1 ================================================================================ SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------------------------ FORM 8-K/A AMENDMENT NO. 1 CURRENT REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report: August 14, 1998 ------------------------------ PROVINCE HEALTHCARE COMPANY (Exact name of registrant as specified in its charter) DELAWARE 0-23639 62-1710772 (State or other jurisdiction (Commission File Number) (IRS Employer of incorporation) Identification Number) 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) ================================================================================ 2 Province Healthcare Company (the "Company"), a Delaware corporation, hereby amends its Report on Form 8-K, dated June 26, 1998, relating to the acquisition of Elko General Hospital ("Elko") in Elko, Nevada on June 11, 1998 (the "Acquisition"). The Company is filing this amendment for the purpose of including the required financial statements and pro forma financial information with respect to the Acquisition in accordance with the requirements of Form 8-K. ITEM 7. FINANCIAL STATEMENTS AND EXHIBITS (a) Financial Statements of Business Acquired The required audited consolidated financial statements of Elko General Hospital as of and for the year ended June 30, 1997 are filed herewith. (b) Pro Forma Financial Information. The required pro forma financial statements of the Company and its subsidiaries, giving effect to the Acquisition as if it had occurred on March 31, 1998, as to the balance sheet, and on January 1, 1997, as to the income statements, are filed herewith. (c) Exhibits: 2.1 Asset Purchase Agreement, dated June 8, 1998, between the Company and the County of Elko is incorporated herein by reference to the Company's Current Report on Form 8-K, filed June 26, 1998, Commission File No. 0-23639. 20.1 Copy of the press release, dated June 12, 1998, relating to the completion of the Elko General Hospital acquisition, incorporated herein by reference to the Company's Current Report on Form 8-K, filed June 26, 1998, Commission File No. 0-23639. 23.1 Consent of Kafoury, Armstrong & Co. 3 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 hereunto duly authorized. PROVINCE HEALTHCARE COMPANY By: /S/ BRENDA B. RECTOR ---------------------------------- Brenda B. Rector Vice President and Controller Date: August 14, 1998 2 4 INDEX TO FINANCIAL STATEMENTS Page ---- ELKO GENERAL HOSPITAL Independent Auditor's Report 1 Balance Sheet at June 30, 1997 2 Statement of Operations - Operating Fund - Unrestricted for the Year Ended June 30, 1997 4 Statement of Cash Flows - Operating Fund - Unrestricted for the Year Ended June 30, 1997 5 Notes to Financial Statements 6 Condensed Balance Sheet at March 31, 1998 (Unaudited) 18 Condensed Statements of Operations - Operating Fund - Unrestricted for the Nine Months Ended March 31, 1998 and 1997 (Unaudited) 20 Condensed Statements of Cash Flows - Operating Fund - Unrestricted for the Nine Months Ended March 31, 1998 and 1997 (Unaudited) 21 Notes to Condensed Financial Statements (Unaudited) 22 PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES Pro Forma Condensed Consolidated Financial Statements 24 Pro Forma Condensed Consolidated Balance Sheet at March 31, 1998 (Unaudited) 25 Pro Forma Condensed Consolidated Statement of Income for the Year Ended December 31, 1997 (Unaudited) 27 Pro Forma Condensed Consolidated Statement of Income for the Three Months Ended March 31, 1998 (Unaudited) 28 Notes to Pro Forma Condensed Consolidated Financial Statements (Unaudited) 29 5 KAFOURY, ARMSTRONG & CO. A PROFESSIONAL CORPORATION CERTIFIED PUBLIC ACCOUNTANTS INDEPENDENT AUDITOR'S REPORT To the Honorable Board of Trustees of Elko General Hospital We have audited the accompanying financial statements of Elko General Hospital, State of Nevada, as of and for the year ended June 30, 1997 as listed in the table of contents. These financial statements are the responsibility of Elko General Hospital's management. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with generally accepted auditing standards. 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 audit provides 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 Elko General Hospital, State of Nevada, as of June 30, 1997 and the results of its operations and its cash flows for the year then ended, in conformity with generally accepted accounting principles. /s/ Kafoury, Armstrong & Co. Elko, Nevada September 12, 1997, except for Note 13, as to which the date is June 11, 1998 - 1 - 6 ELKO GENERAL HOSPITAL BALANCE SHEET JUNE 30, 1997 (Page 1 of 2) ASSETS 1997 ---- OPERATING FUND -- UNRESTRICTED CURRENT ASSETS Cash -- Note 5 $ 1,526,087 Accounts receivable -- Note 6 5,189,886 Due from other governments 107,473 Due from contractual agencies 171,866 Due from other funds 14,744 Inventories -- Note 7 583,942 Prepaid expenses 195,980 Assets limited as to use: Cash -- Note 5 500,189 ----------- 8,290,167 ----------- PROPERTY AND EQUIPMENT, NET -- Note 8 8,797,838 ----------- Total Assets $17,088,005 =========== LIABILITIES AND FUND BALANCE CURRENT LIABILITIES Accounts payable $ 591,846 Accrued salaries 280,313 Accrued retirement 145,968 Accrued vacation and compensatory time 449,110 Other accrued expenses 107,751 Current maturities of capital lease obligations -- Note 9 156,000 Current maturities of long-term notes payable -- Note 10 617,248 ----------- 2,348,236 ----------- LONG-TERM LIABILITIES Compensated absences 59,910 Capital lease obligations -- Note 9 226,215 Notes payable -- Note 10 1,699,474 ----------- 1,985,599 ----------- Total Liabilities 4,333,835 ----------- FUND BALANCE 12,754,170 ----------- Total Liabilities and Fund Balance $17,088,005 =========== - 2 - 7 ELKO GENERAL HOSPITAL BALANCE SHEET JUNE 30, 1997 (Page 2 of 2) RESTRICTED FUNDS 1997 ------ ASSETS SPECIFIC PURPOSE FUNDS Cash - Note 5 $ 64,108 ======== LIABILITIES AND FUND BALANCE CURRENT LIABILITIES Deferred revenue $ 23,297 -------- FUND BALANCE Unreserved Designated for future year's operations 40,811 Undesignated -- -------- 40,811 -------- Total Liabilities and Fund Balance $ 64,108 ======== ASSETS CAPITAL IMPROVEMENT FUND ASSETS Cash - Note 5 $ 63,458 ======== FUND BALANCE Fund Balance Unreserved Designated for future year's operations $ 62,662 Undesignated 796 -------- Total Fund Balance $ 63,458 ======== ASSETS SELF INSURANCE FUND CURRENT ASSETS Cash - Note 5 $ 6,589 Accounts receivable 40,288 -------- Total Assets $ 46,877 ======== LIABILITIES AND FUND BALANCE CURRENT LIABILITIES Accounts payable $ 96,366 Due to other funds 14,744 -------- 111,110 -------- FUND BALANCE Unreserved Designated for future year's operations -- Undesignated (Deficit) (64,233) -------- (64,233) -------- Total Liabilities and Fund Balance $ 46,877 ======== The accompanying notes are an integral part of these financial