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Financial Information for the Company and Its Subsidiaries
12 Months Ended
Dec. 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 - December 31, 2015 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
 
$
20,437

 
$
27,507

 
$
58,716

 
$

 
$
106,660

Restricted cash and marketable securities
 

 

 
13,506

 

 
13,506

Accounts receivable, net
 

 
223,434

 
113,896

 

 
337,330

Supplies inventory
 

 

 
21,406

 

 
21,406

Prepaid and other current assets
 
28,739

 
39,046

 
16,062

 
(8,076
)
 
75,771

Total current assets
 
49,176

 
289,987

 
223,586

 
(8,076
)
 
554,673

Property and equipment, net
 
12,515

 
14,601

 
162,052

 

 
189,168

Investments in and receivables from unconsolidated affiliates
 
4,901,026

 
1,775,272

 

 
(6,507,128
)
 
169,170

Goodwill
 

 
1,956,741

 

 
2,013,469

 
3,970,210

Intangible assets, net
 
59,928

 
1,579,537

 
2,346

 

 
1,641,811

Other assets
 
4,653

 
1,717

 
17,078

 
(1,998
)
 
21,450

Total assets
 
$
5,027,298

 
$
5,617,855

 
$
405,062

 
$
(4,503,733
)
 
$
6,546,482

Liabilities and Equity
 
 

 
 

 
 

 
 

 
 

Current liabilities:
 
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
 
$
8,700

 
$

 
$
11,677

 
$

 
$
20,377

Accounts payable
 
2,816

 
3,760

 
29,837

 
(3,852
)
 
32,561

Accrued salaries and benefits
 
31,510

 
158,705

 
12,322

 

 
202,537

Accrued interest
 
30,463

 

 
17

 

 
30,480

Other accrued liabilities
 
13,962

 
76,590

 
32,909

 
(4,224
)
 
119,237

Total current liabilities
 
87,451

 
239,055

 
86,762

 
(8,076
)
 
405,192

Long-term debt
 
2,373,251

 

 
55,275

 
(23,396
)
 
2,405,130

Deferred income taxes
 
268,573

 
432,923

 

 
(1,998
)
 
699,498

Other long-term liabilities
 
4,560

 
71,509

 
20,114

 

 
96,183

Intercompany payable
 

 
1,228,157

 

 
(1,228,157
)
 

Noncontrolling interests – redeemable
 

 

 
63,060

 
112,672

 
175,732

Equity:
 
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
 
2,293,463

 
3,646,211

 
132,267

 
(3,778,478
)
 
2,293,463

Noncontrolling interests – non-redeemable
 

 

 
47,584

 
423,700

 
471,284

Total equity
 
2,293,463

 
3,646,211

 
179,851

 
(3,354,778
)
 
2,764,747

Total liabilities and equity
 
$
5,027,298

 
$
5,617,855

 
$
405,062

 
$
(4,503,733
)
 
$
6,546,482

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
 
46,097

 
37,826

 
13,795

 
(4,818
)
 
92,900

Total current assets
 
180,448

 
185,370

 
203,225

 
(4,818
)
 
564,225

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
 
$
4,174,644

 
$
4,478,365

 
$
389,379

 
$
(3,541,326
)
 
$
5,501,062

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
 
207,500

 
404,984

 

 
(1,466
)
 
611,018

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
 
$
4,174,644

 
$
4,478,365

 
$
389,379

 
$
(3,541,326
)
 
$
5,501,062


Condensed Consolidating Statement of Earnings - Year Ended December 31, 2015 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
28,554

 
$
1,331,042

 
$
1,245,292

 
$
(38,004
)
 
$
2,566,884

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
69,102

 
937,484

 
308,313

 
(507
)
 
1,314,392

Supply cost

 
2,436

 
181,866

 
(80
)
 
184,222

Other operating expenses
24,682

 
145,369

 
265,160

 
(37,417
)
 
397,794

Transaction costs
1,762

 
6,562

 

 

 
8,324

Depreciation and amortization
3,912

 
61,658

 
31,923

 

 
97,493

Total operating expenses
99,458

 
1,153,509

 
787,262

 
(38,004
)
 
