- -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON D.C. 20549 FORM 10-Q X QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE - --- ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED DECEMBER 31, 1993 OR TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES - --- EXCHANGE ACT OF 1934 Commission file number 0-11479 SUMMIT HEALTH LTD. (Exact name of Registrant as specified in its charter) California 95-3154694 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) 2600 W. Magnolia Blvd. P.O. Box 2100 Burbank, California 91507-2100 (address of principal executive offices) (818) 841-8750 (Registrant's telephone number, including area code) Indicate by checkmark 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 Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No ----- ----- APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY PROCEEDINGS DURING THE PRECEDING FIVE YEARS Indicate by checkmark whether the Registrant has filed all documents and reports required to be filed by Sections 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court. Yes No ----- ------ APPLICABLE ONLY TO CORPORATE ISSUERS Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date. Shares of Registrant's common stock outstanding at January 31, 1994 -- 32,510,670 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- SUMMIT HEALTH LTD. FORM 10-Q QUARTER ENDED DECEMBER 31, 1993 TABLE OF CONTENTS Page of Form 10-Q --------- Part I - Financial Information Item 1. Financial Statements Consolidated Statements of Income 3 Consolidated Balance Sheets 4 Consolidated Statements of Cash Flows 6 Notes to Consolidated Financial Statements 8 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations 9 Part II - Other Information Item 1. Legal Proceedings 17 Item 4. Submission of matters to a Vote of Security Holders 17 Item 6. Exhibits and Reports on Form 8-K 17 Signatures 18 2 PART I SUMMIT HEALTH LTD. CONSOLIDATED STATEMENTS OF INCOME (Unaudited) (Dollars in thousands, except per share data) THREE MONTHS ENDED SIX MONTHS ENDED DECEMBER 31, DECEMBER 31, ------------------ ------------------ 1993 1992 1993 1992 ---- ---- ---- ---- Net revenues $ 133,875 $ 129,991 $ 263,129 $ 251,783 Interest income 339 314 769 896 ------- ------- ------- ------- Total revenue 134,214 130,305 263,898 252,679 Operating expenses: Salaries and benefits 53,187 53,451 103,367 104,562 Purchased services and professional fees 14,790 15,375 29,870 30,211 Supplies 16,775 15,948 33,120 31,025 Rental and insurance premiums to affiliates 7,065 6,643 14,084 13,887 Contracted physician, hospital and other services 5,577 5,162 10,445 9,658 Other operating 12,578 11,164 25,198 21,359 Depreciation and amortization 5,170 4,350 10,420 8,559 Interest 2,083 1,133 4,294 3,306 Provision for doubtful accounts 4,769 6,999 11,179 13,192 ------- ------- ------- ------- 121,994 120,225 241,977 235,759 ------- ------- ------- ------- Income before income taxes and minority interest 12,220 10,080 21,921 16,920 Provision for income taxes (5,314) (4,361) (9,517) (6,907) Minority interest in net income of consolidated subsidiary, net of taxes (809) (699) (1,409) (1,176) ------- ------- ------- ------- Net income $ 6,097 $ 5,020 $ 10,995 $ 8,837 ------- ------- ------- ------- ------- ------- ------- ------- Earnings per common and common equivalent share $ 0.18 $ 0.15 $ 0.33 $ 0.27 ------- ------- ------- ------- ------- ------- ------- ------- Weighted average number of shares of common stock outstanding 33,748 33,347 33,751 33,124 ------- ------- ------- ------- ------- ------- ------- ------- See accompanying notes 3 SUMMIT HEALTH LTD. CONSOLIDATED BALANCE SHEETS (Dollars in thousands) DECEMBER 31, 1993 JUNE 30, 1993 ----------------- ------------- (UNAUDITED) ASSETS Current assets: Cash and cash equivalents $ 25,915 $ 40,857 Accounts receivable, less allowance for doubtful accounts: December 1993 - $9,250; June 1993 - $9,295 80,643 73,933 Other receivables 9,689 9,684 Supplies inventory, at cost (first-in, first-out) 9,689 9,452 Deferred income taxes 3,326 3,520 Prepaid expenses and other 4,634 6,711 -------- -------- Total current assets 133,896 144,157 Property, plant and equipment, at cost: Land and land improvements 29,188 26,936 Buildings and leasehold improvements 202,913 197,621 Furniture and equipment 112,153 108,681 Construction in progress 7,608 3,653 -------- -------- 351,862 336,891 Less accumulated depreciation and amortization 122,729 114,946 -------- -------- 229,133 221,945 Long-term notes receivable (interest at 6% - 10%) 10,192 9,707 Non-current assets held for sale 5,419 5,419 Other assets and deferred charges 16,070 13,331 -------- -------- $394,710 $394,559 -------- -------- -------- -------- See accompanying notes (Continued) 4 SUMMIT HEALTH LTD. CONSOLIDATED BALANCE SHEETS (CONTINUED) (Dollars in thousands) DECEMBER 31, 1993 JUNE 30, 1993 ----------------- ------------- (UNAUDITED) LIABILITIES AND SHAREHOLDERS' EQUITY Current liabilities: Payable to bank $ 6,455 $ 8,545 Accounts payable 22,564 22,188 Employee compensation and benefits 16,535 16,892 Due to third-party payors 33,691 30,807 Income taxes payable -- 2,839 Accrued liabilities 12,230 13,724 Commercial paper notes 22,722 27,722 Long-term debt due within one year 2,196 11,383 -------- -------- Total current liabilities 116,393 134,100 Long-term debt 88,848 84,711 Other long-term liabilities 14,060 13,369 Deferred income taxes 33,260 33,152 Minority interest 16,513 15,104 -------- -------- Total liabilities 269,074 280,436 Commitments and contingencies Shareholders' equity: Preferred stock, $1 par value; 2,000,000 authorized shares, none issued -- -- Common stock, 100,000,000 authorized shares, Issued and outstanding: December 1993 - 32,497,570; June 1993 - 32,048,800 52,936 51,118 Retained earnings 72,700 63,005 -------- -------- Total shareholders' equity 125,636 114,123 -------- -------- $394,710 $394,559 -------- -------- -------- -------- See accompanying notes 5 SUMMIT HEALTH LTD. CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (Dollars in thousands) SIX MONTHS ENDED DECEMBER 31, 1993 1992 -------- -------- Operating activities: Net income $ 10,995 $ 8,837 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 10,420 8,559 Provisions for doubtful accounts 11,179 13,192 Deferred income taxes 302 (2,292) Minority interest 1,409 1,176 Changes in operating assets and liabilities: Accounts receivable (18,078) (13,773) Other receivables (5) (2,085) Supplies inventory (237) (1,049) Prepaid expenses and other 2,077 609 Other assets (2,296) (330) Payable to bank (2,090) (3,789) Accounts payable 376 (151) Accrued employee compensation and benefits (357) (1,156) Due to third-party payors 2,884 (5,417) Accrued liabilities (657) (56) Other liabilities 691 5,217 Income taxes payable (1,664) (3,271) -------- -------- Total adjustments 3,954 (4,616) -------- -------- Net cash provided by operating activities 14,949 4,221 -------- -------- Investing activities: Expenditures for additions to property, plant and equipment (10,819) (34,645) Disposition of assets 660 71 (Increase) decrease in notes receivable (485) 10,306 -------- -------- Net cash used in investing activities (10,644) (24,268) -------- -------- See accompanying notes (Continued) 6 SUMMIT HEALTH LTD. CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED) (Unaudited) (Dollars in thousands) SIX MONTHS ENDED DECEMBER 31, 1993 1992 -------- -------- Financing activities: Proceeds from borrowings $ -- $ 50,314 Payment of long- term and mortgage debts (18,608) (31,418) Dividends paid (1,282) (938) Proceeds from exercise of common stock options 643 1,122 -------- -------- Net cash provided by (used in) financing activities (19,247) 19,080 -------- -------- Net decrease in cash and cash equivalents (14,942) (967) Cash and cash equivalents at beginning of period 40,857 24,937 -------- -------- Cash and cash equivalents at end of period $ 25,915 $ 23,970 -------- -------- -------- -------- Cash paid during the period for: Interest (net of amount capitalized) $ 2,861 $ 3,025 Income taxes, net 11,167 10,900 Supplemental disclosures of non-cash investing and financing activities: Issuance of long-term debt in connection with acquisition $ 8,558 $ -- Writeoff of net assets from discontinued operation (855) -- Subsidiary stock offering adjustment -- 3,937 Tax benefit of stock transactions with employees (1,175) (1,430) Dividends declared (1,300) (939) See accompanying notes 7 SUMMIT HEALTH LTD. