UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
FORM 10-K
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the fiscal year ended September 30, 2003
OR
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the transition period from _____________ to _________.
Commission File Number: 333-106612-02
ODESSA REGIONAL HOSPITAL, LP
DELAWARE (State or Other Jurisdiction of Incorporation or Organization) |
62-1795574 (I.R.S. Employer Identification No.) |
|
113 SEABOARD LANE, SUITE A-200 FRANKLIN, TENNESSEE (Address of Principal Executive Offices) |
37067 (Zip Code) |
Registrants Telephone Number, Including Area Code: (615) 844-2747
Securities Registered Pursuant to Section 12(b) of the Act: None
Securities Registered Pursuant to Section 12(g) of the Act: None
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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of the registrants knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. [X]
Indicate by check mark whether the registrant is an accelerated filer (as defined in Exchange Act Rule 12b-2). YES [ ] NO [ x ]
The Registrant meets the conditions set forth in General Instruction I 1(a) and (b) of Form 10-K (as modified by grants of no-action relief) and is therefore filing this form using the reduced disclosure format specified therein.
TABLE OF CONTENTS
PART I |
1 | ||||||
Item 1 |
Business |
1 | |||||
Item 2 |
Properties |
1 | |||||
Item 3 |
Legal Proceedings |
1 | |||||
Item 4 |
Submission of Matters to a Vote of Security Holders |
1 | |||||
PART II |
1 | ||||||
Item 5 |
Market for Registrant's Common Equity and Related Stockholder Matters |
1 | |||||
Item 6 |
Selected Financial Data |
2 | |||||
Item 7 |
Management's Discussion and Analysis of Financial Condition and Results of Operations |
2 | |||||
Item 7A |
Quantitative and Qualitative Disclosures About Market Risk |
4 | |||||
Item 8 |
Financial Statements and Supplementary Data |
5 | |||||
Item 9 |
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure |
18 | |||||
Item 9A |
Controls and Procedures |
18 | |||||
PART III |
18 | ||||||
Item 10 |
Directors and Executive Officers of the Registrant |
18 | |||||
Item 11 |
Executive Compensation |
18 | |||||
Item 12 |
Security Ownership of Certain Beneficial Owners and Management and Related |
||||||
Stockholder Matters |
18 | ||||||
Item 13 |
Certain Relationships and Related Transactions |
18 | |||||
Item 15 |
Exhibits, Financial Statement Schedules, and Reports on Form 8-K |
18 |
i
ODESSA REGIONAL HOSPITAL, LP
PART I
Item 1. Business.
Odessa Regional Hospital, LP, also referred to as the Partnership, was formed on September 24, 1999 to own and operate Odessa Regional Hospital in Odessa, Texas. The hospital is a 121-bed acute care hospital that provides inpatient, outpatient and emergency care services to residents in the Odessa-Midland region of Texas. The Partnerships 1% general partner is IASIS Healthcare Holdings, Inc., which is a wholly-owned subsidiary of IASIS Healthcare Corporation, also referred to as IASIS. IASIS is a for-profit hospital management company that owns and operates 14 acute care hospitals in four states. IASIS also owns and operates a behavioral health center in Phoenix, Arizona and has an ownership interest in three ambulatory surgery centers. In addition, IASIS owns and operates a Medicaid managed health plan in Phoenix. The Partnerships initial 99% limited partner was IASIS. On February 1, 2001, the Partnership sold 11.2% of its limited partner units in the Partnership to third-party investors, which reduced IASISs ownership in the Partnership accordingly. IASIS currently owns an 87.8% interest in the Partnership.
On June 6, 2003, IASIS issued $100.0 million of 8-1/2% senior subordinated notes due 2009. On August 14, 2003, pursuant to an effective registration statement on Form S-4 filed with the Securities and Exchange Commission, IASIS completed the exchange of all of its outstanding 8-1/2% senior subordinated notes due 2009 for an equivalent principal amount of 8-1/2% senior subordinated notes due 2009 that are registered under the Securities Act of 1933, as amended. The notes are guaranteed by all of IASISs material subsidiaries other than Health Choice Arizona, Inc., including the Partnership.
The Partnership, along with all of IASISs material subsidiaries, also guarantees IASISs 13% senior subordinated notes due 2009 in the amount of $230.0 million. IASIS issued 13% senior subordinated notes due 2009 on October 13, 1999. On May 25, 2000, IASIS exchanged all of its outstanding 13% senior subordinated notes due 2009 for an equivalent principal amount of 13% senior subordinated notes due 2009 that have been registered under the Securities Act of 1933, as amended.
In addition, substantially all of the Partnerships assets are pledged as collateral under IASISs bank credit facility.
Item 2. Properties.
Information regarding the hospital owned and operated by the Partnership can be found in Item 1 of this report under the caption, Business.
Item 3. Legal Proceedings.
The Partnership is involved in litigation and proceedings from time to time in the ordinary course of business. The Partnership currently is not a party to any litigation or proceeding that, in managements opinion, would have a material adverse effect upon its business, financial condition or results of operations.
Item 4. Submission of Matters to a Vote of Security Holders.
Omitted pursuant to General Instruction I to Form 10-K.
PART II
Item 5. Market for Registrants Common Equity and Related Stockholder Matters.
There is no established public trading market for the Partnerships equity securities. IASIS, directly and through IASIS Healthcare Holdings, Inc., currently owns an 88.8% interest in the Partnership. The remaining 11.2% is owned by third-party investors.
1
Item 6. Selected Financial Data.
Omitted pursuant to General Instruction I to Form 10-K.
Item 7. Managements Discussion and Analysis of Financial Condition and Results of Operations.
Pursuant to General Instruction I of Form 10-K, the following analysis of the results of operations is presented in lieu of Managements Discussion and Analysis of Financial Condition and Results of Operations. The following discussion should be read in conjunction with our audited financial statements, the notes to our audited financial statements and the other financial information appearing elsewhere in this report.
