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
| 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
(Registrants 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 Registrants Common Stock were outstanding.
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. Managements 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 | |||||
PART I
FINANCIAL INFORMATION
Item 1. Financial Statements
IASIS HEALTHCARE CORPORATION
| (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.
1
IASIS HEALTHCARE CORPORATION
| 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.
2
IASIS HEALTHCARE CORPORATION
| 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.
3
IASIS HEALTHCARE CORPORATION
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 Companys 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 Companys 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 | |||||
4
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 banks 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 Companys 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 Companys 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 Companys subsidiaries and these guaranties are secured by a pledge of substantially all of the subsidiaries assets. Substantially all of the Companys outstanding common stock is pledged for the benefit of the Companys lenders as security for the Companys obligations under the new credit facility.
At December 31, 2002, the amounts outstanding under the previous credit facilitys 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 banks 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
5
IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS
Companys 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 Companys 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 Companys opinion, would have a material adverse effect on the Companys 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 Companys 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
6
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, LLCs 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, LLCs 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, LLCs 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, LLCs 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, LLCs 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. Attorneys 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 Companys 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.
7
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 Companys 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 Companys 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 | ) | |||||