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Unaudited) (Dollars in thousands) 1. The unaudited financial information included herein, in the opinion of management, reflects all adjustments (all of which are of a normal recurring nature), which are considered necessary to fairly state the Company's financial position, its cash flows and the results of operations. Certain reclassifications have been made to the prior year amounts to conform to the fiscal 1994 presentation. These statements do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. For further information, refer to the consolidated financial statements and footnotes thereto included in the Company's 1993 Annual Report and Form 10-K. 2. The interim financial information herein is not necessarily representative of those to be expected for a full year. 3. Net revenues are net of provisions for contractual allowances consisting primarily of price adjustments for contractual reimbursement related to patients participating in governmental and other health care programs including reimbursement based on diagnosis related groups under the Medicare prospective payment system. 4. On December 2, 1993, the Company entered into a definitive Agreement and plan of merger with OrNda Healthcorp ("OrNda") providing for the acquisition of the Company by OrNda. Pursuant to the merger agreement, the Company will be acquired by and merged with a wholly owned subsidiary of OrNda. Each outstanding share of the Company's common stock will be converted into the right to receive $5.50 in cash and 0.2157 shares of OrNda common stock. The transaction will be accounted for as a purchase. Completion of the merger remains subject to a number of conditions, including shareholder approval. The merger is also subject to the applicable waiting periods under the Hart- Scott-Rodino Antitrust Improvements Act; local regulatory approvals; receipt of financing in an amount sufficient to refinance the outstanding senior bank debt of OrNda and a portion of the 7.5% Exchangeable Subordinated Notes; receipt of certain consents or waivers from the holders of such Notes and approval by the Securities and Exchange Commission on the joint proxy statement relating to the acquisition. Shareholder meetings to vote on the transaction are anticipated for early March of 1994. If approved, the merger is expected to be completed shortly thereafter. 5. On December 1, 1993, Summit Care Corporation acquired a 206-bed nursing center in the Woodlands, Texas. The purchase price was $950 in cash and $6,668 in long-term notes with fixed rates primarily at six percent secured by the property. 8 SUMMIT HEALTH LTD. FORM 10-Q MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (Dollars in thousands, except share data) PROPOSED MERGER The Company has entered into a definitive agreement to merge with OrNda Healthcorp (the "Merger"). See Note 4 to the financial statements. Subsequent to the Merger, OrNda Healthcorp will have operations in 17 states and will operate 46 acute care hospitals with over 7,700 licensed-beds; two psychiatric centers with 138 licensed-beds; four surgery centers and a Medicaid HMO (Health Choice Arizona) with over 21,000 covered lives. In addition, through Summit Care Corporation, OrNda will operate 18 nursing care centers and four retirement centers. RESULTS OF OPERATIONS For the quarter and six months ended December 31, 1993, the Company reported earnings of $6,097 and $10,995, respectively, an increase of 21 percent and 24 percent from the same periods a year ago. Earnings per share increased 20 percent from $.15 per share for the second quarter in fiscal 1993 to $.18 per share for the comparable period in fiscal 1994. Year to date earnings per share increased 22 percent from $.27 per share in fiscal 1993 to $.33 per share in fiscal 1994. Total net revenues increased 3 and 5 percent, respectively, for the quarter and six months ended December 31, 1993. Effective July 1, 1993 the Company adopted Statement of Financial Accounting Standards No. 109, "Accounting for Income Taxes" (SFAS 109). Under SFAS 109, an asset and liability approach for financial accounting and reporting for income taxes is required. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. SFAS 109 requires provision of taxes on the undistributed net income of subsidiaries which formerly was not required under the indefinite reversal criterion in APB 23. The impact of the implementation of SFAS 109 increased the consolidated income tax rate by approximately 2 percent. The cumulative effect on the deferred tax balances was not significant. Net income for fiscal year 1993 did not required retroactive restatement, because the application of SFAS 109 is prospective only. Income tax provisions for the six months ended December 31, 1993 and 1992 were computed at effective rates of 43.4 and 40.8 percent, respectively. For the first six months of fiscal 1994, interest and depreciation/amortization expense increased 30 and 22 percent, respectively. Interest expense increased from $3,306 in fiscal 1993 to $4,294 in fiscal 1994. This was due primarily from the $25,000 Summit Care Corporation senior subordinated debentures issued in December, 1992. Depreciation and amortization expense increased from $8,559 in fiscal 1993 to $10,420 fiscal 1994. The increase in expense is primarily a result of capital additions in the prior fiscal year for ambulatory surgery centers and Summit Care Corporate purchases in December 1992 of the land and buildings associated with ten of its facilities that it previously operated under lease agreements. 9 SUMMIT HEALTH LTD. FORM 10-Q MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (Dollars in thousands, except share data) Acute Care Net revenues for the quarter declined from $102,911 in fiscal 1993 to $100,332 in fiscal 1994. Fiscal 1993 included $907 more in favorable appeal and reimbursement settlements. An additional $525 was due to a reduction in reimbursement to hospitals by Health Choice Arizona, the Company's wholly owned subsidiary. The remainder is attributable to reduced utilization in the acute care hospitals. For the six months ended December 31, 1993 compared to the six months ended December 31, 1992, net revenues increased marginally to $199,584 from $199,449. Long Term Care Summit Care Corporation ("Summit Care") revenues increased $3,200 or 15 percent from $20,838 for the quarter ended December 31, 1992 to $24,038 for the quarter ended December 31, 1993. Revenues increased $5,383 or 13 percent from $40,764 for the six months ended December 31, 1992 to $46,147 for the six months ended December 31, 1993. Approximately 18 percent of the increase was due to patient rate increases, 53 percent was due to increased use of rehabilitative and other ancillary services, net of contractuals, and 21 percent was due to increased pharmaceutical sales, eight percent due to the new center in Texas. As a result of increased rehabilitative and ancillary services, private and Medicare patient revenues from Summit Care's nursing care and retirement centers as a percent of gross operating revenues (excludes pharmaceutical revenues) was 62 percent of the six months ended December 31, 1993, and 63 percent for the same period in 1992. Managed Care and Other Health Choice Arizona (HCA) net revenues increased 20 percent for the quarter from $8,891 in fiscal 1993 to $10,646 in fiscal 1994. For the six months ended December 31, 1993 compared to the same period a year ago, net revenues increased 13 percent from $17,736 to $20,048. HCA membership increased 12 percent for the quarter and 19 percent for the six months ended December 31, 1993 compared to fiscal 1993. Summit Ambulatory Network, Inc. (SANI) contributed $1,280 and $2,621 in increased net revenues, respectively, for the quarter and six months ended December 31, 1993 compared to the same period a year ago of $455 for the quarter and $554 for the six months. This increase was attributed to the addition of two surgery centers located in Arizona and Southern California. 