Overview
Odessa Regional Hospital, LP, also referred to as the Partnership, was formed on September 24, 1999 to own and operate Odessa Regional Hospital in Odessa, Texas. The hospital is a 121-bed acute care hospital that provides inpatient, outpatient and emergency care services to residents in the Odessa-Midland region of Texas. The Partnerships 1% general partner is IASIS Healthcare Holdings, Inc., which is a wholly-owned subsidiary of IASIS Healthcare Corporation, also referred to as IASIS. IASIS is a for-profit hospital management company that owns and operates 14 acute care hospitals in four states. IASIS also owns and operates a behavioral health center in Phoenix, Arizona and has an ownership interest in three ambulatory surgery centers. In addition, IASIS owns and operates a Medicaid managed health plan in Phoenix. The Partnerships initial 99% limited partner was IASIS. On February 1, 2001, the Partnership sold 11.2% of its limited partner units in the Partnership to third-party investors, which reduced IASISs ownership in the Partnership accordingly. IASIS currently owns an 87.8% interest in the Partnership.
On June 6, 2003, IASIS issued $100.0 million of 8-1/2% senior subordinated notes due 2009. On August 14, 2003, pursuant to an effective registration statement on Form S-4 filed with the Securities and Exchange Commission, IASIS completed the exchange of all of its outstanding 8-1/2% senior subordinated notes due 2009 for an equivalent principal amount of 8-1/2% senior subordinated notes due 2009 that are registered under the Securities Act of 1933, as amended. The notes are guaranteed by all of IASISs material subsidiaries other than Health Choice Arizona, Inc., including the Partnership.
The Partnership, along with all of IASISs material subsidiaries, also guarantees IASISs 13% senior subordinated notes due 2009 in the amount of $230.0 million. IASIS issued 13% senior subordinated notes due 2009 on October 13, 1999. On May 25, 2000, IASIS exchanged all of its outstanding 13% senior subordinated notes due 2009 for an equivalent principal amount of 13% senior subordinated notes due 2009 that have been registered under the Securities Act of 1933, as amended.
In addition, substantially all of the Partnerships assets are pledged as collateral under IASISs bank credit facility.
Forward-Looking Statements
Some of the statements we make in this report are forward-looking within the meaning of the federal securities laws, which are intended to be covered by the safe harbors created thereby. Those forward-looking statements include all statements that are not historical statements of fact and those regarding our intent, belief or expectations. Forward-looking statements involve known and unknown risks and uncertainties that may cause actual results in future periods to differ materially from those anticipated in the forward-looking statements. Those risks and uncertainties include, among others, our ability to negotiate favorable contracts with managed care plans; the highly competitive nature of the healthcare industry; possible changes in Medicare and Medicaid reimbursement levels and other federal or state healthcare reforms; future cost containment initiatives undertaken by purchasers of healthcare services; our ability to attract and retain qualified management and personnel, including physicians and nurses; the effect of existing and future governmental regulations, including the Balanced Budget Act of 1997, the Balanced Budget Refinement Act of 1999 and the Medicare, Medicaid and SCHIP Benefit Improvement and Protection Act of 2000; the impact of possible governmental investigations; our ability to use our information systems effectively; and general economic and business conditions. Although we believe that the assumptions underlying the forward-looking statements contained in this report are reasonable, any of these assumptions could prove to be inaccurate and, therefore, there can be no assurance that the forward-looking statements included in this report will prove to be accurate. In light of the significant uncertainties inherent in the forward-looking statements
2
included in this report, you should not regard the inclusion of such information as a representation by us or any other person that our objectives and plans will be achieved. We undertake no obligation to publicly release any revisions to any forward-looking statements contained herein to reflect events and circumstances occurring after the date hereof or to reflect the occurrence of unanticipated events.
Results of Operations
The following table presents, for the periods indicated, information expressed as a percentage of net revenue. Such information has been derived from our audited statements of operations.
Year Ended | ||||||||
September 30, | ||||||||
2003 | 2002 | |||||||
Net revenue |
100.0 | % | 100.0 | % | ||||
Salaries and benefits |
31.5 | 35.3 | ||||||
Supplies |
12.9 | 10.7 | ||||||
Other operating expenses |
14.7 | 17.7 | ||||||
Provision for bad debts |
9.0 | 8.5 | ||||||
Interest, net |
7.5 | 7.3 | ||||||
Depreciation and amortization |
3.2 | 3.2 | ||||||
Management fees |
2.4 | 2.6 | ||||||
Net income |
18.8 | % | 14.7 | % | ||||
Year Ended September 30, 2003 Compared to Year Ended September 30, 2002
Net revenue - Net revenue totaled $67.2 million for the year ended September 30, 2003, compared to $48.5 million for the year ended September 30, 2002, an increase of $18.7 million, or 38.6%. Net patient revenue per adjusted admission increased 13.3% for the year ended September 30, 2003, compared to the same period in 2002. The increase in net patient revenue per adjusted admission was due primarily to rate increases, along with increased acuity from growth in cardiac and inpatient surgical cases.
Admissions increased 20.0% from 4,120 for the year ended September 30, 2002 to 4,942 for the same period in 2003 and adjusted admissions increased 22.1% from 6,079 for the year ended September 30, 2002 to 7,424 for the same period in 2003. The increase in admissions and adjusted admissions was the result of our upgrading medical equipment and technology, recruiting physicians and expanding services through a facility expansion and renovation program.
Salaries and benefits - Salaries and benefits increased $4.1 million from $17.1 million, or 35.3% of net revenue, for the year ended September 30, 2002 to $21.2 million, or 31.5% of net revenue, for the year ended September 30, 2003. The increase was due primarily to volume growth, general wage inflation and an increase in employee benefits. The 3.8% decrease in salaries and benefits as a percentage of net revenue from period to period was attributable to staffing efficiencies achieved from leveraging labor-related costs through the growth in net revenue.
Supplies expense - Supplies expense increased $3.5 million from $5.2 million, or 10.7% of net revenue, for the year ended September 30, 2002 to $8.7 million, or 12.9% of net revenue, for the year ended September 30, 2003. Supplies as a percentage of net revenue increased 2.2% from period to period primarily due to an increase in acuity which resulted in an increased utilization of higher cost medical supplies such as cardiac implants and certain drugs.
