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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 March 31, 2004

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

(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.)

DOVER CENTRE
117 SEABOARD LANE, BUILDING E
FRANKLIN, TENNESSEE 37067

(Address of Principal Executive Offices)

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

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

(Former Name, Former Address and Former Fiscal Year,
if Changed Since Last Report)

     Indicate by check 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 [ü] NO [   ]

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

     As of May 10, 2004, 31,956,113 shares of the Registrant’s Common Stock were outstanding.

 


TABLE OF CONTENTS

                 
PART I — FINANCIAL INFORMATION     1  
Item 1.       1  
            1  
            2  
            3  
            4  
Item 2.       27  
Item 3.       39  
Item 4.       39  
PART II — OTHER INFORMATION     39  
Item 1.       39  
Item 6.       39  
 EX-2.1 AGREEMENT AND PLAN OF MERGER
 EX-2.2 INDEMNIFICATION AGREEMENT
 EX-4.1 SUPPLEMENTAL INDENTURE
 EX-4.2 SUPPLEMENTAL INDENTURE
 EX-10.1 INFORMATION SYSTEM AGREEMENT
 EX-10.2 JOINDER AGREEMENT
 EX-31.1 SECTION 302 CERTIFICATION OF THE PEO
 EX-31.2 SECTION 302 CERTIFICATION OF THE PFO
 ex-99.1 ODESSA REGIONAL FINANCIALS
 EX-99.2 JORDAN VALLEY HOSPITAL FINANCIALS
 EX-99.3 MEDICAL CENTER OF SE TEXAS FINANCIALS
 EX-99.4 DAVIS HOSPITAL & MEDICAL CTR. FINANCIALS


Table of Contents

PART I
FINANCIAL INFORMATION

Item 1. Financial Statements

IASIS HEALTHCARE CORPORATION

CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands except share amounts)
                 
    (Unaudited)    
    March 31,   September 30,
    2004
  2003
ASSETS
               
Current assets:
               
Cash and cash equivalents
  $ 98,795     $ 101,070  
Accounts receivable, net of allowance for doubtful accounts of $79,775 and $47,028, respectively
    175,909       153,183  
Inventories
    26,507       23,842  
Prepaid expenses and other current assets
    19,076       16,316  
Assets held for sale
          11,070  
 
   
 
     
 
 
Total current assets
    320,287       305,481  
Property and equipment, net
    481,719       435,477  
Goodwill
    252,204       252,204  
Other assets, net
    28,995       36,837  
 
   
 
     
 
 
Total assets
  $ 1,083,205     $ 1,029,999  
 
   
 
     
 
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities:
               
Accounts payable
  $ 62,920     $ 54,172  
Salaries and benefits payable
    30,483       29,842  
Accrued interest payable
    19,468       20,978  
Medical claims payable
    45,288       25,767  
Accrued expenses and other current liabilities
    24,734       20,529  
Current portion of long-term debt and capital lease obligations
    6,357       5,903  
 
   
 
     
 
 
Total current liabilities
    189,250       157,191  
Long-term debt and capital lease obligations
    656,415       658,531  
Other long-term liabilities
    28,981       27,795  
Minority interest in consolidated entities
    12,391       10,383  
Stockholders’ equity:
               
Preferred stock – $0.01 par value, authorized 5,000,000 shares; no shares issued and outstanding at March 31, 2004 and September 30, 2003
           
Common stock – $0.01 par value, authorized 100,000,000 shares; 31,985,029 shares issued and 31,956,113 shares outstanding at March 31, 2004 and September 30, 2003
    320       320  
Nonvoting common stock – $0.01 par value, authorized 10,000,000 shares; no shares issued and outstanding at March 31, 2004 and September 30, 2003
           
Additional paid-in capital
    450,720       450,720  
Treasury stock, at cost, 16,306,541 shares at March 31, 2004 and September 30, 2003
    (155,300 )     (155,300 )
Accumulated deficit
    (99,572 )     (119,641 )
 
   
 
     
 
 
Total stockholders’ equity
    196,168       176,099  
 
   
 
     
 
 
Total liabilities and stockholders’ equity
  $ 1,083,205     $ 1,029,999  
 
   
 
     
 
 

See accompanying notes.

