Exhibit 99 LifePoint Hospitals Reports Second Quarter 2004 Results BRENTWOOD, Tenn.--(BUSINESS WIRE)--July 27, 2004--LifePoint Hospitals, Inc. (NASDAQ: LPNT) today announced results for the second quarter and six months ended June 30, 2004. For the second quarter ended June 30, 2004, revenues were $246.4 million, up 11.2% from $221.6 million for the same period a year ago. Net income for the quarter increased 22.1% to $18.7 million, or $0.48 per diluted share, compared with net income of $15.3 million, or $0.40 per diluted share, for the prior-year period. The consolidated financial results for the second quarter ended June 30, 2004, reflect a 2.3% increase in total admissions and a 3.1% increase in equivalent admissions compared with the second quarter of 2003. On a same-hospital basis, total admissions increased 0.2% compared with the same period last year, and equivalent admissions increased 0.1% over the prior-year period. For the six months ended June 30, 2004, revenues were $503.0 million, up 13.7% from $442.5 million for the first half of 2003. Net income for the first half of 2004 increased 29.0% to $42.6 million, or $1.08 per diluted share, compared with net income of $33.0 million, or $0.85 per diluted share, for the first half of 2003. The consolidated financial results for the six months ended June 30, 2004, reflect a 5.5% increase in total admissions and a 5.9% increase in equivalent admissions compared with the first half of 2003. On a same-hospital basis, total admissions increased 3.1% compared with the first half of 2003, and equivalent admissions increased 2.8% over the prior-year period. Kenneth C. Donahey, president and chief executive officer of LifePoint Hospitals, said, "Our operational strategy and focus on quality care continued to deliver outstanding results in the second quarter. Fiscal discipline, physician recruiting and the improving contribution from previous year acquisitions were all factors in our strong performance. In addition, we continued to benefit, along with our hospital communities, from the new services and technologies we are introducing in our markets." A listen-only simulcast, as well as a 30-day replay, of LifePoint Hospitals' second quarter conference call will be available on line at www.lifepointhospitals.com and www.fulldisclosure.com on July 28, 2004, beginning at 10:00 a.m. Eastern Time. LifePoint Hospitals, Inc. operates 30 hospitals in non-urban communities. In most cases, the LifePoint facility is the only hospital in its community. LifePoint's non-urban operating strategy offers continued operational improvement by focusing on its five core values: delivering high quality patient care, supporting physicians, creating excellent workplaces for its employees, providing community value, and ensuring fiscal responsibility. Headquartered in Brentwood, Tennessee, LifePoint Hospitals is affiliated with over 9,800 employees. This release includes forward-looking statements based on current management expectations. Numerous factors exist which may cause results to differ from these expectations. Many of the factors that will determine our future results are beyond our ability to control or predict with accuracy. These statements are subject to various risks and uncertainties, including, without limitation, (i) reduction in payments to healthcare providers by government and commercial third-party payors, as well as cost-containment efforts of insurers and other payors; (ii) the possibility of adverse changes in, and requirements of, applicable laws, regulations, policies and procedures, including those required by our corporate integrity agreement; (iii) our ability to manage healthcare risks and the lack of state and federal tort reform; (iv) uncertainty associated with compliance with HIPAA regulations; (v) our ability to enter into and renew payor arrangements