statements. - 3 - 8 ELKO GENERAL HOSPITAL STATEMENT OF OPERATIONS OPERATING FUND - UNRESTRICTED FOR THE YEAR ENDED JUNE 30, 1997 1997 ----------- REVENUE Net Patient Service Revenue - Note 3 Routine services $ 6,610,374 Ancillary service 22,514,846 Contract physician revenue 1,898,597 ----------- 31,023,817 Less adjustments to revenues: Contractual allowances under governmental health care and insurance programs (4,903,212) Uncompensated care, charity care (169,603) ----------- 25,951,002 Other Operating Revenue 162,412 ----------- 26,113,414 ----------- OPERATING EXPENSES Professional care of patients 12,273,874 Dietary services 469,008 General services 2,362,371 Administrative services 2,660,859 Employee benefits 1,843,337 Insurance costs 321,506 Depreciation and amortization 1,076,878 Interest 166,394 Provision for bad debts 3,042,298 ----------- 24,216,525 ----------- Income From Operations 1,896,889 ----------- NON-OPERATING GAINS (LOSSES) Interest Income 90,445 Gifts, grants and bequests 39,764 Elko County Jail meal gains (net) 133,978 Other nonoperating revenues 45,386 ----------- 309,573 ----------- Revenue and Gains in Excess of Expenses and Losses $ 2,206,462 =========== The accompanying notes are an integral part of these financial statements. - 4 - 9 ELKO GENERAL HOSPITAL STATEMENT OF CASH FLOWS OPERATING FUND - UNRESTRICTED FOR THE YEAR ENDED JUNE 30, 1997 1997 ---------- OPERATING FUND - UNRESTRICTED CASH FLOWS FROM OPERATING AND NONOPERATING GAINS (LOSSES) Revenue and gains in excess of expenses and losses $2,206,462 Adjustments to reconcile revenue and gains in excess of expenses and losses to net cash provided by operating activities and gains and losses: Depreciation and amortization 1,076,878 Reclassify gain on sale of equipment (15,959) Net (increase) in receivables, inventory, other current assets and payables (870,670) --------- Net Cash Provided by Operating and Nonoperating Activities 2,396,711 --------- CASH FLOWS FROM CAPITAL AND RELATED FINANCING ACTIVITIES: Acquisition of property and equipment (2,186,190) Operating transfers for asset acquisitions 30,000 Proceeds from sale of equipment 29,718 Repayment of long-term debt (956,533) ---------- Net Cash (Used) by Capital and Related Financing Activities (3,083,005) ---------- Net Decrease in Cash (686,294) CASH AND CASH EQUIVALENTS, July 1 2,712,570 ---------- CASH AND CASH EQUIVALENTS, June 30 $2,026,276 ========== SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION Interest paid $ 167,579 ========== The accompanying notes are an integral part of these financial statements. - 5 - 10 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: Organization: Elko General Hospital is governed by an elected Board of five trustees, plus a representative from the Elko County Board of County Commissioners pursuant to NRS 450.040 and 450.070 of the Nevada Revised Statutes. The Hospital Board possesses final decision-making authority and is held accountable for those decisions. The Hospital Board is responsible for approving the budget, establishing spending limitations, funding and/or issuing bonds to finance hospital system operations and construction. Basis of Accounting: The accounting policies of Elko General Hospital conform to generally accepted accounting principles as applicable to providers of health care services. A summary of the Hospital's significant accounting policies consistently applied in the preparation of the financial statements is as follows: Enterprise funds are used to account for activities similar to those found in the private sector, where the determination of net income is necessary or useful to sound financial administration. Revenues derived from current operations are intended to provide those resources necessary to maintain continued delivery of such services in future periods. Goods or services from such activities are provided to outside parties. The primary operations of Elko General Hospital are presented in the "Operating Fund," which is accounted for as an Enterprise Fund. In accordance with Governmental Accounting Standards Board (GASB) Statement 20, the Hospital has determined to apply all GASB pronouncements as well as the Financial Accounting Standards Board (FASB) pronouncements issued unless the FASB pronouncement conflicts with GASB. The Restricted Funds are used to account for resources whose use has been restricted by donors or grantors. The Restricted Funds are comprised of the following: 1) the Specific Purpose Funds have been restricted by grantors and employees for specific uses; 2) the Capital Improvement Fund has been restricted to accumulate resources for capital improvements to the Hospital; and 3) the Self Insurance Fund has been restricted for the accumulation of resources for and payment of claims related to the Hospital's self insured health program. The accounting records for all funds are maintained on the accrual basis of accounting. Under this method, revenues are recorded when earned and expenses are recorded at the time liabilities are incurred. Statement of Operations: For purposes of display, transactions deemed by management to be ongoing, major, or central to the provision of health care services are reported as revenues and expenses. Peripheral or incidental transactions are reported as gains and losses. - 6 - 11 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 Budgetary Accounting: In accordance with State statute, actual expenses may not exceed the sum of budgeted operating and nonoperating expenses. Elko General Hospital, on its final 1997-98 budget, designated more for opening fund balance than was available at June 30, 1997 in the following funds: 1997-98 BUDGETED OPENING FUND BALANCE FUND BALANCE JUNE 30, 1997 DEFICIT ---------------- ------------- ------- Specific Purpose Fund $40,858 $ 40,811 $ 47 Self Insurance Fund 30,036 (64,233) 94,269 Concentrations of Credit Risk: The Hospital is located in Elko, Nevada and primarily provides medical care to residents of Northeastern Nevada. Financial instruments which potentially subject the Hospital to credit risk consist principally of cash and patient receivables. The Hospital maintains its cash at two financial institutions in Elko, Nevada and as of June 30, 1997, FDIC coverage was exceeded by $2,019,354 and $142,488 at these institutions. The Hospital grants credit without collateral to its patients, most of whom are local residents and are insured under third-party payor agreements. The mix of receivables from patients and third party payors was as follows for the years ended June 30, 1997: 1997 ------ Medicare 12% Medicaid 6 Other third-party payors 40 Patients 42 --- 100% === Cash and Cash Equivalents: Cash and cash equivalents include investments in highly liquid debt instruments with a maturity of three months or less, excluding amounts whose use is limited by Board designation or other arrangements under trust agreements