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Table of Contents

IASIS HEALTHCARE CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS (UNAUDITED)
(In thousands)
                                 
    Three Months Ended   Six Months Ended
    March 31,
  March 31,
    2004
  2003
  2004
  2003
Net Revenue:
                               
Net acute care revenue
  $ 286,213     $ 234,177     $ 535,603     $ 451,994  
Premium revenue
    69,302       37,259       138,016       74,207  
 
   
 
     
 
     
 
     
 
 
Total net revenue
    355,515       271,436       673,619       526,201  
Costs and expenses:
                               
Salaries and benefits
    110,487       94,153       209,903       182,952  
Supplies
    46,301       37,768       86,580       73,451  
Medical claims
    57,880       31,098       115,651       61,999  
Other operating expenses
    58,467       47,191       114,294       93,704  
Provision for bad debts
    32,169       20,154       57,268       39,865  
Interest, net
    13,878       13,131       27,769       26,448  
Depreciation and amortization
    17,248       12,682       33,979       25,533  
Write-off of debt issue costs
    8,850       3,900       8,850       3,900  
 
   
 
     
 
     
 
     
 
 
Total costs and expenses
    345,280       260,077       654,294       507,852  
 
   
 
     
 
     
 
     
 
 
Earnings before gain on sale of assets, minority interests and income taxes
    10,235       11,359       19,325       18,349  
Gain on sale of assets, net
    3,602             3,753       780  
Minority interests
    (1,033 )     (421 )     (2,024 )     (699 )
 
   
 
     
 
     
 
     
 
 
Earnings before income taxes
    12,804       10,938       21,054       18,430  
Income tax expense
    953             985        
 
   
 
     
 
     
 
     
 
 
Net earnings
  $ 11,851     $ 10,938     $ 20,069     $ 18,430  
 
   
 
     
 
     
 
     
 
 

See accompanying notes.

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IASIS HEALTHCARE CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
(In thousands)
                 
    Six Months Ended
    March 31,
    2004
  2003
Cash flows from operating activities:
               
Net earnings
  $ 20,069     $ 18,430  
Adjustments to reconcile net earnings to net cash provided by operating activities:
               
Depreciation and amortization
    33,979       25,533  
Minority interests
    2,024       699  
Gain on sale of assets
    (3,753 )     (780 )
Write-off of debt issue costs
    8,850       3,900  
Changes in operating assets and liabilities, net of acquisition and disposal:
               
Accounts receivable
    (12,388 )     (1,340 )
Establishment of accounts receivable of recent acquisition
    (10,338 )      
Inventories, prepaid expenses and other current assets
    (3,645 )     (916 )
Accounts payable and other accrued liabilities
    28,439       6,583  
 
   
 
     
 
 
Net cash provided by operating activities
    63,237       52,109  
 
   
 
     
 
 
Cash flows from investing activities:
               
Purchases of property and equipment
    (51,524 )     (36,520 )
Cash paid for acquisition
    (23,032 )      
Proceeds from sales of assets
    14,928       2,863  
Change in other assets
    (1,761 )     (1,732 )
 
   
 
     
 
 
Net cash used in investing activities
    (61,389 )     (35,389 )
 
   
 
     
 
 
Cash flows from financing activities:
               
Proceeds from issuance of common stock
          2  
Proceeds from senior bank debt borrowings
          454,100  
Payment of debt and capital leases
    (3,083 )     (453,450 )
Debt financing costs incurred
    (1,024 )     (10,600 )
Distribution of minority interests
    (1,817 )     (410 )
Proceeds from hospital syndication
    1,801        
 
   
 
     
 
 
Net cash used in financing activities
    (4,123 )     (10,358 )
 
   
 
     
 