on acceptable terms; (vi) our ability to maintain and increase patient volumes and control costs; (vii) the availability, cost and terms of insurance coverage; (viii) the highly competitive nature of the healthcare business, including the competition to recruit and retain physicians; (ix) the ability to attract and retain qualified management and personnel; (x) the geographic concentration of our operations; (xi) our ability to acquire hospitals on favorable terms and to complete budgeted capital improvements successfully; (xii) our ability to operate and integrate newly acquired facilities successfully; (xiii) the availability and terms of capital to fund our business strategy; (xiv) changes in our liquidity or indebtedness; (xv) the potential adverse impact of government investigations and litigation involving the business practices of healthcare providers; (xvi) the successful development and license of software and management information systems; (xvii) changes in generally accepted accounting principles or practices; (xviii) volatility in the market value of our common stock; (xix) changes in general economic conditions and changes in the manner in which employers provide healthcare coverage to their employees; (xx) our reliance on information technology systems maintained by HCA, Inc.; (xxi) our ability to comply with all aspects of the Sarbanes-Oxley law; and (xxii) those risks and uncertainties described from time to time in our filings with the Securities and Exchange Commission. Therefore, our future results may differ materially from those described in this release. We undertake no obligation to update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise. All references to "Company" and "LifePoint" as used throughout this release refer to LifePoint Hospitals, Inc. and its affiliates. LIFEPOINT HOSPITALS, INC. UNAUDITED CONSOLIDATED STATEMENTS OF INCOME Dollars in millions (except per share amounts), share amounts in thousands For the Three Months Ended June 30, ---------------------------------- 2004 2003 --------------- --------------- Amount Ratio Amount Ratio ------ ------ ------ ------ Revenues (1) (2) $246.4 100.0% $221.6 100.0% Salaries and benefits 101.5 41.2 90.8 41.0 Supplies 32.1 13.0 28.7 13.0 Other operating expenses 40.6 16.5 43.1 19.4 Provision for doubtful accounts 21.1 8.6 16.9 7.6 Depreciation and amortization 12.0 4.9 11.4 5.1 Interest expense, net 3.2 1.3 3.3 1.5 Debt retirement costs 1.5 0.6 -- -- ESOP expense 2.5 1.0 1.5 0.7 ------ ------ ------ ------ 214.5 87.1 195.7 88.3 ------ ------ ------ ------ Income before minority interests and income taxes 31.9 12.9 25.9 11.7 Minority interests in earnings of consolidated entities 0.3 0.1 0.2 0.1 ------ ------ ------ ------ Income before income taxes 31.6 12.8 25.7 11.6 Provision for income taxes 12.9 5.2 10.4 4.7 ------ ------ ------ ------ Net income $18.7 7.6% $15.3 6.9% ====== ====== ====== ====== Earnings per share - basic $0.51 $0.41 ====== ====== Earnings per share - diluted $0.48 $0.40 ====== ====== Earnings Per Share Calculation: Net income $18.7 $15.3 Add: Interest on convertible notes, net of taxes 1.8 2.0 ------ ------ Adjusted net income $20.5 $17.3 ====== ====== Weighted average number of shares - basic 36,925 37,402 Add: Shares for conversion of convertible notes 5,217 5,279 Other share equivalents 955 664 ------ ------ Weighted average number of shares and equivalents - diluted 43,097 43,345 ====== ====== Earnings per share - diluted $0.48 $0.40 ====== ====== For the Six Months Ended June 30, --------------------------------- 2004 2003 --------------- --------------- Amount Ratio Amount Ratio ------ ------ ------ ------ Revenues (1) (2) $503.0 100.0% $442.5 100.0% Salaries and benefits 202.2 40.2 181.1 40.9 Supplies 65.5 13.0 57.2 12.9 Other operating expenses 83.2 16.5 81.7 18.5 Provision for doubtful