or with third-party payors. Inventories: Inventories are stated at cost, with cost being determined principally on the first-in, first-out basis. - 7 - 12 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 Property, Equipment and Capital Leases: Property, equipment and capital leases are recorded at cost. Donated assets are recorded at their fair market value at the date of donation. Major additions and betterments are charged to the fixed asset accounts, while maintenance and repairs which do not improve or extend the life of the respective assets, are expensed currently. Depreciation is provided on the straight-line method over the estimated useful lives of the respective assets. Equipment under capital leases is amortized on the straight-line method over the shorter of the lease term or the estimated useful life of the equipment. Such amortization is included in provision for depreciation in the financial statements. Compensated Absences: The costs involved in vacation, compensatory time and sick leave are recorded as obligations when earned and the right to receive compensation for future absences vests with the employee. Employees are allowed to accumulate 120 to 240 hours of vacation time depending upon length of service. Employees are allowed to accumulate up to 240 hours of sick leave, but will be paid at 1/3 of the regular rate of pay at termination, subject to various ceiling amounts dependent upon the length of service. Use of Estimates: Use of Estimates - The preparation of financial statements in conformity with generally accepted accounting principles requires the use of estimates based on management's knowledge and experience. Due to their prospective nature, actual results could differ from those estimates. As indicated below, the Hospital utilizes the net patient service revenue method of revenue recognition which relies heavily on estimates. Fund Balances - Restricted: Elko General Hospital segregates fund balances into the following categories: "Unreserved" - represents that portion of fund balance that is not segregated for a specific future use and is available for the ensuing year's operations. Unreserved fund balance is comprised of the following two categories: Designated for future years' operations - represents the budgeted opening fund balance for the forthcoming year Undesignated - represents the remainder of fund balance not specifically reserved or designated for future year's operations - 8 - 13 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 Net Patient Service Revenues: Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, 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 adjusted in future periods as final settlements are determined. Charity Care: The Hospital provides care to all who require it under its charity care policy without charge or at amounts less than its established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. This policy is mandated by Nevada State statutory provisions applicable to county hospitals and Title VI of the Federal Regulations. NOTE 2 - COMPLIANCE WITH THE NEVADA REVISED STATUTES AND THE NEVADA ADMINISTRATIVE CODE: The Hospital conformed to all statutory and legal constraints on its financial administration during the year ended June 30, 1997 with the following possible exceptions: - Total expenditures of the Operating Fund and Self Insurance Fund exceeded total appropriations by $420,661 and $92,007 respectively, an apparent violation of NRS 354.626. The Hospital Board responded to the Nevada Department of Taxation in a corrective action plan for all possible violations related to the year ended June 30, 1996. NOTE 3 - NET PATIENT SERVICE REVENUE: The Hospital has agreements with third-party payors that provide for payments to the Hospital at amounts different from its established rates. A summary of the payment arrangements with major third-party payors follows. - Medicare. Inpatient acute care services rendered to Medicare program beneficiaries are paid at prospectively determined rates per discharge. These rates vary according to a patient classification system that is based on clinical, diagnostic, and other factors. Inpatient non-acute services, certain outpatient services, and defined capital and medical education costs related to Medicare beneficiaries are paid based on a cost reimbursement methodology. The Hospital is reimbursed for cost reimbursable items at a tentative rate with final settlement determined after submission of annual cost reports by the Hospital and audits thereof by the Medicare fiscal intermediary. The Hospital's classification of patients under the Medicare program and the appropriateness of their admission are subject to an independent review by a peer review organization under contract with the Hospital. The Hospital's Medicare cost reports have been reviewed by the Medicare fiscal intermediary through June 30, 1995. - 9 - 14 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 - Medicaid. Sub-acute inpatient services rendered to Medicaid program beneficiaries are reimbursed under an established rate which is not subject to retroactive adjustment. For acute and outpatient services, the Hospital is paid at prospectively determined rates. Annual cost reports are filed by the Hospital for determination of future rates and audited by the Medicaid fiscal intermediary. The Hospital's Medicaid cost reports have been reviewed by the Medicaid fiscal intermediary through June 30, 1994. The Hospital has also entered into payment agreements with certain commercial insurance carriers, preferred provider organizations and other third party payors. The basis for payment to the Hospital under these agreements includes prospectively determined rates per discharge, discounts from established charges, and prospectively determined daily rates. NOTE 4 - DEFINED BENEFIT PENSION PLAN: Plan Description. Elko General Hospital contributes to the Public Employees Retirement System of the State of Nevada (PERS), a cost sharing multiple employer, defined benefit plan administered by the Public Employees Retirement System of the State of Nevada. PERS provides retirement benefits, disability benefits, and death benefits, including annual cost of living adjustments, to plan members and their beneficiaries. Chapter 286 of the Nevada Revised Statutes establishes the benefit provisions provided to the participants of PERS. These benefit provisions may only be amended through legislation. The Public Employees Retirement System of the State of Nevada issues a publicly available financial report that includes financial statements and required supplementary information for PERS. That report may be obtained by writing to the Public Employees Retirement System of the State of Nevada, 693 West Nye Lane, Carson City, NV 89703-1599 or by calling (702) 687-4200. Funding Policy. Plan members are funded under one of two methods. Under the