EX-99.1 4 g09542exv99w1.htm EX-99.1 CONSOLIDATED FINANCIAL STATEMENTS EX-99.1 CONSOLIDATED FINANCIAL STATEMENTS
 

 
Exhibit 99.1
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
 
To the Board of Directors and Stockholders of
Community Health Systems, Inc.
Franklin, Tennessee
 
We have audited the accompanying consolidated balance sheets of Community Health Systems, Inc. and subsidiaries (the “Company”) as of December 31, 2006 and 2005, and the related consolidated statements of income, stockholders’ equity, and cash flows for each of the three years in the period ended December 31, 2006. These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits.
 
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
 
In our opinion, such consolidated financial statements present fairly, in all material respects, the financial position of Community Health Systems, Inc. and subsidiaries as of December 31, 2006 and 2005, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2006, in conformity with accounting principles generally accepted in the United States of America.
 
As discussed in Note 2 to the consolidated financial statements, the Company adopted the fair value recognition provisions of Statement of Financial Accounting Standards No. 123 (Revised 2004), Share-Based Payment effective January 1, 2006, which resulted in the Company changing the method in which it accounts for share-based compensation.
 
/s/  Deloitte & Touche LLP
 
Nashville, Tennessee
February 20, 2007
(September 20, 2007 as to Notes 13 and 15)


1


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
CONSOLIDATED STATEMENTS OF INCOME
 
                         
    Year Ended December 31,  
    2006     2005     2004  
    (In thousands, except share and per share data)  
 
Net operating revenues
  $ 4,365,576     $ 3,738,320     $ 3,203,507  
                         
Operating costs and expenses:
                       
Salaries and benefits
    1,741,223       1,486,407       1,279,136  
Provision for bad debts
    547,781       377,596       324,643  
Supplies
    510,351       448,210       389,584  
Rent
    97,104       87,210       76,986  
Other operating expenses
    897,091       765,697       639,037  
Minority interest in earnings
    2,795       3,104       2,494  
Depreciation and amortization
    188,771       164,563       149,155  
                         
Total operating costs and expenses
    3,985,116       3,332,787       2,861,035  
                         
Income from operations
    380,460       405,533       342,472  
Interest expense, net of interest income of $1,779, $5,742 and $526 in 2006, 2005 and 2004, respectively
    102,299       94,613       75,256  
Loss from early extinguishment of debt
                788  
                         
Income from continuing operations before income taxes
    278,161       310,920       266,428  
Provision for income taxes
    106,682       120,782       104,071  
                         
Income from continuing operations
    171,479       190,138       162,357  
Discontinued operations, net of taxes:
                       
Loss from operations of hospitals sold or held for sale
    (657 )     (10,505 )     (7,279 )
Net loss on sale of hospitals
    (2,559 )     (7,618 )     (2,020 )
Impairment of long-lived assets of hospital held for sale
          (4,471 )     (1,625 )
                         
Loss on discontinued operations
    (3,216 )     (22,594 )     (10,924 )
                         
Net income
  $ 168,263     $ 167,544     $ 151,433  
                         
Earnings per common share—basic:
                       
Income from continuing operations
  $ 1.81     $ 2.15     $ 1.70  
Loss on discontinued operations
  $ (0.04 )   $ (0.26 )   $ (0.12 )
                         
Net income
  $ 1.77     $ 1.89     $ 1.58  
                         
Earnings per common share—diluted:
                       
Income from continuing operations
  $ 1.78     $ 2.02     $ 1.62  
Loss on discontinued operations
  $ (0.03 )   $ (0.23 )   $ (0.11 )
                         
Net income
  $ 1.75     $ 1.79     $ 1.51  
                         
Weighted average number of shares outstanding:
                       
Basic
    94,983,646       88,601,168       95,643,733  
                         
Diluted
    96,232,910       98,579,977       105,863,790  
                         
 
See notes to consolidated financial statements.


2


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
CONSOLIDATED BALANCE SHEETS
 
                 
    December 31,  
    2006     2005  
    (In thousands, except share data)  
 
ASSETS
Current assets:
               
Cash and cash equivalents
  $ 40,566     $ 104,108  
Patient accounts receivable, net of allowance for doubtful accounts of $478,565 and $346,024 in 2006 and 2005, respectively
    773,984       656,029  
Supplies
    113,320       95,200  
Deferred income taxes
    13,249       4,128  
Prepaid expenses and taxes
    32,385       33,377  
Other current assets
    47,880       21,367  
                 
Total current assets
    1,021,384       914,209  
                 
Property and equipment:
               
Land and improvements
    163,988       121,637  
Buildings and improvements
    1,634,893       1,307,978  
Equipment and fixtures
    831,485       699,024  
                 
      2,630,366       2,128,639  
Less accumulated depreciation and amortization
    (643,789 )     (517,648 )
                 
Property and equipment, net
    1,986,577       1,610,991  
                 
Goodwill
    1,336,525       1,259,816  
                 
Other assets, net of accumulated amortization of $92,921 and $78,599 in 2006 and 2005, respectively
    162,093       149,202  
                 
Total assets
  $ 4,506,579     $ 3,934,218  
                 
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
               
Current maturities of long-term debt
  $ 35,396     $ 19,124  
Accounts payable
    247,747       189,940  
Current income taxes payable
    7,626       19,811  
Accrued liabilities:
               
Employee compensation
    162,188       121,775  
Interest
    7,122       8,591  
Other
    115,204       78,162  
                 
Total current liabilities
    575,283       437,403  
                 
Long-term debt
    1,905,781       1,648,500  
                 
Deferred income taxes
    141,472       157,579  
                 
Other long-term liabilities
    160,370       126,159  
                 
Commitments and contingencies
               
Stockholders’ equity:
               
Preferred stock, $.01 par value per share, 100,000,000 shares authorized; none issued
           
Common stock, $.01 par value per share, 300,000,000 shares authorized; 95,026,494 shares issued and 94,050,945 shares outstanding at December 31, 2006 and 94,539,837 shares issued and 93,564,288 shares outstanding at December 31, 2005
    950       945  
Additional paid-in capital
    1,195,947       1,208,930  
Treasury stock, at cost, 975,549 shares at December 31, 2006 and 2005
    (6,678 )     (6,678 )
Unearned stock compensation
          (13,204 )
Accumulated other comprehensive income
    5,798       15,191  
Retained earnings
    527,656       359,393  
                 
Total stockholders’ equity
    1,723,673       1,564,577  
                 
Total liabilities and stockholders’ equity
  $ 4,506,579     $ 3,934,218  
                 
 
See notes to consolidated financial statements.


3


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
 
                                                                         
                                        Accumulated
    Retained
       
                Additional
                Unearned
    Other
    Earnings
       
    Common Stock     Paid-in
    Treasury Stock     Stock
    Comprehensive
    (Accumulated
       
    Shares     Amount     Capital     Shares     Amount     Compensation     Income (Loss)     Deficit)     Total  
    (In thousands, except share data)  
 
BALANCE, December 31, 2003
    99,657,532     $ 997     $ 1,315,959     $ (975,549 )   $ (6,678 )   $ (2 )   $ (103 )   $ 40,416     $ 1,350,589  
Comprehensive Income:
                                                                       
Net income
                                              151,433       151,433  
Net change in fair value of interest rate swaps, net of tax expense of $3,459
                                        6,149             6,149  
                                                                         
Total comprehensive income
                                                  6,149       151,433       157,582  
Repurchase of common stock
    (12,000,000 )     (120 )     (290,400 )                                   (290,520 )
Issuance of common stock in connection with the exercise of options
    701,641       7       9,893                                     9,900  
Issuance of common stock to employee benefit plan
    232,560       2       6,151                                     6,153  
Tax benefit from exercise of options and offering costs
                6,285                                     6,285  
Earned stock compensation
                                  2                   2  
                                                                         
BALANCE, December 31, 2004
    88,591,733     $ 886     $ 1,047,888       (975,549 )   $ (6,678 )   $     $ 6,046     $ 191,849     $ 1,239,991  
Comprehensive Income:
                                                                       
Net income
                                              167,544       167,544  
Net change in fair value of interest rate swaps, net of tax expense of $5,019
                                        8,923             8,923  
Net change in fair value of available for sale securities
                                                    222             222  
                                                                         
Total comprehensive income
                                                    9,145       167,544       176,689  
Repurchases of common stock
    (2,239,700 )     (22 )     (79,830 )                                   (79,852 )
Issuance of common stock in connection with the exercise of options
    3,134,721       31       49,543                                     49,574  
Issuance of common stock in connection with the conversion of convertible debt
    4,495,083       44       148,576                                     148,620  
Restricted stock grant
    558,000       6       18,160                   (18,160 )                 6  
Tax benefit from exercise of options
                24,453                                     24,453  
Earned stock compensation
                                  4,956                   4,956  
Miscellaneous
                140                                     140  
                                                                         
BALANCE, December 31, 2005
    94,539,837     $ 945     $ 1,208,930       (975,549 )   $ (6,678 )   $ (13,204 )   $ 15,191     $ 359,393     $ 1,564,577  
Comprehensive Income:
                                                                       
Net income
                                              168,263       168,263  
Net change in fair value of interest rate swaps, net of tax benefit of $931
                                        (1,654 )           (1,654 )
Net change in fair value of available for sale securities
                                        562             562  
Adjustment to adopt FASB statement No. 158, net of tax benefit of $5,465
                                        (8,301 )           (8,301 )
                                                                         
Total comprehensive income
                                                    (9,393 )     168,263       158,870  
Repurchases of common stock
    (5,000,000 )     (50 )     (176,265 )                                   (176,315 )
Issuance of common stock in connection with the exercise of options
    867,833       9       14,564                                     14,573  
Issuance of common stock in connection with the conversion of convertible debt
    4,074,510       41       137,157                                     137,198  
Restricted stock grant
                                                     
Tax benefit from exercise of options
                4,750                                     4,750  
Earned stock compensation
    544,314       5       20,068                                     20,073  
Reclassification of unearned stock compensation
                (13,257 )                 13,204                   (53 )
                                                                         
BALANCE, December 31, 2006
    95,026,494     $ 950     $ 1,195,947       (975,549 )   $ (6,678 )   $     $ 5,798     $ 527,656     $ 1,723,673  
                                                                         
 
See notes to consolidated financial statements.


