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Financial Information for the Company and Its Subsidiaries
3 Months Ended
Mar. 31, 2016
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 - March 31, 2016 (In thousands)
 
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
 
$
9,391

 
$
20,632

 
$
55,860

 
$

 
$
85,883

Restricted cash and marketable securities
 

 
995

 
13,440

 

 
14,435

Accounts receivable, net
 

 
240,265

 
112,626

 

 
352,891

Supplies inventory
 

 

 
21,584

 

 
21,584

Prepaid and other current assets
 
39,908

 
31,317

 
28,637

 
(23,349
)
 
76,513

Total current assets
 
49,299

 
293,209

 
232,147

 
(23,349
)
 
551,306

Property and equipment, net
 
12,421

 
17,824

 
161,675

 

 
191,920

Investments in and receivables from unconsolidated affiliates
 
4,901,556

 
1,774,642

 

 
(6,503,372
)
 
172,826

Goodwill
 

 
1,954,467

 

 
2,013,435

 
3,967,902

Intangible assets, net
 
13,142

 
1,565,068

 
2,127

 

 
1,580,337

Other assets
 
4,532

 
1,583

 
15,538

 
(1,998
)
 
19,655

Total assets
 
$
4,980,950

 
$
5,606,793

 
$
411,487

 
$
(4,515,284
)
 
$
6,483,946

Liabilities and Equity
 
 

 
 

 
 

 
 

 
 

Current liabilities:
 
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
 
$
8,700

 
$
19

 
$
11,512

 
$

 
$
20,231

Accounts payable
 
2,196

 
2,080

 
26,223

 
(4,087
)
 
26,412

Accrued salaries and benefits
 
25,225

 
162,396

 
16,570

 

 
204,191

Accrued interest
 
17,995

 

 
10

 

 
18,005

Other accrued liabilities
 
8,125

 
67,058

 
45,940

 
(19,262
)
 
101,861

Total current liabilities
 
62,241

 
231,553

 
100,255

 
(23,349
)
 
370,700

Long-term debt
 
2,306,032

 
40

 
54,587

 
(24,375
)
 
2,336,284

Deferred income taxes
 
281,498

 
426,952

 

 
(1,998
)
 
706,452

Other long-term liabilities
 
4,658

 
73,729

 
20,620

 

 
99,007

Intercompany payable
 

 
1,228,157

 

 
(1,228,157
)
 

Noncontrolling interests – redeemable
 

 

 
61,577

 
113,094

 
174,671

Equity:
 
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
 
2,326,521

 
3,646,362

 
128,291

 
(3,774,653
)
 
2,326,521

Noncontrolling interests – non-redeemable
 

 

 
46,157

 
424,154

 
470,311

Total equity
 
2,326,521

 
3,646,362

 
174,448

 
(3,350,499
)
 
2,796,832

Total liabilities and equity
 
$
4,980,950

 
$
5,606,793

 
$
411,487

 
$
(4,515,284
)
 
$
6,483,946

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
 
12,780

 
1,579,537

 
2,320

 

 
1,594,637

Other assets
 
4,653

 
1,717

 
17,078

 
(1,998
)
 
21,450

Total assets
 
$
4,980,150

 
$
5,617,855

 
$
405,036

 
$
(4,503,733
)
 
$
6,499,308

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
 
2,326,103

 

 
55,249

 
(23,396
)
 
2,357,956

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
 
$
4,980,150

 
$
5,617,855

 
$
405,036

 
$
(4,503,733
)
 
$
6,499,308

Condensed Consolidating Statement of Operations - For the Three Months Ended March 31, 2016 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
8,544

 
$
415,830

 
$
310,612

 
$
(10,308
)
 
$
724,678

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
24,095

 
309,580

 
76,297

 
(133
)
 
409,839

Supply cost

 
1,007

 
45,969

 
(13
)
 
46,963

Other operating expenses
7,618

 
43,339

 
66,887

 
(10,162
)
 
107,682

Transaction costs
177

 
1,213

 

 

 
1,390

Depreciation and amortization
1,072

 
20,336

 
7,664

 

 
29,072

Total operating expenses
32,962

 
375,475

 
196,817

 
(10,308
)
 
594,946

Equity in earnings of unconsolidated affiliates
69,042

 
65,436

 

 
(127,899
)
 
6,579

Operating income
44,624

 
105,791

 
113,795

 
(127,899
)
 
136,311

Interest expense (income), net
(2,819
)
 
32,976

 
653

 

 
30,810

Earnings before income taxes
47,443

 
72,815

 
113,142

 
(127,899
)
 
105,501

Income tax expense
16,580

 
3,774

 
443

 

 
20,797

Net earnings
30,863

 
69,041

 
112,699

 
(127,899
)
 
84,704

Less net earnings attributable to noncontrolling interests

 

 
53,841

 

 
53,841

Net earnings attributable to AmSurg Corp. shareholders
30,863

 
69,041

 
58,858

 
(127,899
)
 
30,863

Preferred stock dividends
(2,264
)
 

 

 

 
(2,264
)
Net earnings attributable to AmSurg Corp. common shareholders
$
28,599

 
$
69,041

 
$
58,858

 
$
(127,899
)
 
$
28,599


Condensed Consolidating Statement of Operations - 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

Net loss on deconsolidations
(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 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

Less 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 Cash Flows - For the Three Months Ended March 31, 2016 (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
 
$
18,122

 
$
72,860

 
$
122,490

 
$
(131,699
)
 
$
81,773

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
 

 
(2,990
)
 

 

 
(2,990
)
Acquisition of property and equipment
 
(1,509
)
 
(7,320
)
 
(6,862
)
 

 
(15,691
)
Maturities of marketable securities
 

 

 
2,240

 

 
2,240

Other
 

 
(878
)
 
(631
)
 

 
(1,509
)
Net cash flows used in investing activities
 
(1,509
)
 
(11,188
)
 
(5,253
)
 

 
(17,950
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
 
15,000

 

 
1,197

 

 
16,197

Repayment on long-term borrowings
 
(37,175
)
 

 
(3,157
)
 

 
(40,332
)
Distributions to owners, including noncontrolling interests
 

 
(68,547
)
 
(119,953
)
 
131,699

 
(56,801
)
Changes in intercompany balances with affiliates, net
 
(979
)
 

 
979

 

 

Other, net
 
(4,505
)
 

 
841

 

 
(3,664
)
Net cash flows used in financing activities
 
(27,659
)
 
(68,547
)
 
(120,093
)
 
131,699

 
(84,600
)
Net decrease in cash and cash equivalents
 
(11,046
)
 
(6,875
)
 
(2,856
)
 

 
(20,777
)
Cash and cash equivalents, beginning of period
 
20,437

 
27,507

 
58,716

 

 
106,660

Cash and cash equivalents, end of period
 
$
9,391

 
$
20,632

 
$
55,860

 
$

 
$
85,883


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
)
 

Changes in intercompany balances with affiliates, net
 
(2,573
)
 

 
2,573

 

 

Other, net
 
(972
)
 
2,321

 
139

 
(469
)
 
1,019

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