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Table of Contents

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 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 0-23639

PROVINCE HEALTHCARE COMPANY

(Exact Name of Registrant as Specified in Its Charter)
     
Delaware   62-1710772
(State or Other Jurisdiction of   (I.R.S. Employer
Incorporation or Organization)   Identification No.)
     
105 Westwood Place    
Suite 400    
Brentwood, Tennessee   37027
(Address of Principal Executive Offices)   (Zip Code)

(615) 370-1377
(Registrant’s Telephone Number, Including Area Code)

     Indicate by check mark 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 [X] No [  ]

     Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act)
Yes [X] No [  ]

     Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

     
Class
Common Stock, $.01 par value
  Outstanding at August 1, 2003
48,726,785 shares

 


TABLE OF CONTENTS

ITEM 1. FINANCIAL STATEMENTS
CONDENSED CONSOLIDATED BALANCE SHEETS
CONDENSED CONSOLIDATED STATEMENTS OF INCOME THREE MONTHS ENDED
CONDENSED CONSOLIDATED STATEMENTS OF INCOME SIX MONTHS ENDED
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
ITEM 4. CONTROLS AND PROCEDURES
PART II OTHER INFORMATION
ITEM 4. Submission of Matters to a Vote of Security Holders
ITEM 6. Exhibits and Reports on Form 8-K
SIGNATURES
EX-4.1 SUBORDINATED INDENTURE 05/27/03
EX-4.2 FIRST SUPPLEMENTAL INDENTURE 05/27/03
EX-10.1 THIRD AMENDMENT CREDIT AGREEMENT 05/27/03
EX-10.2 FOURTH AMENDMENT CREDIT AGREEMENT 06/30/03
EX-31.1 SECTION 302 CERTIFICATION
EX-31.2 SECTION 302 CERTIFICATION
EX-32.1 SECTION 906 CERTFICATIONS


Table of Contents

                     
       
PART I
FINANCIAL INFORMATION
       
Item 1.  
Financial Statements (Unaudited)
       
       
Condensed Consolidated Balance Sheets June 30, 2003 and December 31, 2002
    1  
       
Condensed Consolidated Statements of Income Three Months Ended June 30, 2003 and 2002
    2  
       
Condensed Consolidated Statements of Income Six Months Ended June 30, 2003 and 2002
    3  
       
Condensed Consolidated Statements of Cash Flows Six Months Ended June 30, 2003 and 2002
    4  
       
Notes to Condensed Consolidated Financial Statements
    5  
Item 2.  
Management’s Discussion and Analysis of Financial Condition And Results of Operations
    13  
Item 3.  
Quantitative and Qualitative Disclosures About Market Risk
    24  
Item 4.  
Controls and Procedures
    24  
       
PART II
OTHER INFORMATION
       
Item 4.  
Submission of Matters to a Vote of Security Holders
    25  
Item 6.  
Exhibits and Reports on Form 8-K
    25  
Signatures     28  
Certifications     29  

 


Table of Contents

ITEM 1. FINANCIAL STATEMENTS

PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS
(Dollars in thousands, except per share amounts)

                     
        June 30,   December 31,
        2003   2002
       
 
        (Unaudited)   (Note 1)
ASSETS
               
Current assets:
               
 
Cash and cash equivalents
  $ 19,053     $ 14,417  
 
Accounts receivable, less allowance for doubtful accounts of $59,773 in 2003 and $68,158 in 2002
    117,972       117,431  
 
Inventories
    19,371       19,835  
 
Prepaid expenses and other
    17,737       14,071  
 
   
     
 
 
    174,133       165,754  
Property and equipment, net
    460,097       447,379  
Goodwill
    318,014       319,390  
Unallocated purchase price
    3,153       466  
Other assets
    45,956       38,722  
 
   
     
 
 
  $ 1,001,353     $ 971,711  
 
   
     
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities:
               
 
Accounts payable
  $ 23,866     $ 20,162  
 
Accrued salaries and benefits
    26,718       25,380  
 
Accrued expenses
    15,492       13,198  
 
Current portion of long-term debt
    1,831       1,668  
 
   
     
 
 
    67,907       60,408  
Long-term debt, less current portion
    456,659       461,576  
Other liabilities
    40,324       33,913  
Minority interests
    2,709       2,612  
Stockholders’ equity:
               
 
Preferred stock - $0.01 par value, 100,000 shares authorized, none issued and outstanding
           
 
Common stock - $0.01 par value; 150,000,000 shares authorized at June 30, 2003 and December 31, 2002, issued and outstanding 48,725,504 shares and 48,581,549 shares at June 30, 2003 and December 31, 2002, respectively
    487       486  
 
Additional paid-in-capital
    305,336       304,102  
 
Retained earnings
    129,080       109,567  
 
Accumulated other comprehensive loss
    (1,149 )     (953 )
 
   
     
 
   
Total stockholders’ equity
    433,754       413,202  
 
   
     
 
 
  $ 1,001,353     $ 971,711  
 
   
     
 

See accompanying notes

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Table of Contents

PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF INCOME (Unaudited)
(In thousands, except per share data)

                       
          Three Months Ended June 30,
         
          2003   2002
         
 
Revenue:
               
 
Net patient service revenue
  $ 189,649     $ 168,234  
 
Other
    6,164       5,766  
 
   
     
 
     
Net operating revenue
    195,813       174,000  
Expenses:
               
 
Salaries, wages and benefits
    74,939       67,476  
 
Purchased services
    18,878       18,209  
 
Supplies
    23,859       20,465  
 
Provision for doubtful accounts
    17,789       12,753  
 
Other operating expenses
    25,007       20,304  
 
Rentals and leases
    2,423       2,200  
 
Depreciation and amortization
    9,499       8,752  
 
Interest expense
    6,759       5,545  
 
Minority interests
    82       (3 )
 
Loss on sale of assets
          48  
 
Loss on early extinguishments of debt
    477        
 
   
     
 
     
Total expenses
    179,712       155,749  
 
   
     
 
Income before provision for income taxes
    16,101       18,251  
Income taxes
    6,440       7,300  
 
   
     
 
Net income
  $ 9,661     $ 10,951  
 
   
     
 
Net income per common share (Note 7):
               
   
Basic
  $ 0.20     $ 0.23  
 
   
     
 
   
Diluted
  $ 0.20     $ 0.22  
 
   
     
 

See accompanying notes

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Table of Contents

PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF INCOME (Unaudited)
(In thousands, except per share data)

                       
          Six Months Ended June 30,
         
          2003   2002
         
 
Revenue:
               
 
Net patient service revenue
  $ 377,208     $ 328,014  
 
Other
    13,005       11,587  
 
   
     
 
     
Net operating revenue
    390,213       339,601  
Expenses:
               