4


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
CONSOLIDATED STATEMENTS OF CASH FLOWS
 
                         
    Year Ended December 31,  
    2006     2005     2004  
    (In thousands)  
 
Cash flows from operating activities:
                       
Net income
  $ 168,263     $ 167,544     $ 151,433  
Adjustments to reconcile net income to net cash provided by operating activities:
                       
Depreciation and amortization
    188,771       166,162       158,380  
Deferred income taxes
    (25,228 )     9,889       41,902  
Stock compensation expense
    20,073       4,957       2  
Excess tax benefits relating to stock-based compensation
    (6,819 )            
Loss on early extinguishment of debt
                788  
Minority interest in earnings
    2,795       3,104       1,578  
Impairment on hospital held for sale
          6,718       2,539  
Loss on sale of hospitals
    3,937       6,295       2,186  
Other non-cash expenses, net
    500       740       669  
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
                       
Patient accounts receivable
    (71,141 )     (47,455 )     (31,814 )
Supplies, prepaid expenses and other current assets
    (4,544 )     (16,838 )     (13,549 )
Accounts payable, accrued liabilities and income taxes
    52,151       84,956       (24,371 )
Other
    21,497       24,977       36,007  
                         
Net cash provided by operating activities
    350,255       411,049       325,750  
                         
Cash flows from investing activities:
                       
Acquisitions of facilities and other related equipment
    (384,618 )     (158,379 )     (133,033 )
Purchases of property and equipment
    (224,519 )     (188,365 )     (164,286 )
Disposition of hospitals
    750       51,998       7,850  
Proceeds from sale of equipment
    4,480       2,325       790  
Increase in other assets
    (36,350 )     (34,851 )     (29,800 )
                         
Net cash used in investing activities
    (640,257 )     (327,272 )     (318,479 )
                         
Cash flows from financing activities:
                       
Proceeds from exercise of stock options
    14,573       49,580       9,900  
Proceeds from issuance of senior subordinated notes
                300,000  
Stock buy-back
    (176,316 )     (79,853 )     (290,520 )
Deferred financing costs
    (2,153 )     (1,259 )     (12,783 )
Excess tax benefits relating to stock-based compensation
    6,819              
Redemption of convertible notes
    (128 )     (298 )      
Proceeds from minority investors in joint ventures
    6,890       1,383        
Redemption of minority investments in joint ventures
    (915 )     (3,242 )     (3,522 )
Distribution to minority investors in joint ventures
    (3,220 )     (1,939 )     (1,238 )
Borrowings under Credit Agreement
    1,031,000             1,725,768  
Repayments of long-term indebtedness
    (650,090 )     (26,539 )     (1,668,709 )
                         
Net cash (used in) provided by financing activities
    226,460       (62,167 )     58,896  
                         
Net change in cash and cash equivalents
    (63,542 )     21,610       66,167  
Cash and cash equivalents at beginning of period
    104,108       82,498       16,331  
                         
Cash and cash equivalents at end of period
  $ 40,566     $ 104,108     $ 82,498  
                         
 
See notes to consolidated financial statements.


5


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
 
1.   Business and Summary of Significant Accounting Policies
 
Business.  Community Health Systems, Inc., through its subsidiaries (collectively the “Company”), owns, leases and operates acute care hospitals that are the principal providers of primary healthcare services in non-urban communities. As of December 31, 2006, the Company owned, leased or operated 77 hospitals, licensed for 9,117 beds in 22 states. Pennsylvania represents the only area of geographic concentration; net operating revenues generated by the Company’s hospitals in that state, as a percentage of consolidated net operating revenues, were 21.0% in 2006, 22.1% in 2005 and 19.0% in 2004.
 
Use of Estimates.  The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates under different assumptions or conditions.
 
Principles of Consolidation.  The consolidated financial statements include the accounts of the Company and its subsidiaries, all of which are controlled by the Company through majority voting control. All significant intercompany accounts and transactions have been eliminated. Certain of the subsidiaries have minority stockholders. The amount of minority interest in equity is not material and is included in other long-term liabilities on the consolidated balance sheets and minority interest in income or loss is disclosed separately on the consolidated statements of income.
 
Cost of Revenue.  The majority of the Company’s operating expenses are “cost of revenue” items. Operating costs that could be classified as general and administrative by the Company would include the Company’s corporate office costs, which were $88.9 million, $67.5 million and $47.9 million for the years ended December 31, 2006, 2005 and 2004, respectively.
 
Cash Equivalents.  The Company considers highly liquid investments with original maturities of three months or less to be cash equivalents.
 
Supplies.  Supplies, principally medical supplies, are stated at the lower of cost (first-in, first-out basis) or market.
 
Marketable Securities.  The Company accounts for marketable securities in accordance with the provisions of Statement of Financial Accounting Standards No. 115, “Accounting for Certain Investments in Debt and Equity Securities” (“SFAS 115”). Currently, all of the Company’s marketable securities are classified as available-for-sale. Available-for-sale securities are carried at fair value as determined by quoted market prices, with unrealized gains and losses reported as a separate component of stockholders’ equity. Interest and dividends on securities classified as available-for-sale are included in net revenue. Accumulated other comprehensive income included an unrealized gain of $0.6 million and $0.2 million at December 31, 2006 and December 31, 2005, respectively, related to these available-for-sale securities. The gross realized gains and losses from the sale of available-for-sale securities were not material in all periods presented.
 
Property and Equipment.  Property and equipment are recorded at cost. Depreciation is recognized using the straight-line method over the estimated useful lives of the land and improvements (2 to 15 years; weighted-average useful life is 14 years), buildings and improvements (5 to 40 years; weighted-average useful life is 24 years) and equipment and fixtures (4 to 18 years; weighted-average useful life is 8 years). Costs capitalized as construction in progress were $61.2 million and $54 million at December 31, 2006 and 2005, respectively. Expenditures for renovations and other significant improvements are capitalized; however, maintenance and repairs which do not improve or extend the useful lives of the respective assets are charged to operations as incurred. Interest capitalized in accordance with Statement of Financial Accounting Standards (“SFAS”) No. 34, “Capitalization of Interest Cost,” was $3.0 million for the year ended December 31, 2006, and $2.1 million for each of the years ended December 31, 2005 and 2004.


6


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
The Company also leases certain facilities and equipment under capital leases (see Notes 3 and 8). Such assets are amortized on a straight-line basis over the lesser of the term of the lease or the remaining useful lives of the applicable assets.
 
Goodwill.  Goodwill represents the excess cost over the fair value of net assets acquired. Goodwill arising from business combinations is accounted for under the provisions of SFAS No. 141, “Business Combinations,” and SFAS No. 142, “Goodwill and Other Intangible Assets,” and is not amortized. SFAS No. 142 requires goodwill to be evaluated for impairment at the same time every year and when an event occurs or circumstances change such that it is reasonably possible that an impairment may exist. The Company selected September 30th as its annual testing date.
 
Other Assets.  Other assets consist of costs associated with the issuance of debt, which are included in interest expense over the life of the related debt using the effective interest method, and costs to recruit physicians to the Company’s markets, which are deferred and amortized in amortization expense over the term of the respective physician recruitment contract, which is generally three years.
 
Third-Party Reimbursement.  Net operating revenues include amounts estimated by management to be reimbursable by Medicare and Medicaid under prospective payment systems, provisions of cost-reimbursement and other payment methods. Approximately 42% of net operating revenues for the year ended December 31, 2006, 43% of net operating revenues for the year ended December 31, 2005 and 42% of net operating revenues for the year ended December 31, 2004, are related to services rendered to patients covered by the Medicare and Medicaid programs. Included in the amounts received from Medicare are approximately 0.44% of net operating revenues for 2006, 0.47% for 2005 and 0.45% for 2004 related to Medicare outlier payments. In addition, the Company is reimbursed by non-governmental payors using a variety of payment methodologies. Amounts received by the Company for treatment of patients covered by such programs are generally less than the standard billing rates. The differences between the estimated program reimbursement rates and the standard billing rates are accounted for as contractual adjustments, which are deducted from gross revenues to arrive at net operating revenues. Final settlements under certain of these programs are subject to adjustment based on administrative review and audit by third parties. Adjustments to the estimated billings are recorded in the periods that such adjustments become known. Adjustments to previous program reimbursement estimates are accounted for as contractual allowance adjustments and reported in the periods in which final settlements are determined. Adjustments related to final settlements or appeals increased revenue by an insignificant amount in each of the years ended December 31, 2006, 2005 and 2004. Amounts due to third-party payors were $55 million as of December 31, 2006 and $43 million as of December 31, 2005 and are included in accrued liabilities—other in the accompanying consolidated balance sheets. Substantially all Medicare and Medicaid cost reports are final settled through 2004.
 
