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SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(Mark One)

x   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934

For the quarterly period ended December 31, 2002

OR

o   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934

For the transition period from _____________ to _____________.

COMMISSION FILE NUMBER: 333-94521

IASIS HEALTHCARE CORPORATION

(Exact Name of Registrant as Specified in Its Charter)
     
DELAWARE
(State or Other Jurisdiction of
Incorporation or Organization)
  76-0450619
(I.R.S. Employer
(Identification No.)

113 SEABOARD LANE, SUITE A-200
FRANKLIN, TENNESSEE 37067

(Address of Principal Executive Offices)

(615) 844-2747
(Registrant’s Telephone Number, Including Area Code)

Not Applicable
(Former Name, Former Address and Former Fiscal Year,
if Changed Since Last Report)

     Indicate by check þ whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15 (d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    YES   þ    NO   o

     Indicate by check mark # whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).    YES   o    NO   þ

     As of February 14, 2003, 31,956,113 shares of the Registrant’s Common Stock were outstanding.

 


TABLE OF CONTENTS

PART I FINANCIAL INFORMATION
Item 1. Financial Statements
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 3. Quantitative and Qualitative Disclosures About Market Risk
Item 4. Controls and Procedures
PART II OTHER INFORMATION
Item 1. Legal Proceedings
Item 6. Exhibits and Reports on Form 8-K
SIGNATURES
CERTIFICATION
EXHIBIT INDEX
AMENDMENT NO. 2 TO CONTRACT
ODESSA REGIONAL HOSPITAL, LP FINANCIAL STATEMENTS


Table of Contents

TABLE OF CONTENTS

             
PART I — FINANCIAL INFORMATION
    1  
 
Item 1. Financial Statements
    1  
   
Condensed and Consolidated Balance Sheets — December 31, 2002 (Unaudited) and September 30, 2002
    1  
   
Condensed and Consolidated Statements of Operations (Unaudited) — Three Months Ended December 31, 2002 and 2001
    2  
   
Condensed and Consolidated Statements of Cash Flows (Unaudited) — Three Months Ended December 31, 2002 and 2001
    3  
   
Notes to Unaudited Condensed and Consolidated Financial Statements
    4  
 
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
    16  
 
Item 3. Quantitative and Qualitative Disclosures About Market Risk
    22  
 
Item 4. Controls and Procedures
    22  
PART II — OTHER INFORMATION
    22  
 
Item 1. Legal Proceedings
    22  
 
Item 6. Exhibits and Reports on Form 8-K
    23  

 


Table of Contents

PART I
FINANCIAL INFORMATION

Item 1. Financial Statements

IASIS HEALTHCARE CORPORATION

CONDENSED AND CONSOLIDATED BALANCE SHEETS
(In thousands except share amounts)
                       
          (Unaudited)        
          December 31,   September 30,
          2002   2002
         
 
ASSETS
               
Current assets:
               
 
Cash and cash equivalents
  $     $  
 
Accounts receivable, net of allowance for doubtful accounts of $39,520 and $34,450, respectively
    155,665       154,452  
 
Inventories
    24,065       23,909  
 
Prepaid expenses and other current assets
    15,448       15,697  
 
Assets held for sale
    22,106       22,106  
 
   
     
 
     
Total current assets
    217,284       216,164  
Property and equipment, net
    405,446       402,171  
Goodwill
    252,204       252,397  
Other assets, net
    27,737       27,751  
 
   
     
 
     
Total assets
  $ 902,671     $ 898,483  
 
   
     
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities:
               
 
Accounts payable
  $ 46,286     $ 51,920  
 
Salaries and benefits payable
    19,643       16,692  
 
Accrued interest payable
    9,670       15,016  
 
Medical claims payable
    30,333       30,262  
 
Accrued expenses and other current liabilities
    16,172       19,023  
 
Current portion of long-term debt and capital lease obligations
    5,108       26,252  
 
