SECURITIES AND EXCHANGE COMMISSION
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 June 30, 2003 | ||
| OR | ||
| [ ] |
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 | 76-0450619 | |
| (State or Other Jurisdiction of | (I.R.S. Employer | |
| Incorporation or Organization) | (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 mark ü 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 ü whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). YES o NO þ
As of August 11, 2003, 31,956,113 shares of the Registrants Common Stock were outstanding.
TABLE OF CONTENTS
| PART I. | FINANCIAL INFORMATION | 1 |
||||||
| Item 1. | Financial Statements: | |||||||
| Condensed and Consolidated Balance Sheets at June 30, 2003 (Unaudited) and September 30, 2002 | 1 |
|||||||
| Condensed and Consolidated Statements of Operations (Unaudited) Three Months Ended June 30, 2003 and 2002 and Nine Months Ended June 30, 2003 and 2002 | 2 |
|||||||
| Condensed and Consolidated Statements of Cash Flows (Unaudited) Nine Months Ended June 30, 2003 and 2002 | 3 |
|||||||
| Notes to Unaudited Condensed and Consolidated Financial Statements | 4 |
|||||||
| Item 2. | Managements Discussion and Analysis of Financial Condition and Results of Operations | 18 |
||||||
| Item 3. | Quantitative and Qualitative Disclosures About Market Risk | 28 |
||||||
| Item 4. | Controls and Procedures | 28 |
||||||
| PART II. | OTHER INFORMATION | 29 |
||||||
| Item 6. | Exhibits and Reports on Form 8-K | 29 |
||||||
i
PART I.
FINANCIAL INFORMATION
Item 1. Financial Statements
IASIS HEALTHCARE CORPORATION
| June 30, | September 30, | |||||||||||
| 2003 | 2002 | |||||||||||
| (Unaudited) | ||||||||||||
ASSETS |
||||||||||||
Current assets: |
||||||||||||
Cash and cash equivalents |
$ | 74,491 | $ | | ||||||||
Accounts receivable, net of allowance for doubtful accounts of
$42,590 and $34,450, respectively |
151,927 | 154,452 | ||||||||||
Inventories |
23,833 | 23,909 | ||||||||||
Prepaid expenses and other current assets |
17,010 | 15,697 | ||||||||||
Assets held for sale |
10,000 | 22,106 | ||||||||||
Total current assets |
277,261 | 216,164 | ||||||||||
Property and equipment, net |
429,177 | 402,171 | ||||||||||
Goodwill |
252,204 | 252,397 | ||||||||||
Other assets, net |
37,023 | 27,751 | ||||||||||
Total assets |
$ | 995,665 | $ | 898,483 | ||||||||
LIABILITIES AND STOCKHOLDERS EQUITY |
||||||||||||
Current liabilities: |
||||||||||||
Accounts payable |
$ | 46,377 | $ | 47,061 | ||||||||
Salaries and benefits payable |
22,043 | 21,551 | ||||||||||
Accrued interest payable |
10,996 | 15,016 | ||||||||||
Medical claims payable |
30,168 | 30,262 | ||||||||||
Other accrued expenses and other current liabilities |
17,962 | 19,023 | ||||||||||
Current portion of long-term debt and capital lease obligations |
5,382 | 26,252 | ||||||||||
Total current liabilities |
132,928 | 159,165 | ||||||||||
Long-term debt and capital lease obligations |
658,870 | 556,691 | ||||||||||
Other long-term liabilities |
24,766 | 22,347 | ||||||||||
Minority interest |
5,043 | 4,736 | ||||||||||
Total liabilities |
821,607 | 742,939 | ||||||||||
Stockholders equity: |
||||||||||||
Preferred stock $0.01 par value, authorized 5,000,000 shares; no
shares issued and outstanding at June 30, 2003 and September 30,
2002 |
| | ||||||||||
Common stock $0.01 par value, authorized 100,000,000 shares;
31,985,029 and 31,984,779 shares issued at June 30, 2003 and
September 30, 2002, respectively, and 31,956,113 and
31,955,863 shares outstanding at June 30, 2003 and September
30, 2002, respectively |
320 | 320 | ||||||||||
Nonvoting common stock $0.01 par value, authorized 10,000,000
shares; no shares issued and outstanding at June 30, 2003 and
September 30, 2002 |
| | ||||||||||
Additional paid-in capital |
450,720 | 450,718 | ||||||||||
Treasury stock, at cost, 16,306,541 shares at June 30, 2003 and
September 30, 2002 |
(155,300 | ) | (155,300 | ) | ||||||||
Accumulated deficit |
(121,682 | ) | (140,194 | ) | ||||||||
Total stockholders equity |
174,058 | 155,544 | ||||||||||
Total liabilities and stockholders equity |
$ | 995,665 | $ | 898,483 | ||||||||
1
IASIS HEALTHCARE CORPORATION
CONDENSED AND CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
(In thousands)
| Three Months Ended | Nine Months Ended | |||||||||||||||||
| June 30, | June 30, | |||||||||||||||||
| 2003 | 2002 | 2003 | 2002 | |||||||||||||||
Net revenue |
$ | 278,799 | $ | 239,898 | $ | 805,000 | $ | 705,203 | ||||||||||
Costs and expenses: |
||||||||||||||||||