 
Salaries, wages and benefits
    150,269       129,628  
 
Purchased services
    36,662       35,300  
 
Supplies
    48,606       40,210  
 
Provision for doubtful accounts
    34,982       27,491  
 
Other operating expenses
    50,294       38,700  
 
Rentals and leases
    4,856       4,352  
 
Depreciation and amortization
    18,777       16,333  
 
Interest expense
    12,619       9,740  
 
Minority interests
    149       56  
 
Loss on sale of assets
    2       53  
 
Loss on early extinguishments of debt
    477        
 
   
     
 
     
Total expenses
    357,693       301,863  
 
   
     
 
Income before provision for income taxes
    32,520       37,738  
Income taxes
    13,008       15,095  
 
   
     
 
Net income
  $ 19,512     $ 22,643  
 
   
     
 
Net income per common share (Note 7):
               
   
Basic
  $ 0.40     $ 0.47  
 
   
     
 
   
Diluted
  $ 0.40     $ 0.45  
 
   
     
 

See accompanying notes

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
(In thousands)

                         
            Six Months Ended June 30,
           
            2003   2002
           
 
Cash flows from operating activities:
               
 
Net income
  $ 19,512     $ 22,643  
 
Adjustments to reconcile net income to net cash provided by operating activities:
               
     
Depreciation and amortization
    18,777       16,333  
     
Deferred income taxes
    3,155       113  
     
Provision for professional liability
    3,383       3,596  
     
Loss on early extinguishment of debt
    477        
     
Loss of sale of assets
    2       53  
     
Changes in operating assets and liabilities, net of effects from acquisitions and disposals:
               
       
Accounts receivable
    474       (2,015 )
       
Inventories
    397       (1,505 )
       
Prepaid expenses and other
    (2,652 )     6,069  
       
Accounts payable and accrued expenses
    5,998       4,820  
       
Accrued salaries and benefits
    1,338       1,738  
   
Other
    4,359       789  
 
   
     
 
 
Net cash provided by operating activities
    55,220       52,634  
Cash flows from investing activities:
               
 
Purchase of property and equipment
    (30,854 )     (25,788 )
 
Escrow deposit on potential investment
    (3,798 )      
 
Purchase of hospitals and healthcare entities
    (3,153 )     (172,028 )
 
   
     
 
 
Net cash used in investing activities
    (37,805 )     (197,816 )
Cash flows from financing activities:
               
 
Proceeds from long-term debt
    194,212       134,328  
 
Repayments of debts
    (208,226 )     (15,192 )
 
Issuance of common stock
    1,235       9,715  
 
   
     
 
 
Net cash (used in) provided by financing activities
    (12,779 )     128,851  
 
   
     
 
Increase (decrease) in cash and cash equivalents
    4,636       (16,331 )
Cash and cash equivalents at beginning of period
    14,417       39,375  
 
   
     
 
Cash and cash equivalents at end of period
  $ 19,053     $ 23,044  
 
   
     
 
Interest payments
  $ 10,323     $ 8,484  
Income taxes refund received, net
  $ 6,998     $ 7,800  

See accompanying notes

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)

1. BASIS OF PRESENTATION

     The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. Interim results are not necessarily indicative of results that may be expected for the full year. In the opinion of management, the accompanying interim financial statements contain all material adjustments, consisting only of normal recurring adjustments, necessary to present fairly the consolidated financial position, results of operations and cash flows of Province Healthcare Company (the “Company”).

     The balance sheet at December 31, 2002, has been derived from the audited consolidated financial statements at that date, but does not include all of the financial 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 year ended December 31, 2002.

2. USE OF ESTIMATES

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

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited) – (continued)

3. ACQUISITIONS

     Memorial Hospital of Martinsville and Henry County

     In May 2002, the Company acquired Memorial Hospital of Martinsville and Henry County in Martinsville, Virginia, for approximately $129.2 million, including working capital. To finance this acquisition, the Company borrowed $86.0 million under its revolving credit facility and used approximately $43.2 million of available cash. This is the Company’s first Virginia hospital and is the only hospital in the county, serving a population in excess of 100,000.

     Los Alamos Medical Center

     In June 2002, the Company acquired Los Alamos Medical Center in Los Alamos, New Mexico, for approximately $39.0 million, including working capital. To finance this acquisition, the Company borrowed $37.0 million under its revolving credit facility and used $2.0 million from available cash. This is the Company’s first New Mexico hospital and is the only hospital in the community, serving a population of approximately 50,000.

     In May 2003, the Company acquired a radiology and lab business for approximately $3.2 million. The purchase price is not yet allocated, as the Company is waiting on a final appraisal of the healthcare entities.

     The operating results of the hospitals and healthcare entities acquired in 2002 and 2003 have been included in the accompanying condensed consolidated statements of income from the respective dates of acquisition.

4. GOODWILL AND INTANGIBLE ASSETS

     The Company adopted Statement of Financial Accounting Standards No. 142 (“SFAS No. 142”), Goodwill and Other Intangible Assets, effective January 1, 2002. Under SFAS No. 142, goodwill is no longer amortized, but is subject to annual impairment tests, or more frequently if certain indicators arise. The Company performed its annual impairment test on October 1, 2002. The results of the tests had no effect on the operations or financial position of the Company. The company is currently not aware of any impairment indicators at June 30, 2003.

     The Company has other intangible assets, net of accumulated amortization of $1.3 million as of June 30, 2003, which are included in “other assets” on the condensed consolidated balance sheet. The intangible assets relate primarily to non-compete agreements and are amortized over two (2) years.

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited) – (continued)

5. LONG-TERM DEBT

     In May 2003, the Company completed its public offering of $200.0 million aggregate principal amount of 7 ½% Senior Subordinated Notes due 2013 at par. Net proceeds of the offering totaling $194.2 million were used to repay $114.3 million in existing borrowings under our senior credit facility and to repurchase approximately $69.0 million of the Company’s 4 ½% Convertible Subordinated Notes due 2005 through privately negotiated transactions. The Company recorded a $477,000 pretax loss associated with the early extinguishment of debt related to this repurchase. During May and June 2003, the Company amended its senior credit facility to (i) add additional hospitals as collateral security, (ii) obtain consent for various transactions, including the issuance of $200.0 million of Senior Subordinated Notes due 2013 and repurchase of a portion of the outstanding 4 ½% Convertible Subordinated Notes due 2005, (iii) increase the flexibility of certain investment covenants, and (iv) increase the amount available on its revolving line of credit to $250.0 million from $209.7 million.

     Subsequent to the quarter end, the Company repurchased an additional $5.0 million of the 2005 Notes in July 2003, for total repurchases of $74.0 million, reducing the outstanding balance of the 2005 Notes to $76.0 million. An insignificant loss will be recorded in the third quarter of 2003 related to this repurchase.

