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Financial Information for the Company and Its Subsidiaries
6 Months Ended
Jun. 30, 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 - June 30, 2016 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Assets
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
4,591

 
$
16,215

 
$
53,299

 
$

 
$
74,105

Restricted cash and marketable securities

 

 
12,794

 

 
12,794

Accounts receivable, net

 
258,863

 
116,489

 

 
375,352

Supplies inventory

 

 
21,980

 

 
21,980

Prepaid and other current assets
45,542

 
24,074

 
26,261

 
(21,312
)
 
74,565

Total current assets
50,133

 
299,152

 
230,823

 
(21,312
)
 
558,796

Property and equipment, net
11,877

 
27,822

 
165,223

 

 
204,922

Investments in and receivables from unconsolidated affiliates
5,219,975

 
1,807,424

 

 
(6,848,343
)
 
179,056

Goodwill

 
2,123,067

 

 
2,051,941

 
4,175,008

Intangible assets, net
13,037

 
1,664,313

 
1,925

 

 
1,679,275

Other assets
7,186

 
20,825

 
20,251

 
(1,999
)
 
46,263

Total assets
$
5,302,208

 
$
5,942,603

 
$
418,222

 
$
(4,819,713
)
 
$
6,843,320

Liabilities and Equity
 

 
 

 
 

 
 

 
 

Current liabilities:
 

 
 

 
 

 
 

 
 

Current portion of long-term debt
$
8,700

 
$
20

 
$
12,052

 
$

 
$
20,772

Accounts payable
3,073

 
1,640

 
29,569

 
(3,561
)
 
30,721

Accrued salaries and benefits
29,533

 
140,149

 
17,226

 

 
186,908

Accrued interest
30,386

 

 
14

 

 
30,400

Other accrued liabilities
5,171

 
69,166

 
35,985

 
(17,751
)
 
92,571

Total current liabilities
76,863

 
210,975

 
94,846

 
(21,312
)
 
361,372

Long-term debt
2,550,996

 
36

 
56,065

 
(26,054
)
 
2,581,043

Deferred income taxes
288,503

 
456,942

 

 
(1,998
)
 
743,447

Other long-term liabilities
8,568

 
76,144

 
34,766

 

 
119,478

Intercompany payable

 
1,228,157

 

 
(1,228,157
)
 

Noncontrolling interests – redeemable

 

 
60,886

 
116,959

 
177,845

Equity:
 
 
 
 
 
 
 
 


Total AmSurg Corp. equity
2,377,278

 
3,967,431

 
125,450

 
(4,092,881
)
 
2,377,278

Noncontrolling interests – non-redeemable

 
2,918

 
46,209

 
433,730

 
482,857

Total equity
2,377,278

 
3,970,349

 
171,659

 
(3,659,151
)
 
2,860,135

Total liabilities and equity
$
5,302,208

 
$
5,942,603

 
$
418,222

 
$
(4,819,713
)
 
$
6,843,320

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 June 30, 2016 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
7,700

 
$
437,042

 
$
324,047

 
$
(10,290
)
 
$
758,499

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
22,246

 
305,173

 
76,727

 
(135
)
 
404,011

Supply cost

 
1,145

 
48,578

 
(20
)
 
49,703

Other operating expenses
6,034

 
44,213

 
71,033

 
(10,135
)
 
111,145

Transaction costs
2,099

 
3,036

 

 

 
5,135

Depreciation and amortization
1,103

 
21,192

 
7,759

 

 
30,054

Total operating expenses
31,482

 
374,759

 
204,097

 
(10,290
)
 
600,048

Net gain (loss) on disposals and deconsolidations

 
2,857

 
(262
)
 

 
2,595

Equity in earnings of unconsolidated affiliates
87,700

 
68,939

 

 
(149,288
)
 
7,351

Operating income
63,918

 
134,079

 
119,688

 
(149,288
)
 
168,397

Interest expense (income), net
(4,215
)
 
35,528

 
600

 

 
31,913

Earnings before income taxes
68,133

 
98,551

 
119,088

 
(149,288
)
 
136,484

Income tax expense
22,064

 
10,858

 
443

 

 
33,365

Net earnings
46,069

 
87,693

 
118,645

 
(149,288
)
 
103,119

Less net earnings (loss) attributable to noncontrolling interests

 
(7
)
 
57,057

 

 
57,050

Net earnings attributable to AmSurg Corp. shareholders
46,069

 
87,700

 
61,588

 
(149,288
)
 
46,069

Preferred stock dividends
(2,264
)
 