accounts 44.1 8.8 34.4 7.8 Depreciation and amortization 23.6 4.7 22.6 5.1 Interest expense, net 6.6 1.3 6.6 1.5 Debt retirement costs 1.5 0.3 -- -- ESOP expense 4.8 1.0 3.1 0.7 ------ ------ ------ ------ 431.5 85.8 386.7 87.4 ------ ------ ------ ------ Income before minority interests and income taxes 71.5 14.2 55.8 12.6 Minority interests in earnings of consolidated entities 0.6 0.1 0.2 -- ------ ------ ------ ------ Income before income taxes 70.9 14.1 55.6 12.6 Provision for income taxes 28.3 5.6 22.6 5.1 ------ ------ ------ ------ Net income $42.6 8.5 33.0 7.5% ====== ====== ====== ====== Earnings per share - basic $1.16 $0.88 ====== ====== Earnings per share - diluted $1.08 $0.85 ====== ====== Earnings Per Share Calculation: Net income $42.6 $33.0 Add: Interest on convertible notes, net of taxes 3.8 3.9 ------ ------ Adjusted net income $46.4 $36.9 ====== ====== Weighted average number of shares - basic 36,754 37,639 Add: Shares for conversion of convertible notes 5,248 5,279 Other share equivalents 948 710 ------ ------ Weighted average number of shares and equivalents - diluted 42,950 43,628 ====== ====== Earnings per share - diluted $1.08 $0.85 ====== ====== (1) Adjustments to estimated reimbursement amounts increased revenues by $0.8 million for the three months ended June 30, 2004, and by $2.2 million for the six months ended June 30, 2004. Adjustments to estimated reimbursement amounts increased revenues by $1.4 million for the three months ended June 30, 2003, and by $4.3 million for the six months ended June 30, 2003. (2) Includes recognition of approximately $3.2 million of additional revenues during the first quarter of 2004 related to a Medicare disproportionate share designation confirmation by the Centers for Medicare and Medicaid Services. LIFEPOINT HOSPITALS, INC. CONSOLIDATED BALANCE SHEETS In millions June 30, Dec. 31, 2004 2003 ------ ------ (Unaudited) (1) ASSETS Current assets: Cash and cash equivalents $18.4 $20.6 Accounts receivable, less allowances for doubtful accounts of $99.5 and $111.7 at June 30, 2004 and December 31, 2003, respectively 104.9 101.4 Inventories 22.5 22.3 Income taxes receivable 12.5 7.4 Deferred income taxes and other current assets 23.2 19.5 ------ ------ 181.5 171.2 Property and equipment: Land 20.2 19.0 Buildings and improvements 368.8 357.1 Equipment 346.0 337.2 Construction in progress 45.7 28.3 ------ ------ 780.7 741.6 Accumulated depreciation (293.4) (277.4) ------ ------ 487.3 464.2 Deferred loan costs, net 5.6 7.0 Unallocated purchase price 26.1 16.4 Intangible assets, net 3.7 3.6 Goodwill 142.5 136.6 Other 0.2 -- ------ ------ $846.9 $799.0 ====== ====== LIABILITIES AND EQUITY Current liabilities: Accounts payable $25.3 $30.9 Accrued salaries 26.1 25.7 Other current liabilities 22.3 9.7 Estimated third-party payor settlements 1.3 2.5 ------ ------ 75.0 68.8 Revolving credit facility 30.0 20.0 Convertible notes 221.0 250.0 Deferred income taxes 35.5 35.9 Professional and general liability claims and other liabilities 29.0 28.6 Minority interests in equity of consolidated entities 1.4 1.4 Stockholders' equity: Preferred stock -- -- Common stock 0.4 0.4 Capital in excess of par value 324.1 301.7 Unearned ESOP compensation (14.5) (16.1) Unearned compensation on nonvested stock (5.9) -- Retained earnings 179.8 137.2 Treasury stock (28.9) (28.9) ------ ------ 455.0 394.3 ------ ------ $846.9 $799.0 ====== ====== (1) Derived from audited financial statements. LIFEPOINT HOSPITALS, INC. UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS In millions Three Months Ended Six Months Ended June 30, June 30, --------------- --------------- 2004 2003 2004 2003 ------ ------ ------ ------ Cash flows from operating activities: Net income $18.7 $15.3 $42.6 $33.0 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 12.0 11.4 23.6 22.6 Debt retirement costs 