   
     
 
     
Total current liabilities
    127,212       159,165  
Long-term debt and capital lease obligations
    585,908       556,691  
Other long-term liabilities
    23,337       22,347  
Minority interest
    3,178       4,736  
 
   
     
 
     
Total liabilities
    739,635       742,939  
Stockholders’ equity
               
 
Preferred stock – $0.01 par value, authorized 5,000,000 shares; no shares issued and outstanding at December 31, 2002 and September 30, 2002
           
 
Common stock – $0.01 par value, authorized 100,000,000 shares; 31,984,779 shares issued and 31,955,863 shares outstanding at December 31, 2002, and September 30, 2002
    320       320  
 
Nonvoting common stock – $0.01 par value, authorized 10,000,000 shares; no shares issued and outstanding at December 31, 2002 and September 30, 2002
           
 
Additional paid-in capital
    450,718       450,718  
 
Treasury stock, at cost, 16,306,541 shares at December 31, 2002 and September 30, 2002
    (155,300 )     (155,300 )
 
Accumulated deficit
    (132,702 )     (140,194 )
 
   
     
 
   
Total stockholders’ equity
    163,036       155,544  
 
   
     
 
   
Total liabilities and stockholders’ equity
  $ 902,671     $ 898,483  
 
   
     
 

See accompanying notes.

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IASIS HEALTHCARE CORPORATION

CONDENSED AND CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
(In thousands)
                     
        Three Months Ended
        December 31,
       
        2002   2001
       
 
Net revenue
  $ 254,765     $ 220,881  
Costs and expenses:
               
 
Salaries and benefits
    88,799       77,727  
 
Supplies
    35,683       31,293  
 
Other operating expenses
    77,414       69,596  
 
Provision for bad debts
    19,711       16,774  
 
Interest, net
    13,317       14,503  
 
Depreciation and amortization
    12,851       10,488  
 
Gain on sale of assets, net
    (780 )     (12 )
 
   
     
 
   
Total costs and expenses
    246,995       220,369  
 
   
     
 
Earnings before minority interests, income taxes and cumulative effect of a change in accounting principle
    7,770       512  
Minority interests
    (278 )     (223 )
 
   
     
 
Earnings before income taxes and cumulative effect of a change in accounting principle
    7,492       289  
Income tax expense
           
 
   
     
 
Net earnings before cumulative effect of a change in accounting principle
    7,492       289  
Cumulative effect of a change in accounting principle
          (39,497 )
 
   
     
 
Net earnings (loss)
  $ 7,492     $ (39,208 )
 
   
     
 

See accompanying notes.

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IASIS HEALTHCARE CORPORATION

CONDENSED AND CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
(In thousands)
                       
          Three Months Ended
          December 31,
         
          2002   2001
         
 
Cash flows from operating activities:
               
 
Net earnings (loss)
  $ 7,492     $ (39,208 )
 
Adjustments to reconcile net earnings (loss) to net cash provided by operating activities:
               
   
Depreciation and amortization
    12,851       10,488  
   
Minority interests
    278       223  
   
Cumulative effect of a change in accounting principle
          39,497  
   
Gain on sale of assets
    (780 )     (12 )
   
Changes in operating assets and liabilities, net of disposals:
               
     
Accounts receivable
    (1,069 )     712  
     
Inventories, prepaid expenses and other current assets
    (1,041 )     (4,522 )
     
Accounts payable and other accrued liabilities
    (9,471 )     (5,646 )
 
   
     
 
   
Net cash provided by operating activities
    8,260       1,532  
 
   
     
 
Cash flows from investing activities:
               
 
Purchases of property and equipment
    (14,415 )     (6,945 )
 
Purchase of real estate
          (55,338 )
 
Proceeds from sale of assets
    2,463       12  
 
Change in other assets
    (861 )     (1,900 )
 
   
     
 
   