2,002,225

Gain (loss) on deconsolidations

 
37,350

 
(656
)
 

 
36,694

Equity in earnings of unconsolidated affiliates
349,139

 
251,093

 

 
(584,080
)
 
16,152

Operating income
278,235

 
465,976

 
457,374

 
(584,080
)
 
617,505

Interest expense, net
41,140

 
77,947

 
2,499

 

 
121,586

Earnings from continuing operations before income taxes
237,095

 
388,029

 
454,875

 
(584,080
)
 
495,919

Income tax expense
73,159

 
38,891

 
1,740

 

 
113,790

Net earnings from continuing operations
163,936

 
349,138

 
453,135

 
(584,080
)
 
382,129

Net loss from discontinued operations
(989
)
 

 
(24
)
 

 
(1,013
)
Net earnings
162,947

 
349,138

 
453,111

 
(584,080
)
 
381,116

Net earnings attributable to noncontrolling interests

 

 
218,169

 

 
218,169

Net earnings attributable to AmSurg Corp. shareholders
162,947

 
349,138

 
234,942

 
(584,080
)
 
162,947

Preferred stock dividends
(9,056
)
 

 

 

 
(9,056
)
Net earnings attributable to AmSurg Corp. common shareholders
$
153,891

 
$
349,138

 
$
234,942

 
$
(584,080
)
 
$
153,891

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
154,880

 
$
349,138

 
$
234,954

 
$
(584,080
)
 
$
154,892

Loss from discontinued operations, net of income tax
(989
)
 

 
(12
)
 

 
(1,001
)
Net earnings attributable to AmSurg Corp. common shareholders
$
153,891

 
$
349,138

 
$
234,942

 
$
(584,080
)
 
$
153,891

Condensed Consolidating Statement of Earnings - Year Ended December 31, 2014 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
24,773

 
$
508,572

 
$
1,112,940

 
$
(24,336
)
 
$
1,621,949

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
65,697

 
350,615

 
284,050

 
(5,786
)
 
694,576

Supply cost

 
1,292

 
163,004

 

 
164,296

Other operating expenses
18,667

 
53,413

 
231,398

 
(18,550
)
 
284,928

Transaction costs
29,004

 
4,886

 

 

 
33,890

Depreciation and amortization
4,044

 
25,610

 
30,690

 

 
60,344

Total operating expenses
117,412

 
435,816

 
709,142

 
(24,336
)
 
1,238,034

Gain on deconsolidation

 
3,411

 

 

 
3,411

Equity in earnings of unconsolidated affiliates
237,657

 
211,889

 

 
(442,508
)
 
7,038

Operating income
145,018

 
288,056

 
403,798

 
(442,508
)
 
394,364

Interest expense, net
47,997

 
33,026

 
2,262

 

 
83,285

Debt extinguishment costs
16,887

 

 

 

 
16,887

Earnings from continuing operations before income taxes
80,134

 
255,030

 
401,536

 
(442,508
)
 
294,192

Income tax expense
29,166

 
17,373

 
1,564

 

 
48,103

Net earnings from continuing operations
50,968

 
237,657

 
399,972

 
(442,508
)
 
246,089

Net earnings (loss) from discontinued operations
2,733

 

 
(4,029
)
 

 
(1,296
)
Net earnings
53,701

 
237,657

 
395,943

 
(442,508
)
 
244,793

Net earnings attributable to noncontrolling interests

 
21

 
191,071

 

 
191,092

Net earnings attributable to AmSurg Corp. shareholders
53,701

 
237,636

 
204,872

 
(442,508
)
 
53,701

Preferred stock dividends
(4,503
)
 

 

 

 
(4,503
)
Net earnings attributable to AmSurg Corp. common shareholders
$
49,198

 
$
237,636

 
$
204,872

 
$
(442,508
)
 
$
49,198

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
46,465

 
$
237,636

 
$
209,184

 
$
(442,508
)
 
$
50,777

Earnings (loss) from discontinued operations, net of income tax
2,733

 

 
(4,312
)
 

 
(1,579
)
Net earnings attributable to AmSurg Corp. common shareholders
$
49,198

 
$
237,636

 
$
204,872

 
$
(442,508
)
 