employer pay contribution plan, the Hospital is required to contribute all amounts due under the plan. The second funding mechanism for providing benefits is the employer/employee paid contribution plan. Under this method, employees are required to contribute a percentage of their contribution. The contribution requirements of plan members and the Hospital are established by Chapter 286 of the Nevada Revised Statutes. The funding mechanism may only be amended through legislation. The Hospital's contribution rates and amounts contributed for the last three years are as follows: Contribution Rate ----------------- Employer/ Total Fiscal Year Employer Employee Contribution ----------- -------- -------- ------------ 1996-97 18.75% 10.0% $1,854,999 1995-96 18.75% 10.0% 1,584,362 1994-95 18.22% 9.31% 1,205,370 - 10 - 15 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 NOTE 5 - CASH: State statutes authorize deposits in any bank, credit union or savings and loan in the State of Nevada that is federally insured. The Hospital may invest in securities as required by Nevada Revised Statutes. To facilitate better management of Hospital resources, cash balances for all funds except the Pinkerton Scholarship Fund, Group Health Self Insurance Fund, and Capital Improvement Fund are combined in pooled operating accounts. The cash reflected on the balance sheet is the carrying amount of deposits comprised of the individual fund's equity in the pooled and separate cash balances. A summary of cash as of June 30, 1997 is as follows: 1997 ---------- Unrestricted Funds Current operating cash $1,526,087 Restricted cash held 500,189 ---------- 2,026,276 Restricted Funds Specific purpose restricted funds Research Fund 27,767 Scholarship Fund 8,879 Mammography Grant Fund 4,165 HCFA Grant Fund 23,297 ---------- 64,108 ---------- Capital Improvement Fund 63,458 ---------- Self Insurance Fund 6,589 ---------- Total Cash $2,160,431 ========== Use of the restricted funds is limited to the purpose designated by the donors of the funds. Cash held by the Unrestricted Funds in the amount of $500,189 is recorded as restricted cash on the balance sheet. This cash was advanced by Nevada State Bank as a portion of a note payable in the amount of $2,500,000 and is to be used for a hospital-wide computer upgrade. The cash limited as to use reflects the portion of the note proceeds that were unexpended as of June 30, 1997. The following is a listing of collateral or insurance on deposits as of June 30, 1997: - 11 - 16 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 CARRYING BANK AMOUNT BALANCE ----------- ----------- Insured (FDIC) $ 300,000 $ 300,000 Collateralized, collateral held by bank in Hospital's name 1,858,966 2,161,842 Uninsured and uncollateralized -- -- ----------- ----------- 2,158,966 2,461,842 Cash on hand, refunds held 1,465 -- ----------- ----------- $ 2,160,431 $ 2,461,842 =========== =========== NOTE 6 - ACCOUNTS RECEIVABLE: At June 30, 1997, accounts receivable in the Operating Fund consisted of the following: 1997 ----------- Patient Receivables Patients $ 7,752,003 Less estimated uncollectible accounts and allowance for contractual adjustments (3,356,032) ----------- Net Patient Receivables 4,395,971 Accounts Receivable - Other 793,915 ----------- $ 5,189,886 =========== NOTE 7 - INVENTORIES: As of June 30, 1997, Operating Fund inventories consisted of the following: 1997 --------- Operating room $ 417,265 Pharmacy, Dietary, Central Supply and other 166,677 --------- Total $ 583,942 ========= NOTE 8 - PROPERTY AND EQUIPMENT: As of June 30, 1997, property and equipment consisted of the following: - 12 - 17 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 1997 ----------- Land improvements $ 211,193 Buildings and improvements 7,850,377 Equipment 7,756,340 ----------- 15,817,910 Less: Accumulated depreciation 8,506,734 ----------- 7,311,176 Land 35,000 Construction in progress 15,214 Computer project in progress 1,436,448 ----------- $ 8,797,838 =========== Equipment is pledged as collateral for long-term debt as explained in Notes 9 and 10. NOTE 9 - LEASE OBLIGATIONS: Capital Leases The Hospital has entered into lease transactions which are accounted for as capital leases. The related assets and liabilities acquired under these lease agreements have been recorded in the Operating Fund. The asset balances related to these leases have been recorded as follows: 1997 ---------- Equipment $1,102,233 Less: Accumulated depreciation 605,834 ---------- $ 496,399 ========== The following is a schedule by individual lease of the net present value of the minimum lease payments as of June 30, 1997: 1997 ------- Lease payable to Coulter Leasing for hematology instrument, dated July15, 1994, in monthly installments of $2,256, including interest at 6.5% per annum; secured by equipment. $52,604 Lease payable to Sutro & Co., Incorporated for endoscopy camera system, blood gas analyzer, and phacoemulsification equipment, dated February 25, 1994, in monthly installments of $1,481, including interest at 8.3% per annum; secured by equipment. 30,128 - 13 - 18 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 Lease payable to Nevada State Bank for mammography machine and Lifeline units, dated May 12, 1994, in monthly installments of $2,254, including interest at 5.95% per annum; secured by equipment. 48,603 Lease payable to Nevada State Bank for remodel of modular building, dated September 8, 1994, in monthly installments of $4,862, including interest at 6.3% per annum; secured by modular building. 117,870 Lease payable to Nevada State Bank for operating room table, dishwasher, mobile digital imaging system, dated September 15, 1996, in monthly installments of $3,740, including interest at 5.625% per annum; secured by equipment. 133,010 --------- 382,215 Less: Current maturities of capital leases 156,000 --------- $ 226,215 ========= Operating Lease Elko General Hospital has entered into an operating lease for a medical arts building to house its contract physicians. The lease has a term of seven and one-half years, terminating on August 31, 2003. The lease expense for this building for the year ended June 30, 1997 was $183,600. The future minimum lease payments under these lease agreements as of June 30, 1997 are as follows: YEAR ENDING CAPITAL OPERATING JUNE 30, LEASES LEASES ----------- ---------- ---------- 1998 $ 174,992 $ 183,600 1999 169,786 183,600 2000 56,856 183,600 2001 11,219 183,600 2002 -- 183,600 Subsequent -- 168,300 ---------- ----------- Total minimum payments 412,853 $ 1,086,300 Less: Amount representing interest 30,638 =========== ---------- Present value of net minimum lease payments $ 382,215 ========== - 14 - 19 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 NOTE 10 - NOTES PAYABLE: Notes payable consisted of the following as of June 30, 1997: 1997 ---------- Note payable to Bank of America dated January 25, 1990, payable in monthly installments of $12,446, including principal and interest at 6.9% per annum. Secured by furniture, fixtures and equipment. $ 319,910 Note payable to Nevada State Bank dated October 26, 1993, in monthly installments of $9,990, including interest at 5.6% per annum. Secured by equipment. 