Net cash used in investing activities
    (12,813 )     (64,171 )
 
   
     
 
Cash flows from financing activities:
               
 
Proceeds from issuance of common stock
          222  
 
Proceeds from senior bank debt borrowings
    62,200       94,600  
 
Payment of debt and capital leases
    (57,347 )     (35,914 )
 
Debt financing costs incurred
          (2,325 )
 
Distribution of minority interests
    (300 )      
 
   
     
 
   
Net cash provided by financing activities
    4,553       56,583  
 
   
     
 
Change in cash and cash equivalents
          (6,056 )
Cash and cash equivalents at beginning of period
          6,056  
 
   
     
 
Cash and cash equivalents at end of period
  $     $  
 
   
     
 
Supplemental disclosure of cash flow information:
               
 
Cash paid for interest
  $ 18,720     $ 22,931  
 
   
     
 
 
Cash paid for income taxes
  $     $  
 
   
     
 
Supplemental schedule of noncash investing and financing activities:
               
 
Capital lease obligations incurred to acquire equipment
  $ 3,318     $  
 
   
     
 

See accompanying notes.

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IASIS HEALTHCARE CORPORATION

NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS

1. Basis of Presentation

     The unaudited condensed and consolidated financial statements include the accounts of IASIS Healthcare Corporation (“IASIS” or “the Company”) and all subsidiaries and entities under common control of the Company and have been prepared in accordance with accounting principles generally accepted in the United States for interim financial reporting and in accordance with Rule 10-01 of Regulation S-X. Accordingly, they do not include all of the information and notes required by accounting principles generally accepted in the United States for complete financial statements. The balance sheet at September 30, 2002 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. For further information, refer to the consolidated financial statements and footnotes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2002.

     In the opinion of management, the accompanying unaudited condensed and consolidated financial statements contain all material adjustments (consisting of normal recurring items) necessary for a fair presentation of results for the interim periods presented. The results of operations for any interim period are not necessarily indicative of results for the full year.

     The preparation of the financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the accompanying unaudited condensed and consolidated financial statements and notes. Actual results could differ from those estimates.

     IASIS operates networks of medium-sized hospitals in high-growth urban and suburban markets. At December 31, 2002, the Company owned or leased 14 hospitals with a total of 2,116 beds in service. The Company’s hospitals are located in four regions:

    Salt Lake City, Utah;
 
    Phoenix, Arizona;
 
    Tampa-St. Petersburg, Florida; and
 
    three markets in the State of Texas, including San Antonio.

     The Company also operates three ambulatory surgery centers and a Medicaid managed health plan in Phoenix called Health Choice, serving over 60,000 members at December 31, 2002.

2. Long-Term Debt and Capital Lease Obligations

     Long-term debt and capital lease obligations consist of the following (in thousands):

                 
    December 31,   September 30,
    2002   2002
   
 
Bank facilities
  $ 353,020     $ 347,846  
Senior subordinated notes
    230,000       230,000  
Capital lease obligations
    7,996       5,097  
 
   
     
 
 
    591,016       582,943  
Less current maturities
    5,108       26,252  
 
   
     
 
 
  $ 585,908     $ 556,691  
 
   
     
 

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS

Bank Facilities

     On October 15, 1999, the Company entered into a bank credit facility through which a syndicate of lenders made a total of $455.0 million available in the form of an $80.0 million tranche A term loan, a $250.0 million tranche B term loan and a $125.0 million revolving credit facility. Effective October 5, 2001, the Company amended its bank credit facility to provide for an additional $30.0 million incremental senior secured term loan on substantially the same terms and conditions as the existing bank credit facility. The new incremental term loan was used solely to fund the purchase on October 15, 2001 of the land and buildings at two facilities in Arizona previously operated under long-term leases and related costs and expenses. The amended bank credit facility also provided for revisions to certain financial covenants.