Other operating expenses - Other operating expenses increased $1.2 million from $8.6 million, or 17.7% of net revenue, for the year ended September 30, 2002 to $9.8 million, or 14.7% of net revenue, for the year ended September 30, 2003. The increase in other operating expenses was primarily the result of increases in insurance costs, rent expense, non-income taxes and physician recruiting costs. We expect our other operating expenses to continue to be negatively impacted for the near term by insurance expense increases as a result of continued cost
3
pressures on the professional liability insurance market. Other operating expenses as a percentage of net revenue decreased 3.0% from period to period due primarily to the leveraging of fixed costs through the growth in net revenue.
Provision for bad debts - Provision for bad debts increased $1.9 million from $4.1 million for the year ended September 30, 2002 to $6.0 million for the same period in 2003. As a percentage of net revenue, provision for bad debts increased 0.5% from period to period primarily due to an increase in self pay revenue as a result of the growth in the number of uninsured patients and an increase in the amount of co-pays and deductibles passed on by employers to employees.
Depreciation and amortization - Depreciation and amortization expense increased $612,000 from $1.5 million in the year ended September 30, 2002 to $2.1 million in the year ended September 30, 2003. The increase in depreciation and amortization was primarily the result of additions to property and equipment during 2002 and 2003.
Interest, net - Interest expense, net increased $1.4 million from $3.6 million in the year ended September 30, 2002 to $5.0 million in the year ended September 30, 2003. The increase in interest expense is due to the increase in debt associated with a new promissory note entered into with IASIS in October 2002 and due to the Partnerships capitalization of approximately $800,000 in interest costs in 2002 associated with construction projects at the hospital. During 2002, the hospital completed a $12.0 million facility expansion and renovation program.
Management fees - Management fees increased $400,000 from $1.2 million for the year ended September 30, 2002 to $1.6 million for the year ended September 30, 2003. Management fees represent an allocation of IASISs corporate overhead costs and are allocated based on the Partnerships net revenue. The increase in allocated management fees resulted from an increase in net revenue and an increase in IASISs corporate overhead costs.
Net Income - Net income was $7.1 million for the year ended September 30, 2002 as compared to $12.6 million for the year ended September 30, 2003.
Item 7A. Quantitative and Qualitative Disclosures About Market Risk
Not applicable.
4
Item 8. Financial Statements and Supplementary Data.
ODESSA REGIONAL HOSPITAL, LP
Index to Financial Statements
Years Ended September 30, 2003, 2002 and 2001
CONTENTS
Report of Independent Auditors |
6 | |||
Financial Statements: |
||||
Balance Sheets |
7 | |||
Statements of Income |
8 | |||
Statements of Cash Flows |
9 | |||
Statements of Changes in Partners Capital |
10 | |||
Notes to Financial Statements |
11 |
5
Report of Independent Auditors
The Partners
Odessa Regional Hospital, LP
We have audited the accompanying balance sheets of Odessa Regional Hospital, LP (the Partnership) (a Delaware limited partnership) as of September 30, 2003 and 2002, and the related statements of income, changes in partners capital, and cash flows for each of the three years in the period ended September 30, 2003. These financial statements are the responsibility of the Partnerships management. Our responsibility is to express an opinion on these financial statements based on our audits.
We conducted our audits in accordance with auditing standards generally accepted in the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Odessa Regional Hospital, LP at September 30, 2003 and 2002, and the results of its operations and its cash flows for each of the three years in the period ended September 30, 2003 in conformity with accounting principles generally accepted in the United States.
As discussed in Note 2 to the financial statements, effective October 1, 2001 the Partnership changed its method of accounting for goodwill and other intangibles assets.
/s/ ERNST & YOUNG LLP | |
Nashville, Tennessee November 10, 2003 |
6
ODESSA REGIONAL HOSPITAL, LP
Balance Sheets
(in thousands, except unit amounts)
September 30, | ||||||||||
2003 | 2002 | |||||||||
Assets |
||||||||||
Current assets: |
||||||||||
Accounts receivable, net of allowance for doubtful
accounts of $2,346 and $1,746, respectively |
$ | 7,365 | $ | 8,748 | ||||||
Inventories |
1,299 | 1,691 | ||||||||
Prepaid expenses and other current assets |
249 | 905 | ||||||||
Total current assets |
8,913 | 11,344 | ||||||||
Property and equipment, net |
23,991 | 23,456 | ||||||||
Goodwill |
28,827 | 28,827 | ||||||||
Due from affiliate |
14,107 | | ||||||||
Other assets, net |
864 | 664 | ||||||||
Total assets |
$ | 76,702 | $ | 64,291 | ||||||
Liabilities and partners capital |
||||||||||
Current liabilities: |
||||||||||
Accounts payable |
$ | 2,501 | $ | 1,934 | ||||||
Salaries and benefits payable |
1,489 | 1,047 | ||||||||
Other accrued liabilities |
405 | 199 | ||||||||
Current portion of capital lease obligations |
182 | | ||||||||
Current portion of debt allocated from IASIS |
960 | 470 | ||||||||
Total current liabilities |
5,537 | 3,650 | ||||||||
Long-term capital lease obligations |
665 | | ||||||||
Debt allocated from IASIS |
39,588 | 32,590 | ||||||||
Due to affiliate |
| 3,426 | ||||||||
Partners
Capital: |
||||||||||
General partner 1% ownership interest at
September 30, 2003 and 2002 |
624 | 562 | ||||||||
Limited
partners $25,000 per unit; 733 and 732 units
issued and outstanding at September 30, 2003
and 2002, respectively |
30,288 | 24,063 | ||||||||