107,611 Note payable to Nevada State Bank dated February 6, 1997, in monthly installments of $46,784, including interest at 4.66% per annum; secured by equipment. 1,889,201 ---------- 2,316,722 Less: Current maturities 617,248 ---------- $1,699,474 ========== The aggregate maturities of notes payable for years after June 30, 1997, based upon present arrangements, are as follows: YEAR ENDING JUNE 30 AMOUNT ----------- ---------- 1998 $ 617,248 1999 647,017 2000 621,541 2001 384,905 2002 17,646 Subsequent 28,365 ---------- $2,316,722 ========== NOTE 11 - RISK MANAGEMENT: The Hospital is exposed to various risks of loss related to torts; theft of, damage to, and destruction of assets; errors and omissions; injuries to employees; and natural disasters. - 15 - 20 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 The Hospital has joined together with other rural hospitals throughout the State of Nevada to create the Liability Cooperative of Nevada (LICON). LICON is a public entity risk pool currently operating as a common risk management and insurance program for eleven member rural hospitals. The Hospital pays an annual premium and specific deductibles, as necessary, to LICON for its general insurance coverage. LICON is considered a self-sustaining risk pool that will provide for its members comprehensive hospital liability coverage up to $2,000,000 per insured event, and directors, officers and trustees liability coverage of $500,000 per insured occurrence and annual aggregate. The Hospital continues to carry commercial insurance for other risks of loss, including specific risks of loss not covered by LICON. Settled claims resulting from these risks have not exceeded commercial insurance coverage in the past three fiscal years. The Hospital is self-insured for employees health and accident insurance. The risk financing fund (Self Insurance Fund) is accounted for as an internal service fund where assets are set aside for claim settlements. A premium is charged to the operating fund based upon the total payroll of the hospital. The Hospital maintains stop loss insurance coverage from an outside insurance carrier for any claims in excess of $35,000 per occurrence. Liabilities of the fund are reported when it is probable that a loss has occurred and the amount of the loss can be reasonably estimated. Liabilities include an amount for claims that have been incurred but not reported (IBNR). Claim liabilities are calculated considering the effects of inflation, recent claim settlement trends including frequency and amount of pay-outs and other economic and social factors. Changes in the balances of claims liabilities during the past two fiscal years are as follows: Unpaid Incurred Unpaid Claims, Claims Claims, Beginning of (Including Claim End of Fiscal Year IBNRs) Payments Fiscal Year ------------ ---------- -------- ----------- 1995-96 $111,965 $615,809 $638,941 $ 88,833 1996-97 88,833 910,170 902,637 96,366 NOTE 12 - FAIR VALUE OF FINANCIAL INSTRUMENTS: The estimated fair value amounts of all financial instruments have been determined by the Hospital using available information and appropriate valuation methodologies. Considerable judgment is necessary in interpreting data to develop estimates of fair value. Accordingly, the estimates presented herein are not necessarily indicative of the amounts that the Hospital might realize in a current market exchange. The carrying amount of cash and equivalents and current receivables and payables approximates fair value. The carrying amounts of the notes and leases payable approximates fair value because the interest rate on these financial instruments approximates the Hospital's current incremental borrowing rates. - 16 - 21 ELKO GENERAL HOSPITAL NOTES TO FINANCIAL STATEMENTS JUNE 30, 1997 NOTE 13 - SUBSEQUENT EVENTS: On June 11, 1998, Elko County, State of Nevada, Commissioners and the Trustees of the Elko General Hospital sold the operations of the hospital to Province Healthcare for approximately $22,000,000, subject to a final determination of certain hospital assets and liabilities. Upon signing of the sales agreement, the local State of Nevada governmental unit known as the Elko General Hospital ceases to exist. The proceeds from the sale of the hospital to Province Healthcare is to be paid directly to Elko County, State of Nevada. - 17 - 22 ELKO GENERAL HOSPITAL CONDENSED BALANCE SHEET (UNAUDITED) MARCH 31, 1998 (PAGE 1 OF 2) ASSETS OPERATING FUND - UNRESTRICTED CURRENT ASSETS Cash $ 2,470,420 Accounts receivable 6,021,964 Due from other governments -- Due from other funds 100,207 Inventories 610,147 Prepaid expenses 454,501 ----------- 9,657,239 PROPERTY AND EQUIPMENT, NET 8,821,940 ----------- Total Assets $18,479,179 =========== LIABILITIES AND FUND BALANCE CURRENT LIABILITIES Accounts payable $ 1,080,051 Accrued expenses 1,261,465 Current maturities of capital lease obligations 163,254 Current maturities of long-term notes payable 627,950 ----------- 3,132,720 ----------- LONG-TERM LIABILITIES Compensated absences 59,910 Capital lease obligations 103,169 Notes payable 1,232,253 ----------- 1,395,332 ----------- Total Liabilities 4,528,052 ----------- FUND BALANCE 13,951,127 ----------- Total Liabilities and Fund Balance $18,479,179 =========== - 18 - 23 ELKO GENERAL HOSPITAL CONDENSED BALANCE SHEET (UNAUDITED) MARCH 31, 1998 (PAGE 2 OF 2) RESTRICTED FUNDS ASSETS SPECIFIC PURPOSE FUNDS Cash $ 35,405 =========== FUND BALANCE FUND BALANCE Unreserved Undesignated $ 35,405 =========== ASSETS CAPITAL IMPROVEMENT FUND Assets Cash $ 104,142 =========== FUND BALANCE FUND BALANCE Unreserved Undesignated $ 104,142 =========== ASSETS SELF INSURANCE FUND CURRENT ASSETS Cash $ 6,713 Accounts receivable 70,643 ----------- Total Assets $ 77,356 =========== LIABILITIES AND FUND BALANCE CURRENT LIABILITIES Accounts payable $ 127,450 Due to other funds 100,207 ----------- 227,657 ----------- FUND BALANCE Unreserved Undesignated (Deficit) (150,301) ----------- Total Liabilities and Fund Balance $ 77,356 =========== See notes to condensed financial statements. - 19 - 24 ELKO GENERAL HOSPITAL CONDENSED STATEMENTS OF OPERATIONS OPERATING FUND - UNRESTRICTED Nine Months Ended March 31, --------------------------- 1998 1997 ---- ---- REVENUE Net Patient Service Revenue Routine services $ 5,448,659 $ 4,925,621 Ancillary service 17,728,184 16,857,791 Contract physician revenue 1,659,800 1,426,832 ------------ ------------ 24,836,643 23,210,244 Less adjustments to revenues: Contractual allowances under governmental health care and insurance programs (3,891,627) (3,776,131) Uncompensated