1.5 -- 1.5 -- ESOP expense 2.5 1.5 4.8 3.1 Minority interests in earnings of consolidated entities 0.3 0.2 0.6 0.2 Deferred income taxes (benefit) (0.4) 2.2 (0.9) 2.1 Reserve for professional and general liability claims, net (2.2) 2.6 0.5 3.8 Tax benefit from employee stock plans 3.8 0.2 4.3 0.2 Increase (decrease) in cash from operating assets and liabilities, net of effects from acquisitions: Accounts receivable 5.3 3.2 (3.2) (7.9) Inventories and other current assets (3.2) (0.6) (3.3) (3.4) Accounts payable and accrued expenses 1.6 (0.4) 6.5 2.0 Income taxes payable (19.7) (16.1) (5.1) (4.3) Estimated third-party payor settlements (1.1) (3.7) (1.2) (2.3) Other 0.6 0.1 1.2 1.0 ------ ------ ------ ------ Net cash provided by operating activities 19.7 15.9 71.9 50.1 Cash flows from investing activities: Purchase of property and equipment (20.3) (20.8) (35.4) (38.0) Purchase of facilities, net of cash acquired (24.8) -- (26.5) -- Other (0.3) 0.6 (0.6) 0.4 ------ ------ ------ ------ Net cash used in investing activities (45.4) (20.2) (62.5) (37.6) Cash flows from financing activities: Repurchase of convertible notes (29.9) -- (29.9) -- Borrowing under revolving credit facility 30.0 -- 30.0 -- Repayment under revolving credit facility -- -- (20.0) -- Repurchase of common stock -- (17.0) -- (17.0) Proceeds from exercise of stock options 5.9 0.3 7.5 0.5 Other -- 0.2 0.8 0.5 ------ ------ ------ ------ Net cash provided by (used in) financing activities 6.0 (16.5) (11.6) (16.0) Change in cash and cash equivalents (19.7) (20.8) (2.2) (3.5) Cash and cash equivalents at beginning of period 38.1 40.3 20.6 23.0 ------ ------ ------ ------ Cash and cash equivalents at end of period $18.4 $19.5 $18.4 $19.5 ====== ====== ====== ====== Interest payments $6.1 $6.1 $6.7 $6.3 ====== ====== ====== ====== Income taxes paid, net $29.1 $24.3 $30.0 $24.7 ====== ====== ====== ====== LIFEPOINT HOSPITALS, INC. UNAUDITED STATISTICS Three Months Ended Six Months Ended June 30, June 30, ----------------------- ----------------------- % % 2004 2003 Change 2004 2003 Change ------- ------- ------- ------- ------- -------- Consolidated: Number of hospitals at end of period 29 28 3.6% 29 28 3.6% Licensed beds at end of period 2,687 2,624 2.4 2,687 2,624 2.4 Weighted average licensed beds 2,692 2,624 2.6 2,711 2,622 3.4 Average daily census 1,006 997 0.9 1,081 1,026 5.4 Average length of stay 4.0 4.1 (2.4) 4.1 4.1 -- Revenues ($ in millions) $246.4 $221.6 11.2 $503.0 $442.5 13.7 Revenues per equivalent admission $5,349 $4,962 7.8 $5,300 $4,940 7.3 Equivalent admissions (1) 46,051 44,654 3.1 94,893 89,566 5.9 Outpatient factor (1) 2.02 2.00 1.0 1.96 1.96 -- Outpatient surgeries 19,113 18,479 3.4 38,455 36,619 5.0 Inpatient surgeries 7,049 6,390 10.3 14,121 12,690 11.3 Emergency room visits 109,613 106,305 3.1 215,367 206,043 4.5 Admissions 22,851 22,337 2.3 48,316 45,814 5.5 Medicare case mix index 1.18 1.18 -- 1.17 1.19 (1.7) Net outpatient revenues as a percentage of net revenues 50.1% 50.9% N/M(2) 50.0% 50.5% N/M(2) Same-Hospital: (3) Number of hospitals at end of period 28 28 -- 28 28 -- Licensed beds at end of period 2,612 2,624 (0.5) 2,612 2,624 (0.5) Weighted average licensed beds 2,617 2,624 (0.3) 2,617 2,622 (0.2) Average daily census 988 997 (0.9) 1,060 1,026 3.3 Average length of stay 4.0 4.1 (2.4) 4.1 4.1 -- Revenues ($ in millions) $240.1 $221.6 8.4 $490.1 $442.5 10.8 Revenues per equivalent admission $5,370 $4,962 8.2 $5,324 $4,940 7.8 Equivalent admissions (1) 44,703 44,654 0.1 92,067 89,566 2.8 Outpatient factor (1) 2.00 2.00 -- 1.95 1.96 (0.5) Outpatient surgeries 18,422 18,479 (0.3) 37,060 36,619 1.2 Inpatient surgeries 6,888 6,390 7.8 13,753 12,690 8.4 Emergency room visits 105,745 106,305 (0.5) 208,273 206,043 1.1 Admissions 22,375 22,337 0.2 47,238 45,814 3.1 Medicare case mix index 1.18 1.18 -- 1.17 1.19 (1.7) Net