Allowance for Doubtful Accounts.  Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Substantially all of the Company’s receivables are related to providing healthcare services to its hospitals’ patients.
 
The Company experienced a significant increase in self-pay volume and related revenue, combined with lower cash collections during the quarter ended September 30, 2006. The Company believes this trend reflects an increased collection risk from self-pay accounts, and as a result the Company performed a review and an alternative analysis of the adequacy of its allowance for doubtful accounts. Based on this review, the Company recorded a $65 million increase to its allowance for doubtful accounts to maintain an adequate allowance for doubtful accounts as of September 30, 2006. The Company believes that the increase in self-pay accounts is a result of current economic trends, including an increase in the number of uninsured patients, reduced enrollment under Medicaid programs such as Tenncare, and higher deductibles and co-payments for patients with insurance.


7


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
In conjunction with recording a $65 million increase to the allowance for doubtful accounts, the Company changed its methodology for estimating its allowance for doubtful accounts effective September 30, 2006, as follows: The Company will reserve a percentage of all self-pay accounts receivable without regard to aging category, based on collection history adjusted for expected recoveries and, if present, other changes in trends. For all other payor categories the Company will reserve 100% of all accounts aging over 365 days from the date of discharge. Previously, the Company estimated its allowance for doubtful accounts by reserving all accounts aging over 150 days from the date of discharge without regard to payor class. The Company believes its revised methodology provides a better approach to reflect changes in payor mix and historical collection patterns and to respond to changes in trends. The revised accounting methodology and the adequacy of resulting estimates will continue to be reviewed by monitoring historical cash collections as a percentage of trailing net revenues less provision for bad debts, as well as analyzing current period net revenue and admissions by payor classification, aged accounts receivable by payor, days revenue outstanding, and the impact of recent acquisitions and dispositions.
 
The effect of this change in estimate was to increase the allowance for doubtful accounts by $65 million which resulted in an after tax decrease of income from continuing operations of $40 million, or $0.42 per share (diluted) for the year ended December 31, 2006.
 
Concentrations of Credit Risk.  The Company grants unsecured credit to its patients, most of whom reside in the service area of the Company’s facilities and are insured under third-party payor agreements. Because of the economic diversity of the Company’s facilities and non-governmental third-party payors, Medicare represents the only significant concentration of credit risk from payors. The following table presents accounts receivable, net of the related contractual allowance (in thousands):
 
                                 
    As of December 31,  
    2006     2005  
          Medicaid,
          Medicaid,
 
          Managed Care,
          Managed Care,
 
          Self-pay and
          Self-pay and
 
    Medicare     Other     Medicare     Other  
 
Gross accounts receivable
  $ 499,419     $ 1,773,775     $ 433,369     $ 1,455,716  
Contractual allowance
    (382,614 )     (638,031 )     (349,807 )     (537,225 )
                                 
Accounts receivable, net of contractual allowance
  $ 116,805     $ 1,135,744     $ 83,562     $ 918,491  
                                 
 
Net Operating Revenues.  Net operating revenues are recorded net of provisions for contractual allowance of approximately $10,569 million, $8,893 million and $7,214 million in 2006, 2005 and 2004, respectively. Net operating revenues are recognized when services are provided. In the ordinary course of business the Company renders services to patients who are financially unable to pay for hospital care. Included in the provision for contractual allowance shown above, is the value (at the Company’s standard charges) of these services to patients who are unable to pay that is eliminated from net operating revenues when it is determined they qualify under the Company’s charity care policy. The value of these services was $222.9 million, $182.3 million and $133.4 million for the years ended December 31, 2006, 2005 and 2004, respectively. Also included in the provision for contractual allowance shown above is the value of administrative discounts provided to self-pay patients eliminated from net operating revenues which was $107.7 million, $82.5 million and $59.7 million for the years ended December 31, 2006, 2005 and 2004, respectively.
 
Professional Liability Insurance Claims.  The Company accrues for estimated losses resulting from professional liability. The accrual, which includes an estimate for incurred but not reported claims, is based on historical loss patterns and actuarially determined projections and is discounted to its net present value. To the extent that subsequent claims information varies from management’s estimates, the liability is adjusted currently.


8


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Accounting for the Impairment or Disposal of Long-Lived Assets.  In accordance with SFAS No. 144, “Accounting for the Impairment or Disposal of Long-Lived Assets,” whenever events or changes in circumstances indicate that the carrying values of certain long-lived assets may be impaired, the Company projects the undiscounted cash flows expected to be generated by these assets. If the projections indicate that the reported amounts are not expected to be recovered, such amounts are reduced to their estimated fair value based on a quoted market price, if available, or an estimate based on valuation techniques available in the circumstances.
 
Income Taxes.  The Company accounts for income taxes under the asset and liability method, in which deferred income tax assets and liabilities are recognized for the tax consequences of “temporary differences” by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax bases of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in the consolidated statement of income during the period in which the tax rate change becomes law.
 
Comprehensive Income.  Comprehensive income is the change in equity of a business enterprise during a period from transactions and other events and circumstances from non-owner sources.
 
Accumulated Other Comprehensive Income consists of the following (in thousands):
 
                                 
                      Accumulated
 
    Change in Fair
    Change in Fair
    Adjustment
    Other
 
    Value of Interest
    Value of Available
    to Pension
    Comprehensive
 
    Rate Swaps     for Sale Securities     Liability     Income  
 
Balance as of December 31, 2004
  $ 6,046     $     $     $ 6,046  
2005 Activity, net of tax
    8,923       222             9,145  
                                 
Balance as of December 31, 2005
    14,969       222             15,191  
2006 Activity, net of tax
    (1,654 )     562       (8,301 )     (9,393 )
                                 
Balance as of December 31, 2006
  $ 13,315     $ 784     $ (8,301 )   $ 5,798  
                                 
 
Segment Reporting.  SFAS No. 131, “Disclosures about Segments of an Enterprise and Related Information,” requires that a public company report annual and interim financial and descriptive information about its reportable operating segments. Operating segments, as defined, are components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and in assessing performance. SFAS No. 131 allows aggregation of similar operating segments into a single operating segment if the businesses have similar economic characteristics and are considered similar under the criteria established by SFAS No. 131. The Company’s operating segments have similar services, have similar types of patients, operate in a consistent manner and have similar economic and regulatory characteristics. Therefore, the Company has aggregated its operating segments into one reportable segment.
 
Derivative Instruments and Hedging Activities.  In accordance with SFAS No. 133, “Accounting for Derivative Instruments and Hedging Activities,” as amended, the Company records derivative instruments (including certain derivative instruments embedded in other contracts) on the consolidated balance sheet as either an asset or liability measured at its fair value. Changes in a derivative’s fair value are recorded each period in earnings or other comprehensive income, or OCI, depending on whether the derivative is designated and is effective as a hedged transaction, and on the type of hedge transaction. Changes in the fair value of derivative instruments recorded to OCI are reclassified to earnings in the period affected by the underlying hedged item. Any portion of the fair value of a derivative instrument determined to be ineffective under the standard is recognized in current earnings.


9


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
The Company has entered into several interest rate swap agreements subject to the scope of this pronouncement. See Note 6 for further discussion about the swap transactions.
 
New Accounting Pronouncements.  In June 2006, the Financial Accounting Standards Board issued FASB Interpretation No. 48, “Accounting for Uncertainty in Income Taxes—an interpretation of FASB Statement No. 109” (FIN 48), which prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. FIN 48 also provides guidance on de-recognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for fiscal years beginning after December 15, 2006. The Company adopted FIN 48 as of January 1, 2007. The adoption of this interpretation will not have a material effect on the Company’s consolidated results of operations or consolidated financial position.
 
Reclassifications.  Certain prior year amounts have been reclassified to conform to current year presentation. The Company disposed of four hospitals in March 2005, one lease expired pursuant to its terms during the quarter ended March 31, 2005, designated one hospital as being held for sale in the second quarter of 2005 which was sold during the first quarter 2006 and disposed of two hospitals in August 2004. The operating results of those hospitals have been classified as discontinued operations on the consolidated statements of income for all periods presented. There is no effect on net income for all periods presented related to the reclassifications made for the discontinued operations.
 