 
Increase (decrease) in cash and cash equivalents
    (2,275 )     6,362  
Cash and cash equivalents at beginning of the period
    101,070        
 
   
 
     
 
 
Cash and cash equivalents at end of the period
  $ 98,795     $ 6,362  
 
   
 
     
 
 
Supplemental disclosure of cash flow information:
               
Cash paid for interest
  $ 30,553     $ 24,789  
 
   
 
     
 
 
Cash paid for income taxes, net
  $ 21     $ 6  
 
   
 
     
 
 
Supplemental schedule of noncash investing and financing activities:
               
Capital lease obligations incurred to acquire equipment
  $ 1,419     $ 3,318  
 
   
 
     
 
 

See accompanying notes.

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IASIS HEALTHCARE CORPORATION

NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS

1. Basis of Presentation

     The unaudited condensed 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 condensed consolidated balance sheet at September 30, 2003 has been derived from the audited consolidated 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, 2003.

     In the opinion of management, the accompanying unaudited condensed 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 consolidated financial statements and notes. Actual results could differ from those estimates.

     IASIS owns and operates medium-sized acute care hospitals in high-growth urban and suburban markets. At March 31, 2004, the Company owned or leased 15 acute care hospitals and one behavioral health hospital, with a total of 2,257 beds in service, located in five regions:

-   Salt Lake City, Utah;
 
-   Phoenix, Arizona;
 
-   Tampa-St. Petersburg, Florida;
 
-   Las Vegas, Nevada; and
 
-   four cities in Texas, including San Antonio.

     The Company also has an ownership interest in three ambulatory surgery centers and owns and operates a Medicaid managed health plan in Phoenix called Health Choice Arizona, Inc. (“Health Choice” or the “Plan”), serving over 92,000 members at March 31, 2004.

2. Recently Issued Accounting Pronouncements

     In December 2003, the Financial Accounting Standards Board (“FASB”) issued Revised Interpretation No. 46, “Consolidation of Variable Interest Entities” (“FIN 46R”), which requires the consolidation of variable interest entities. FIN 46R was applicable to financial statements of companies that had interests in “special purpose entities” during the calendar year 2003. Effective as of the Company’s second fiscal quarter of 2004, FIN 46R is applicable to financial statements of companies that have interests in all other types of entities. The adoption of FIN 46R did not have a material effect on the Company’s results of operations or financial position.

     In May 2003, the FASB Issued Statement of Financial Accounting Standards No. 149, Amendment of Statement 133 on Derivative Instruments and Hedging Activities (“SFAS 149”). SFAS 149 amends and clarifies financial accounting and reporting for derivative instruments, including certain derivative instruments embedded in other contracts (collectively referred to as derivatives) and for hedging activities under FASB Statement No. 133, Accounting for Derivative Instruments and Hedging Activities. Most provisions of SFAS 149 are effective for contracts entered into or modified after June 30, 2003, and for hedging relationships designated after June 30, 2003. SFAS 149 is not expected to have a material effect on the Company’s financial statements. The Company held no derivative instruments as of March 31, 2004.

     In May 2003, the FASB issued Statement of Financial Accounting Standards No. 150, Accounting for Certain Financial Instruments with Characteristics of both Liabilities and Equity (“SFAS 150”). SFAS 150 establishes standards for how an issuer classifies and measures in its statement of financial position certain financial instruments with characteristics of both liabilities and equity. It requires that an issuer classify a financial instrument that is within its scope as a liability (or an asset in some circumstances) because that financial instrument embodies an obligation of the issuer. SFAS 150 is effective for

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS

financial instruments entered into or modified after May 31, 2003, and otherwise is effective at the beginning of the first interim period beginning after June 15, 2003. The adoption of this Statement did not have a material effect on the Company’s financial position or results of operations.