10 SUMMIT HEALTH LTD. FORM 10-Q MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONT.) THREE MONTHS ENDED DECEMBER 31, ----------------------------------------------- INCREASE % 1993 1992 (DECREASE) CHANGE -------- -------- ---------- ------ NET REVENUES Acute Care $100,332 $102,911 ($2,579) (3%) Long Term Care 24,038 20,838 3,200 15% Managed Care and Other 12,381 9,346 3,035 32% Eliminations - Intersegment revenue (2,876) (3,104) 228 7% ------- ------- ----- Net revenues $133,875 $129,991 $3,884 3% ------- ------- ----- ------- ------- ----- INCOME BEFORE INCOME TAXES AND MINORITY INTEREST Acute Care $ 9,241 $ 8,931 $ 310 3% Long Term Care 3,466 2,469 997 40% Managed Care and Other 1,412 (48) 1,460 100+% ------- ------- ----- Operating profit 14,119 11,352 2,767 24% Corporate expenses, net of interest income 184 (140) 324 100+% Interest expenses (2,083) (1,132) (951) (84)% ------- ------- ----- Income before income taxes and minority interest $ 12,220 $ 10,080 $2,140 21 % ------- ------- ----- ------- ------- ----- 11 SUMMIT HEALTH LTD. FORM 10-Q MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONT.) SIX MONTHS ENDED DECEMBER 31, ----------------------------------------------- INCREASE % 1993 1992 (DECREASE) CHANGE -------- -------- ---------- ------ NET REVENUES Acute Care $199,584 $199,449 $135 0% Long Term Care 46,147 40,764 5,383 13% Managed Care and Other 23,223 18,290 4,933 27% Eliminations - Intersegment revenue (5,825) (6,720) (895) 13% ------- ------- ----- Net revenues $263,129 $251,783 $11,346 5% ------- ------- ----- ------- ------- ----- INCOME BEFORE INCOME TAXES AND MINORITY INTEREST Acute Care $ 18,408 $ 16,276 $ 2,132 13% Long Term Care 6,162 4,204 1,958 47% Managed Care and Other 2,176 (103) 2,279 100+% ------- ------- ----- Operating profit 26,746 20,377 6,369 31% Corporate expenses, net of interest income (531) (152) (379) 100+% Interest expense (4,294) (3,305) (989) (30)% ------- ------- ----- Income before income taxes and minority interest $ 21,921 $ 16,920 $5,001 30% ------- ------- ----- ------- ------- ----- 12 SUMMIT HEALTH LTD. FORM 10-Q MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONT.) Selected Statistics are Shown Below: FISCAL -------------------- INCREASE 1994 1993 (DECREASE) ---- ---- ---------- HOSPITALS Facilities in operation September 30 12 12 -- December 31 12 12 -- Licensed beds at: September 30 1,618 1,641 (23) December 31 1,618 1,641 (23) Average occupancy: First quarter 29% 31% (2)% Second quarter 32% 32% -- Patient days: First quarter 43,641 47,255 (3,614) Second quarter 47,299 48,310 (1,011) Net inpatient revenue per patient day: First quarter $1,475 $1,236 $ 239 Second quarter $1,430 $1,346 $ 84 Outpatient net revenue per visit: First quarter $ 352 $ 411 $ (59) Second quarter $ 338 $ 364 $ (26) Admissions: First quarter 10,970 10,973 (3) Second quarter 11,170 11,027 143 Percentage of net revenues from Medicare and Medicaid: First quarter 34.9% 36.3% (1.4)% Second quarter 38.2% 35.6% 2.6 % 13 SUMMIT HEALTH LTD. FORM 10-Q MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONT.) Selected Statistics are Shown Below: FISCAL -------------------- INCREASE 1994 1993 (DECREASE) ---- ---- ---------- LONG TERM CARE Facilities in operation at: September 30 21 21 -- December 31 22 21 1 Licensed beds at: First quarter 2,720 2,696 24 Second quarter 2,926 2,696 230 Average occupancy: First quarter 87% 88% (1) % Second quarter 88% 89% (1) % Percentage of revenues from Private and Medicare: First quarter 63% 63% -- Second quarter 62% 63% (1) % Percentage of revenues from Medicaid: First quarter 37% 37% -- Second quarter 38% 37% 1 % 14 SUMMIT HEALTH LTD. FORM 10-Q MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONT.) FISCAL -------------------- INCREASE 1994 1993 (DECREASE) ---- ---- ---------- AMBULATORY SURGERY CENTERS Facilities in operation Owned September 30 3 1 2 December 31 3 1 2 Managed September 30 1 0 1 December 31 2 0 2 Surgeries Owned facilities