Salaries and benefits |
94,430 | 81,057 | 277,382 | 239,102 | ||||||||||||||
Supplies |
38,824 | 32,617 | 112,275 | 98,615 | ||||||||||||||
Other operating expenses |
84,427 | 74,093 | 240,130 | 217,248 | ||||||||||||||
Provision for bad debts |
22,225 | 18,503 | 62,090 | 52,868 | ||||||||||||||
Interest, net |
13,161 | 13,356 | 39,609 | 41,895 | ||||||||||||||
Depreciation and amortization |
13,284 | 11,283 | 38,817 | 32,951 | ||||||||||||||
Loss on debt extinguishment |
| | 3,900 | | ||||||||||||||
Impairment of assets held for sale |
11,741 | | 11,741 | | ||||||||||||||
Total costs and expenses |
278,092 | 230,909 | 785,944 | 682,679 | ||||||||||||||
Earnings before loss (gain) on sale
of assets, minority interests, income
taxes and cumulative effect of a
change in accounting principle |
707 | 8,989 | 19,056 | 22,524 | ||||||||||||||
Loss (gain) on sale of assets, net |
192 | | (588 | ) | 7 | |||||||||||||
Minority interests |
433 | 235 | 1,132 | 759 | ||||||||||||||
Earnings before income taxes and
cumulative effect of a change in
accounting principle |
82 | 8,754 | 18,512 | 21,758 | ||||||||||||||
Income tax expense |
| | | | ||||||||||||||
Net earnings before cumulative effect
of a change in accounting principle |
82 | 8,754 | 18,512 | 21,758 | ||||||||||||||
Cumulative effect of a change in
accounting principle |
| | | (39,497 | ) | |||||||||||||
Net earnings (loss) |
$ | 82 | $ | 8,754 | $ | 18,512 | $ | (17,739 | ) | |||||||||
2
IASIS HEALTHCARE CORPORATION
CONDENSED AND CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
(In thousands)
| Nine Months Ended | |||||||||||
| June 30, | |||||||||||
| 2003 | 2002 | ||||||||||
Cash flows from operating activities: |
|||||||||||
Net earnings (loss) |
$ | 18,512 | $ | (17,739 | ) | ||||||
Adjustments to reconcile net earnings (loss) to net cash
provided by operating activities: |
|||||||||||
Depreciation and amortization |
38,817 | 32,951 | |||||||||
Minority interests |
1,132 | 759 | |||||||||
Cumulative effect of a change in accounting principle |
| 39,497 | |||||||||
Impairment of assets held for sale |
11,741 | | |||||||||
(Gain) loss on sale of assets |
(588 | ) | 7 | ||||||||
Loss on debt extinguishment |
3,900 | | |||||||||
Changes in operating assets and liabilities,
net of disposals: |
|||||||||||
Accounts receivable |
2,668 | (7,439 | ) | ||||||||
Inventories, prepaid expenses and other current assets |
(3,041 | ) | (4,166 | ) | |||||||
Accounts payable and other accrued liabilities |
(2,261 | ) | (1,652 | ) | |||||||
Net cash provided by operating activities |
70,880 | 42,218 | |||||||||
Cash flows from investing activities: |
|||||||||||
Purchases of property and equipment |
(59,201 | ) | (29,349 | ) | |||||||
Purchase of real estate |
| (55,338 | ) | ||||||||
Proceeds from sales of assets |
3,205 | 149 | |||||||||
Change in other assets |
(1,352 | ) | (3,862 | ) | |||||||
Net cash used in investing activities |
(57,348 | ) | (88,400 | ) | |||||||
Cash flows from financing activities: |
|||||||||||
Proceeds from issuance of common stock |
2 | 222 | |||||||||
Proceeds from debt borrowings |
589,600 | 160,600 | |||||||||
Payment of debt and capital leases |
(514,976 | ) | (117,916 | ) | |||||||
Debt financing costs incurred |
(14,377 | ) | (2,347 | ) | |||||||
Distribution of minority interests |
(578 | ) | (433 | ) | |||||||
Proceeds from hospital syndication |
1,288 | | |||||||||
Net cash provided by financing activities |
60,959 | 40,126 | |||||||||
Increase (decrease) in cash and cash equivalents |
74,491 | (6,056 | ) | ||||||||
Cash and cash equivalents at beginning of the period |
| 6,056 | |||||||||
Cash and cash equivalents at end of the period |
$ | 74,491 | $ | | |||||||
Supplemental disclosure of cash flow information: |
|||||||||||
Cash paid for interest |
$ | 44,151 | $ | 49,986 | |||||||
Cash paid (refunded) for income taxes, net |
$ | 11 | $ | (1,835 | ) | ||||||
Supplemental schedule of noncash investing and financing activities: |
|||||||||||
Capital lease obligations incurred to acquire equipment |
$ | 6,576 | $ | 1,714 | |||||||
3
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 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 June 30, 2003, the Company owned or leased 14 hospitals with a total of 2,128 beds in service. The Companys hospitals are located in four regions:
| | Salt Lake City, Utah; |
| | Phoenix, Arizona; |
| | Tampa-St. Petersburg, Florida; and |
| | four cities in 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 63,000 members at June 30, 2003.