     Also, subsequent to second quarter end, the Company entered into an interest rate swap agreement in July 2003, which effectively converted for a ten-year period $100.0 million of the $200.0 million fixed-rate borrowings under the 7 ½% Senior Subordinated Notes due 2013 to floating-rate borrowings. The Company secured a LIBOR plus 2.79% floating interest rate over the term of the interest rate swap agreement. In accordance with the provisions of SFAS No. 133, the Company designated its interest rate swap agreement as a fair value hedge.

6. COMPREHENSIVE INCOME

     The following table presents the components of comprehensive income, net of related taxes (in thousands):

                                 
    Three Months Ended   Six Months Ended
    June 30,   June 30,
   
 
    2003   2002   2003   2002
   
 
 
 
Net income
  $ 9,661     $ 10,951     $ 19,512     $ 22,643  
Net change in fair value of interest rate swap
    (196 )     2       (196 )     181  
 
   
     
     
     
 
Comprehensive income
  $ 9,465     $ 10,953     $ 19,316     $ 22,824  
 
   
     
     
     
 

The net change in fair value of the interest rate swap is included in retained earnings on the condensed consolidated balance sheets.

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited) – (continued)

7. EARNINGS PER SHARE

     The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data):

                                     
        Three Months Ended   Six Months Ended
        June 30,   June 30,
        2003   2002   2003   2002
       
 
 
 
Numerator:
                               
 
Net income
  $ 9,661     $ 10,951     $ 19,512     $ 22,643  
 
Add convertible notes interest net of tax
          2,434             4,841  
 
   
     
     
     
 
 
Adjusted net income
  $ 9,661     $ 13,385     $ 19,512     $ 27,484  
 
   
     
     
     
 
Denominator:
                               
 
Denominator for basic income per share —
                               
   
Weighted-average shares
    48,585       47,901       48,633       47,726  
 
Effective of dilutive securities —
                               
   
Employee stock options
    447       1,871       262       1,770  
   
Convertible notes
          11,899             11,899  
 
   
     
     
     
 
 
Denominator for diluted income per share —
                               
   
Adjusted weighted average shares
    49,032       61,671       48,895       61,395  
 
   
     
     
     
 
 
Basic net income per share
  $ 0.20     $ 0.23     $ 0.40     $ 0.47  
 
   
     
     
     
 
 
Diluted net income per share
  $ 0.20     $ 0.22     $ 0.40     $ 0.45  
 
   
     
     
     
 

     The add-back of the interest and potential issuance of shares related to the convertible notes was not included in the computation for 2003, because the effect would have been anti-dilutive.

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited) – (continued)

8. STOCK BASED COMPENSATION

     The Company, from time to time, grants stock options for a fixed number of common shares to employees and directors. The Company accounts for employee stock option grants using the intrinsic value method in accordance with Accounting Principles Board Opinion No. 25, Accounting for Stock Issued to Employees (“Opinion 25”), and related interpretations, and accordingly, recognizes no compensation expense for the stock option grants when the exercise price of the options equals, or is greater than, the market price of the underlying stock on the date of grant.

     The following pro forma information is being presented in accordance with SFAS No. 148, Accounting for Stock-Based Compensation-Transition & Disclosure (adopted by the Company on January 1, 2003). If the compensation cost for the Company’s stock-based compensation plans had been determined based on the fair value at the grant date for awards under these plans consistent with the methodology prescribed under SFAS No. 123, Accounting for Stock-Based Compensation, net income and earnings per share would have been reduced to the pro forma amounts indicated in the following table:

                                   
      Three Months Ended   Six Months Ended
      June 30,   June 30,
     
 
      2003   2002   2003   2002
     
 
 
 
Net income – as reported
  $ 9,661     $ 10,951     $ 19,512     $ 22,643  
Less stock-based compensation expense determined under a fair value method, net of income taxes
    (1,125 )     (5,520 )     (2,167 )     (9,087 )
 
   
     
     
     
 
Pro forma net income
  $ 8,536     $ 5,431     $ 17,345     $ 13,556  
 
   
     
     
     
 
Basic earnings per share
                               
 
As reported
  $ 0.20     $ 0.23     $ 0.40     $ 0.47  
 
Pro forma
  $ 0.18     $ 0.11     $ 0.36     $ 0.28  
Diluted earnings per share
                               
 
As reported
  $ 0.20     $ 0.22     $ 0.40     $ 0.45  
 
Pro forma
  $ 0.17     $ 0.11     $ 0.35     $ 0.27  

     The weighted average fair values of the Company’s stock options granted during the three months ended June 30, 2003 and 2002 and six months ended June 30, 2003 and 2002 were $4.87, $10.18, $3.89 and $9.75, respectively. The fair values were estimated at the date of grant using a Black-Scholes option valuation model based on the following weighted-average assumptions:

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited) – (continued)

                                 
    Three Months Ended   Six Months Ended
    June 30,   June 30,
   
 
    2003   2002   2003   2002
   
 
 
 
Risk-free interest rate
    2.5 %     4.5 %     2.4 %     4.7 %
Dividend yield
    0.0 %     0.0 %     0.0 %     0.0 %
Volatility
    61.4 %     59.4 %     63.7 %     59.4 %
Expected life (in years)
    4.0       3.0       4.0       3.1  

     The Black-Scholes option valuation model was developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable. Option valuation models require the input of highly subjective assumptions including the expected stock price volatility. The Company’s employee stock options have characteristics significantly different from those of traded options. Changes in subjective input assumptions can materially affect the fair value estimate. Other option valuation models may produce significantly different fair values of the Company’s employee stock options.

9. CONTINGENCIES

     Management continually evaluates contingencies based on the best available evidence and believes that adequate provision for losses has been provided to the extent necessary. In the opinion of management, the ultimate resolution of the following contingencies will not have a material effect on the Company’s results of operations or financial position.

     General and Professional Liability Risks

     Effective January 1, 2003, the Company increased its self-insurance retention related to general and professional liability risks to $5.0 million. The 2003 policy provides coverage up to $50.0 million for claims incurred during the annual policy term.

     The Company estimates its self-insured retention portion of the malpractice risks using historical claims data, demographic factors, severity factors and other actuarial assumptions. We maintain a reserve for the anticipated claims within our deductible and self-insured retentions. The reserve for general and professional liability risks is included in “other liabilities” on the condensed consolidated balance sheet.

     Workers Compensation Risks

     Effective January 1, 2003, the Company increased its deductible for workers compensation claims to $500,000 per accident. The Company has purchased a minimum cap of $12.0 million for total workers compensation losses within this deductible for 2003. The Company’s arrangement

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited) – (continued)

with the insurance provider allows us to prepay the expected amounts of annual workers compensation claims, which is based upon claims experience. The claims processor tracks payments for the policy year. At the end of the policy year, the claims processor compares the total amount prepaid by us to the actual amount paid by the claims processor. This comparison will ultimately result in a receivable from or a payable to the claims processor.

     Litigation

     The Company currently is, and from time to time is expected to be, subject to claims and suits arising in the ordinary course of business. The Company is not aware of any such proceeding which, in management’s opinion, would have a material adverse effect on the Company’s business, financial condition or results of operations.