3. Long-Term Debt and Capital Lease Obligations

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

                 
    March 31,   September 30,
    2004
  2003
Bank facilities
  $ 321,125     $ 322,875  
Senior subordinated notes
    330,000       330,000  
Capital lease obligations and other
    11,647       11,559  
 
   
 
     
 
 
 
    662,772       664,434  
Less current maturities
    6,357       5,903  
 
   
 
     
 
 
 
  $ 656,415       658,531  
 
   
 
     
 
 

Bank Facilities

     On February 7, 2003, the Company completed the refinancing of its 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”). 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 $10.9 million incurred in connection with the refinancing. The $125.0 million revolving credit facility is available for working capital and other general corporate purposes. Principal payments on the term B loan are due in quarterly installments of $875,000 until maturity. 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.

     The 2003 credit facility was amended on June 6, 2003 to allow for the issuance of the Company’s 81/2% senior subordinated notes, as discussed below. On February 9, 2004, the 2003 credit facility was further amended to, among other things, reduce the applicable margin on the term loans by 150 basis points and increase the annual capital expenditure limitations beginning in fiscal year 2005. In connection with this amendment, the Company wrote off approximately $8.9 million of deferred financing costs and incurred $1.0 million in new debt financing costs.

     The 2003 credit facility requires that the Company comply with various other 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 2003 credit facility is guaranteed by all of the Company’s 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 Company’s outstanding common stock is pledged for the benefit of the Company’s lenders as security for the Company’s obligations under the 2003 credit facility.

     At March 31, 2004, there was $321.1 million outstanding under the six-year term B loan and no amounts outstanding under the revolving credit facility. The revolving credit facility includes a $75.0 million sub-limit for letters of credit that may be issued. At March 31, 2004, the Company had issued $36.7 million in letters of credit. The loans under the credit facilities 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 2003 credit facility was approximately 5.1% for the six months ended March 31, 2004. The Company pays a commitment fee equal to 0.5% of the average daily amount available under the revolving credit facility.

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS

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, fully and unconditionally, 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 March 31, 2004, all of the Subsidiary Guarantors fully and unconditionally guaranteed the 1999 Notes and, with the exception of Odessa Regional Hospital, LP, Jordan Valley Hospital, LP, The Medical Center of Southeast Texas, LP and Davis Hospital & Medical Center, 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 Company’s 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. On August 14, 2003, the Company exchanged all of its outstanding 8½% senior subordinated notes due 2009 for 8½% senior subordinated notes due 2009 that have been registered under the Securities Act of 1933, as amended (the “2003 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 July 16, 2003. 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, fully and unconditionally, 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 Company’s ability to merge or consolidate.

     As described more fully in Note 9, the Company entered into a definitive Agreement and Plan of Merger on May 5, 2004 in which all of the Company’s stock will be acquired through a merger by an entity formed by affiliates of Texas Pacific Group and other investors. In connection with the transaction, the Company commenced a tender offer and consent solicitation relating to all of its 1999 Notes and 2003 Notes. The purchase price offered for each $1,000 principal amount of 1999 Notes and 2003 Notes validly tendered will be based on a fixed spread of 50 basis points over the yield on a specified date of the 1-7/8% U.S. Treasury Note due September 30, 2004 for the 1999 Notes and the 4-5/8% U.S. Treasury Note due May 15, 2006 for the 2003 Notes, plus accrued and unpaid interest up to, but not including, the date of payment for the 1999 Notes and 2003 Notes, in each case less the consent payment described below. In connection with the offer, the Company is also soliciting consents to certain proposed amendments to eliminate substantially all of the restrictive covenants in the indentures governing the 1999 Notes and 2003 Notes in exchange for a consent payment of $30.00 per $1,000 principal amount of 1999 Notes and 2003 Notes.