| 2. | Recently Issued Accounting Pronouncements |
In January 2003, the Financial Accounting Standards Board (FASB) issued Interpretation No. 46, Consolidation of Variable Interest Entities (VIEs), an Interpretation of Accounting Research Bulletin No. 51 (FIN 46). FIN 46 requires certain VIEs to be consolidated by the primary beneficiary of the entity if the equity investors in the entity do not have the characteristics of a controlling financial interest or do not have sufficient equity at risk for the entity to finance its activities without additional subordinated financial support from other parties. FIN 46 is effective for all new VIEs created or acquired after January 31, 2003. For VIEs created or acquired prior to February 1, 2003, the provisions of FIN 46 must be applied for the first interim or annual period beginning after June 15, 2003. The Company does not expect this interpretation to have a material effect on its future results of operations or financial position.
In November 2002, the FASB issued Interpretation No. 45, Guarantors Accounting and Disclosure Requirements for Guarantees (FIN 45). FIN 45 requires a guarantor to recognize, at the inception of a guarantee, a liability for the fair value of the obligation it has undertaken in issuing the guarantee. The Company will apply FIN 45 to guarantees, if any, issued or modified after December 31, 2002. The adoption of FIN 45 did not have a material effect on the Companys consolidated financial position or results of operations.
4
IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS
(Continued)
| 3. | Long-Term Debt and Capital Lease Obligations |
Long-term debt and capital lease obligations consist of the following (in thousands):
| June 30, | September 30, | |||||||
| 2003 | 2002 | |||||||
Bank facilities |
$ | 323,750 | $ | 347,846 | ||||
13% Senior subordinated notes |
230,000 | 230,000 | ||||||
8½% Senior subordinated notes |
100,000 | | ||||||
Capital lease obligations and other |
10,502 | 5,097 | ||||||
| 664,252 | 582,943 | |||||||
Less current maturities |
5,382 | 26,252 | ||||||
| $ | 658,870 | $ | 556,691 | |||||
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 (the 1999 credit facility). Effective October 5, 2001, the Company amended the 1999 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.
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 a $125.0 million, five year revolving credit facility (the 2003 credit facility). Effective June 6, 2003, the 2003 credit facility was amended to allow for the issuance of the Companys 8½% senior subordinated notes, as discussed below. Proceeds from the 2003 credit facility were used to refinance amounts outstanding under the 1999 credit facility and to fund closing and other transaction related costs of $10.6 million incurred in connection with the refinancing. The new $125.0 million revolving credit facility is available for working capital and other general corporate purposes. Loans under the 2003 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 2003 credit facility includes a 1% prepayment penalty on voluntary prepayments made during the first year on amounts outstanding under the term loan. From the net proceeds of the 8½% senior subordinated notes, the Company made a voluntary prepayment on the term B loan of $24.5 million on June 11, 2003, incurring a prepayment penalty of $245,000. The 2003 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.
As amended, the 2003 credit facility provides for annual capital expenditure limitations of $80.0 million for the year ended September 30, 2003, $165.0 million for the year ended September 30, 2004 and $70.0 million per year through September 30, 2009. In addition, the 2003 credit facility replaced the fixed charge coverage covenant under the 1999 credit facility with a senior leverage test and provided for revisions to certain other financial covenants. The 2003 credit facility requires that the Company comply with various other 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 2003 credit facility is guaranteed by all of the Companys material subsidiaries (the Subsidiary Guarantors) and these guaranties are secured by a pledge of substantially all of the Subsidiary Guarantors 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 2003 credit facility.
5
IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS
(Continued)
At June 30, 2003, there was $323.8 million outstanding under the six-year term B loan and no amounts 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 June 30, 2003, the Company had issued $39.6 million in letters of credit. The loans under the credit facilities 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 credit facilities was approximately 5.8% for the nine months ended June 30, 2003. The Company pays a commitment fee equal to 0.5% of the average daily amount available under the revolving credit facility. In connection with the refinancing, the Company expensed approximately $3.9 million in unamortized deferred financing costs associated with the 1999 credit facility.