     Net Patient Service Revenue

     Final determination of amounts earned under the Medicare and Medicaid programs often occurs in subsequent periods because of audits by the programs, rights of appeal and the application of numerous technical provisions. Differences between original estimates and subsequent revisions (including settlements) are included in the consolidated statements of income in the period in which revisions are made, and resulted in an increase in net patient service revenue of approximately $0.6 million and $0.8 million the three and six-month periods ended June 30, 2003, respectively. The adjustments for the three and six-month periods ended June 30, 2002 were not material.

     Financial Instruments

     During the second quarter 2003, the Company terminated its previously existing interest rate swap contract at fair value, which was recorded as a liability on the balance sheet. The loss on the termination was not considered material. Subsequent to quarter end, the Company entered into an interest rate swap agreement which effectively converted, for a ten-year period, $100.0 million of the $200.0 million fixed-rate borrowings under its 7 ½% Senior Subordinated Notes due 2013 to floating rate borrowings. This agreement exposes the Company to credit losses in the event of non-performance by the counterparty to the financial instrument. The Company anticipates that the counterparty will fully satisfy its obligations under the contract.

10. RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS

     In January 2003, the Financial Accounting Standards Board issued Interpretation No. 46, Consolidation of Variable Interest Entities, an Interpretation of Accounting Research Bulletin No. 51 (“FIN 46”). FIN 46 requires certain variable interest entities 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

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PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited) – (continued)

activities without additional subordinated financial support from other parties. FIN 46 is effective for all new variable interest entities created or acquired after January 31, 2003. For variable interest entities created or acquired prior to February 1, 2003, the provisions of FIN 46 must be applied for the first interim or annual period after June 15, 2003. The Company does not expect this new interpretation to have a material effect on its future results of operations or financial position.

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ITEM 2.   MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

     You should read the following along with the Condensed Consolidated Financial Statements and accompanying notes.

OVERVIEW

     We are a healthcare services company focused on acquiring and operating hospitals in attractive non-urban markets in the United States. As of June 30, 2003, we owned or leased 20 general acute care hospitals in 13 states with a total of 2,281 licensed beds, and managed 38 hospitals in 14 states, with a total of 3,130 licensed beds.

     Our owned and leased hospitals accounted for 98.0% and 97.8% of our net operating revenue in the three months ended June 30, 2003 and 2002, respectively.

IMPACT OF ACQUISITIONS

     An integral part of our strategy is to acquire non-urban acute care hospitals. Because of the financial impact of our recent acquisitions, it is difficult to make meaningful comparisons between our financial statements for the fiscal periods presented. In addition, because of the relatively small number of owned and leased hospitals, each hospital acquisition can materially affect our overall operating performance. Upon the acquisition of a hospital, we typically take a number of steps to lower operating costs. The impact of such actions may be offset by cost increases to expand services, strengthen medical staff and improve market position. The benefits of these investments and of other activities to improve operating margins generally do not occur immediately. Consequently, the financial performance of a newly-acquired hospital may adversely affect overall operating margins in the near term. As we make additional hospital acquisitions, we expect that this effect will be mitigated by the expanded financial base of existing hospitals and the allocation of corporate overhead among a larger number of hospitals. We may also divest certain hospitals in the future, if we determine a hospital no longer fits within our strategy.

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RESULTS OF OPERATIONS

Operating Results Summary

     The following are comparative summaries of results from operations for the three months and six months ended June 30, 2003 and 2002 (dollars in thousands):

                                               
          Three Months Ended June 30,        
          2003   2002        
         
 
       
                  % of           % of   % Change
          Amount   Revenues   Amount   Revenues   from prior year
         
 
 
 
 
Revenue:
                                       
 
Net patient service revenue
  $ 189,649             $ 168,234                  
 
Other
    6,164               5,766                  
 
   
             
                 
     
Net operating revenue
    195,813       100.0 %     174,000       100.0 %     12.5 %
Operating expenses:
                                       
 
Salaries, wages and benefits
    74,939       38.3 %     67,476       38.8 %        
 
Purchases services
    18,878       9.6 %     18,209       10.4 %        
 
Supplies
    23,859       12.2 %     20,465       11.8 %        
 
Provision for doubtful accounts
    17,789       9.1 %     12,753       7.3 %        
 
Other operating expenses
    25,007       12.8 %     20,304       11.7 %        
 
Rentals and leases
    2,423       1.2 %     2,200       1.3 %        
 
   
     
     
     
         
 
    162,895       83.2 %     141,407       81.3 %     15.2 %
 
   
     
     
     
         
Adjusted EBITDA (*)
    32,918       16.8 %     32,593       18.7 %     1.0 %
Depreciation and amortization
    9,499       4.9 %     8,752       5.0 %        
Interest expense
    6,759       3.5 %     5,545       3.2 %        
Minority interests
    82             (3 )              
Loss on sale of assets
                48                
Loss on early extinguishment of debt
    477       0.2 %                    
 
   
     
     
     
         
Income before provision for income taxes
    16,101       8.2 %     18,251       10.5 %     (11.8 %)
Income taxes
    6,440       3.3 %     7,300       4.2 %        
 
   
     
     
     
         
Net income
  $ 9,661       4.9 %   $ 10,951       6.3 %     (11.8 %)
 
   
     
     
     
         
Net income per common share:
                                       
   
Basic
  $ 0.20             $ 0.23                  
 
   
             
                 
   
Diluted
  $ 0.20             $ 0.22                  
 
   
             
                 

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          Six Months Ended June 30,        
          2003   2002        
         
 
       
                  % of           % of   % Change
          Amount   Revenues   Amount   Revenues   from prior year
         
 
 
 
 
Revenue:
                                       
 
Net patient service revenue
  $ 377,208             $ 328,014                  
 
Other
    13,005               11,587                  
 
   
             
                 
     
Net operating revenue
    390,213       100.0 %     339,601       100.0 %     14.9 %
Operating expenses:
                                       
 
Salaries, wages and benefits
    150,269       38.5 %     129,628       38.2 %        
 
Purchases services
    36,662       9.4 %     35,300       10.4 %        
 
Supplies
    48,606       12.5 %     40,210       11.8 %        
 
Provision for doubtful accounts
    34,982       9.0 %     27,491       8.1 %        
 
Other operating expenses
    50,294       12.9 %     38,700       11.4 %        
 
Rentals and leases
    4,856       1.2 %     4,352       1.3 %        
 
   
     
     
     
         
 
    325,669       83.5 %     275,681       81.2 %     18.1 %
 
   
     
     
     
         
Adjusted EBITDA (*)
    64,544       16.5 %     63,920       18.8 %     1.0 %
Depreciation and amortization
    18,777       4.8 %     16,333       4.8 %        
Interest expense
    12,619       3.3 %     9,740       2.9 %        
Minority interests
    149             56                
Loss on sale of assets
    2             53                
Loss on early extinguishment of debt
    477       0.1 %                    
 