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS

4. Acquisitions and Dispositions

Acquisition of Lake Mead Hospital Medical Center

     Effective as of February 1, 2004, the Company, through a wholly-owned subsidiary, acquired substantially all of the assets of Lake Mead Hospital Medical Center in Las Vegas, Nevada (“Lake Mead”). The Company acquired the 198-bed hospital from a subsidiary of Tenet Healthcare Corporation (“Tenet”). The purchase price was $25.0 million. The net consideration paid, after working capital adjustments and including direct transaction costs, was $23.0 million, which was funded with cash on hand. The Tenet subsidiary retained the accounts receivable related to the operation of the hospital prior to the acquisition. The final purchase price is subject to net working capital and other purchase price adjustments. In addition, the Tenet subsidiary agreed to indemnify the Company for all liabilities related to the operation of the hospital prior to closing, other than the assumed liabilities. The subsidiary’s indemnification obligations are guaranteed by Tenet. The results of operations of Lake Mead are included in the accompanying condensed consolidated statements of earnings for the three and six months ended March 31, 2004 from the effective date of the acquisition.

     The purchase price for the Lake Mead acquisition, including direct transaction costs, was allocated as follows (in thousands):

         
Fair value of assets acquired and liabilities assumed:
       
Assets acquired:
       
Inventory
  $ 1,782  
Prepaid expenses and other current assets
    46  
Property and equipment
    25,502  
Liabilities assumed
    (2,361 )
 
   
 
 
 
  $ 24,969  
 
   
 
 

     This purchase price allocation will be adjusted subsequent to the working capital settlement with the seller and the Company’s finalization of its estimate of the value of the property, plant and equipment acquired.

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS

Pro Forma Results

     The following table shows the unaudited pro forma results of consolidated operations as if the Lake Mead acquisition had occurred at the beginning of the period presented, after giving effect to certain adjustments, including the depreciation and amortization of the assets acquired based upon their fair values, changes in net interest expense resulting from changes in consolidated debt and invested cash and changes in income taxes (in thousands).

                                 
    Three months ended   Six months ended
    March 31,
  March 31,
    2003
  2004
  2003
  2004
Net revenue
  $ 295,728       365,348     $ 572,166       712,773  
Earnings (loss) before income taxes
    (3,650 )     13,200       2,296       4,176  
Income tax expense
          953             985  
Net earnings (loss)
  $ (3,650 )     12,247     $ 2,296       3,167  

Sale of Rocky Mountain Medical Center

     On February 13, 2004, the Company closed the sale of its Rocky Mountain Medical Center property in Salt Lake City, Utah. The approximately 23.5-acre property, as well as certain associated equipment, fixtures and other personal property, were acquired by the Board of Education of the Granite School District (of Salt Lake County) for approximately $15.2 million. Rocky Mountain Medical Center was a hospital owned by the Company that ceased operations in June 2001. The Company recorded a gain on sale of the property during the three months ended March 31, 2004 of approximately $3.6 million.

5. 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 No. 123, Accounting for Stock-Based Compensation (“SFAS 123”), 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 123, the Company’s net earnings would have been changed to the pro forma amounts set forth below (in thousands):

                                 
    Three months ended,
  Six months ended,
    March 31,   March 31,   March 31,   March 31,
    2004
  2003
  2004
  2003
Net earnings, as reported
  $ 11,851     $ 10,938     $ 20,069     $ 18,430  
Less: stock-based compensation expense determined under fair value based method
    (373 )     (372 )     (747 )     (739 )
 
   
 
     
 
     
 
     
 
 
Pro forma net earnings
  $ 11,478     $ 10,566     $ 19,322     $ 17,691  
 
   
 
     
 
     
 
     
 
 

The effect of applying SFAS 123 for providing pro forma disclosure is not likely to be representative of the effect on reported net earnings for future years.

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS

6. 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 in these matters 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 estimate of the costs it expects to incur under the self-insured retention exposure for general and professional liability claims using historical claims data, demographic factors, severity factors, current incident logs and other actuarial analysis. As of March 31, 2004 and September 30, 2003, the Company’s professional and general liability accrual for asserted and unasserted claims was approximately $25.9 million and $24.3 million, respectively, which is included within other long-term liabilities in the accompanying condensed 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 the 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 March 31, 2004, the Company has provided a performance guaranty in the form of a letter of credit in the amount of $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. Additionally, Health Choice maintains a cash balance of $5 million and an intercompany demand note with the Company. The amount of the performance guaranty is based upon the membership in the plan and the related capitation revenue paid to Health Choice.