Total
partners capital |
30,912 | 24,625 | ||||||||
Total liabilities and partners capital |
$ | 76,702 | $ | 64,291 | ||||||
See accompanying notes
7
ODESSA REGIONAL HOSPITAL, LP
Statements Of Income
(in thousands)
Year Ended September 30, | ||||||||||||||
2003 | 2002 | 2001 | ||||||||||||
Net revenue |
$ | 67,167 | $ | 48,539 | $ | 39,646 | ||||||||
Costs and expenses: |
||||||||||||||
Salaries and benefits |
21,164 | 17,136 | 15,164 | |||||||||||
Supplies |
8,656 | 5,209 | 4,955 | |||||||||||
Other operating expenses |
9,849 | 8,602 | 6,019 | |||||||||||
Provision for bad debts |
6,049 | 4,134 | 3,856 | |||||||||||
Interest, net |
5,031 | 3,559 | 4,136 | |||||||||||
Depreciation and amortization |
2,149 | 1,537 | 2,145 | |||||||||||
Management fees |
1,623 | 1,249 | 1,138 | |||||||||||
Total costs and expenses |
54,521 | 41,426 | 37,413 | |||||||||||
Net income |
$ | 12,646 | $ | 7,113 | $ | 2,233 | ||||||||
Net income attributable to general partner |
$ | 126 | $ | 71 | $ | 23 | ||||||||
Net income attributable to limited partners |
$ | 12,520 | $ | 7,042 | $ | 2,210 | ||||||||
Net income per partnership unit |
$ | 17 | $ | 10 | $ | 3 | ||||||||
See accompanying notes
8
ODESSA REGIONAL HOSPITAL, LP
Statements of Cash Flows
(in thousands)
Year Ended September 30, | ||||||||||||||
2003 | 2002 | 2001 | ||||||||||||
Cash flows from operating activities |
||||||||||||||
Net income |
$ | 12,646 | $ | 7,113 | $ | 2,233 | ||||||||
Adjustments to reconcile net income to net cash provided by
operating activities: |
||||||||||||||
Depreciation and amortization |
2,149 | 1,537 | 2,145 | |||||||||||
Changes in operating assets and liabilities, net of effect of acquisition: |
||||||||||||||
Accounts receivable |
1,383 | (135 | ) | (2,580 | ) | |||||||||
Inventories, prepaid expenses and other current assets |
1,048 | (1,057 | ) | (18 | ) | |||||||||
Accounts payable, salaries and benefits payables and other accrued
liabilities |
1,215 | (806 | ) | 2,016 | ||||||||||
Net cash provided by operating activities |
18,441 | 6,652 | 3,796 | |||||||||||
Cash flows from investing activities |
||||||||||||||
Purchases of property and equipment, net |
(1,714 | ) | (9,564 | ) | (4,599 | ) | ||||||||
Change in other assets |
(200 | ) | (627 | ) | (18 | ) | ||||||||
Net cash used in investing activities |
(1,914 | ) | (10,191 | ) | (4,617 | ) | ||||||||
Cash flows from financing activities |
||||||||||||||
Payment of debt and capital leases |
(748 | ) | (413 | ) | | |||||||||
Change in due to/from affiliate, net |
(9,420 | ) | 7,070 | (825 | ) | |||||||||
Syndication
proceeds, net |
| | 2,075 | |||||||||||
Proceeds from resale of partnership unit |
29 | | | |||||||||||
Repurchase of partnership unit |
| (29 | ) | | ||||||||||
Distribution to partners |
(6,388 | ) | (3,089 | ) | (429 | ) | ||||||||
Net cash (used in) provided by financing activities |
(16,527 | ) | 3,539 | 821 | ||||||||||
Change in cash |
| | | |||||||||||
Cash at beginning of period |
| | | |||||||||||
Cash at end of period |
$ | | $ | | $ | | ||||||||
Supplemental disclosure of cash flow information: |
||||||||||||||
Cash paid for interest |
$ | 4,992 | $ | 4,329 | $ | 4,137 | ||||||||
Non-cash
transactions: |
||||||||||||||
Capital
contribution from IASIS for general and limited partner interests |
$ | | $ | | $ | 33,504 | ||||||||
Issuance
of promissory note for construction |
$ | 8,133 | $ | | ||||||||||
Issuance of promissory note in
connection with the formation of the Partnership |
$ | | $ | | $ | 33,473 | ||||||||
Repayment of promissory note in connection
with the formation of the Partnership |
$ | | $ | | $ | (31,387 | ) | |||||||
Capital lease obligation incurred to acquire equipment |
$ | 970 | $ | | $ | | ||||||||
See accompanying notes
9
ODESSA REGIONAL HOSPITAL, LP
Statements of Changes in Partners Capital
Years Ended September 30, 2003, 2002 and 2001
(in thousands)
Managing | |||||||||||||
General | Limited | ||||||||||||
Partner | Partners | Total | |||||||||||
Balance at September 30, 2000 |
$ | 134 | $ | 13,299 | $ | 13,433 | |||||||
Capital contributions from
Partners, net of offering
costs of $186 |
369 | 5,024 | 5,393 | ||||||||||
Distributions to partners |
(4 | ) | (425 | ) | (429 | ) | |||||||
Net income |
23 | 2,210 | 2,233 | ||||||||||
Balance at September 30, 2001 |
522 | 20,108 | 20,630 | ||||||||||
Repurchase of partnership unit |
| (29 | ) | (29 | ) | ||||||||
Distributions to partners |
(31 | ) | (3,058 | ) | (3,089 | ) | |||||||
Net income |
71 | 7,042 | 7,113 | ||||||||||
Balance at September 30, 2002 |
562 | 24,063 | 24,625 | ||||||||||
Sale of Partnership Unit |
| 29 | 29 | ||||||||||
Distributions to partners |
(64 | ) | (6,324 | ) | (6,388 | ) | |||||||
Net income |
126 | 12,520 | 12,646 | ||||||||||
Balance at September 30, 2003 |
$ | 624 | $ | 30,288 | $ | 30,912 | |||||||
See accompanying notes
10
ODESSA REGIONAL HOSPITAL, L.P.
NOTES TO FINANCIAL STATEMENTS
1. Organization and Significant Accounting Policies
Basis of Presentation
Odessa Regional Hospital, LP, a Delaware limited partnership (the Partnership) was formed on September 24, 1999 to own and operate Odessa Regional Hospital (the Hospital) in Odessa, Texas. The Partnerships general partner is IASIS Healthcare Holdings, Inc. (General Partner) and the limited partners consist of IASIS Healthcare Corporation (IASIS) and other third-party investors. The General Partner is a wholly-owned subsidiary of IASIS. IASIS is a for-profit hospital management company that owns and operates 14 acute care hospitals in four states. IASIS also owns and operates a behavioral health center in Phoenix, Arizona and has an ownership interest in three ambulatory surgery centers. In addition, IASIS owns and operates a Medicaid managed health plan in Phoenix. The Hospital is a 121-bed acute care hospital that provides inpatient, outpatient and emergency care services to residents in the Odessa-Midland region of Texas.