care, charity care (262,469) (85,445) ------------ ------------ 20,682,547 19,348,668 Other Operating Revenue 168,082 120,518 ------------ ------------ 20,850,629 19,469,186 ------------ ------------ OPERATING EXPENSES Professional care of patients 10,177,958 9,140,195 Dietary services 400,648 353,808 General services 1,948,496 1,798,917 Administrative services 2,344,757 1,863,933 Employee benefits 1,513,344 1,352,136 Insurance costs 249,394 210,278 Depreciation and amortization 1,095,706 803,416 Interest 91,181 130,169 Provision for bad debts 2,087,132 2,442,905 ------------ ------------ 19,908,616 18,095,757 ------------ ------------ Income From Operations 942,013 1,373,429 ------------ ------------ NON-OPERATING GAINS (LOSSES) Interest income 69,264 68,544 Gifts, grants and bequests 21,810 12,028 Elko County Jail meal gains (net) 91,688 101,661 Other nonoperating revenues 72,182 19,704 ------------ ------------ 254,944 201,937 ------------ ------------ Revenue and Gains in Excess of Expenses and Losses $ 1,196,957 $ 1,575,366 ============ ============ See notes to condensed financial statements. - 20 - 25 ELKO GENERAL HOSPITAL CONDENSED STATEMENTS OF CASH FLOWS OPERATING FUND - UNRESTRICTED Nine Months Ended March 31, --------------------------- 1998 1997 ---- ---- OPERATING FUND - UNRESTRICTED CASH FLOWS FROM OPERATING AND NONOPERATING GAINS (LOSSES) Revenue and gains in excess of (less than) expenses and losses $ 1,196,957 $ 1,575,366 Adjustments to reconcile revenue and gains in excess of expenses and losses to net cash provided by operating activities and gains and losses: Depreciation and amortization 1,095,706 803,416 Reclassify gain on sale of equipment (400) 13,584 Net (increase) decrease in receivables, inventory, other current assets and payables (156,400) (747,793) ------------ ------------ Net Cash Provided by Operating and Nonoperating Activities 2,135,863 1,644,573 ------------ ------------ CASH FLOWS FROM CAPITAL AND RELATED FINANCING ACTIVITIES: Acquisition of property and equipment (1,119,808) (1,709,917) Operating transfers for asset acquisitions -- 30,000 Proceeds from sale of equipment 400 4,715 Repayment of long-term debt (572,311) (759,945) ------------ ------------ Net Cash Provided (Used) by Capital and Related Financing Activities (1,691,719) (2,435,147) ------------ ------------ Net Increase in Cash 444,144 (790,574) CASH AND CASH EQUIVALENTS, July 1 2,026,276 2,712,570 ------------ ------------ CASH AND CASH EQUIVALENTS, March 31 $ 2,470,420 $ 1,921,996 ============ ============ SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION Interest paid $ 91,596 $ 130,198 ============ ============ See notes to condensed financial statements. - 21 - 26 ELKO GENERAL HOSPITAL NOTES TO CONDENSED FINANCIAL STATEMENTS MARCH 31, 1998 NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Organization: Elko General Hospital is governed by an elected Board of five trustees, plus a representative from the Elko County Board of County Commissioners pursuant to NRS 450.040 and 450.070 of the Nevada Revised Statutes. The Hospital Board possesses final decision-making authority and is held accountable for those decisions. The Hospital Board is responsible for approving the budget, establishing spending limitations, funding and/or issuing bonds to finance hospital system operations and construction. Basis of Accounting: The accounting policies of Elko General Hospital conform to generally accepted accounting principles as applicable to providers of health care services. A summary of the Hospital's significant accounting policies consistently applied in the preparation of the financial statements is as follows: Enterprise funds are used to account for activities similar to those found in the private sector, where the determination of net income is necessary or useful to sound financial administration. Revenues derived from current operations are intended to provide those resources necessary to maintain continued delivery of such services in future periods. Goods or services from such activities are provided to outside parties. The primary operations of Elko General Hospital are presented in the "Operating Fund," which is accounted for as an Enterprise Fund. In accordance with Governmental Accounting Standards Board (GASB) Statement 20, the Hospital has determined to apply all GASB pronouncements as well as the Financial Accounting Standards Board (FASB) pronouncements issued unless the FASB pronouncement conflicts with GASB. The Restricted Funds are used to account for resources whose use has been restricted by donors or grantors. The Restricted Funds are comprised of the following: 1) the Specific Purpose Funds have been restricted by grantors and employees for specific uses; 2) the Capital Improvement Fund has been restricted to accumulate resources for capital improvements to the Hospital; and 3) the Self Insurance Fund has been restricted for the accumulation of resources for and payment of claims related to the Hospital's self insured health program. The accounting records for all funds are maintained on the accrual basis of accounting. Under this method, revenues are recorded when earned and expenses are recorded at the time liabilities are incurred. - 22 - 27 NOTE 2 - SUBSEQUENT EVENT On June 11, 1998, Elko County, State of Nevada, Commissioners and the Trustees of the Elko General Hospital sold the operations of the hospital to Province Healthcare for approximately $22,000,000, subject to a final determination of certain hospital assets and liabilities. Upon signing of the sales agreement, the local State of Nevada governmental unit known as the Elko General Hospital ceases to exist. The proceeds from the sale of the hospital to Province Healthcare is to be paid directly to Elko County, State of Nevada. - 23 - 28 PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) On February 10, 1998, Province completed its initial public offering of common stock and its Junior Preferred Stock was converted into Common Stock. On May 1, 1998, Province acquired Havasu Samaritan Regional Hospital (Havasu). On June 11, 1998, Province acquired Elko General Hospital (Elko). The following unaudited pro forma condensed consolidated balance sheet as of March 31, 1998 gives effect to the acquisitions of Havasu and Elko by Province as if the transactions had been completed as of March 31, 1998. The following unaudited pro forma condensed consolidated statements of income for the year ended December 31, 1997 and the three months ended March 31, 1998 give effect to: (i) the conversion of Junior Preferred Stock into Common Stock and the sale of 5,405,000 shares of Common Stock in the initial public offering at the price of $16.00 per share, and the application of the net proceeds thereof to the repurchase of certain shares of Common Stock, the redemption of Senior Preferred Stock and the repayment of debt, (ii) the