 

 

 
(2,264
)
Net earnings attributable to AmSurg Corp. common shareholders
$
43,805

 
$
87,700

 
$
61,588

 
$
(149,288
)
 
$
43,805


Condensed Consolidating Statement of Operations - For the Six Months Ended June 30, 2016 (In thousands)
 
Parent Issuer
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Consolidating Adjustments
 
Total Consolidated
Net revenue
$
16,244

 
$
852,872

 
$
634,659

 
$
(20,598
)
 
$
1,483,177

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
46,341

 
614,753

 
153,024

 
(268
)
 
813,850

Supply cost

 
2,152

 
94,547

 
(33
)
 
96,666

Other operating expenses
13,652

 
87,552

 
137,920

 
(20,297
)
 
218,827

Transaction costs
2,276

 
4,249

 

 

 
6,525

Depreciation and amortization
2,175

 
41,528

 
15,423

 

 
59,126

Total operating expenses
64,444

 
750,234

 
400,914

 
(20,598
)
 
1,194,994

Net gain (loss) on disposals and deconsolidations

 
2,857

 
(262
)
 

 
2,595

Equity in earnings of unconsolidated affiliates
156,742

 
134,375

 

 
(277,187
)
 
13,930

Operating income
108,542

 
239,870

 
233,483

 
(277,187
)
 
304,708

Interest expense (income), net
(7,034
)
 
68,504

 
1,253

 

 
62,723

Earnings before income taxes
115,576

 
171,366

 
232,230

 
(277,187
)
 
241,985

Income tax expense
38,644

 
14,632

 
886

 

 
54,162

Net earnings
76,932

 
156,734

 
231,344

 
(277,187
)
 
187,823

Less net earnings (loss) attributable to noncontrolling interests

 
(7
)
 
110,898

 

 
110,891

Net earnings attributable to AmSurg Corp. shareholders
76,932

 
156,741

 
120,446

 
(277,187
)
 
76,932

Preferred stock dividends
(4,528
)
 

 

 

 
(4,528
)
Net earnings attributable to AmSurg Corp. common shareholders
$
72,404

 
$
156,741

 
$
120,446

 
$
(277,187
)
 
$
72,404


Condensed Consolidating Statement of Operations - 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

Net gain (loss) on disposals and deconsolidations

 
(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 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

Less 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 Operations - 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

Net gain (loss) on disposals and deconsolidations
(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 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

Less 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 Cash Flows - For the Six Months Ended June 30, 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
$
39,294

 
$
131,227

 
$
255,297

 
$
(230,713
)
 
$
195,105

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
Acquisitions and related expenses
(265,258
)
 
(284,010
)
 

 
268,155

 
(281,113
)
Acquisition of property and equipment
(1,676
)
 
(19,916
)
 
(16,026
)
 

 
(37,618
)
Proceeds from sale of interests in surgery centers

 
25

 

 

 
25

Purchases of marketable securities

 

 
(498
)
 

 
(498
)
Maturities of marketable securities

 

 
2,738

 

 
2,738

Other

 
(4,057
)
 
(4,692
)
 

 
(8,749
)
Net cash flows used in investing activities
(266,934
)
 
(307,958
)
 
(18,478
)
 
268,155

 
(325,215
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
Proceeds from long-term borrowings
313,000

 

 
4,151

 

 
317,151

Repayment on long-term borrowings
(92,350
)
 
(9
)
 
(6,404
)
 

 
(98,763
)
Distributions to owners, including noncontrolling interests

 
(102,330
)
 
(243,972
)
 
230,713

 
(115,589
)
Capital contributions

 
265,258

 

 
(265,258
)
 

Changes in intercompany balances with affiliates, net
(2,657
)
 

 
2,657

 

 

Other, net
(6,199
)
 
2,520

 
1,332

 
(2,897
)
 
(5,244
)
Net cash flows provided by (used in) financing activities
211,794

 
165,439

 
(242,236
)
 
(37,442
)
 
97,555

Net decrease in cash and cash equivalents
(15,846
)
 
(11,292
)
 
(5,417
)
 

 
(32,555
)
Cash and cash equivalents, beginning of period
20,437

 
27,507

 
58,716

 

 
106,660

Cash and cash equivalents, end of period
$
4,591

 
$
16,215

 
$
53,299

 
$

 
$
74,105


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
)
 

Changes in intercompany balances with affiliates, net
444

 

 
(444
)
 

 

Other financing activities, net
(2,892
)
 
2,573

 
1,287

 
(1,686
)
 
(718
)
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