$
49,198


Condensed Consolidating Statement of Earnings - Year Ended December 31, 2013 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
24,167

 
$

 
$
1,050,547

 
$
(17,518
)
 
$
1,057,196

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
61,038

 

 
267,014

 
(467
)
 
327,585

Supply cost

 

 
153,126

 

 
153,126

Other operating expenses
22,360

 

 
211,192

 
(17,051
)
 
216,501

Transaction costs
300

 

 

 

 
300

Depreciation and amortization
3,186

 

 
29,214

 

 
32,400

Total operating expenses
86,884

 

 
660,546

 
(17,518
)
 
729,912

Gain on deconsolidation

 
2,237

 

 

 
2,237

Equity in earnings of unconsolidated affiliates
207,199

 
204,962

 

 
(409,010
)
 
3,151

Operating income
144,482

 
207,199

 
390,001

 
(409,010
)
 
332,672

Interest expense, net
27,282

 

 
2,243

 

 
29,525

Earnings from continuing operations before income taxes
117,200

 
207,199

 
387,758

 
(409,010
)
 
303,147

Income tax expense
47,139

 

 
1,515

 

 
48,654

Net earnings from continuing operations
70,061

 
207,199

 
386,243

 
(409,010
)
 
254,493

Net earnings from discontinued operations
2,642

 

 
4,409

 

 
7,051

Net earnings
72,703

 
207,199

 
390,652

 
(409,010
)
 
261,544

Net earnings attributable to noncontrolling interests

 

 
188,841

 

 
188,841

Net earnings attributable to AmSurg Corp. common shareholders
$
72,703

 
$
207,199

 
$
201,811

 
$
(409,010
)
 
$
72,703

Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
70,061

 
$
207,199

 
$
202,759

 
$
(409,010
)
 
$
71,009

Earnings (loss) from discontinued operations, net of income tax
2,642

 

 
(948
)
 

 
1,694

Net earnings attributable to AmSurg Corp. common shareholders
$
72,703

 
$
207,199

 
$
201,811

 
$
(409,010
)
 
$
72,703


Condensed Consolidating Statement of Cash Flows - Year Ended December 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 operating activities
 
$
40,432

 
$
353,932

 
$
489,820

 
$
(346,225
)
 
$
537,959

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related transactions
 
(757,775
)
 
(969,259
)
 

 
764,345

 
(962,689
)
Acquisition of property and equipment
 
(5,876
)
 
(22,988
)
 
(31,441
)
 

 
(60,305
)
Proceeds from sale of interests in surgery centers
 

 
7,114

 

 

 
7,114

Purchases of marketable securities
 

 

 
(3,984
)
 

 
(3,984
)
Maturities of marketable securities
 

 

 
4,233

 

 
4,233

Other
 

 
(2,927
)
 
1,733

 

 
(1,194
)
Net cash flows used in investing activities
 
(763,651
)
 
(988,060
)
 
(29,459
)
 
764,345

 
(1,016,825
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
546,000

 

 
14,133

 

 
560,133

Repayment on long-term borrowings
 
(379,700
)
 

 
(12,886
)
 

 
(392,586
)
Distributions to owners, including noncontrolling interests
 

 
(109,862
)
 
(451,262
)
 
346,225

 
(214,899
)
Capital contributions
 

 
757,775

 

 
(757,775
)
 

Proceeds from common stock offering
 
466,777

 

 

 

 
466,777

Payments of equity issuance costs
 
(19,058
)
 

 

 

 
(19,058
)
Financing cost incurred
 
(1,101
)
 

 
(10
)
 

 
(1,111
)
Changes in intercompany balances with affiliates, net
 
5,016

 

 
(5,016
)
 

 

Other financing activities, net
 
(8,629
)
 
(9,749
)
 
3,139

 
(6,570
)
 
(21,809
)
Net cash flows provided by (used in) financing activities
 
609,305

 
638,164

 
(451,902
)
 
(418,120
)
 
377,447

Net increase (decrease) in cash and cash equivalents
 
(113,914
)
 
4,036

 
8,459

 