     On February 7, 2003, the Company completed the refinancing of its bank credit facility to provide for a new $475.0 million credit facility in the form of a $350.0 million, six year term B loan and $125.0 million, five year revolving credit facility. The loans under the new credit facility accrue interest at variable rates at specified margins above either the agent bank’s alternate base rate or its Eurodollar rate. Principal payments on the new term B loan are due in quarterly installments of $875,000 beginning March 31, 2003 until maturity. The new credit facility is also subject to mandatory prepayment under specific circumstances including a portion of excess cash flow and the net proceeds from an initial public offering, asset sales, debt issuances and specified casualty events, each subject to various exceptions. Proceeds from the new credit facility were used to refinance amounts outstanding under the previous credit facility and to fund closing and other transaction related costs incurred in connection with the refinancing. The new credit facility increases the Company’s annual capital expenditure limitation to $80.0 million per year. In addition, the new credit facility provides for revisions to certain financial covenants and replaces the fixed charge coverage covenant under the previous credit facility with a senior leverage test. The new $125.0 million revolving credit facility is available for working capital and other general corporate purposes. Consistent with the previous credit facility, the new bank credit facility requires that the Company comply with various financial ratios and tests and contains covenants limiting the Company’s ability to, among other things, incur debt, engage in acquisitions or mergers, sell assets, make investments or capital expenditures, make distributions or stock repurchases and pay dividends. The new bank credit facility is guaranteed by the Company’s subsidiaries and these guaranties are secured by a pledge of substantially all of the subsidiaries’ assets. Substantially all of the Company’s outstanding common stock is pledged for the benefit of the Company’s lenders as security for the Company’s obligations under the new credit facility.

     At December 31, 2002, the amounts outstanding under the previous credit facility’s tranche A, tranche B and incremental term loans were $51.9 million, $241.8 million and $29.8 million, respectively, and the Company had $29.5 million outstanding under the revolving credit facility. The new revolving credit facility includes a $75.0 million sub-limit for letters of credit that may be issued. At December 31, 2002, the Company had issued $38.3 million in letters of credit. The loans under the previous bank credit facility accrued interest at variable rates at specified margins above either the agent bank’s alternate base rate or its reserve-adjusted Eurodollar rate. The weighted average interest rate of outstanding borrowings under the previous bank credit facility was approximately 5.9% for the three months ended December 31, 2002. The Company will also pay a commitment fee equal to 0.5% of the average daily amount available under the new revolving credit facility. During the three months ended March 31, 2003, the Company will write off approximately $3.9 million in deferred financing costs associated with the previous credit facility.

Senior Subordinated Notes

     On October 13, 1999, the Company issued $230.0 million of 13% senior subordinated notes due 2009. On May 25, 2000, the Company exchanged all of its outstanding 13% senior subordinated notes due 2009 for 13% senior subordinated exchange notes due 2009 that have been registered under the Securities Act of 1933, as amended (the “Notes”). Terms and conditions of the exchange offer were as set forth in the registration statement on Form S-4 filed with the Securities and Exchange Commission that became effective on April 17, 2000. The Notes are unsecured obligations and are subordinated in right of payment to all existing and future senior indebtedness of the Company. Interest on the Notes is payable semi-annually.

     Except with respect to a change of control, the Company is not required to make mandatory redemption or sinking fund payments with respect to the Notes. The Notes are guaranteed, jointly and severally, by all of the

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS

Company’s subsidiaries (“Subsidiary Guarantors”). The Company is a holding company with no independent assets or operations apart from its ownership of the Subsidiary Guarantors. At December 31, 2002, all of the Subsidiary Guarantors fully and unconditionally guaranteed the Notes and, with the exception of Odessa Regional Hospital, LP, all were 100% owned by the Company. The indenture for the Notes contains certain covenants, including but not limited to, restrictions on new indebtedness, asset sales, capital expenditures, dividends and the Company’s ability to merge or consolidate.