13% 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 1999 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 1999 Notes are unsecured obligations and are subordinated in right of payment to all existing and future senior indebtedness of the Company. Interest on the 1999 notes is payable semi-annually on April 15 and October 15.
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 1999 notes. The Company may redeem the 1999 notes, in whole or in part, at any time from October 15, 2004 to October 14, 2008 at redemption prices ranging from 106.500% to 101.625%, plus accrued and unpaid interest. Thereafter, the Company may redeem the 1999 notes at a 100% redemption price plus accrued and unpaid interest. The 1999 notes are guaranteed, jointly and severally, by the Subsidiary Guarantors. The Company is a holding company with no independent assets or operations apart from its ownership of the Subsidiary Guarantors. At June 30, 2003, all of the Subsidiary Guarantors fully and unconditionally guaranteed the 1999 notes and, with the exception of Odessa Regional Hospital, LP and Jordan Valley Hospital, LP, all were 100% owned by the Company. The indenture for the 1999 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.
8½% Senior Subordinated Notes
On June 6, 2003, the Company issued $100.0 million of 8½% senior subordinated notes due 2009 (the 2003 notes). After deducting for the underwriters discounts of $2.3 million, the net proceeds from the 2003 notes were used to prepay $24.5 million of the Companys term B loan and pay approximately $1.5 million in costs associated with the offering. The remaining net proceeds will be used for working capital and general corporate purposes, including capital expenditures. The 2003 notes are unsecured obligations and are subordinated in right of payment to all existing and future senior indebtedness of the Company. Interest on the 2003 notes is payable semi-annually on April 15 and October 15.
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 2003 notes. Subject to certain conditions, at any time prior to June 15, 2006, the Company may on any one or more occasions redeem up to 35.0% of the aggregate principal amount of 2003 notes at a redemption price of 108.5% of the principal amount thereof, plus accrued and unpaid interest to the redemption date, with the net cash proceeds of one or more equity offerings. The Company may redeem the 2003 notes, in whole or in part, at any time from June 15, 2006 to June 14, 2008 at redemption prices ranging from 104.250% to 102.125%, plus accrued and unpaid interest. Thereafter, the Company may redeem the 2003 notes at a 100% redemption price plus accrued and unpaid interest. The 2003 notes are guaranteed, jointly and severally, by the Subsidiary Guarantors, except Health Choice Arizona, Inc. The indenture for the 2003 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.
On July 16, 2003, pursuant to an effective registration statement on Form S-4 filed with the Securities and Exchange Commission, the Company commenced an offer to exchange all of the outstanding 2003 notes for an equal principal amount of 8½% senior subordinated notes due 2009 (the exchange notes) that are registered under
6
IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED AND CONSOLIDATED
FINANCIAL STATEMENTS
(Continued)
the Securities Act of 1933, as amended. The terms of the exchange notes are identical to those of the outstanding 2003 notes except that the exchange notes are registered under the Securities Act and will not be subject to restrictions on transfer. The Company is undertaking the exchange offer to satisfy certain obligations under a registration rights agreement entered into by the Company and the initial purchasers of the outstanding 2003 notes. Outstanding 2003 notes that are not tendered in the exchange offer will remain outstanding and retain their rights under the indenture, but they will not retain any rights under the registration rights agreement. The exchange offer and the right to withdraw any outstanding 2003 notes that have been tendered in the exchange offer are scheduled to expire on August 13, 2003, unless extended by the Company. The Company will not receive any additional proceeds from the exchange offer.
| 4. | Stock Benefit Plans |
The Company, from time to time, grants stock options for a fixed number of common shares to employees. Statement of Financial Accounting Standards (SFAS) No. 123, Accounting for Stock-Based Compensation, encourages, but does not require, companies to record compensation cost for stock-based employee compensation plans at fair value. The Company has chosen to account for employee stock option grants in accordance with Accounting Principles Board Opinion No. 25, Accounting for Stock Issued to Employees, and, accordingly, uses the intrinsic method to value options and recognizes no compensation expense for the stock option grants when the exercise price of the options equals, or is greater than, the market value of the underlying stock on the date of grant.
Pro forma information regarding interim net earnings is required by SFAS No. 148, Accounting for Stock-Based Compensation Transition and Disclosure, and has been determined as if the Company had accounted for its employee stock options under the fair value method. If the Company had measured compensation cost for the stock options granted under the fair value based method prescribed by SFAS No. 123, the Companys net earnings (loss) would have been changed to the pro forma amounts set forth below (in thousands):
| &nb |