The Partnerships Amended and Restated Limited Partnership Agreement provides that earnings, losses and distributions will be shared pro rata among the partners.
Recently Issued Accounting Pronouncements
In November 2002, the Financial Accounting Standards Board (the FASB), issued Interpretation No. 45, Guarantors Accounting and Disclosure Requirements for Guarantees (FIN 45). FIN 45 requires a guarantor to recognize, at the inception of a guarantee, a liability for the fair value of the obligation it has undertaken in issuing the guarantee. The Partnership will apply FIN 45 to guarantees, if any, issued or modified after December 31, 2002. The adoption of FIN 45 did not have a material effect on the Partnerships financial position or results of operations.
In January 2003, the FASB issued Interpretation No. 46, Consolidation of Variable Interest Entities (VIEs), an Interpretation of Accounting Research Bulletin No. 51 (FIN 46). FIN 46 requires certain VIEs to be consolidated by the primary beneficiary of the entity if the equity investors in the entity do not have the characteristics of a controlling financial interest or do not have sufficient equity at risk for the equity of the entity to finance its activities without additional subordinated financial support from other parties. FIN 46 is effective for all new VIEs created or acquired after January 31, 2003. For VIEs created or acquired prior to February 1, 2003, the provisions of FIN 46 must be applied for the first interim or annual period ending after December 15, 2003. The adoption of FIN 46 is not expected to have a material effect on the Partnerships financial position or results of operations.
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 Partnerships financial position or results of operations.
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 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 SFAS 150 did not have a material effect on the Partnerships financial position or results of operations.
11
ODESSA REGIONAL HOSPITAL, L.P.
NOTES TO FINANCIAL STATEMENTS
Net Revenue
The Partnership has entered into agreements with third-party payors, including government programs and managed care health plans, under which the Partnership is paid based upon established charges, the cost of providing services, predetermined rates per diagnosis, fixed per diem rates or discounts from established charges.
Net patient service revenue is reported at the estimated net realizable amounts from third-party payers and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and are adjusted, if necessary, in future periods when final settlements are determined.
Net adjustments to estimated third-party settlements resulted in an increase of approximately $550,000 and a decrease of approximately $125,000 to the Partnerships net revenues for the years ended September 30, 2003 and 2002, respectively. There were no similar adjustments in 2001.
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. As a result, there is at least a reasonable possibility that recorded estimates will change by a material amount in the near term. The Partnership believes that it is in material compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing that would have a material effect on the Partnerships financial position or results of operations. 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.
The Partnership provides care without charge to patients who are financially unable to pay for the healthcare services they receive. Because the Partnership does not pursue collection of amounts determined to qualify as charity care, they are not reported as net revenue. As a result of providing services to certain qualifying low-income and uninsured patients, the Partnership received approximately $1,713,000, $2,101,000 and $2,716,000 in connection with the State of Texas Disproportionate Share Program for the years ended September 30, 2003, 2002 and 2001, respectively, which are reported in net revenue in the accompanying Statements of Income.
Accounts Receivable
The Partnership receives payment for services rendered from federal and state agencies (under Medicare and Medicaid programs), managed care health plans, commercial insurance companies, employers and patients. During the years ended September 30, 2003, 2002 and 2001, approximately 15%, 14% and 11%, respectively, of the Partnerships net patient revenue related to patients participating in the Medicare program and 27%, 25% and 18%, respectively, of the Partnerships net patient revenue related to patients participating in Medicaid programs. The Partnership recognizes that revenues and receivables from government agencies are significant to the Partnerships operations, but does not believe that there are significant credit risks associated with these governmental agencies. The Partnership believes that concentration of credit risk from other payors is limited by the number of patients and payors.
Net Medicare settlement receivables estimated as of September 30, 2003 and 2002 and included in accounts receivable in the accompanying balance sheets approximated $111,000 and $1,114,000, respectively.
Inventories
Inventories, principally medical supplies and pharmaceuticals, are stated at the lower of cost or market.
Long-lived Assets
(a) Property and Equipment
Property and equipment are stated at cost. Depreciation expense is computed using the straight-line method and was approximately $2,149,000, $1,537,000 and $1,245,000 for the years ended September 30, 2003, 2002 and 2001, respectively. Buildings and improvements are depreciated over estimated lives ranging generally from fourteen to forty years. Estimated useful lives of equipment vary generally from five to fifteen years. Routine repairs and maintenance are charged to expense as incurred. The Partnership capitalized approximately $800,000 of interest
12
ODESSA REGIONAL HOSPITAL, L.P.
NOTES TO FINANCIAL STATEMENTS
during 2002 related to its facility expansion project which was completed in 2002 at a total cost of approximately $12 million.
(b) Goodwill
The Partnership adopted SFAS No. 142 effective October 1, 2001 and completed the required transitional impairment test in the 2002 fiscal year, which resulted in no impairment. Pursuant to the provisions of SFAS No. 142, goodwill is no longer amortized but is subject to annual impairment reviews (see Note 3).
(c) Other Assets
Other assets consist primarily of costs to recruit physicians to the Partnerships market, which are deferred and generally amortized over a period of 24 months after one year of completed service. Amortization of physician recruiting costs is included in other operating expenses.
Income Taxes
No provision for income taxes has been reflected in the accompanying financial statements because the tax effect of the Partnerships activities accrues to the individual partners. The Partnerships tax returns and the amounts of distributable Partnership income or loss are subject to examination by the federal and state taxing authorities. In the event of an examination of the Partnerships tax return, the tax liability of the partners could be changed if any adjustment to the Partnership taxable income or loss is ultimately sustained by the taxing authorities.