3. Contingencies

Net Revenue

     The calculation of appropriate payments from the Medicare and Medicaid programs as well as terms governing agreements with other third party payors are complex and subject to interpretation. Final determination of amounts earned under the Medicare and Medicaid programs often occurs subsequent to the year in which services are rendered because of audits by the programs, rights of appeal and the application of numerous technical provisions. As a result, there is at least a reasonable possibility that recorded estimates will change by a material amount in the near term. In the opinion of management, adequate provision has been made for adjustments that may result from such routine audits and appeals.

Professional, General and Workers Compensation Liability Risks

     The Company is subject to claims and legal actions in the ordinary course of business, including claims relating to patient treatment and personal injuries. To cover these types of claims, the Company maintains general liability and professional liability insurance in excess of self-insured retentions through a commercial insurance carrier in amounts that the Company believes to be sufficient for its operations, although, potentially, some claims may exceed the scope of coverage in effect. Plaintiffs may request punitive or other damages that may not be covered by insurance. The Company is currently not a party to any such proceedings that, in the Company’s opinion, would have a material adverse effect on the Company’s business, financial condition or results of operations. The Company expenses an actuarially determined estimate of the cost it expects to incur under the self-insured retention exposure for professional liability claims. As of December 31, 2002 and September 30, 2002, the Company’s professional and general liability accrual for asserted and unasserted claims was approximately $18.9 million and $17.6 million, respectively, which is included within other long-term liabilities in the accompanying condensed and consolidated balance sheets.

     The Company is subject to claims and legal actions in the ordinary course of business relative to workers compensation and other labor and employment matters. To cover these types of claims, the Company maintains workers compensation insurance coverage with a self-insured retention. The Company accrues costs of workers compensation claims based upon estimates derived from its claims experience.

Health Choice

     Health Choice has entered into a capitated contract whereby the plan provides healthcare services in exchange for fixed periodic and supplemental payments from Arizona Health Care Cost Containment System (“AHCCCS”). These services are provided regardless of the actual costs incurred to provide these services. The Company receives reinsurance and other supplemental payments from AHCCCS to cover certain costs of healthcare services that exceed certain thresholds. The Company believes the capitated payments, together with reinsurance and other supplemental payments, are sufficient to pay for the services Health Choice is obligated to deliver. As of December 31, 2002, the Company provided performance guaranties in the form of a letter of credit in the amount of

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS

$20.6 million for the benefit of AHCCCS to support its obligations under the Health Choice contract to provide and pay for the healthcare services.

Tax Sharing Agreement

     The Company and some of its subsidiaries are included in JLL Healthcare, LLC’s consolidated group for U.S. Federal income tax purposes as well as in some consolidated, combined or unitary groups which include JLL Healthcare, LLC for state, local and foreign income tax purposes. The Company and JLL Healthcare, LLC have entered into a tax sharing agreement that requires the Company to make payments to JLL Healthcare, LLC such that, with respect to tax returns for any taxable period in which the Company or any of its subsidiaries is included in JLL Healthcare, LLC’s consolidated group or any combined group, including JLL Healthcare, LLC, the amount of taxes to be paid by the Company will be determined, subject to some adjustments, as if the Company and each of its subsidiaries included in JLL Healthcare, LLC’s consolidated group or a combined group including JLL Healthcare, LLC filed their own consolidated, combined or unitary tax return.

     Each member of a consolidated group for U.S. Federal income tax purposes is jointly and severally liable for the Federal income tax liability of each other member of the consolidated group. Accordingly, although the tax sharing agreement allocates tax liabilities between the Company and JLL Healthcare, LLC, for any period in which the Company is included in JLL Healthcare, LLC’s consolidated group, the Company could be liable in the event that any Federal tax liability was incurred, but not discharged, by any other member of JLL Healthcare, LLC’s consolidated group.