outpatient revenues as a percentage of net revenues 49.7% 50.9% N/M(2) 49.7% 50.5% N/M(2) (1) Management and investors use equivalent admissions as a general measure of combined inpatient and outpatient volume. Equivalent admissions is computed by multiplying admissions (inpatient volumes) by the outpatient factor (the sum of gross inpatient revenue and gross outpatient revenue and then dividing the resulting amount by gross inpatient revenue). The equivalent admissions computation "equates" outpatient revenue to the volume measure (admissions) used to measure inpatient volume resulting in a general measure of combined inpatient and outpatient volume. (2) Not meaningful. (3) Same-hospital information excludes the operations of hospitals that the Company acquired after January 1, 2003. LIFEPOINT HOSPITALS, INC. UNAUDITED SUPPLEMENTAL INFORMATION Dollars in millions Adjusted EBITDA is defined as earnings before depreciation and amortization, interest expense, debt retirement costs, ESOP expense, minority interests in earnings of consolidated entities and income taxes. Our management uses adjusted EBITDA to evaluate our operating performance and as a measure of performance for incentive compensation purposes. Our revolving credit facility uses adjusted EBITDA for numerous financial covenants. We believe adjusted EBITDA is a measure of performance used by some investors, equity analysts and others to make informed investment decisions. In addition, multiples of current or projected adjusted EBITDA are used to estimate current or prospective enterprise value. Adjusted EBITDA should not be considered as a measure of financial performance under accounting principles generally accepted in the United States, and the items excluded from adjusted EBITDA are significant components in understanding and assessing financial performance. Adjusted EBITDA should not be considered in isolation or as an alternative to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. Because adjusted EBITDA is not a measurement determined in accordance with accounting principles generally accepted in the United States and is susceptible to varying calculations, adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies. For the Three Months Ended June 30, 2004 2003 --------------- --------------- Amount Ratio Amount Ratio ------ ------ ------ ------ Revenues $246.4 100.0% 221.6 100.0% Salaries and benefits 101.5 41.2 90.8 41.0 Supplies 32.1 13.0 28.7 13.0 Other operating expenses 40.6 16.5 43.1 19.4 Provision for doubtful accounts 21.1 8.6 16.9 7.6 ------ ------ ------ ------ Adjusted EBITDA $51.1 20.7% $42.1 19.0% ====== ====== ====== ====== For the Six Months Ended June 30, 2004 2003 --------------- --------------- Amount Ratio Amount Ratio ------ ------ ------ ------ Revenues $503.0 100.0% $442.5 100.0% Salaries and benefits 202.2 40.2 181.1 0.9 Supplies 65.5 13.0 57.2 12.9 Other operating expenses 83.2 16.5 81.7 18.5 Provision for doubtful accounts 44.1 8.8 34.4 7.8 ------ ------ ------ ------ Adjusted EBITDA $108.0 21.5% $88.1 19.9% ====== ====== ====== ====== The following table reconciles adjusted EBITDA as presented above to net income as reflected in the unaudited consolidated statements of income (in millions): Three Months Ended Six Months Ended June 30, June 30, --------------- --------------- 2004 2003 2004 2003 ------ ------ ------ ------ Adjusted EBITDA $51.1 $42.1 $108.0 $88.1 Less: Depreciation and amortization 12.0 11.4 23.6 22.6 Interest expense, net 3.2 3.3 6.6 6.6 Debt retirement costs 1.5 -- 1.5 -- ESOP expense 2.5 1.5 4.8 3.1 Minority interests in earnings of consolidated entities 0.3 0.2 0.6 0.2 Provision for income taxes 12.9 10.4 28.3 22.6 ------ ------ ------ ------ Net income $18.7 $15.3 $42.6 $33.0 ====== ====== ====== ====== CONTACT: LifePoint Hospitals, Inc., Brentwood Michael J. Culotta, 615-372-8512