Capital Expenditure Commitments

     The Company is expanding and renovating some of its facilities to permit additional patient volume and to provide a greater variety of services. At March 31, 2004, the Company had various construction and other projects in progress with an estimated additional cost to complete and equip of approximately $126.7 million.

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS

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 entered into a tax sharing agreement in connection with the capitalization of the Company. The tax sharing agreement 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.

Acquisitions

     The Company may choose to acquire businesses with prior operating histories. If acquired, such companies may have unknown or contingent liabilities, including liabilities for failure to comply with healthcare laws and regulations, such as billing and reimbursement, fraud and abuse and similar anti-referral laws. Although the Company has policies designed to conform business practices to its policies following the completion of any acquisitions, there can be no assurance that the Company will not become liable for previous activities of prior owners that may later be asserted to be improper by private plaintiffs or government agencies. Although, the Company generally would seek to obtain indemnification from prospective sellers covering such matters, there can be no assurance that any such matter will be covered by indemnification, or if covered, that such indemnification will be adequate to cover potential losses and fines.

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 owned the hospital. Although the Company is unable to predict the outcome of this investigation, management does not currently believe it will have a material adverse effect on the Company’s business, financial condition or results of operations.

     Tenet and its affiliates are defendants in a civil action brought on January 9, 2003 in the U.S. District Court for the Central District of California by the United States for the improper assignment of diagnostic codes and submitting false claims to Medicare. The litigation stems from an investigation by the U.S. Department of Justice, in conjunction with the Office of Inspector General, of certain hospital billings to Medicare for inpatient stays reimbursed pursuant to diagnosis related groups 79 (pneumonia), 415 (operating room procedure for infectious and parasitic diseases), 416 (septicemia) and 475 (respiratory system diagnosis with mechanical ventilator). Although hospitals that the Company acquired from Tenet are referenced in the complaint, all of the actions complained of occurred prior to December 31, l998 and thus before the hospitals’ acquisition by the Company. The Company has informed Tenet that the Company has no obligation or liability for any of the matters described in the complaint and that the Company is entitled to indemnification if any damages or relief were to be sought against IASIS in connection with the proceeding. Tenet has accepted service of process on behalf of these hospitals and has agreed to indemnify the Company.

     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 it believes 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.

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IASIS HEALTHCARE CORPORATION
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS

7. 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. The following is a financial summary by business segment for the periods indicated:

                                 
    For the Three Months Ended March 31, 2004
    Acute Care
  Health Choice
  Eliminations
  Consolidated
Net acute care revenue
  $ 286,213     $     $     $ 286,213  
Premium revenue
          69,302             69,302  
Revenue between segments
    2,335             (2,335 )      
 
   
 
     
 
     
 
     
 
 
Net revenue
    288,548       69,302       (2,335 )     355,515  
Salaries and benefits
    108,147       2,340             110,487  
Supplies
    46,251       50             46,301  
Medical claims
          60,215       (2,335 )     57,880  
Other operating expenses
    55,894       2,573             58,467  
Provision for bad debts
    32,169                   32,169  
 
   
 
     
 
     
 
     
 
 
Adjusted EBITDA(1)
    46,087       4,124             50,211  
Interest expense, net
    13,878                   13,878  
Depreciation and amortization
    17,203       45             17,248  
Write-off of debt issue costs
    8,850                   8,850  
 
   
 
     
 
     
 
     
 
 
Earnings before gain on sale of assets, minority interests and income taxes
  $ 6,156     $ 4,079     $     $ 10,235  
Gain on sale of assets, net
    3,602                   3,602  
Minority interests
    (1,033 )                 (1,033 )
 
   
 
     
 
     
 
     
 
 
Earnings before income taxes
  $ 8,725     $ 4,079     $     $ 12,804  
 
   
 
     
 
     
 
     
 
 
Segment assets
  $ 1,076,737     $ 6,468             $ 1,083,205