 
(101,419
)
Cash and cash equivalents, beginning of period
 
134,351

 
23,471

 
50,257

 

 
208,079

Cash and cash equivalents, end of period
 
$
20,437

 
$
27,507

 
$
58,716

 
$

 
$
106,660

Condensed Consolidating Statement of Cash Flows - Year Ended December 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
 
$
96,681

 
$
298,415

 
$
430,880

 
$
(413,605
)
 
$
412,371

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related transactions
 
(2,124,124
)
 
(2,188,191
)
 
1,520

 
2,126,737

 
(2,184,058
)
Acquisition of property and equipment
 
(7,877
)
 
(9,933
)
 
(22,407
)
 

 
(40,217
)
Proceeds from sale of interests in surgery centers
 

 
7,069

 

 

 
7,069

Purchases of marketable securities
 

 

 
(6,474
)
 

 
(6,474
)
Maturities of marketable securities
 

 

 
3,486

 

 
3,486

Other
 
(3,068
)
 
(6,594
)
 
4,721

 

 
(4,941
)
Net cash flows used in investing activities
 
(2,135,069
)
 
(2,197,649
)
 
(19,154
)
 
2,126,737

 
(2,225,135
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
2,040,000

 

 
8,958

 

 
2,048,958

Repayment on long-term borrowings
 
(396,493
)
 

 
(11,982
)
 

 
(408,475
)
Distributions to owners, including noncontrolling interests
 

 
(202,247
)
 
(401,455
)
 
413,605

 
(190,097
)
Capital contributions
 

 
2,124,124

 

 
(2,124,124
)
 

Proceeds from preferred stock offering
 
172,500

 

 

 

 
172,500

Proceeds from common stock offering
 
439,875

 

 

 

 
439,875

Payments of equity issuance costs
 
(24,494
)
 

 

 

 
(24,494
)
Financing cost incurred
 
(65,811
)
 

 

 

 
(65,811
)
Changes in intercompany balances with affiliates, net
 
2,965

 

 
(2,965
)
 

 

Other financing activities, net
 
(2,513
)
 
828

 
1,845

 
(2,613
)
 
(2,453
)
Net cash flows provided by (used in) financing activities
 
2,166,029

 
1,922,705

 
(405,599
)
 
(1,713,132
)
 
1,970,003

Net increase in cash and cash equivalents
 
127,641


23,471


6,127



 
157,239

Cash and cash equivalents, beginning of period
 
6,710

 

 
44,130

 

 
50,840

Cash and cash equivalents, end of period
 
$
134,351

 
$
23,471

 
$
50,257

 
$

 
$
208,079


Condensed Consolidating Statement of Cash Flows - Year Ended December 31, 2013 (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
 
$
45,127

 
$
208,773

 
$
426,572

 
$
(347,648
)
 
$
332,824

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related transactions
 

 
(74,288
)
 

 
694

 
(73,594
)
Acquisition of property and equipment
 
(3,693
)
 

 
(25,163
)
 

 
(28,856
)
Proceeds from sale of interests in surgery centers
 

 
3,553

 

 

 
3,553

Other
 

 
159

 

 

 
159

Net cash flows used in investing activities
 
(3,693
)

(70,576
)

(25,163
)

694


(98,738
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
152,700

 

 
9,504

 

 
162,204

Repayment on long-term borrowings
 
(188,081
)
 

 
(14,002
)
 

 
(202,083
)
Distributions to owners, including noncontrolling interests
 

 
(138,875
)
 
(392,922
)
 
347,648

 
(184,149
)
Changes in intercompany balances with affiliates, net
 
88

 

 
(88
)
 

 

Other financing activities, net
 
(6,690
)
 
678

 
1,090

 
(694
)
 
(5,616
)
Net cash flows used in financing activities
 
(41,983
)
 
(138,197
)
 
(396,418
)
 
346,954

 
(229,644
)
Net increase (decrease) in cash and cash equivalents
 
(549
)
 

 
4,991

 

 
4,442

Cash and cash equivalents, beginning of period
 
7,259

 

 
39,139

 

 
46,398

Cash and cash equivalents, end of period
 
$
6,710

 
$

 
$
44,130

 
$

 
$
50,840