2.   Accounting for Stock-Based Compensation
 
The Company adopted the provisions of SFAS No. 123(R), “Share-Based Payment,” (“SFAS No. 123(R)”) on January 1, 2006, electing to use the modified prospective method for transition purposes. The modified prospective method requires that compensation expense be recorded for all unvested stock options and share awards that subsequently vest or are modified, without restatement of prior periods. Prior to January 1, 2006, the Company accounted for stock-based compensation using the recognition and measurement principles of APB Opinion No. 25 and provided the pro forma disclosure requirements of SFAS No. 123 “Accounting for Stock-Based Compensation,” and SFAS No. 148, “Accounting for Stock-Based Compensation Transition and Disclosures—an Amendment of FASB Statement No. 123.” Under APB Opinion No. 25, when the exercise price of the Company’s stock was equal to the market price of the underlying stock on the date of grant, no compensation expense was recognized.


10


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
The pro forma table below reflects net income and earnings per share had the Company applied the fair value recognition provisions of SFAS No. 123, for each of the two years ended prior to the adoption of SFAS No. 123(R) (in thousands, except per share data):
 
                 
    Year Ended  
    2005     2004  
 
Net Income:
  $ 167,544     $ 151,433  
Add: Stock-Based compensation expense recognized under APB 25, net of tax
    3,493        
Deduct: Total stock-based compensation under fair value based method for all awards, net of tax
  $ 14,232     $ 6,601  
                 
Pro-forma net income
  $ 156,805     $ 144,832  
                 
Net income per share:
               
Basic — as reported
  $ 1.89     $ 1.58  
                 
Basic — pro forma
  $ 1.77     $ 1.51  
                 
Diluted — as reported
  $ 1.79     $ 1.51  
                 
Diluted — pro forma
  $ 1.68     $ 1.45  
                 
 
For purposes of the above table the fair value of each option grant was estimated on the date of grant using the Black-Scholes option pricing model with the following weighted-average assumptions used for grants during each of the years ended December 31:
 
                 
    Year Ended  
    2005     2004  
 
Expected volatility
    36 %     33 %
Expected dividends
    0       0  
Expected term
    4 years       4 years  
Risk-free interest rate
    3.88 %     3.16 %
 
On September 22, 2005 the Compensation Committee of the Board of Directors of Community Health Systems, Inc. approved an immediate acceleration of the vesting of unvested stock options awarded to employees and officers, including executive officers, on each of three grant dates, December 10, 2002, February 25, 2003, and May 22, 2003. Each of the grants accelerated had a three-year vesting period and would have otherwise become fully vested on their respective anniversary dates no later than May 22, 2006. All other terms and conditions applicable to the outstanding stock option grants remain in effect. A total of 1,235,885 stock options, with a weighted exercise price of $20.26 per share, were accelerated.
 
The accelerated options were issued under the Community Health Systems, Inc. Amended and Restated 2000 Stock Option and Award Plan (the “Plan”). No performance shares or units or incentive stock options have been granted under the Plan. Options granted to non-employee directors of the Company and restricted shares were not affected by this action. The Compensation Committee’s decision to accelerate the vesting of the affected options was based primarily on the relatively short period of time until such stock options otherwise become fully vested making them no longer a significant motivator for retention and the fact the Company anticipated that up to approximately $3.8 million of compensation expense ($2.3 million, net of tax) associated with certain of these stock options would have otherwise been recognized in the first two quarters of 2006 pursuant to Statement of Financial Accounting Standards (“SFAS”) No. 123 (revised 2004), “Share-Based Payment,” would be avoided.


11


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Since the Company accounted for its stock options prior to January 1, 2006 using the intrinsic value method of accounting prescribed in APB No. 25, the accelerated vesting did not result in the recognition of compensation expense in net income for the year ended December 31, 2005. However, in accordance with the disclosure requirements of SFAS No. 148, “Accounting for Stock-Based Compensation—Transition and Disclosure — an Amendment of FASB Statement No. 123”, the pro forma results presented in the table above include approximately $5.9 million ($3.6 million, net of tax) of compensation expense for the year ended December 31, 2005, resulting from the vesting acceleration.
 
Stock-based compensation awards are granted under the Community Health Systems, Inc. Amended and Restated 2000 Stock Option and Award Plan (the “2000 Plan”). The 2000 Plan allows for the grant of incentive stock options intended to qualify under Section 422 of the Internal Revenue Code as well as stock options which do not so qualify, stock appreciation rights, restricted stock, performance units and performance shares, phantom stock awards and share awards. Persons eligible to receive grants under the 2000 Plan include the Company’s directors, officers, employees and consultants. To date, the options granted under the 2000 Plan are “nonqualified” stock options for tax purposes. Vesting of these granted options occurs in one third increments on each of the first three anniversaries of the award date. Options granted prior to 2005 have a 10-year contractual term and options granted in 2005 and 2006 have an 8 year contractual term. The exercise price of options granted to employees under the 2000 Plan were equal to the fair value of the Company’s common stock on the option grant date. As of December 31, 2006, 5,954,865 shares of common stock remain reserved for future grants under the 2000 Plan. The Company also has options outstanding under its Employee Stock Option Plan (the “1996 Plan”). These options are fully vested and exercisable and no additional grants of options will be made under the 1996 Plan.
 
The following table reflects the impact of total compensation expense related to stock-based equity plans under SFAS No. 123(R) for periods beginning January 1, 2006 and under APB 25 for periods prior to January 1, 2006, on the reported operating results for the respective periods (in thousands, except per share data):
 
                         
    Year Ended
 
    December 31,  
    2006     2005     2004  
 
Effect on income from continuing operations before income taxes
  $ (19,851 )   $ (4,960 )   $  
                         
Effect on net income
  $ (12,549 )   $ (3,493 )   $  
                         
Effect on net income per share-diluted
  $ (0.13 )   $ (0.04 )   $  
                         
 
SFAS No. 123(R) also requires the benefits of tax deductions in excess of the recognized tax benefit on compensation expense to be reported as a financing cash flow, rather than as an operating cash flow as required under APB 25 and related interpretations. This requirement reduced the Company’s net operating cash flows and increased the Company’s financing cash flows by $6.8 million for the year ended December 31, 2006. In addition, the Company’s deferred compensation cost at December 31, 2005, of $13.2 million, arising from the issuance of restricted stock in 2005 and recorded as a component of stockholders’ equity as required under APB 25, was reclassified into additional paid-in capital upon the adoption of SFAS No. 123(R).
 
At December 31, 2006, $36.8 million of unrecognized stock-based compensation expense from all outstanding unvested stock options and restricted stock is expected to be recognized over a weighted-average period of 20 months. There were no modifications to awards during 2006.


12


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
The fair value of stock options was estimated using the Black-Scholes option pricing model with the assumptions and weighted-average fair values during the year ended December 31, 2006, as follows:
 
         
    Year Ended
 
    December 31,
 
    2006  
 
Expected volatility
    24.2 %
Expected dividends
    0  
Expected term
    4 years  
Risk-free interest rate
    4.67 %
 
As part of adopting SFAS No. 123(R), the Company examined concentrations of holdings, its historical patterns of option exercises and forfeitures, as well as forward-looking factors, in an effort to determine if there were any discernable employee populations. From this analysis, the Company identified two employee populations, one consisting primarily of certain senior executives and the other consisting of all other recipients.
 
The expected volatility rate was estimated based on historical volatility. As part of adopting SFAS No. 123(R), the Company also reviewed the market based implied volatility of actively traded options of its common stock and determined that historical volatility did not differ significantly from the implied volatility.
 
The expected life computation is based on historical exercise and cancellation patterns and forward-looking factors, where present, for each population identified. The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the time of the grant. The pre-vesting forfeiture rate is based on historical rates and forward looking factors for each population identified. As required under SFAS No. 123(R), the Company will adjust the estimated forfeiture rate to its actual experience.


13


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Options outstanding and exercisable under the 1996 Plan and 2000 Plan as of December 31, 2006, and changes during each of the three years then ended were as follows (in thousands, except share and per share data):
 
                                 
                Weighted-
       
                Average
       
          Weighted-
    Remaining
    Aggregate
 
          Average
    Contractual
    Intrinsic
 
          Exercise
    Term
    Value as of
 
    Shares     Price     (In Years)     December 31, 2006  
 
Outstanding at December 31, 2003
    8,029,370     $ 17.59                  
Granted
    387,000       26.41                  
Exercised
    (614,444 )     15.19                  
Forfeited and canceled
    (345,647 )     22.25                  
                                 
Outstanding at December 31, 2004
    7,456,279       18.03                  
Granted
    1,325,700       33.02                  
Exercised
    (3,134,721 )     15.81                  
Forfeited and canceled
    (276,984 )     26.02                  
                                 
Outstanding at December 31, 2005
    5,370,274       22.63                  
Granted
    1,151,000       38.07                  
Exercised
    (865,833 )     16.47             $ 18,200  
Forfeited and canceled
    (172,913 )     34.02                  
                                 
Outstanding at December 31, 2006
    5,482,528     $ 26.48       6.8 years     $ 56,941  
                                 
Exercisable at December 31, 2006
    3,562,002     $ 21.55       6.3 years     $ 53,391  
                                 
 
The weighted-average grant date fair value of stock options granted during the year ended December 31, 2006, was $10.38. The aggregate intrinsic value (the number of in-the-money stock options multiplied by the difference between the Company’s closing stock price on the last trading day of the reporting period and the exercise price of the respective stock options) in the table above represents the amount that would have been received by the option holders had all option holders exercised their options on December 31, 2006. This amount changes based on the market value of the Company’s common stock.
 
