsidiaries
9 Months Ended
Sep. 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 - September 30, 2015 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
 
$
68,730

 
$
56,647

 
$
62,045

 
$

 
$
187,422

Restricted cash and marketable securities
 

 

 
11,789

 

 
11,789

Accounts receivable, net
 

 
160,685

 
115,552

 

 
276,237

Supplies inventory
 

 
255

 
20,632

 

 
20,887

Prepaid and other current assets
 
33,969

 
50,302

 
19,516

 
(12,136
)
 
91,651

Total current assets
 
102,699

 
267,889

 
229,534

 
(12,136
)
 
587,986

Property and equipment, net
 
12,819

 
9,468

 
168,112

 

 
190,399

Investments in and receivables from unconsolidated affiliates
 
4,115,444

 
1,729,729

 

 
(5,732,296
)
 
112,877

Goodwill
 

 
1,559,463

 

 
2,029,854

 
3,589,317

Intangible assets, net
 
62,201

 
1,217,937

 
2,429

 

 
1,282,567

Other assets
 
3,408

 
1,040

 
21,624

 
(1,998
)
 
24,074

Total assets
 
$
4,296,571

 
$
4,785,526

 
$
421,699

 
$
(3,716,576
)
 
$
5,787,220

Liabilities and Equity
 
 

 
 

 
 

 
 

 
 

Current liabilities:
 
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
 
$
8,700

 
$

 
$
11,282

 
$

 
$
19,982

Accounts payable
 
1,696

 
4,686

 
28,067

 
(3,699
)
 
30,750

Accrued salaries and benefits
 
28,070

 
141,388

 
17,465

 

 
186,923

Accrued interest
 
17,835

 

 
11

 

 
17,846

Other accrued liabilities
 
14,856

 
81,017

 
43,127

 
(8,437
)
 
130,563

Total current liabilities
 
71,157

 
227,091

 
99,952

 
(12,136
)
 
386,064

Long-term debt
 
2,200,425

 

 
57,759

 
(27,888
)
 
2,230,296

Deferred income taxes
 
238,773

 
408,936

 

 
(1,998
)
 
645,711

Other long-term liabilities
 
4,473

 
66,862

 
19,336

 

 
90,671

Intercompany payable
 

 
1,228,157

 

 
(1,228,157
)
 

Noncontrolling interests – redeemable
 

 

 
64,595

 
120,666

 
185,261

Equity:
 
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
 
1,781,743

 
2,854,480

 
133,171

 
(2,987,651
)
 
1,781,743

Noncontrolling interests – non-redeemable
 

 

 
46,886

 
420,588

 
467,474

Total equity
 
1,781,743

 
2,854,480

 
180,057

 
(2,567,063
)
 
2,249,217

Total liabilities and equity
 
$
4,296,571

 
$
4,785,526

 
$
421,699

 
$
(3,716,576
)
 
$
5,787,220

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 - For the Three Months Ended September 30, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
5,975

 
$
339,484

 
$
314,382

 
$
(9,614
)
 
$
650,227

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
17,642

 
231,769

 
78,249

 
(128
)
 
327,532

Supply cost

 
476

 
45,182

 
(20
)
 
45,638

Other operating expenses
7,054

 
34,742

 
66,522

 
(9,466
)
 
98,852

Transaction costs
270

 
1,837

 

 

 
2,107

Depreciation and amortization
1,017

 
14,906

 
8,183

 

 
24,106

Total operating expenses
25,983

 
283,730

 
198,136

 
(9,614
)
 
498,235

Net gain on deconsolidations

 
9,112

 

 

 
9,112

Equity in earnings of unconsolidated affiliates
96,232

 
64,423

 

 
(155,720
)
 
4,935

Operating income
76,224

 
129,289

 
116,246

 
(155,720
)
 
166,039

Interest expense, net
11,766

 
17,845

 
631

 

 
30,242

Earnings from operations before income taxes
64,458

 
111,444

 
115,615

 
(155,720
)
 