First Quarter 1,515 121 1,394 Second Quarter 1,755 362 1,393 Managed facilities First Quarter 357 0 357 Second Quarter 623 0 623 LIQUIDITY AND CAPITAL RESOURCES At December 31, 1993, the Company had $25,915 in cash and cash equivalents and working capital of $17,503. During the six months ended December 31, 1993, the Company's cash and cash equivalents had a net decrease of $14,942. Net cash provided by operating activities increased $10,728 from $4,221 in the first six months of 1993 to $14,949 in the first six months of 1994. Net cash provided by operating activities in the first two periods of 1994 was used primarily to reduce $13,608 in long-term mortgage debt and $5,000 in short-term commercial paper notes and $10,819 for additions to property, plant and equipment. 15 SUMMIT HEALTH LTD. FORM 10-Q MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (Cont.) Capital expenditures were $10,819 for the first six months of 1994 which was a decrease of $23,826 from the same period last year which included $25,000 for Summit Care's acquisition of leased properties. Capital expenditures for the remainder of fiscal 1994 are projected at approximately $13,256 for equipment and additions to existing properties and approximately $7,000 for acquisitions primarily for physician practices. The Company intends to finance these expenditures with internally generated funds and cash and cash equivalents on hand. In December 1993, the Company declared a $.04 per share cash dividend to shareholders of record as of December 16, 1993 payable January 18, 1994. The total cost was $1,300. As a result of an examination of the Company's Federal income tax returns for fiscal year 1984, 1985 and 1986, the Internal Revenue Service has challenged the propriety of certain accounting methods utilized for tax purposes as well as other issues. The most significant area of dispute involves the cash method of accounting used by certain of the Company's subsidiaries on which the Company expects to prevail. As of June 30, 1993, the Company estimated that $10,000 of income tax and interest would be required to be provided and would be payable along with $19,500 of previously provided taxes, if the Internal Revenue Service prevailed on all significant areas of dispute. Based upon analysis of the issues, the Company believes the amount of tax and interest payable upon settlement will be less than amounts previously provided. Legislative and regulatory action has continued to limit payment increase under Medicare and Medicaid reimbursement programs. The Company, however, believes that these continued changes will not have a material adverse effect on the Company's future revenue or liquidity. Management believes that $25,915 of cash and cash equivalents at December 31, 1993 combined with the unused proceeds from its senior bank financing and short-term commercial paper notes, as well as funds generated by operations, will be adequate to meet the Company's future commitments. 16 PART II SUMMIT HEALTH LTD. OTHER INFORMATION QUARTER ENDED DECEMBER 31, 1993 Item 1. LEGAL PROCEEDINGS None Item 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS The Company's 1993 Annual Meeting of Shareholders was held on November 1, 1993. Proxies were solicited by the Company's management pursuant to Regulation 14 under the Securities Exchange Act of 1934. There was no solicitation in opposition to management's nominees as listed in the proxy statement, and all of such nominees were elected pursuant to the vote of shareholders. Item 6. EXHIBITS AND REPORTS ON FORM 8-K (a) Exhibits None (b) Reports on Form 8-K Form 8-K for proposed merger with OrNda Healthcorp filed on December 9, 1993. 17 SUMMIT HEALTH LTD. 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. SUMMIT HEALTH LTD. Date: February 11, 1994 By: /s/ A. DEAN STALEY ------------------------------- A. Dean Staley Senior Vice President and Chief Financial Officer (Principal Financial Officer) Date: February 11, 1994 By: /s/ KENNETH W. PIPER ------------------------------- Kenneth W. Piper Corporate Controller (Principal Accounting Officer) 18