Other

     The Company has been advised that its hospital in San Antonio, Texas, Southwest General Hospital, is a subject of an investigation relating to the provision of hyperbaric oxygen therapy services. In a letter dated February 11, 2003, the U.S. Attorney for the Western District of Texas stated that the investigation relates to certain billing practices for these services since 1998. The Company is cooperating with the U.S. Attorney’s office with respect to this investigation. Based on information currently available, the Company believes the investigation relates primarily to the period when Tenet Healthcare Corporation owned the hospital. Although the Company is unable to predict the outcome of this investigation, management does not believe it will have a material adverse effect on the Company’s business, financial condition or results of operations.

     The Company believes it is in material compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing that would have a material effect on its financial statements. Compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including fines, penalties and exclusion from the Medicare and Medicaid programs.

4. Goodwill

     The Company adopted SFAS No. 142 effective October 1, 2001. As a result of the transitional impairment test required by SFAS No. 142, the Company recorded an impairment charge to goodwill of $39.5 million as of October 1, 2001. The impairment charge to goodwill is reflected as a cumulative effect of a change in accounting principle in the accompanying condensed and consolidated statements of operations. The impairment relates to goodwill associated with the Arizona market included in the acute care service segment and was based on a discounted cash flow analysis. Pursuant to the provisions of SFAS No. 142, goodwill is no longer amortized but is subject to annual impairment reviews.

5. Asset Revaluation and Closure Costs

     In the third quarter of fiscal 2001, the Company recorded a pre-tax asset revaluation charge of approximately $2.8 million related to the closure of Rocky Mountain Medical Center and revaluation of net assets in conjunction with their classification as held for sale. At December 31, 2002, Rocky Mountain Medical Center net assets held for sale consisted of property and equipment and totaled approximately $22.1 million.

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS

     The Company adopted and implemented an exit plan and recorded pre-tax closure charges of approximately $9.1 million in the third quarter of fiscal 2001 with respect to the closure of Rocky Mountain Medical Center. These closure plans included the involuntary termination of approximately 200 hospital and business office personnel, which were completed by September 20, 2001. At December 31, 2002, accrued closure costs totaled approximately $1.7 million. The following table summarizes the closure costs accrual and payment activity for the three months ended December 31, 2002 (in thousands):

                                           
              Facility and                        
              Lease   Contract                
      Severance and   Termination   Termination   Other        
      Related Costs   Costs   Costs   Exit Costs   Total
     
 
 
 
 
Balances at September 30, 2002
  $     $ 1,334     $     $ 825     $ 2,159  
 
Payments
          (188 )           (255 )     (443 )
 
   
     
     
     
     
 
Balances at December 31, 2002
  $     $ 1,146     $     $ 570     $ 1,716  
 
   
     
     
     
     
 

6. Segment and Geographic Information

     The Company’s acute care hospitals and related healthcare businesses are similar in their activities and the economic environments in which they operate (i.e., urban and suburban markets). Accordingly, the Company’s reportable operating segments consist of (1) acute care hospitals and related healthcare businesses, collectively, and (2) its Medicaid managed health plan, Health Choice and a related entity (collectively referred to as Health Choice). The following is a financial summary by business segment for the periods indicated:

                   
      Three Months
      Ended December 31,
     
      2002   2001
     
 
      (In thousands)
Acute Care Service:
               
Net patient revenue
  $ 219,725     $ 189,148  
Revenue between segments
    (1,908 )     (1,437 )
 
   
     
 
 
Net revenue
    217,817       187,711  
Salaries and benefits
    87,243       76,488  
Supplies
    35,561       31,193  
Other operating expenses
    43,975       38,909  
Provision for bad debts
    19,711       16,774  
 
   
     
 
 
EBITDA(1)
    31,327       24,347  
Interest expense, net
    13,317       14,551  
Depreciation and amortization
    12,818       10,459  
Gain on sale of assets, net
    (780 )     (12 )
 
   
     
 </