acquisition of Havasu by Province, and (iii) the acquisition of Elko by Province, as if all such transactions had been completed as of January 1, 1997. The pro forma condensed consolidated financial information presented herein does not purport to represent what the Company's results of operations or financial position would have been had such transactions in fact occurred at the beginning of the periods presented or to project the Company's results of operations in any future period. The pro forma results of operations, which do not take into account certain operational changes instituted by the Company upon acquisition of its hospitals, are not necessarily indicative of the results that may be expected from such hospitals. The unaudited pro forma condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements of Province, included in its 1997 Form 10-K, the audited financial statements of Havasu included in the Current Report on Form 8-K/A Amendment No. 1 dated June 15, 1998, and the audited financial statements of Elko, included elsewhere in this Current Report on Form 8-K/A. Certain reclassifications have been made in the Elko historical financial statements, included in the pro forma financial statements, to conform to the Province presentation. - 24 - 29 PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES UNAUDITED PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET MARCH 31, 1998 (In thousands) Historical ------------------------------ Pro Forma Pro Forma Province Havasu Elko Adjustments Consolidated -------- ------ ------- ----------- ------------ ASSETS Current assets: Cash and cash equivalents $ 6,675 $ 6 $ 2,498 $106,000 (a) (6)(b) (105,567)(c) 22,000 (d) (2,498)(e) (22,035)(f) $ 7,073 Accounts receivable, net 35,705 3,767 6,022 (3,767)(b) 41,727 Inventories 3,848 1,076 610 5,534 Prepaid expenses and other 6,028 160 130 (154)(b) (32)(f) 350 (f) 6,482 -------- ------- ------- -------- -------- Total current assets 52,256 5,009 9,260 (5,709) 60,816 Property, plant and equipment, net 66,804 18,666 8,822 11,094 (c) (5,272)(f) 100,114 Other assets: Unallocated purchase price 760 -- -- 760 Cost is excess of net assets acquired, net 53,146 -- -- 75,724 (c) 14,687 (f) 143,557 Other 8,256 7,982 324 (7,982)(b) (324)(e) 8,256 -------- ------- ------- -------- -------- $181,222 $31,657 $18,406 $ 82,218 $313,503 ======== ======= ======= ======== ======== LIABILITIES AND COMMON STOCKHOLDERS' EQUITY Current liabilities: Accounts payable $ 5,029 $ 667 $ 1,064 $ (667)(b) $ 6,093 Accrued salaries and benefits 6,968 -- -- 6,968 Accrued expenses 2,311 510 1,218 489 (c) 1,000 (f) 5,528 Current maturities of long-term obligations 2,255 637 800 (637)(b) (800)(e) 2,255 -------- ------- ------- -------- -------- Total current liabilities 16,563 1,814 3,082 (615) 20,844 Long-term obligations, less current maturities 52,166 21,062 1,327 106,000 (a) (21,062)(b) 22,000 (d) (1,327)(e) 180,166 Third-party settlements 7,255 -- -- 7,255 Other liabilities 8,506 -- 60 (60)(e) 8,506 Minority interest 888 -- -- 888 Common stockholders' equity (deficit): Net assets -- 8,781 13,937 10,457 (b) (19,238)(c) (635)(e) (13,302)(f) -- Common stock 130 -- -- 130 Additional paid-in-capital 97,338 -- -- 97,338 Retained earnings (deficit) (1,624) -- -- (1,624) -------- ------- ------- -------- -------- Total common stockholders' equity (deficit) 95,844 8,781 13,937 (22,718) 95,844 -------- ------- ------- -------- -------- $181,222 $31,657 $18,406 $ 82,218 $313,503 ======== ======= ======= ======== ======== - 25 - 30 PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES NOTES TO UNAUDITED PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET (DOLLARS IN THOUSANDS) - ------------------ (a) Reflects the borrowing by Province of $106.0 million to finance the acquisition of Havasu. (b) Reflects the elimination of Havasu assets not purchased and liabilities not assumed by Province as follows: Cash.................................................................................... $ (6) Accounts receivable, net ............................................................... (3,767) Prepaid expenses and other ............................................................. (154) Other .................................................................................. (7,982) Accounts payable ....................................................................... 667 Current maturities of long-term obligations ............................................ 637 Long-term obligations, less current maturities ......................................... 21,062 -------- Net assets ............................................................................. $ 10,457 ======== (c) Reflects the purchase of Havasu and the allocation of the $105.5 million purchase price to adjust assets purchased and liabilities assumed to fair value and to record intangibles as follows: Property, plant and equipment........................................................... $ 11,094 Cost in excess of net assets acquired................................................... 75,724 Accrued expenses........................................................................ (489) Net assets.............................................................................. 19,238 -------- Cash paid............................................................................... $105,567 ======== (d) Reflects the borrowing by Province of $22.0 million to finance the acquisition of Elko. (e) Reflects the elimination of Elko assets not purchased and liabilities not assumed by Province as follows: Cash ................................................................................... $(2,498) Other .................................................................................. (324) Current maturities of long-term obligations ............................................ 800 Long-term obligations, less current maturities ......................................... 1,327 Other liabilities ...................................................................... 60 ------- Net assets ............................................................................. $ (635) ======= (f) Reflects the purchase of Elko and the allocation of the purchase price to adjust assets purchased and liabilities assumed to fair value and to record intangibles as follows: Prepaid expenses and other ............................................................. $ 318 Property, plant and equipment .......................................................... (5,272) Cost in excess of net assets acquired .................................................. 14,687 Accrued expenses ....................................................................... (1,000) Net assets ............................................................................. 