The Company has also awarded restricted stock under the 2000 Plan to various employees and its directors. The restrictions on these shares generally lapse in one-third increments on each of the first three anniversaries of the award date. Certain of the restricted stock awards granted to the Company’s senior executives also contain a performance objective that must be met in addition to the vesting requirements. If the performance objective is not attained the awards will be forfeited in their entirety. Once the performance objective has been attained, restrictions will lapse in one-third increments on each of the first three anniversaries of the award date. Notwithstanding the above-mentioned performance objectives and vesting requirements, the restrictions will lapse earlier in the event of death, disability, termination of employment by employer for reason other than for cause of the holder of the restricted stock or in the event of change in control of the Company. Restricted stock awards subject to performance standards are not considered outstanding for purposes of determining earnings per share until the performance objectives have been satisfied.


14


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Restricted stock outstanding under the 2000 Plan as of December 31, 2006, and changes during each of the two years then ended are as follows:
 
                 
          Weighted
 
          Average
 
          Fair
 
    Shares     Value  
 
Unvested at December 31, 2004
        $  
Granted
    563,000       32.37  
Vested
           
Forfeited
    (5,000 )     32.37  
                 
Unvested at December 31, 2005
    558,000     $ 32.37  
Granted
    606,000       38.26  
Vested
    (185,975 )     32.43  
Forfeited
    (8,334 )     35.93  
                 
Unvested at December 31, 2006
    969,691     $ 36.05  
                 
 
As of December 31, 2006, there was $23.4 million of unrecognized stock-based compensation expense related to unvested restricted stock expected to be recognized over a weighted-average period of 21 months.
 
Under the Director’s Fee Deferral Plan, the Company’s outside directors may elect to receive share equivalent units in lieu of cash for their director’s fee. These units are held in the plan until the director electing to receive the share equivalent units retires or otherwise terminates his/her directorship with the Company. Share equivalent units are converted to shares of common stock of the Company at the time of distribution. The following table represents the amount of directors’ fees which were deferred and the equivalent units into which they converted for each of the respective periods:
 
                 
    Year Ended
 
    December 31,  
    2006     2005  
 
Directors’ fees earned and deferred into plan
  $ 177,500     $ 184,500  
                 
Equivalent units
    4,843.449       4,942.552  
                 
 
At December 31, 2006, there are a total of 9,786.001 units deferred in the plan with an aggregate fair value of $357,385, based on the closing market price of the Company’s common stock at December 31, 2006 of $36.52.
 
3.   Long-Term Leases, Acquisitions and Divestitures of Hospitals
 
During 2006, the Company acquired through 7 separate purchase transactions and three capital lease transactions, substantially all of the assets and working capital of eight hospitals and three home health agencies. On March 1, 2006, the Company acquired, through a combination of purchasing certain assets and entering into a capital lease for other related assets, Forrest City Hospital, a 118-bed hospital located in Forrest City, Arkansas. On April 1, 2006, the Company completed the acquisition of two hospitals from Baptist Health System, Birmingham, Alabama: Baptist Medical Center — DeKalb (134 beds) and Baptist Medical Center — Cherokee (60 beds). On May 1, 2006, the Company acquired Via Christi Oklahoma Regional Medical Center, a 140-bed hospital located in Ponca City, Oklahoma. On June 1, 2006, the Company acquired Mineral Area Regional Medical Center, a 135-bed hospital located in Farmington, Missouri. On June 30, 2006 the Company acquired Cottage Home Options, a home health agency and related business, located in Galesburg, Illinois. On July 1, 2006, the Company acquired the healthcare assets of Vista Health, which included Victory Memorial Hospital (336 beds) and St. Therese Medical


15


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Center (71 non-acute care beds), both located in Waukegan, Illinois. On September 1, 2006, the Company acquired Humble Texas Home Care, a home health agency located in Humble, Texas. On October 1, 2006, the Company acquired Helpsource Home Health, a home health agency located in Wichita Falls, Texas. On November 1, 2006 the Company acquired through two separate capital lease transactions, Campbell Memorial Hospital, a 99-bed hospital located in Weatherford, Texas and Union County Hospital, a 25-bed hospital located in Anna, Illinois. The aggregate consideration for these eight hospitals and three home health agencies totaled approximately $385.7 million, of which $353.8 million was paid in cash and $31.9 million was assumed in liabilities. Goodwill recognized in these transactions totaled $65.6 million, which is expected to be fully deductible for tax purposes.
 
Effective March 18, 2006, the Company sold Highland Medical Center, a 123-bed facility located in Lubbock, Texas, to Shiloh Health Services, Inc. of Louisville, Kentucky. The proceeds from this sale were $0.5 million. This hospital had previously been classified as held for sale.
 
Effective January 31, 2005, the Company’s lease of Scott County Hospital, a 99-bed facility located in Oneida, Tennessee, expired pursuant to its terms.
 
Effective March 31, 2005, the Company sold The King’s Daughters Hospital, a 137-bed facility located in Greenville, Mississippi, to Delta Regional Medical Center, also located in Greenville, Mississippi. In a separate transaction, also effective March 31, 2005, the Company sold Troy Regional Medical Center, a 97-bed facility located in Troy, Alabama, Lakeview Community Hospital, a 74-bed facility located in Eufaula, Alabama and Northeast Medical Center, a 75-bed facility located in Bonham, Texas to Attentus Healthcare Company of Brentwood, Tennessee. The aggregate sales price for these four hospitals was approximately $52 million and was received in cash.
 
During 2005, the Company acquired through four separate purchase transactions and one capital lease transaction, substantially all of the assets and working capital of five hospitals. On March 1, 2005, the Company acquired an 85% controlling interest in Chestnut Hill Hospital, a 222-bed hospital located in Philadelphia, Pennsylvania. On June 30, 2005, the Company acquired, through a capital lease, Bedford County Medical Center, a 104-bed hospital located in Shelbyville, Tennessee. On September 30, 2005, the Company acquired the assets of Newport Hospital and Clinic located in Newport, Arkansas. This facility, which was previously operated as an 83-bed acute care general hospital, was closed by its former owner simultaneous with this transaction. The operations of this hospital were consolidated with Harris Hospital, also located in Newport, which is owned and operated by a wholly owned subsidiary of the Company. On October 1, 2005, the Company acquired Sunbury Community Hospital, a 123-bed hospital located in Sunbury, Pennsylvania, and Bradley Memorial Hospital, a 251-bed hospital located in Cleveland, Tennessee. The aggregate consideration for the five hospitals totaled approximately $176 million, of which $138 million was paid in cash and $38 million was assumed in liabilities. Goodwill recognized in these transactions totaled approximately $51 million, which is expected to be fully deductible for tax purposes.
 
In connection with the above actions and in accordance with SFAS No. 144, the Company has classified the results of operations of Randolph County Medical Center, Sabine Medical Center, Scott County Hospital, The King’s Daughters Hospital, Troy Regional Medical Center, Lakeview Community Hospital, Northeast Medical Center and Highland Medical Center as discontinued operations in the accompanying consolidated statements of income. The consolidated statements of income for each period presented have been restated to reflect the classification of these eight hospitals as discontinued operations.


16


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Net operating revenues and loss reported for the eight hospitals in discontinued operations are as follows:
 
                         
    Year Ended
 
    December 31,  
    2006     2005     2004  
    (In thousands)  
 
Net operating revenues:
  $ 4,294     $ 50,520     $ 156,711  
                         
Loss from operations of hospitals sold or held for sale before income taxes
    (1,008 )     (16,141 )     (11,039 )
Loss on sale of hospitals
    (3,938 )     (6,295 )     (2,186 )
Impairment of long-lived assets of hospital held for sale
          (6,718 )     (2,539 )
                         
Loss from discontinued operations, before taxes
    (4,946 )     (29,154 )     (15,764 )
Income tax benefit
    1,730       6,560       4,840  
                         
Loss from discontinued operations, net of tax
  $ (3,216 )   $ (22,594 )   $ (10,924 )
                         
 
The computation of loss from discontinued operations, before taxes, for the year ended December 31, 2006, includes the net write-off of $4.4 million of tangible assets at the one hospital sold during the year ended December 31, 2006.
 
The computation of loss from discontinued operations, before taxes, for the year ended December 31, 2005, includes the net write-off of $51.5 million of tangible assets and $17.1 million of goodwill of the four hospitals sold and one hospital designated as held for sale in the second quarter of 2005.
 
Included in the computation of the loss from discontinued operations, before taxes for the year ended December 31, 2004, is a write-off of $7 million of tangible assets and $2.7 million of goodwill at the two hospitals sold (see Note 4 Goodwill and Other Intangible Assets) and a write-down of $3 million of assets at the hospital held for sale.
 
Assets and liabilities of the hospitals classified as discontinued operations included in the accompanying consolidated balance sheets are as follows. There are no material assets or liabilities related to these hospitals remaining at December 31, 2006.
 