135,797

Income tax expense
21,797

 
15,210

 
511

 

 
37,518

Net earnings
42,661

 
96,234

 
115,104

 
(155,720
)
 
98,279

Less net earnings attributable to noncontrolling interests

 

 
55,618

 

 
55,618

Net earnings attributable to AmSurg Corp. shareholders
42,661

 
96,234

 
59,486

 
(155,720
)
 
42,661

Preferred stock dividends
(2,264
)
 

 

 

 
(2,264
)
Net earnings attributable to AmSurg Corp. common shareholders
$
40,397

 
$
96,234

 
$
59,486

 
$
(155,720
)
 
$
40,397


Condensed Consolidating Statement of Operations - For the Nine Months Ended September 30, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
20,145

 
$
954,642

 
$
915,791

 
$
(27,956
)
 
$
1,862,622

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
50,796

 
671,988

 
227,703

 
(380
)
 
950,107

Supply cost

 
1,361

 
132,705

 
(54
)
 
134,012

Other operating expenses
19,471

 
106,452

 
196,023

 
(27,522
)
 
294,424

Transaction costs
862

 
4,698

 

 

 
5,560

Depreciation and amortization
2,907

 
43,830

 
23,799

 

 
70,536

Total operating expenses
74,036

 
828,329

 
580,230

 
(27,956
)
 
1,454,639

Net gain on deconsolidations

 
5,889

 
(35
)
 

 
5,854

Equity in earnings of unconsolidated affiliates
233,362

 
183,519

 

 
(405,306
)
 
11,575

Operating income
179,471

 
315,721

 
335,526

 
(405,306
)
 
425,412

Interest expense, net
35,630

 
53,223

 
1,818

 

 
90,671

Earnings from operations before income taxes
143,841

 
262,498

 
333,708

 
(405,306
)
 
334,741

Income tax expense
46,467

 
29,134

 
1,359

 

 
76,960

Net earnings
97,374

 
233,364

 
332,349

 
(405,306
)
 
257,781

Less net earnings attributable to noncontrolling interests

 

 
160,407

 

 
160,407

Net earnings attributable to AmSurg Corp. shareholders
97,374

 
233,364

 
171,942

 
(405,306
)
 
97,374

Preferred stock dividends
(6,792
)
 

 

 

 
(6,792
)
Net earnings attributable to AmSurg Corp. common shareholders
$
90,582

 
$
233,364

 
$
171,942

 
$
(405,306
)
 
$
90,582


Condensed Consolidating Statement of Operations - For the Three Months Ended September 30, 2014 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
5,551

 
$
221,013

 
$
280,589

 
$
(4,803
)
 
$
502,350

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
14,961

 
153,653

 
71,846

 
(123
)
 
240,337

Supply cost

 
816

 
41,070

 

 
41,886

Other operating expenses
6,425

 
19,127

 
60,390

 
(4,680
)
 
81,262

Transaction costs
23,111

 
1,991

 

 

 
25,102

Depreciation and amortization
789

 
12,320

 
7,729

 

 
20,838

Total operating expenses
45,286

 
187,907

 
181,035

 
(4,803
)
 
409,425

Equity in earnings of unconsolidated affiliates
58,649

 
48,225

 

 
(104,716
)
 
2,158

Operating income
18,914

 
81,331

 
99,554

 
(104,716
)
 
95,083

Interest expense
23,865

 
14,630

 
559

 

 
39,054

Debt extinguishment costs
16,887

 

 

 

 
16,887

Earnings (loss) from continuing operations before income taxes
(21,838
)
 
66,701

 
98,995

 
(104,716
)
 
39,142

Income tax expense (benefit)
(8,566
)
 
8,051

 
537

 

 
22

Net earnings (loss) from continuing operations
(13,272
)
 
58,650

 
98,458

 
(104,716
)
 
39,120

Net earnings (loss) from discontinued operations
3,438

 

 
(5,135
)
 