Fair Value of Financial Instruments
Accounts receivable, accounts payable and accrued liabilities are reflected in the accompanying financial statements at fair value because of the short-term nature of these instruments. The carrying amounts of the Partnerships long-term debt and capital lease obligations approximate their fair value. The fair value of the Partnerships long-term debt and capital lease obligations is estimated using discounted cash flow analyses, based on the Partnerships current incremental borrowing rates for similar types of borrowing arrangements.
Reclassifications
Certain prior period amounts have been reclassified to conform to current period presentation. Such reclassifications had no material effect on the financial position and results of operations as previously reported.
Use of Estimates
The preparation of 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 financial statements and notes. Actual results could differ from those estimates.
13
ODESSA REGIONAL HOSPITAL, L.P.
NOTES TO FINANCIAL STATEMENTS
2. Property and Equipment
Property and equipment consist of the following (in thousands):
September 30, | ||||||||
2003 | 2002 | |||||||
Land |
$ | 745 | $ | 739 | ||||
Buildings and improvements |
15,950 | 15,856 | ||||||
Equipment |
12,556 | 10,753 | ||||||
29,251 | 27,348 | |||||||
Less accumulated depreciation and amortization |
(6,073 | ) | (3,929 | ) | ||||
23,178 | 23,419 | |||||||
Construction-in-progress
(estimated cost to complete at September 30, 2003 - $2,997) |
813 | 37 | ||||||
$ | 23,991 | $ | 23,456 | |||||
3. Goodwill
Effective October 1, 2001, the Partnership adopted the provisions of SFAS No. 141, Business Combinations, and SFAS No. 142, Goodwill and Other Intangible Assets. Under the provisions of SFAS No. 142, amortization of goodwill ceased as of October 1, 2002. The following table presents net earnings for the years ended September 30, 2003, 2002 and 2001 assuming SFAS No. 142 had been adopted October 1, 2000 (in thousands):
Year ended September 30, | |||||||||||||
2003 | 2002 | 2001 | |||||||||||
Reported net earnings (loss) |
$ | 12,646 | $ | 7,113 | $ | 2,233 | |||||||
Add back: Goodwill amortization |
| | 873 | ||||||||||
Adjusted net earnings |
$ | 12,646 | $ | 7,113 | $ | 3,106 | |||||||
The Partnership has completed its annual impairment test for the 2003 fiscal year, which resulted in no impairment.
4. Debt Allocated from IASIS
In conjunction with the acquisition of the Hospital, the Partnership entered into a promissory note (the Note) with IASIS in the amount of $31,387,000. Under the provisions of the Note, interest of 13% per annum was due and payable on October 1 of each year until October 1, 2004, at which time the entire outstanding principal balance, together with all accrued and unpaid interest, was immediately due and payable in full. The Note could be prepaid in whole or in part without premium or penalty and could be reborrowed up to the stated principal amount.
During 2001, the Partnership entered into a new promissory note (the 2001 Note) with IASIS in the amount of $33,761,000. The 2001 Note replaced the Note and was a five-year promissory note bearing interest at 13% interest per annum on a twenty-year amortization schedule.
The Partnership, effective October 1, 2002, entered into a promissory note (the 2002 Note) with IASIS for $8,113,000. The proceeds from this note were used to partially fund the Partnerships construction of a $12 million addition to the hospital. The 2002 Note is a five-year promissory note bearing interest at 9% per annum on a twenty-year amortization schedule.
14
ODESSA REGIONAL HOSPITAL, L.P.
NOTES TO FINANCIAL STATEMENTS
The Partnership, effective October 1, 2003, entered into an additional new promissory note (the 2003 Note) with IASIS in the amount of $32,590,000. The 2003 Note replaces the 2001 Note and is a three-year promissory note bearing interest at 9.3% interest per annum on a twenty-year amortization schedule. Interest is due and payable on the last day of the month beginning October 31, 2003 until September 30, 2006, at which time the entire outstanding principal balance, together with all accrued and unpaid interest, would be immediately due and payable in full.
Maturities of the 2002 Note and the 2003 Note at September 30, 2003 are as follows (in thousands):
2004 |
$ | 960 | ||
2005 |
1,055 | |||
2006 |
31,120 | |||
2007 |
7,413 | |||
$ | 40,548 | |||
5. Due From Affiliate
Due to/from affiliate balances represent the net excess of funds transferred to or paid on behalf of the Partnership over funds transferred to the centralized cash management account of IASIS. Generally, the balance is increased or decreased through daily cash deposits by the Partnership to the centralized cash management account. Additionally, this balance is increased or decreased by automatic cash transfers from the account to reimburse the Partnerships bank accounts for operating expenses and to pay the Partnerships debt, completed construction project additions, fees and services provided by IASIS, including information systems services, and other operating expenses, such as payroll, interest and insurance. Management fees represent an allocation of corporate overhead costs of IASIS.
The Partnership is charged interest on due to affiliate balances at a rate equal to the prime commercial lending rate as quoted in The Wall Street Journal plus 2.5% (4.0% at September 30, 2003) pursuant to a borrowing agreement with IASIS. The Partnership is credited interest on other due from affiliate balances at a rate equal to the 30-day Treasury Bill rate on the first day of the month as quoted in The Wall Street Journal (0.96% at September 30, 2003).
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
IASIS, on behalf of the Partnership, maintains general and professional liability insurance as well as workers compensation insurance in excess of self-insured retentions through a commercial insurance carrier in amounts that IASIS believes to be sufficient for the Partnership, although, potentially, some claims may exceed the scope of coverage in effect. The cost of general and professional liability and workers compensation coverage including the full self-insured retention exposure is allocated by IASIS to the Partnership based upon adjusted patient days. IASIS maintains reserves for general and professional liability and workers compensation. Accordingly, no reserve for liability risks is recorded on the accompanying Balance Sheets. The costs allocated for the years ended September 30, 2003, 2002 and 2001 were approximately $947,000, $751,000 and $293,000, respectively, for general and professional liability. Workers compensation expense allocated for the years ended September 30, 2003, 2002 and 2001 was $392,000, $268,000 and $240,000, respectively. The Partnership is currently not a party to any such
15
ODESSA REGIONAL HOSPITAL, L.P.
NOTES TO FINANCIAL STATEMENTS
proceedings that, in the Partnerships opinion, would have a material adverse effect on the Partnerships business, financial condition or results of operations.