         
    December 31,
 
    2005  
    (In thousands)  
 
Current assets
  $ 4,133  
Property and equipment
     
Other assets
    3,000  
Current liabilities
    (6,601 )
         
Net assets
  $ 532  
         
 
During 2004, the Company acquired, through two separate purchase transactions, most of the assets and working capital of two hospitals. On July 1, 2004, the Company acquired Galesburg Cottage Hospital, a 170-bed facility located in Galesburg, Illinois. On August 1, 2004, the Company acquired Phoenixville Hospital, a 143-bed facility located in Phoenixville, Pennsylvania. This acquisition also included a 95,000 square foot medical complex in nearby Limerick, Pennsylvania which houses an ambulatory surgical facility, an imaging center and medical office space. The aggregate consideration for the two hospitals totaled approximately $135 million, consisting of approximately $123 million in cash and approximately $12 million in assumed liabilities and acquisition costs. Goodwill recorded during 2004 is expected to be fully deductible for tax purposes.


17


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Effective August 1, 2004, the Company sold Randolph County Medical Center, a 50 bed facility located in Pocahontas, Arkansas and Sabine Medical Center, a 48 bed facility located in Many, Louisiana, two of the Company’s underperforming hospitals, to Associated Healthcare Systems in Brentwood, Tennessee. The aggregate sales price for these two hospitals was approximately $9.0 million of which $7.8 million was received in cash and $1.2 million was received in the form of a note, which was paid in full in 2005.
 
The aforementioned acquisitions were accounted for using the purchase method of accounting. The allocation of the purchase price has been determined by the Company based upon available information and, for certain acquisition transactions closed in 2006, is subject to settling amounts related to purchased working capital and in some instances final appraisals. Independent asset valuations are generally completed within 120 days of the date of acquisition; working capital settlements are generally made within 180 days of the date of acquisition. Adjustments to the purchase price allocation are not expected to be material.
 
The table below summarizes the allocations of the purchase price (including assumed liabilities) for these acquisitions (in thousands):
 
                         
    2006     2005     2004  
 
Current assets
  $ 56,896     $ 19,144     $ 10,104  
Property and equipment
    262,335       110,854       76,917  
Goodwill and other intangibles
    66,490       43,619       49,048  
 
The operating results of the foregoing hospitals have been included in the consolidated statements of income from their respective dates of acquisition. The following pro forma combined summary of operations of the Company gives effect to using historical information of the operations of the hospitals purchased in 2006 and 2005 as if the acquisitions had occurred as of January 1, 2005 (in thousands except per share data):
 
                 
    Year Ended December 31,  
    2006     2005  
 
Pro forma net operating revenues
  $ 4,569,861     $ 4,307,657  
Pro forma net income
    159,940       138,940  
Pro forma net income per share:
               
Basic
    1.68       1.57  
Diluted
    1.66       1.50  
 
4.   Goodwill and Other Intangible Assets
 
The changes in the carrying amount of goodwill are as follows (in thousands):
 
                 
    Year Ended December 31,  
    2006     2005  
 
Balance, beginning of year
  $ 1,259,816     $ 1,213,783  
Goodwill acquired as part of acquisitions during the year
    67,550       51,773  
Consideration adjustments and finalization of purchase price allocations for prior year’s acquisitions
    9,159       11,353  
Goodwill written off as part of disposals
          (17,093 )
                 
Balance, end of year
  $ 1,336,525     $ 1,259,816  
                 
 
The Company performed its initial goodwill evaluation, as required by SFAS No. 142, during the first quarter of 2002 and the annual evaluation as of each succeeding September 30th. No impairment was indicated by these evaluations.


18


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
The gross carrying amount of the Company’s other intangible assets was $13.7 million as of December 31, 2006 and $11.9 million as of December 31, 2005, and the net carrying amount was $7.4 million and $7.6 million as of December 31, 2006 and 2005, respectively. Other intangible assets are included in other assets on the Company’s consolidated balance sheets.
 
The weighted average amortization period for the intangible assets subject to amortization is approximately 5 years. There are no expected residual values related to these intangible assets. Amortization expense for these intangible assets was $1.9 million, $1.3 million and $1.1 million during the years ended December 31, 2006, 2005 and 2004, respectively. Amortization expense on intangible assets is estimated to be $1.8 million in 2007, $1.2 million in 2008, $0.9 million in 2009, $0.8 million in 2010 and $0.5 million in 2011.
 
5.   Income Taxes
 
The provision for income taxes for income from continuing operations consists of the following (in thousands):
 
                         
    Year Ended December 31,  
    2006     2005     2004  
 
Current
                       
Federal
  $ 113,823     $ 100,588     $ 55,184  
State
    13,555       12,746       9,003  
                         
      127,378       113,334       64,187  
Deferred
                       
Federal
    (18,586 )     5,737       33,994  
State
    (2,110 )     1,711       5,890  
                         
      (20,696 )     7,448       39,884  
                         
Total provision for income taxes for income from continuing operations
  $ 106,682     $ 120,782     $ 104,071  
                         
 
The following table reconciles the differences between the statutory federal income tax rate and the effective tax rate (dollars in thousands):
 
                                                 
    Year Ended December 31,  
    2006     2005     2004  
    Amount     %     Amount     %     Amount     %  
 
Provision for income taxes at statutory federal rate
  $ 97,356       35.0 %   $ 108,822       35.0 %   $ 93,250       35.0 %
State income taxes, net of federal income tax benefit
    7,439       2.7       9,570       3.0       9,608       3.6  
Other
    1,887       0.7       2,390       0.8       1,213       0.5  
                                                 
Provision for income taxes and effective tax rate for income from continuing operations
  $ 106,682       38.4 %   $ 120,782       38.8 %   $ 104,071       39.1 %
                                                 


19


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Deferred income taxes are based on the estimated future tax effects of differences between the financial statement and tax bases of assets and liabilities under the provisions of the enacted tax laws. Deferred income taxes as of December 31, consist of (in thousands):
 
                                 
    2006     2005  
    Assets     Liabilities     Assets     Liabilities  
 
Net operating loss and credit carryforwards
  $ 26,709     $     $ 27,798     $  
Property and equipment
          136,249             124,439  
Self-insurance liabilities
    35,607             28,639        
Intangibles
          101,569             85,745  
Other liabilities
          2,879             3,472  
Long-term debt and interest
    989                   56  
Accounts receivable
    33,535             8,767        
Accrued expenses
    20,362             17,861        
Other comprehensive income
          1,952             8,391  
Stock-Based compensation
    6,353                    
Other
    12,078             6,733        
                                 
      135,633       242,649       89,798       222,103  
Valuation allowance
    (21,207 )           (21,146 )      
                                 
Total deferred income taxes
  $ 114,426     $ 242,649     $ 68,652     $ 222,103  
                                 
 
Management believes that the net deferred tax assets will ultimately be realized, except as noted below. Management’s conclusion is based on its estimate of future taxable income and the expected timing of temporary difference reversals. The Company has state net operating loss carry forwards of approximately $458 million, which expire from 2007 to 2026. With respect to the deferred tax liability pertaining to intangibles, as included above, goodwill purchased in connection with certain of the Company’s business acquisitions is amortizable for income tax reporting purposes. However, for financial reporting purposes, there is no corresponding amortization allowed with respect to such purchased goodwill.
 
The valuation allowance increased by $0.1 million and $1.5 million during the years ended December 31, 2006 and 2005, respectively. In addition to amounts previously discussed, the change in valuation allowance relates to a redetermination of the amount of, and realizability of, net operating losses in certain state income tax jurisdictions.
 
The Company paid income taxes, net of refunds received, of $128.1 million, $68.1 million and $60.9 million during 2006, 2005, and 2004, respectively.
 
Federal Income Tax Examination. The Company agreed to a settlement at the Internal Revenue Service Appeals Office with respect to the 2003 consolidated income tax return year. The Company has since received closing letters with respect to the examinations for the tax year 2003. This settlement was not material to the Company’s consolidated statement of income or financial position.