 
(1,697
)
Net earnings (loss)
(9,834
)
 
58,650

 
93,323

 
(104,716
)
 
37,423

Less net earnings attributable to noncontrolling interests

 

 
47,257

 

 
47,257

Net earnings (loss) attributable to AmSurg Corp. shareholders
(9,834
)
 
58,650

 
46,066

 
(104,716
)
 
(9,834
)
Preferred stock dividends
(2,239
)
 

 

 

 
(2,239
)
Net earnings (loss) attributable to AmSurg Corp. common shareholders
$
(12,073
)
 
$
58,650

 
$
46,066

 
$
(104,716
)
 
$
(12,073
)
Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings (loss) from continuing operations, net of income tax
$
(15,511
)
 
$
58,650

 
$
50,880

 
$
(104,716
)
 
$
(10,697
)
Discontinued operations, net of income tax
3,438

 

 
(4,814
)
 

 
(1,376
)
Net earnings (loss) attributable to AmSurg Corp. common shareholders
$
(12,073
)
 
$
58,650

 
$
46,066

 
$
(104,716
)
 
$
(12,073
)

Condensed Consolidating Statement of Operations - For the Nine Months Ended September 30, 2014 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
18,042

 
$
221,013

 
$
815,272

 
$
(14,189
)
 
$
1,040,138

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
44,728

 
153,653

 
208,527

 
(369
)
 
406,539

Supply cost

 
816

 
119,748

 

 
120,564

Other operating expenses
15,440

 
19,127

 
170,496

 
(13,820
)
 
191,243

Transaction costs
26,690

 
1,991

 

 

 
28,681

Depreciation and amortization
2,429

 
12,320

 
22,784

 

 
37,533

Total operating expenses
89,287

 
187,907

 
521,555

 
(14,189
)
 
784,560

Gain on deconsolidation
3,411

 
3,411

 

 
(3,411
)
 
3,411

Equity in earnings of unconsolidated affiliates
161,340

 
150,916

 

 
(308,795
)
 
3,461

Operating income
93,506

 
187,433

 
293,717

 
(312,206
)
 
262,450

Interest expense
36,658

 
14,630

 
1,618

 

 
52,906

Debt extinguishment costs
16,887

 

 

 

 
16,887

Earnings from continuing operations before income taxes
39,961

 
172,803

 
292,099

 
(312,206
)
 
192,657

Income tax expense
16,687

 
8,051

 
1,064

 

 
25,802

Net earnings from continuing operations
23,274

 
164,752

 
291,035

 
(312,206
)
 
166,855

Net earnings (loss) from discontinued operations
3,048

 

 
(4,194
)
 

 
(1,146
)
Net earnings
26,322

 
164,752

 
286,841

 
(312,206
)
 
165,709

Less net earnings attributable to noncontrolling interests

 

 
139,387

 

 
139,387

Net earnings attributable to AmSurg Corp. shareholders
26,322

 
164,752

 
147,454

 
(312,206
)
 
26,322

Preferred stock dividends
(2,239
)
 

 

 

 
(2,239
)
Net earnings attributable to AmSurg Corp. common shareholders
$
24,083

 
$
164,752

 
$
147,454

 
$
(312,206
)
 
$
24,083

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
21,035

 
$
164,752

 
$
151,885

 
$
(312,206
)
 
$
25,466

Discontinued operations, net of income tax
3,048

 

 
(4,431
)
 

 
(1,383
)
Net earnings attributable to AmSurg Corp. common shareholders
$
24,083

 
$
164,752

 
$
147,454

 
$
(312,206
)
 
$
24,083



Condensed Consolidating Statement of Cash Flows - For the Nine Months Ended September 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
 
$
(20,702
)
 
$
313,286

 
$
368,391

 
$
(233,773
)
 
$
427,202

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
 
(29,157
)
 
(236,107
)
 

 
31,774

 
(233,490
)
Acquisition of property and equipment
 
(5,659
)
 
(15,418
)
 
(25,929
)
 