13,302 -------- Cash paid .............................................................................. $ 22,035 ======== - 26 - 31 PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES UNAUDITED PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF INCOME FOR THE YEAR ENDED DECEMBER 31, 1997 (In thousands) IPO Acquisition Historical Pro Forma Pro Forma Historical Pro Forma Pro Forma Province Adjustments IPO Havasu Elko Adjustments Consolidated ---------- ----------- --------- ------- ------- ----------- ------------ Revenue: Net patient service revenue $149,296 $149,296 $55,101 $25,863 $230,260 Management and professional services 9,691 9,691 -- -- 9,691 Reimbursable expenses 6,674 6,674 -- -- 6,674 Other 4,866 4,866 -- 497 5,363 -------- ------ -------- ------- ------- -------- -------- Net operating revenue 170,527 170,527 55,101 26,360 -- 251,988 Expenses: Salaries, wages and benefits 66,172 66,172 16,626 13,333 96,131 Reimbursable expenses 6,674 6,674 -- -- 6,674 Purchased services 23,242 23,242 -- 1,172 24,414 Supplies 16,574 16,574 7,457 3,619 27,650 Provision for doubtful accounts 12,812 12,812 4,541 2,794 20,147 Other operating expenses 16,318 16,318 14,407 2,353 33,078 Rentals and leases 4,888 4,888 -- 282 5,170 Depreciation and amortization 7,557 7,557 1,689 1,287 $ 1,560 (d) (145)(e) 11,948 Interest expense 8,121 $(3,334)(a) 4,787 1,628 139 7,170 (f) 1,687 (g) 15,411 Minority interest 329 329 -- -- 329 Loss on sale of assets 115 115 -- -- 115 -------- ------ -------- ------- ------- -------- -------- Total expenses 162,802 (3,334) 159,468 46,348 24,979 10,272 241,067 -------- ------ -------- ------- ------- -------- -------- Income (loss) before income taxes 7,725 3,334 11,059 8,753 1,381 (10,272) 10,921 Income taxes (benefit) 3,650 1,299 (b) 4,949 -- -- (54)(b) 4,895 -------- ------ -------- ------- ------- -------- -------- Net income 4,075 2,035 6,110 8,753 1,381 (10,218) 6,026 Preferred stock dividends and accretion (5,077) 5,077 (c) -- -- -- -- -- -------- ------ -------- ------- ------- -------- -------- Net income (loss) to common shareholders $( 1,002) $7,112 $ 6,110 $ 8,753 $ 1,381 $(10,218) $ 6,026 ======== ====== ======== ======= ======= ======== ======== Basic earnigs (loss) per common share: Net income $ 0.71 $ 0.49 $ 0.48 Preferred stock dividends and accretion (0.88) -- -- -------- -------- -------- Net income (loss) to common shareholders $ (0.17) $ 0.49 $ 0.48 ======== ======== ======== Diluted earnings (loss) per common share: Net income $ 0.71 $ 0.46 $ 0.46 Preferred stock dividends and accretion (0.88) -- -- -------- -------- -------- Net income (loss) to common shareholders $ (0.17) $ 0.46 $ 0.46 ======== ======== ======== Weighted-average shares: Basic earnings per common share 5,787 12,466 12,466 Diluted earnings per common share 5,787 13,140 13,140 - 27 - 32 PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES UNAUDITED PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF INCOME FOR THE THREE MONTHS ENDED MARCH 31, 1998 (In thousands) IPO Acquisition Historical Pro Forma IPO Historical Pro Forma Pro Forma Province Adjustments Subtotal Havasu Elko Adjustments Consolidated ---------- ----------- -------- ------- ------- ------------ ------------ Revenue: Net patient service revenue $42,750 $42,750 $15,168 $7,417 $65,335 Management and professional services 2,930 2,930 -- -- 2,930 Reimbursable expenses 1,562 1,562 -- -- 1,562 Other 609 609 -- 134 743 ------- ---- ------- ------- ------ ------- ------- Net operating revenue 47,851 -- 47,851 15,168 7,551 70,570 Expenses: Salaries, wages and benefits 18,606 18,606 4,786 3,859 27,251 Reimbursable expenses 1,562 1,562 -- -- 1,562 Purchased services 6,035 6,035 -- 331 6,366 Supplies 4,627 4,627 2,218 1,007 7,852 Provision for doubtful accounts 3,082 3,082 996 521 4,599 Other operating expenses 4,257 4,257 3,483 690 8,430 Rentals and leases 1,474 1,474 -- 86 1,560 Depreciation and amortization 2,205 2,205 459 366 $ 353 (d) (80)(e) 3,303 Interest expense 1,855 $(474)(a) 1,381 395 28 1,840 (f) 436 (g) 4,080 Minority interest 68 68 -- -- 68 Loss on sale of assets 33 33 -- -- 33 ------- ---- ------- ------- ------ ------- ------- Total expenses 43,804 (474) 43,330 12,337 6,888 2,549 65,104 ------- ---- ------- ------- ------ ------- ------- Income (loss) before income taxes 4,047 474 4,521 2,831 663 (2,549) 5,466 Income taxes 1,772 189 (b) 1,961 -- -- 368 (b) 2,329 ------- ---- ------- ------- ------ ------- ------- Net income 2,275 285 2,560 2,831 663 (2,917) 3,137 Preferred stock dividends and accretion (696) 696 (c) -- -- -- -- ------- ---- ------- ------- ------ ------- ------- Net income to common shareholders $ 1,579 $981 $ 2,560 $ 2,831 $ 663 $(2,917) $ 3,137 ======= ==== ======= ======= ====== ======= ======= Basic earnings (loss) per common share: Net income $ 0.24 $ 0.20 $ 0.24 Preferred stock dividends and accretion (0.07) -- -- ------- ------- ------- Net income (loss) to common shareholders $ 0.17 $ 0.20 $ 0.24 ======= ======= ======= Diluted earnings (loss) per common share: Net income $ 0.23 $ 0.19 $ 0.24 Preferred stock dividends and accretion (0.07) -- -- ------- ------- ------- Net income (loss) to common shareholders $ 0.16 $ 0.19 $ 0.24 ======= ======= ======= Weighted-average shares: Basic earnings per common share 9,343 13,010 13,010 Diluted earnings per common share 9,615 13,282 13,282 - 28 - 33 PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES NOTES TO UNAUDITED PRO FORMA CONDENSED CONSOLIDATED STATEMENTS OF INCOME - ------------------ (a) Reflects the elimination of interest expense associated with the $39.6 million of long-term obligations repaid with the net proceeds of the IPO. (b) Reflects the inclusion of the income tax expense (benefit) based on the combined federal and state statutory rate of 39.0% applied to adjusted pre-tax income or loss. (c) Reflects the elimination of the dividends and the accretion of issuance costs on the Senior Preferred Stock redeemed with a portion of the net proceeds of the IPO and the Junior Preferred Stock converted into Common Stock in connection with the IPO. (d) Reflects the elimination of the historical depreciation expense of Havasu, and the inclusion of the Company's depreciation of property, plant and equipment and amortization of goodwill and other intangible assets. (e) Reflects the elimination of the historical depreciation expense of Elko, and the inclusion of the Company's depreciation of property, plant and equipment and amortization of goodwill and other intangible assets. (f) Reflects the elimination of the historical interest expense related to the debt of Havasu not assumed in the acquisition, and the inclusion of the Company's interest expense related to the debt used to finance the acquisition. (g) Reflects the elimination of the historical interest expense related to the debt of Elko not assumed in the acquisition, and the inclusion of the Company's interest expense related to the debt used to finance the acquisition. - 29 -