   
     
     
     
         
Income before provision for income taxes
    32,520       8.3 %     37,738       11.1 %     (13.8 %)
Income taxes
    13,008       3.3 %     15,095       4.4 %        
 
   
     
     
     
         
Net income
  $ 19,512       5.0 %   $ 22,643       6.7 %     (13.8 %)
 
   
     
     
     
         
Net income per common share:
                                       
   
Basic
  $ 0.40             $ 0.47                  
 
   
             
                 
   
Diluted
  $ 0.40             $ 0.45                  
 
   
             
                 

(*)   Adjusted EBITDA for 2003 and 2002, represents income before provision for income taxes, depreciation and amortization, interest, minority interests, loss on sale of assets, and loss on early extinguishment of debt (“Adjusted EBITDA”). Adjusted EBITDA serves as a measure of leverage capacity and debt service ability, and is commonly used as an analytical indicator within the healthcare industry. Our management considers Adjusted EBITDA to be one measure of our ability to service existing debt, sustain potential increases in debt in the future and to satisfy capital requirements. Adjusted EBITDA, however, is not a measure of financial performance under accounting principles generally accepted in the United States, and should not be considered an alternative to net income as a measure of operating performance or to cash flows from operating, investing or financing activities as a measure of liquidity. Because Adjusted EBITDA is not a measurement determined in accordance with accounting principles generally accepted in the United States and is susceptible to varying calculations, Adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies.
 
   

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        Three Months Ended
        June 30,
       
        2003   2002   % Change
       
 
 
Consolidated Hospitals:
                       
 
Number of hospitals at end of period
    20       20        
 
Licensed beds at end of period (a)
    2,281       2,315       (1.5 %)
 
Beds in service at end of period
    1,993       1,905       4.6 %
 
Net patient service revenue (in thousands)
  $ 189,649     $ 168,234       12.7 %
 
Admissions (b)
    18,520       17,849       3.8 %
 
Adjusted admissions (c)
    33,501       31,156       7.5 %
 
Patient days (d)
    78,124       76,425       2.2 %
 
Adjusted patient days (e)
    141,331       133,444       5.9 %
 
Average length of stay (days) (f)
    4.2       4.3       (2.3 %)
 
Gross revenue (in thousands) (g):
                       
   
Inpatient
  $ 234,130     $ 204,689       14.4 %
   
Outpatient
    189,354       152,542       24.1 %
 
   
     
     
 
 
  $ 423,484     $ 357,231       18.5 %
 
   
     
     
 
Same Hospitals (h):
                       
 
Number of hospitals at end of period
    18       18        
 
Licensed beds at end of period (a)
    1,997       2,031       (1.7 %)
 
Beds in service at end of period
    1,794       1,706       5.2 %
 
Net patient service revenue (in thousands)
  $ 157,671     $ 150,673       4.6 %
 
Admissions (b)
    16,322       16,436       (0.7 %)
 
Adjusted admissions (c)
    28,600       28,216       1.4 %
 
Patient days (d)
    68,735       70,535       (2.6 %)
 
Adjusted patient days (e)
    120,439       121,117       (0.6 %)
 
Average length of stay (days) (f)
    4.2       4.3       (2.3 %)
 
Gross revenue (in thousands) (g):
                       
   
Inpatient
  $ 210,996     $ 192,381       9.7 %
   
Outpatient
    158,715       137,897       15.1 %
 
   
     
     
 
 
  $ 369,711     $ 330,278       11.9 %
 
   
     
     
 

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        Six Months Ended
        June 30,
       
        2003   2002   % Change
       
 
 
Consolidated Hospitals:
                       
 
Number of hospitals at end of period
    20       20        
 
Licensed beds at end of period (a)
    2,281       2,315       (1.5 %)
 
Beds in service at end of period
    1,993       1,905       4.6 %
 
Net patient service revenue (in thousands)
  $ 377,208     $ 328,014       15.0 %
 
Admissions (b)
    38,288       35,848       6.8 %
 
Adjusted admissions (c)
    68,193       60,253       13.2 %
 
Patient days (d)
    162,256       156,754       3.5 %
 
Adjusted patient days (e)
    289,014       263,340       9.7 %
 
Average length of stay (days) (f)
    4.2       4.4       (4.5 %)
 
Gross revenue (in thousands) (g):
                       
   
Inpatient
  $ 476,192     $ 420,078       13.4 %
   
Outpatient
    372,143       285,409       30.4 %
 
   
     
     
 
 
  $ 848,335     $ 705,487       20.2 %
 
   
     
     
 
Same Hospitals (h):
                       
 
Number of hospitals at end of period
    18       18        
 
Licensed beds at end of period (a)
    1,997       2,031       (1.7 %)
 
Beds in service at end of period
    1,794       1,706       5.2 %
 
Net patient service revenue (in thousands)
  $ 313,276     $ 310,309       1.0 %
 
Admissions (b)
    33,863       34,435       (1.7 %)
 
Adjusted admissions (c)
    58,371       57,313       1.8 %
 
Patient days (d)
    142,941       150,894       (5.3 %)
 
Adjusted patient days (e)
    246,406       251,013       (1.8 %)
 
Average length of stay (days) (f)
    4.2       4.4       (4.5 %)
 
Gross revenue (in thousands) (g):
                       
   
Inpatient
  $ 429,791     $ 407,770       5.4 %
   
Outpatient
    311,318       270,764       15.0 %
 
   
     
     
 
 
  $ 741,109     $ 678,534       9.2 %
 
   
     
     
 

(a)   Beds for which a hospital has been granted approval to operate from the applicable state licensing agency.
 
(b)   Represents the total number of patients admitted (in a facility for a period in excess of 23 hours) and used by management and investors as a general measure of inpatient volume.
 
(c)   Used by management and investors as a general measure of combined inpatient and outpatient volume. Adjusted admissions are computed by multiplying admissions (inpatient volume) by the outpatient factor. The outpatient factor is the sum of gross inpatient revenue and gross outpatient revenue divided by gross inpatient revenue. The adjusted admissions computation equates outpatient revenue to the volume measure (admissions) used to measure inpatient volume, resulting in a general measure of combined inpatient and outpatient volume.
 
(d)   Represents the total number of days the patients who are admitted stay in our hospitals.
 
(e)   Adjusted patient days are computed by multiplying patient days (inpatient volume) by the outpatient factor. The outpatient factor is the sum of gross inpatient revenue and gross outpatient revenue divided by gross inpatient revenue. The adjusted patient days computation equates outpatient revenue to the volume measure (patient days) used to measure inpatient volume, resulting in a general measure of combined inpatient and outpatient volume.
 
(f)   The average number of days admitted patients stay in our hospitals.
 
(g)   Represents revenues prior to reductions for discounts and contractual allowances.
 