20


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
6.   Long-Term Debt
 
Long-term debt consists of the following (in thousands):
 
                 
    As of December 31,  
    2006     2005  
 
Credit Facilities:
               
Revolving Credit Loans
  $     $  
Term Loans
    1,572,000       1,185,000  
Convertible Notes
          136,624  
Tax-exempt bonds
    8,000       8,000  
Senior Subordinated Notes
    300,000       300,000  
Capital lease obligations (see Note 8)
    44,670       21,792  
Term loans from acquisitions
           
Other
    16,507       16,208  
                 
Total debt
    1,941,177       1,667,624  
Less current maturities
    (35,396 )     (19,124 )
                 
Total long-term debt
  $ 1,905,781     $ 1,648,500  
                 
 
Credit Facilities.  On August 19, 2004, the Company entered into a $1.625 billion senior secured credit facility with a consortium of lenders which was subsequently amended on December 16, 2004, July 8, 2005 and December 13, 2006. This facility replaced the Company’s previous credit facility and consists of a $1.2 billion term loan that matures in 2011 and a $425 million revolving credit facility that matures in 2009. The First Incremental Facility Amendment, dated as of December 13, 2006, provides for an additional tranche of term loans to the Credit Agreement in an aggregate principal amount of $400 million (the “Incremental Term Loan Facility”). The full amount of the Incremental Term Loan Facility was funded on December 13, 2006, and the proceeds were used to repay the full outstanding amount (approximately $326 million) of the revolving credit facility under the Credit Agreement and the balance is available to be used for general corporate purposes. The Company may elect from time to time an interest rate per annum for the borrowings under the term loan, including the incremental term loan, and revolving credit facility equal to (a) an alternate base rate, which will be equal to the greatest of (i) the Prime Rate in effect and (ii) the Federal Funds effective Rate, plus 50 basis points, plus (1) 75 basis points for the term loan and (2) the Applicable Margin for revolving credit loans or (b) the Eurodollar Rate plus (1) 175 basis points for the term loan and (2) the Applicable Margin for Eurodollar revolving credit loans. The Company also pays a commitment fee for the daily average unused commitments under the revolving credit facility. The commitment fee is based on a pricing grid depending on the Applicable Margin for Eurodollar revolving credit loans and ranges from 0.250% to 0.500%. The commitment fee is payable quarterly in arrears and on the revolving credit termination date with respect to the available revolving credit commitments. In addition, the Company will pay fees for each letter of credit issued under the credit facility. The purpose of the facility was to refinance the Company’s previous credit agreement, repay specified other indebtedness, and fund general corporate purposes including amending the credit facility to permit declaration and payment of cash dividends to repurchase shares or make other distributions, subject to certain restrictions. In connection with this refinancing, the Company recorded a pre-tax write-off of approximately $0.8 million in deferred loan costs relative to the early extinguishment of a portion of the previous credit facility.
 
As of December 31, 2006, the Company’s availability for additional borrowings under its revolving tranche was $425 million, of which $21 million was set aside for outstanding letters of credit. The Company also has the ability to add up to $200 million of borrowing capacity from receivable transactions (including securitizations) under its senior secured credit facility which has not yet been accessed. The Company also has


21


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
the ability to amend the senior secured credit facility to provide for one or more tranches of term loans in an aggregate principal amount up to $400 million, which the Company has not yet accessed. As of December 31, 2006, the Company’s weighted average interest rate under its credit agreement was 7.3%.
 
The terms of the credit agreement include various restrictive covenants. These covenants include restrictions on additional indebtedness, liens, investments, asset sales, capital expenditures, sale and leasebacks, contingent obligations, transactions with affiliates, dividends and stock repurchases and fundamental changes. The Company would be required to amend the existing credit agreement in order to pay dividends in excess of $300 million to the Company’s shareholders. The covenants also require maintenance of various ratios regarding consolidated total indebtedness, consolidated interest, and fixed charges.
 
The Term Loans are scheduled to be paid with principal payments for future years as follows (in thousands):
 
         
    Term Loans  
 
2007
  $ 16,000  
2008
    16,000  
2009
    16,000  
2010
    295,000  
2011
    850,000  
Thereafter
    379,000  
         
Total
  $ 1,572,000  
         
 
As of December 31, 2006 and 2005, the Company had letters of credit issued, primarily in support of potential insurance related claims and certain bonds of approximately $21 million and $23 million, respectively.
 
Convertible Notes.  On October 15, 2001, the Company sold $287.5 million aggregate principal amount (including the underwriter’s over-allotment option) of 4.25% convertible notes for face value. The notes were scheduled to mature on October 15, 2008 unless converted or redeemed earlier. Interest on the notes was payable semi-annually on April 15 and October 15 of each year. The interest payments commenced April 15, 2002. The notes were convertible, at the option of the holder, into shares of the Company’s common stock at any time before the maturity date, unless the Company has previously redeemed or repurchased the notes, at a conversion rate of 29.8507 shares of common stock per $1,000 principal amount of notes representing a conversion price of $33.50. The conversion rate was subject to anti-dilution adjustment in some events.
 
On November 14, 2005 the Company elected to call for redemption $150 million in principal amount of the convertible notes. At the conclusion of the first call for redemption, $0.3 million in principal amount of the convertible notes were redeemed for cash, and $149.7 million of the convertible notes called for redemption, plus an additional $0.9 million of the convertible notes, were converted by the holders into 4,495,083 shares of the Company’s common stock, $.01 par value per share. On December 16, 2005 the Company elected to call for redemption the remaining convertible notes. In January 2006, at the conclusion of this second call for redemption $0.1 million in principal amount of the convertible notes were redeemed for cash and the remaining balance of $136.5 million were converted into 4,074,510 shares of the Company’s common stock.
 
Tax-Exempt Bonds.  Tax-Exempt Bonds bore interest at floating rates, which averaged 3.51% and 2.51% during 2006 and 2005, respectively.
 
Senior Subordinated Notes.  On December 16, 2004, the Company completed a private placement offering of $300 million aggregate principal amount of 6.5% senior subordinated notes due 2012. The senior subordinated notes were sold in an offering pursuant to Rule 144A and Regulation S under the Securities Act


22


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
of 1933. The senior subordinated notes have not been registered under the Securities Act of 1933 or the securities laws of any state and may not be offered or sold in the United States absent registration or an applicable exemption from the registration requirements under the Securities Act of 1933 and any applicable state securities laws. On February 24, 2005, the Company filed a registration statement to exchange these notes for registered notes. This exchange was completed during the first quarter of 2005.
 
Other Debt.  As of December 31, 2006, other debt consisted primarily of an industrial revenue bond and other obligations maturing in various installments through 2014.
 
The Company is currently a party to twelve separate interest swap agreements with an aggregate notional amount of $1,250 million, to limit the effect of changes in interest rates on a portion of the Company’s long-term borrowings. On each of these swaps, the Company receives a variable rate of interest based on the three-month London Inter-Bank Offer Rate (“LIBOR”) in exchange for the payment of a fixed rate of interest. The Company currently pays, on a quarterly basis, a margin above LIBOR of 175 basis points for revolver loans and term loans under the senior secured credit facility. See footnote 7 for additional information regarding these swaps.
 
As of December 31, 2006, the scheduled maturities of long-term debt outstanding, including capital leases for each of the next five years and thereafter are as follows (in thousands):
 
         
2007
  $ 35,396  
2008
    21,062  
2009
    18,523  
2010
    304,941  
2011
    851,714  
Thereafter
    709,541  
         
    $ 1,941,177  
         
 
The Company paid interest of $96 million, $90 million and $74 million on borrowings during the years ended December 31, 2006, 2005 and 2004, respectively.
 
7.   Fair Values of Financial Instruments
 
The fair value of financial instruments has been estimated by the Company using available market information as of December 31, 2006 and 2005, and valuation methodologies considered appropriate. The


23


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
estimates presented are not necessarily indicative of amounts the Company could realize in a current market exchange (in thousands):
 
                                 
    As of December 31,  
    2006     2005  
    Carrying
    Estimated Fair
    Carrying
    Estimated Fair
 
    Amount     Value     Amount     Value  
 
Assets:
                               
Cash and cash equivalents
  $ 40,566     $ 40,566     $ 104,108     $ 104,108  
Available-for-sale securities
    25,334       25,334       19,778       19,778  
Liabilities:
                               
Credit facilities
    1,572,000       1,573,540       1,185,000       1,199,072  
Convertible Notes
                136,624       156,434  
Tax-exempt Bonds
    8,000       8,000       8,000       8,000  
Senior Subordinated Notes
    300,000       295,500       300,000       294,750  
Other debt
    4,344       4,344       5,536       5,536  
 
Cash and cash equivalents.  The carrying amount approximates fair value due to the short term maturity of these instruments (less than three months).
 
Available-for-sale securities.  Estimated fair value is based on closing price as quoted in public markets.
 
Credit facilities, term loans from acquisitions and other debt.  Estimated fair value is based on information from the Company’s bankers regarding relevant pricing for trading activity among the Company’s lending institutions.
 
Convertible Notes.  Estimated fair value is based on the average bid and ask price as quoted in public markets for these instruments.
 
Tax Exempt Bonds.  The carrying amount approximates fair value as a result of the weekly interest rate reset feature of these publicly traded instruments.
 
Senior Subordinated Notes.  Estimated fair value is based on the average bid and ask price as quoted by the bank who served as underwriters in the sale of these notes.
 
Interest Rate Swaps.  The fair value of interest rate swap agreements is the amount at which they could be settled, based on estimates obtained from the counterparty. The Company has designated the interest rate swaps as cash flow hedge instruments whose recorded value in the consolidated balance sheet approximates fair market value.
 