 
(47,006
)
Purchases of marketable securities
 

 

 
(1,743
)
 

 
(1,743
)
Maturities of marketable securities
 

 

 
4,233

 

 
4,233

Other
 

 
(779
)
 
(3,195
)
 

 
(3,974
)
Net cash flows used in investing activities
 
(34,816
)
 
(252,304
)
 
(26,634
)
 
31,774

 
(281,980
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 

 

 
10,197

 

 
10,197

Repayment on long-term borrowings
 
(6,525
)
 

 
(9,212
)
 

 
(15,737
)
Distributions to owners, including noncontrolling interests
 

 
(59,616
)
 
(332,301
)
 
233,773

 
(158,144
)
Capital contributions
 

 
29,157

 

 
(29,157
)
 

Cash dividends for preferred shares
 
(6,792
)
 

 

 

 
(6,792
)
Financing cost incurred
 
(294
)
 

 

 

 
(294
)
Changes in intercompany balances with affiliates, net
 
524

 

 
(524
)
 

 

Other, net
 
2,984

 
2,653

 
1,871

 
(2,617
)
 
4,891

Net cash flows used in financing activities
 
(10,103
)
 
(27,806
)
 
(329,969
)
 
201,999

 
(165,879
)
Net increase (decrease) in cash and cash equivalents
 
(65,621
)
 
33,176

 
11,788

 

 
(20,657
)
Cash and cash equivalents, beginning of period
 
134,351

 
23,471

 
50,257

 

 
208,079

Cash and cash equivalents, end of period
 
$
68,730

 
$
56,647

 
$
62,045

 
$

 
$
187,422

Condensed Consolidating Statement of Cash Flows - For the Nine Months Ended September 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
 
$
103,091

 
$
225,098

 
$
309,033

 
$
(361,171
)
 
$
276,051

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
 
(2,147,585
)
 
(2,142,611
)
 
1,574

 
2,149,974

 
(2,138,648
)
Acquisition of property and equipment
 
(3,653
)
 
(2,337
)
 
(17,119
)
 

 
(23,109
)
Proceeds from sale of interests in surgery centers
 

 
4,969

 

 

 
4,969

Purchases of marketable securities
 

 

 
(3,486
)
 

 
(3,486
)
Other
 
(2,555
)
 
(648
)
 
5,285

 

 
2,082

Net cash flows used in investing activities
 
(2,153,793
)
 
(2,140,627
)
 
(13,746
)
 
2,149,974

 
(2,158,192
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
2,040,000

 

 
6,399

 

 
2,046,399

Repayment on long-term borrowings
 
(394,318
)
 

 
(8,725
)
 

 
(403,043
)
Distributions to owners, including noncontrolling interests
 

 
(206,580
)
 
(294,034
)
 
361,171

 
(139,443
)
Capital contributions
 

 
2,147,585

 

 
(2,147,585
)
 

Proceeds from preferred stock offering
 
172,500

 

 

 

 
172,500

Cash dividends for preferred shares
 
(2,239
)
 

 

 

 
(2,239
)
Proceeds from common stock offering
 
439,875

 

 

 

 
439,875

Payments of equity issuance costs
 
(24,366
)
 

 

 

 
(24,366
)
Financing costs incurred
 
(65,673
)
 

 

 

 
(65,673
)
Changes in intercompany balances with affiliates, net
 
731

 

 
(731
)
 

 

Other, net
 
1,311

 
(206
)
 
2,656

 
(2,389
)
 
1,372

Net cash flows provided by (used in) financing activities
 
2,167,821

 
1,940,799

 
(294,435
)
 
(1,788,803
)
 
2,025,382

Net increase in cash and cash equivalents
 
117,119

 
25,270

 
852

 

 
143,241

Cash and cash equivalents, beginning of period
 
6,710

 

 
44,130

 

 
50,840

Cash and cash equivalents, end of period
 
$
123,829

 
$
25,270

 
$
44,982

 
$

 
$
194,081