(h)   Same hospital information includes the operations of only those hospitals which were owned during both entire periods presented.

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Three Months Ended June 30, 2003 Compared to Three Months Ended June 30, 2002

     Net operating revenue increased 12.5% or $21.8 million to $195.8 million for the three months ended June 30, 2003, compared to the same period last year. The increase was primarily attributable to the acquisitions of Los Alamos Medical Center and Memorial Hospital of Martinsville and Henry County, which were completed in the second quarter of last year and a 4.6% increase in revenues from hospitals owned during both entire periods (same hospitals). Same hospital revenues increased primarily from a 3.2% increase in same hospital net revenue per adjusted admissions.

     Operating expenses totaled $162.9 million, or 83.2% of net operating revenue, for the three months ended June 30, 2003, compared to $141.4 million, or 81.3% of net operating revenue, for the comparable period of 2002. Salaries and benefits as a percentage of net operating revenue, decreased to 38.3% from 38.8%. Purchased services, as a percentage of net operating revenue, decreased to 9.6% for the three months ended June 30, 2003, compared to 10.4% for the comparable period of the prior year. This decrease is primarily attributable to reductions in contract labor and collection fees as our company was less reliant on outside collection consultants and staffing. Supplies increased to 12.2% of net operating revenue, for the three months ended June 30, 2003, compared to 11.8% for the comparable period of 2002, due primarily to the acquisitions of Memorial Hospital of Martinsville and Henry County and Los Alamos Medical Center, which have a higher supplies expense as a percentage of revenue compared to other owned hospitals. The provision for doubtful accounts increased to 9.1% of net operating revenue for the three months ended June 30, 2003 compared to 7.3% for the comparable period of 2002, primarily due to increases in self-pay and uninsured patient volumes as a percentage of total patient volumes and the corresponding effect of rate increases on those accounts. The net revenues associated with those patients are generally recorded at gross charges, which are typically higher than what government programs and managed care plans pay. As a result, failure to receive payments from self-pay and uninsured patients results in higher provision for doubtful accounts as a percentage of net operating revenue. Other operating expenses increased as a percentage of net operating revenue to 12.8% from 11.7% in the prior year primarily due to increases in insurance costs and physician recruitment expenses. Rentals and leases were relatively unchanged as a percentage of net operating revenue for both periods.

     The increase in operating expenses as a percentage of net operating revenue described above resulted in a decrease in Adjusted EBITDA as a percentage of net operating revenue. Adjusted EBITDA was $32.9 million, or 16.8% of net operating revenue, for the three months ended June 30, 2003, compared to $32.6 million, or 18.7% of net operating revenue, for the comparable period of 2002.

     Depreciation and amortization expense was $9.5 million, or 4.9% of net operating revenue, for the three months ended June 30, compared to $8.8 million, or 5.0% of net operating revenue, for the comparable period of 2002. The increase in depreciation and amortization expense resulted primarily due to depreciation at the hospitals acquired in 2002.

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     Interest expense increased to $6.8 million for the three months ended June 30, 2003, compared to $5.5 million for the comparable period of 2002, primarily due to the May 27, 2003, issuance of $200.0 million aggregate principal amount of 7 ½% Senior Subordinated Notes due 2013 offset by repayments of borrowings outstanding on our senior bank credit facility and repurchases of a portion of our outstanding 4 ½% Convertible Subordinated Notes. The write-off of deferred loan costs and the gain resulting from repurchasing a portion of the 4 ½% Convertible Subordinated Notes due 2005 at a discount resulted in a net pre-tax loss on extinguishment of debt of $0.5 million during the second quarter ended June 30, 2003.

     Income before provision for income taxes was $16.1 million for the three months ended June 30, 2003, compared to $18.3 million for the comparable period of 2002, a decrease of $2.2 million or 11.8%, primarily due to the factors discussed above. Our provision for income taxes was $6.4 million for the three months ended June 30, 2003, compared to $7.3 million for the comparable period of 2002, primarily due to the decrease in pre-tax income.

     As a result of the foregoing, our net income was $9.7 million, or 4.9% of net operating revenue, for the three months ended June 30, 2003, compared to $11.0 million, or 6.3% of net operating revenue for the comparable period of 2002.

Six Months Ended June 30, 2003 Compared to Six Months Ended June 30, 2002

     Net operating revenue increased 14.9% or $50.6 million to $390.2 million for the six months ended June 30, 2003, compared to the same period last year. The increase was primarily attributable to the acquisitions of Los Alamos Medical Center and Memorial Hospital of Martinsville and Henry County, which were completed in the second quarter of last year.

     Operating expenses totaled $325.7 million, or 83.5% of net operating revenue, for the six months ended June 30, 2003, compared to $275.7 million, or 81.2% of net operating revenue, for the comparable period of 2002. Salaries and benefits as a percentage of net operating revenue, increased to 38.5% from for the six months ended June 30, 2003 from 38.2% last year, primarily due to an increase in employed workers resulting from reductions in contract labor. Purchased services, as a percentage of net operating revenue, decreased to 9.4% for the six months ended June 30, 2003, compared to 10.4% for the comparable period of the prior year. This decrease is primarily attributable to reductions in contract labor and collection fees as our company was less reliant on outside collection consultants and staffing. Supplies increased to 12.5% of net operating revenue, for the six months ended June 30, 2003, compared to 11.8% for the comparable period of 2002, due primarily to the acquisitions of Memorial Hospital of Martinsville and Henry County and Los Alamos Medical Center. The provision for doubtful accounts increased to 9.0% of net operating revenue for the six months ended June 30, 2003 compared to 8.1% for the comparable period of 2002, primarily due to the increases in self-pay and uninsured patient volumes as a percent of total patient volumes and the corresponding effect of rate increases on those accounts.

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The net revenues associated with those patients are generally recorded at gross charges, which are typically higher than what government programs and managed care plans pay. As a result, failure to receive payments from self-pay and uninsured patients results in higher provision for doubtful accounts as a percentage of net operating revenue. Other operating expenses increased as a percentage of net operating revenue to 12.9% from 11.4% in the prior year primarily due to increases in insurance costs and physician recruitment expenses. Rentals and leases were relatively unchanged as a percentage of net operating revenue for both periods.

     The increase in operating expenses as a percentage of net operating revenue described above resulted in a decrease in Adjusted EBITDA as a percentage of net operating revenue. Adjusted EBITDA was $64.5 million, or 16.5% of net operating revenue, for the six months ended June 30, 2003, compared to $63.9 million, or 18.8% of net operating revenue, for the comparable period of 2002.

     Depreciation and amortization expense was $18.8 million, or 4.8% of net operating revenue, for the six months ended June 30, compared to $16.3 million, or 4.8% of net operating revenue, for the comparable period of 2002. The increase in depreciation and amortization expense resulted primarily due to depreciation at the hospitals acquired in 2002.