The Partnership participates in a self-insured program for health insurance administered by IASIS. IASIS allocates costs of the program based upon the number of program participants employed by the Partnership. The cost allocated to the Partnership represents claims paid and an estimate of claims incurred but not paid (net of employee premiums) and totaled approximately $2,167,000, $2,135,000 and $1,767,300 for the years ended September 30, 2003, 2002 and 2001, respectively.
Other
The Partnership is subject to claims and legal actions arising in the ordinary course of business. The Partnership is currently not a party to any such proceedings that, in the Partnerships opinion, would have a material adverse effect on the Partnerships business, financial condition or results of operations.
The Partnerships assets and equity interests are pledged as a full and unconditional guarantee of certain debt of IASIS, which totaled approximately $652.9 million at September 30, 2003.
In order to recruit and retain physicians to the communities it serves, the Partnership has committed to provide certain financial assistance in the form of recruiting agreements with various physicians. Amounts advanced under the recruiting agreements are generally forgiven pro rata over a period of 24 months after one year of completed service and contingent upon the physician continuing to practice in the respective community. The amounts advanced and not repaid, in managements opinion, will not have a material adverse effect on the Partnerships financial condition or results of operations.
7. Leases
The Partnership leases various buildings and equipment under capital and operating lease agreements. The leases expire at various times and have various renewal options.
Operating lease rental expense relating primarily to the rental of buildings and equipment for the years ended September 30, 2003, 2002 and 2001 was approximately $1,452,000, $809,000 and $410,000, respectively.
Future minimum rental commitments under capital leases and noncancelable operating leases with an initial term in excess of one year at September 30, 2003, consist of the following (in thousands):
16
ODESSA REGIONAL HOSPITAL, L.P.
NOTES TO FINANCIAL STATEMENTS
Capital Leases | Operating Leases | ||||||||
Fiscal year 2004 |
$ | 227 | $ | 236 | |||||
2005 |
227 | 157 | |||||||
2006 |
227 | 56 | |||||||
2007 |
225 | 30 | |||||||
2008 |
53 | | |||||||
Total minimum lease commitments |
959 | $ | 479 | ||||||
Less amounts representing
interest (at rates ranging from
6.3% to 10.0%) |
112 | ||||||||
Present value of net minimum
lease payments including $182
classified as current |
$ | 847 | |||||||
8. Retirement Plan
The Partnership participates in IASISs defined contribution 401(k) plan (the Retirement Plan) which covers, upon qualification, substantially all employees. Employees who elect to participate generally make contributions from 1% to 20% of their eligible compensation, and the Partnership matches, at its discretion, such contributions up to a maximum percentage. Generally, employees immediately vest 100% in their own contributions and vest in the employer portion of contributions in a period not to exceed five years. Partnership contributions to the Retirement Plan were approximately $164,000, $169,000 and $184,000 for the years ended September 30, 2003, 2002 and 2001, respectively.
9. Allowance for Doubtful Accounts
A summary of activity in the Partnerships allowance for doubtful accounts follows (in thousands):
Accounts | |||||||||||||||||
Provision | Written | ||||||||||||||||
Beginning | for Bad | Off, Net of | Ending | ||||||||||||||
Balance | Debts | Recoveries | Balance | ||||||||||||||
Allowance for doubtful accounts: |
|||||||||||||||||
Year ended September 30,
2001 |
$ | 813 | $ | 3,856 | $ | (2,952 | ) | $ | 1,717 | ||||||||
Year ended September 30,
2002 |
1,717 | 4,134 | (4,105 | ) | 1,746 | ||||||||||||
Year ended September 30,
2003 |
1,746 | 6,049 | (5,449 | ) | 2,346 |
17
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.
None.
Item 9A. Controls and Procedures.
Under the supervision and with the participation of our management team, including the persons performing the functions of principal executive officer and principal financial officer, we conducted an evaluation of our disclosure controls and procedures, as such term is defined under Rule 13a-15(e) and 15d-15(e) promulgated under the Securities Exchange Act of 1934, as amended, as of September 30, 2003. Based on this evaluation, the persons performing the functions of principal executive officer and principal financial officer, concluded that our disclosure controls and procedures are effective in timely alerting them to material information required to be included in our periodic reports.
PART III
Item 10. Directors and Executive Officers of the Registrant.
Omitted pursuant to General Instruction I to Form 10-K.
Item 11. Executive Compensation.
Omitted pursuant to General Instruction I to Form 10-K.
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters.
Omitted pursuant to General Instruction I to Form 10-K.
Item 13. Certain Relationships and Related Transactions.
Omitted pursuant to General Instruction I to Form 10-K.
Item 15. Exhibits, Financial Statement Schedules, and Reports on Form 8-K.