     Interest expense increased to $12.6 million for the six months ended June 30, 2003, compared to $9.7 million for the comparable period of 2002, primarily due to higher average outstanding borrowings of our senior credit facility and the issuance of an aggregate principal amount of $200.0 million, 7 ½% Senior Subordinated Notes due 2013, offset by repurchases of a portion of our outstanding 4 ½% Convertible Subordinated Notes due 2005. The write-off of deferred loan costs associated with the repurchases, and the gain resulting from repurchasing a portion of the 4 ½% Convertible Subordinated Notes at a discount resulted in a net pre-tax loss on extinguishment of debt of $0.5 million during the six months ended June 20, 2003.

     Income before provision for income taxes was $32.5 million for the six months ended June 30, 2003, compared to $37.7 million for the comparable period of 2002, a decrease of $5.2 million or 13.8%, primarily due to the factors discussed above. Our provision for income taxes decreased to $13.0 million for the six months ended June 30, 2003, compared to $15.1 million for the comparable period of 2002, primarily due to the decrease in pre-tax income.

     As a result of the foregoing, our net income was $19.5 million, or 5.0% of net operating revenue, for the six months ended June 30, 2003, compared to $22.6 million, or 6.7% of net operating revenue for the comparable period of 2002.

LIQUIDITY AND CAPITAL RESOURCES

     At June 30, 2003, we had working capital of $106.2 million, including cash and cash equivalents of $19.1 million compared to working capital of $105.3 million, including $14.4 million in cash and cash equivalents at December 31, 2002.

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     Cash provided by operations was $55.2 million for the six months ended June 30, 2003, compared to $52.6 million last year, primarily due to improved cash collections as our average daily revenues were in accounts receivable an average of 54 days at June 30, 2003 which was down from 61 days at June 30, 2002. Cash used in investing activities was down significantly to $37.8 million for the six months ended June 30, 2003 from $197.8 million for the same period last year, primarily due to the purchases of Memorial Hospital of Martinsville and Henry County in May 2002, and Los Alamos Medical Center in June 2002. Net cash used in financing activities totaled $12.8 million for the six months ended June 30, 2003 compared to $128.9 million of net cash provided by financing activities during the same period last year. Last year’s net cash provided by financing activities was primarily a result of borrowings under our revolving credit facility to fund acquisitions.

     During the six months ended June 30, 2003, we received $194.2 million in net proceeds from the issuance of the 7 ½% Senior Subordinated Notes due 2013. We used the proceeds, along with existing cash, to repay all amounts outstanding on our senior credit facility ($114.3 million) and $69.0 million of our 4 ½% Convertible Notes due 2005. At June 30, 2003, we had $246.4 million (net of outstanding letters of credit) available for borrowing under our senior credit facility.

     We intend to acquire additional acute care facilities and are actively seeking out such acquisitions. There can be no assurance that we will not require additional debt or equity financing for any particular acquisition. Also, we continually review our capital needs and financing opportunities and may seek additional equity or debt financing for our acquisition program or other needs.

     On June 14, 2002, the Securities and Exchange Commission (“SEC”) declared effective our shelf registration statement on Form S-3 providing for the offer, from time to time, of common stock and debt securities, up to an aggregate of $300.0 million. Our issuance of the 7½% Senior Subordinated Notes in May 2003 was registered under the shelf registration statement, leaving capacity to register up to $100.0 million of additional securities. The shelf registration statement will enable us to raise funds from the offering of any individual securities covered by the shelf registration statement as well as any combination thereof, subject to market conditions and our capital needs.

     Capital expenditures for our owned hospitals may vary from year to year depending on facility improvements and service enhancements undertaken by the hospitals. We expect to make total capital expenditures in 2003 of approximately $60.0 million, exclusive of any acquisitions of businesses or new hospital construction projects. Planned capital expenditures for 2003 consist principally of capital improvements to owned and leased hospitals. We expect to fund these expenditures through cash provided by operating activities and borrowings under our revolving credit facility.

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CRITICAL ACCOUNTING POLICIES AND IMPACT OF RECENTLY ISSUED ACCOUNTING STANDARDS

     A description of the accounting policies we consider critical to our business is contained in our Annual Report on Form 10-K for the year ended December 31, 2002. We have made no changes in those policies since year end.

MARKET RISKS ASSOCIATED WITH FINANCIAL INSTRUMENTS

     Our interest expense is sensitive to changes in the general level of interest rates. To mitigate the impact of fluctuations in interest rates, we generally maintain 50% - 75% of our debt at a fixed rate, either by borrowings on a long-term basis or entering into an interest rate swap.

     At June 30, 2003, approximately all of our outstanding debt was effectively at fixed rates primarily due to repayments of all borrowings on our revolving line of credit during the quarter.

     During the quarter ended June 30, 2003, we terminated our previously existing interest rate swap contract. Subsequent to quarter end, we entered into an interest rate swap agreement which effectively converted, for a ten-year period, $100.0 million of the $200.0 million fixed-rate borrowings under our 7 ½% Senior Subordinated Notes due 2013 to floating-rate borrowings. We secured a LIBOR plus 2.79% floating interest rate over the term of the agreement. After giving effect to the interest rate swap agreement, approximately 78% of our debt was at fixed rates.

GENERAL

     The Medicare program accounted for approximately 38.8% and 41.9% of net patient revenue for the six months ended June 30, 2003 and 2002, respectively. The Medicaid programs accounted for approximately 11.2% and 12.5% of net patient revenue for the six months ended June 30, 2003 and 2002, respectively. The majority of payment rates under the Medicare program are now prospective, based upon the diagnosis of a patient. The Medicare payment rate increases historically have been less than actual inflation.

     The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires us to make estimates and assumptions that affect the amounts reported in our financial statements. Resolution of matters, for example, final settlements with third party payors, may result in changes from those estimates. The timing and amount of such changes in estimates may cause fluctuations in our quarterly or annual operating results.

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FORWARD-LOOKING STATEMENTS

     Our disclosure and analysis in this report contain some forward-looking statements. Forward-looking statements give our current expectations or forecasts of future events. You can identify these statements by the fact that they do not relate strictly to historical or current facts. Such statements may include words such as “anticipate,” “estimate,” “expect,” “project,” “intend,” “plan,” “believe” and other words and terms of similar meaning in connection with any discussion of future operating or financial performance. Any or all of our forward-looking statements in this report may turn out to be wrong. They can be affected by inaccurate assumptions we might make or by known or unknown risks and uncertainties. Many factors mentioned in our discussion in this report will be important in determining future results. Consequently, no forward-looking statement can be guaranteed. Actual future results may vary materially. Factors that may cause our plans, expectations, future financial condition and results to change include, but are not limited to:

    the highly competitive nature of the healthcare business;
 
    the efforts of insurers, healthcare providers and others to contain healthcare costs;
 
    the financial condition of managed care organizations that pay us for healthcare services;
 
    possible changes in the levels and terms of reimbursement for our charges by government programs, including Medicare and Medicaid or other third-party payors;
 
    changes in or failure to comply with federal, state or local laws and regulations affecting the healthcare industry;
 
    the possible enactment of federal or state healthcare reform;
 
    the departure of key members of our management;
 
    claims and legal actions relating to professional liability;
 
    our ability to implement successfully our acquisition and development strategy;
 
    our ability to recruit and retain qualified personnel and physicians;
 
    potential federal or state investigations;
 
    fluctuations in the market value of our common stock or debt securities;
 
    changes in accounting principles generally accepted in the United States or in our critical accounting policies;
 
    changes in demographic, general economic and business conditions, both nationally and in the regions in which we operate;

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    changes in the availability, cost and terms of insurance coverage for our hospitals and physicians who practice at our hospitals; and
 
    other risks described in this report.

     Except as required by law, we undertake no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise. You are advised, however, to consult any additional disclosures and discussions of risks we make in our Form 10-K, 10-Q and 8-K reports and other filings with the Securities and Exchange Commission. These are factors that we think could cause our actual results to differ materially from expected results. Other factors besides those listed here also could affect us adversely. This discussion is provided as permitted by the Private Securities Litigation Reform Act of 1995.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

     During the six months ended June 30, 2003, there were no material changes in the quantitative and qualitative disclosures about market risks presented in our Annual Report on Form 10-K for the year ended December 31, 2002. Our only derivative instrument relates to an interest rate swap agreement entered into subsequent to June 30, 2003. See Item 2. “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Market Risks Associated with Financial Instruments.”

ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

     As of the end of the period covered by this report, our management carried out an evaluation, with the participation of our chief executive officer and chief financial officer, of the effectiveness of our disclosure controls and procedures (as defined in Exchange Act Rule 13a –
15(e) and 15d – 15(e). Based on their evaluation of such controls and procedures, our management concluded that our disclosure controls and procedures are effective to ensure that information required to be disclosed by our company in the reports we file under the Securities Exchange Act of 1934, as amended, is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the Securities and Exchange Commission and that such information is accumulated and communicated to management, including our chief executive officer and chief financial officer, as appropriate to allow timely decisions regarding required disclosure.

Changes in Internal Control Over Financial Reporting

     There have been no significant changes in our internal control over financial reporting during the period covered by this report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II
OTHER INFORMATION

ITEM 4. Submission of Matters to a Vote of Security Holders

     On Thursday, May 1, 2003, we held our 2003 annual meeting of shareholders. At such meeting, the shareholders voted on the following two proposals:

     First, the shareholders voted on the election of seven nominees to the Board of Directors. The incumbent Board of Directors, consisting of Martin S. Rash, John M. Rutledge, Joseph P. Nolan, David L. Steffy, Winfield C. Dunn, Paul J. Feldstein and David R. Klock, determined that the size of the Board of Directors be set at seven members. The Board of Directors then nominated Martin S. Rash, John M. Rutledge, Joseph P. Nolan, David L. Steffy, Winfield C. Dunn, Paul J. Feldstein and David R. Klock, for election at such annual meeting to serve until the 2004 annual meeting of shareholders. The directors were elected by the following vote:

                 
            Withhold
Name   For   Authority

 
 
Martin S. Rash
    43,839,057       121,023  
John M. Rutledge
    43,837,534       122,546  
Joseph P. Nolan
    43,835,411       124,669  
David L. Steffy
    42,434,984       1,525,096  
Winfield C. Dunn
    42,532,458       1,427,622  
Paul J. Feldstein
    43,734,472       225,608  
David R. Klock
    42,433,334       1,526,746  

     Second, the shareholders voted to approve the appointment of Ernst & Young LLP as independent auditors of our company and its subsidiaries for the fiscal year ending December 31, 2003. At the annual meeting, the shareholders voted to ratify the appointment of Ernst & Young LLP, with 43,347,070 votes for, 594,864 votes against and 18,146 abstentions.

ITEM 6. Exhibits and Reports on Form 8-K

(a)   Exhibits

     
Exhibit    
Number   Description of Exhibits

 
3.1   Amended and Restated Certificate of Incorporation of Province Healthcare Company, as filed with the Delaware Secretary of State on June 16, 2000 (a)

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Exhibit    
Number   Description of Exhibits

 
3.2   Certificate of Amendment to the Amended and Restated Certificate of Incorporation of Province Healthcare Company, as filed with the Delaware Secretary of State on May 22, 2002 (b)
     
3.3   Amended and Restated Bylaws of Province Healthcare Company (c)
     
4.1   Subordinated Indenture, dated as of May 27, 2003, between Province Healthcare Company and U.S. Bank Trust National Association (*)
     
4.2   First Supplemental Indenture to Subordinated Indenture, dated as of May 27, 2003, between Province Healthcare Company and U.S. Bank Trust National Association, as Trustee, with respect to the issuance of 7 ½% Senior Subordinated Notes due 2013 (*)
     
10.1   Third Amendment to Credit Agreement and Consent, dated May 27, 2003, among Province Healthcare Company, Wachovia Bank, National Association, as Agent, and various parties thereto (*)
     
10.2   Fourth Amendment to Credit Agreement and Consent, dated June 30, 2003, among Province Healthcare Company, Wachovia Bank, National Association, as Agent, and various parties thereto (*)
     
31.1   Certification pursuant to Exchange Act Rule 13a-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (*)
     
31.2   Certification pursuant to Exchange Act Rule 13a-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (*)
     
32.1   Certifications pursuant to Exchange Act Rule 13a-14(b) and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (*)
     

     
(a)   Incorporated by reference to the exhibits filed with the Registrant’s Quarterly Report filed on Form 10-Q, for the quarterly period ended June 30, 2000, Commission File No. 0-23639.
     
(b)   Incorporated by reference to the exhibits filed with the Registrant’s Registration Statement on Form S-3/A, filed on June 11, 2002, Registration Number 333-86578.
     
(c)   Incorporated by reference to the exhibits filed with the Registrant’s Current Report on Form 8-K, filed on December 12, 2002, Commission File No. 0-23639.

*   Filed herewith

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(b)   Reports on Form 8-K

     During the three months ended June 30, 2002, we filed or furnished the following reports on Form 8-K:

  (i)   Form 8-K, filed on April 4, 2003, with respect to the announcement of an amendment to our $250 million senior credit facility.
 
  (ii)   Form 8-K, furnished on April 28, 2003, with respect to the announcement of our financial results for the first quarter of 2003.
 
  (iii)   Form 8-K, filed on May 29, 2003, with respect to the completion of the public offering of our 7 ½% Senior Subordinated Notes due 2013.

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SIGNATURES

     Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

         
  PROVINCE HEALTHCARE COMPANY
         
Date: August 8, 2003   By:   /s/ Brenda B. Rector
       
        Brenda B. Rector
        Vice President and Controller

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