(a) |
1. |
Financial Statements: See Item 8 | ||||
2. |
Financial Statement Schedules: Not Applicable | |||||
3. |
Management Contracts and Compensatory Plans and Arrangements: Not Applicable | |||||
4. |
Exhibits: |
Exhibit No. | Description | |
3.1 | Certificate of Limited Partnership of Odessa Regional Hospital, LP, as filed with the Secretary of State of the State of Delaware on September 24, 1999 (1) | |
3.2 | Amended and Restated Limited Partnership Agreement of Odessa Regional Hospital, LP (2) | |
4.1 | Indenture, dated as of June 6, 2003, among IASIS Healthcare Corporation, the Subsidiary Guarantors and The Bank of New York, as Trustee (2) | |
4.2 | Form of Subsidiary Guarantee dated as of June 6, 2003, executed by each of the Subsidiary Guarantors (2) |
18
Exhibit No. | Description | |
4.3 | Indenture, dated as of October 15, 1999, among IASIS Healthcare Corporation, the Delaware and Limited Partnership Subsidiary Guarantors and The Bank of New York, as Trustee (3) | |
4.4 | Senior Subordinated Guarantee, dated October 15, 1999 by the Delaware and Limited Partnership Subsidiary Guarantors in favor of (i) the holders of IASIS Healthcare Corporations 13% Senior Subordinated Exchange Notes due 2009 and (ii) The Bank of New York, as Trustee under the Indenture governing the above-referenced notes (3) | |
10.1 | Amended and Restated Credit Agreement dated as of February 7, 2003, among IASIS Healthcare Corporation, as Borrower, Certain Subsidiaries of the Borrower, as Guarantors, Various Lenders, CitiCorp North America, Inc. and UBS AG, Stamford Branch, as Co-Syndication Agents, General Electric Capital Corporation and Residential Funding Corporation dba GMAC-RFC Health Capital, as Co-Documentation Agents, Bank of America, N.A., as Administrative Agent and Banc of America Securities, LLC and Salomon Smith Barney Inc., as Joint Lead Arrangers and Joint Book Managers (4) | |
10.2 | First Amendment to Credit Agreement dated as of May 21, 2003, by and among IASIS Healthcare Corporation, the Subsidiary Guarantors, the Lenders party thereto and Bank of America, N.A., as Administrative Agent (2) | |
31.1 | Certification of Person Performing Functions of Principal Executive Officer pursuant to Rule 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 | |
31.2 | Certification of Person Performing Functions of Principal Financial Officer pursuant to Rule 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 | |
32.1 | Certification pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 |
(1) | Incorporated by reference to the Partnerships Registration Statement on Form S-4 (Registration No. 333-94521-24). | |
(2) | Incorporated by reference to the Partnerships Registration Statement on Form S-4 (Registration No. 333-106612-02). | |
(3) | Incorporated by reference to IASIS Healthcare Corporations Registration Statement on Form S-4 (Registration No. 333-94521). | |
(4) | Incorporated by reference to IASIS Healthcare Corporations Current Report on Form 8-K filed on February 11, 2003. |
(b) Reports on Form 8-K:
None.
19
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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.
ODESSA REGIONAL HOSPITAL, LP | ||||
By: | IASIS Healthcare Holdings, Inc. General Partner |
|||
Date: December 24, 2003 | By: | /s/ Timothy Adams Timothy Adams Vice President and Chief Executive Officer Odessa Regional Hospital, LP |
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed by the following persons in the capacities and on the dates indicated.
Signature | Title | Date | ||
/s/ Timothy Adams
Timothy Adams |
Vice President and Chief Executive Officer Odessa Regional Hospital, LP of IASIS Healthcare Holdings, Inc. (Principal Executive Officer) |
December 24, 2003 | ||
/s/ Stacey Gerig
Stacey Gerig |
Vice President and Chief Financial Officer Odessa Regional Hospital, LP of IASIS Healthcare Holdings, Inc. (Principal Financial and Accounting Officer) |
December 24, 2003 | ||
/s/ Ramsey A. Frank
Ramsey A. Frank |
Director of IASIS Healthcare Holdings, Inc. | December 24, 2003 | ||
/s/ Paul S. Levy
Paul S. Levy |
Director of IASIS Healthcare Holdings, Inc. | December 24, 2003 | ||
/s/ Jeffrey L. Lightcap
Jeffrey L. Lightcap |
Director of IASIS Healthcare Holdings, Inc. | December 24, 2003 |
20
SUPPLEMENTAL INFORMATION TO BE FURNISHED WITH REPORTS FILED PURSUANT TO SECTION 15(D) OF THE ACT BY REGISTRANTS WHICH HAVE NOT REGISTERED SECURITIES PURSUANT TO SECTION 12 OF THE ACT
No annual report or proxy material has been sent to security holders.
21
EXHIBIT INDEX
Exhibit No. | Description | |
3.1 | Certificate of Limited Partnership of Odessa Regional Hospital, LP, as filed with the Secretary of State of the State of Delaware on September 24, 1999 (1) | |
3.2 | Amended and Restated Limited Partnership Agreement of Odessa Regional Hospital, LP (2) | |
4.1 | Indenture, dated as of June 6, 2003, among IASIS Healthcare Corporation, the Subsidiary Guarantors and The Bank of New York, as Trustee (2) | |
4.2 | Form of Subsidiary Guarantee dated as of June 6, 2003, executed by each of the Subsidiary Guarantors (2) | |
4.3 | Indenture, dated as of October 15, 1999, among IASIS Healthcare Corporation, the Delaware and Limited Partnership Subsidiary Guarantors and The Bank of New York, as Trustee (3) | |
4.4 | Senior Subordinated Guarantee, dated October 15, 1999 by the Delaware and Limited Partnership Subsidiary Guarantors in favor of (i) the holders of IASIS Healthcare Corporations 13% Senior Subordinated Exchange Notes due 2009 and (ii) The Bank of New York, as Trustee under the Indenture governing the above-referenced notes (3) | |
10.1 | Amended and Restated Credit Agreement dated as of February 7, 2003, among IASIS Healthcare Corporation, as Borrower, Certain Subsidiaries of the Borrower, as Guarantors, Various Lenders, CitiCorp North America, Inc. and UBS AG, Stamford Branch, as Co-Syndication Agents, General Electric Capital Corporation and Residential Funding Corporation dba GMAC-RFC Health Capital, as Co-Documentation Agents, Bank of America, N.A., as Administrative Agent and Banc of America Securities, LLC and Salomon Smith Barney Inc., as Joint Lead Arrangers and Joint Book Managers (4) | |
10.2 | First Amendment to Credit Agreement dated as of May 21, 2003, by and among IASIS Healthcare Corporation, the Subsidiary Guarantors, the Lenders party thereto and Bank of America, N.A., as Administrative Agent (2) | |
31.1 | Certification of Person Performing Functions of Principal Executive Officer pursuant to Rule 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 | |
31.2 | Certification of Person Performing Functions of Principal Financial Officer pursuant to Rule 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 | |
32.1 | Certification pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 |
(1) | Incorporated by reference to the Partnerships Registration Statement on Form S-4 (Registration No. 333-94521-24). | |
(2) | Incorporated by reference to the Partnerships Registration Statement on Form S-4 (Registration No. 333-106612-02). | |
(3) | Incorporated by reference to IASIS Healthcare Corporations Registration Statement on Form S-4 (Registration No. 333-94521). | |
(4) | Incorporated by reference to IASIS Healthcare Corporations Current Report on Form 8-K filed on February 11, 2003. |
22