The Company assesses the effectiveness of its hedge instruments on a quarterly basis. For the years ended December 31, 2006 and 2005, the Company completed an assessment of the cash flow hedge instruments and determined the hedges to be highly effective. The Company has also determined that the ineffective portion of the hedges do not have a material effect on the Company’s consolidated financial position, operations or cash flows. The counterparty to the interest rate swap agreements exposes the Company to credit risk in the event of non-performance. However, the Company does not anticipate non-performance by the counterparty. The


24


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Company does not hold or issue derivative financial instruments for trading purposes. Interest rate swaps consisted of the following at December 31, 2006:
 
                                 
    Notional
    Fixed
          Fair
 
    Amount
    Interest
    Termination
    Value
 
Swap #
  (In 000’s)     Rate     Date     (000’s)  
 
1
    100,000       2.04 %     June 13, 2007     $ 1,466  
2
    150,000       3.30 %     November 4, 2007       2,451  
3
    100,000       2.40 %     June 13, 2008       3,848  
4
    100,000       3.586 %     August 29, 2008       2,429  
5
    100,000       4.06 %     May 30, 2008       1,486  
6
    100,000       3.9350 %     June 6, 2009       2,497  
7
    100,000       4.3375 %     November 30, 2009       1,810  
8
    100,000       4.9360 %     October 4, 2010       186  
9
    100,000       4.7090 %     January 24, 2011       1,043  
10
    100,000       4.7185 %     August 19, 2011       1,155  
11
    100,000       4.7040 %     August 19, 2011       1,249  
12
    100,000       4.6250 %     August 19, 2011       1,224  
 
 
(1) This swap agreement becomes effective June 13, 2007, concurrent with (1) the termination of agreement No. 1 listed above.
 
Assuming no change in December 31, 2006 interest rates, approximately $15.7 million will be recognized in earnings through interest income during the year ending December 31, 2007 pursuant to the interest rate swap agreements. If interest rate swaps do not remain highly effective as a cash flow hedge, the derivatives’ gains or losses reported through other comprehensive income will be reclassified into earnings.
 
8.   Leases
 
The Company leases hospitals, medical office buildings, and certain equipment under capital and operating lease agreements. During 2006, the Company entered into $29.8 million of capital leases. All lease agreements generally require the Company to pay maintenance, repairs, property taxes and insurance costs. Commitments relating to noncancellable operating and capital leases for each of the next five years and thereafter are as follows (in thousands):
 
                 
Year Ended December 31,
  Operating     Capital  
 
2007
  $ 62,415     $ 7,285  
2008
    47,087       6,734  
2009
    37,239       4,381  
2010
    28,553       3,694  
2011
    24,292       3,382  
Thereafter
    98,807       37,924  
                 
Total minimum future payments
  $ 298,393     $ 63,400  
                 
Less imputed interest
            (18,730 )
                 
              44,670  
Less current portion
            (5,182 )
                 
Long-term capital lease obligations
          $ 39,488  
                 


25


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Assets capitalized under capital leases as reflected in the accompanying consolidated balance sheets were $20.4 million of land and improvements, $179.3 million of buildings and improvements, and $49.5 million of equipment and fixtures as of December 31, 2006 and $12.1 million of land and improvements, $96.3 million of buildings and improvements and $43.9 million of equipment and fixtures as of December 31, 2005. The accumulated depreciation related to assets under capital leases was $71.8 million and $56.2 million as of December 31, 2006 and 2005, respectively. Depreciation of assets under capital leases is included in depreciation and amortization and amortization of debt discounts on capital lease obligations is included in interest expense in the consolidated statements of income.
 
9.   Employee Benefit Plans
 
The Company maintains various benefit plans, including a defined contribution plan, defined benefit plans, and deferred compensation plans. The Company’s defined contribution plan is qualified under Section 401(k) of the Internal Revenue Code, and covers substantially all employees at its hospitals, clinics, and the corporate offices. Participants may contribute a portion of their compensation not exceeding a limit set annually by the Internal Revenue Service. This plan includes a provision for the Company to match a portion of employee contributions. Total expense under the 401(k) plan was $10.7 million, $8.8 million and $8.3 million for the years ended December 31, 2006, 2005 and 2004, respectively. The Company has three defined benefit, non-contributory pension plans (Pension plans) that covers certain employees at three of its hospitals. One of the pension plans was established in 2006. The Pension plans provide benefits to covered individuals satisfying certain age and service requirements. Employer contributions to the Pension plans are in accordance with the minimum funding requirements of the Employee Retirement Income Security Act of 1974, as amended. The Company expects to contribute $0.2 million to the Pension plans in fiscal 2007. The Company also provides an unfunded supplemental executive retirement plan (SERP) for certain members of its executive management. The Company uses a December 31 measurement date for the benefit obligations and a January 1 measurement date for its net periodic costs. Variances from actuarially assumed rates will result in increases or decreases in benefit obligations, net periodic cost and funding requirements in future periods. The Company’s deferred compensation plans allow participants to defer receipt of a portion of their compensation. The liability under the deferred compensation plans was $17.7 million at December 31, 2006 and $13 million at December 31, 2005. The Company has available-for-sale securities either restricted or generally designated to pay benefits of the deferred compensation plans and the SERP in the amounts of $25.3 million and $19.8 million at December 31, 2006 and 2005, respectively.
 
The Company adopted the provisions of SFAS No. 158, “Employers’ Accounting for Defined Benefit Pension and Other Postretirement Plans, an amendment of SFAS No. 87, 88, 106, and 132(R)” (“SFAS No. 158”), for the year ending December 31, 2006. SFAS No. 158 requires an employer to recognize the overfunded or underfunded status of defined benefit pension and postretirement plans as an asset or liability in its consolidated statement of financial position and to recognize changes in that funded status in the year in which the changes occur through comprehensive income. It also requires disclosure in the notes to the consolidated financial statements additional information about certain effects on net periodic benefit cost for the next fiscal year that arise from delayed recognition of the gains or losses, prior service costs or credits, and transition assets or obligation. The adoption of SFAS No. 158 resulted in an increase to the pension liability of $13.8 million, deferred taxes of $5.5 million, and an increase in the loss of accumulated other comprehensive income of $8.3 million in the consolidated balance sheet for the year ending December 31, 2006.


26


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
A summary of the benefit obligations and funded status for the Company’s pension and SERP plans follows (in thousands):
 
                                 
    Pension Plans     SERP  
    2006     2005     2006     2005  
 
Change in benefit obligation:
                               
Benefit obligation, beginning of year
  $ 27,467     $ 22,747     $ 22,280     $ 14,722  
Service cost
    3,757       3,043       3,023       2,113  
Interest cost
    1,601       1,364       1,225       846  
Plan amendment
    (5,769 )                  
Actuarial loss
    (792 )     323       (3,235 )     4,599  
Benefits paid
    (44 )     (10 )            
                                 
Benefit obligation, end of year
    26,220       27,467       23,293       22,280  
Change in plan assets:
                               
Fair value of assets, beginning of year
    12,452       5,336              
Actual return on plan assets
    1,262       507              
Employer contributions
          6,619              
Benefits paid
    (44 )     (10 )            
                                 
Fair value of assets, end of year
    13,670       12,452              
Unfunded status
  $ (12,550 )   $ (15,015 )   $ (23,293 )   $ (22,280 )
 
A summary of the amounts recognized in the accompanying consolidated balance sheets follows (in thousands):
 
                                 
    Pension Plans     SERP  
    2006     2005     2006     2005  
 
Noncurrent Asset
  $     $     $     $  
Current Liability
                       
Noncurrent Liability
    (12,550 )     (3,186 )     (23,293 )     (7,290 )
                                 
Net amount recognized in the consolidated balance sheets
  $ (12,550 )   $ (3,186 )   $ (23,293 )   $ (7,290 )
                                 
 
A summary of the plans’ benefit obligation in excess of the fair value of plan assets as of the end of the year follows (in thousands):
 
                                 
    Pension Plans     SERP  
    2006     2005     2006     2005  
 
Projected benefit obligation
  $ 26,220     $ 27,467     $ 23,293     $ 22,280  
Accumulated benefit obligation
    17,127       12,113       18,214       8,231  
Fair value of plan assets
    13,670       12,452              
 
As of December 31, 2005, the fair value of plan assets of $9.8 million exceeds the accumulated benefit obligation of $9.2 million by $0.6 million for one of the Pension plans. The other Pension plan’s accumulated benefit obligation of $2.9 million exceeds the fair value of its plan assets of $2.6 million by $0.3 million.


27


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
A summary of the weighted-average assumptions used by the Company to determine benefit obligations as of December 31 follows:
 
                             
    Pension Plans     SERP  
    2006   2005     2006     2005  
 
Discount Rate
  5.73% - 5.95%     5.80 %     5.75 %     5.25 %
Annual Salary Increases
  4.00% - 5.00%     4.00 %     5.00 %     5.00 %
 
A summary of the amounts recognized in Accumulated Other Comprehensive Income (“AOCI”) due to the adoption of SFAS No. 158 as of the end of the year follows (in thousands):
 
                                 
    Pension Plans     SERP  
    2006     2005     2006     2005  
 
Amount recognized in AOCI prior to SFAS 158
  $     $     $     $  
Amount recognized in AOCI due to adoption of SFAS 158
                               
Prior service cost (credit)
    3,583       N/A       6,586       N/A  
Net actuarial (gain) loss
    141       N/A       2,937       N/A  
                                 
Total amount recognized in AOCI
    3,724       N/A       9,523       N/A  
                                 
 
A summary of the expected amortization amounts to be included in net periodic cost for 2007 are as follows (in thousands):
 
                 
    Pension
       
    Plans     SERP  
 
Prior service cost
  $ 878     $ 884  
Actuarial (gain)/loss
    (22 )     60  
 
A summary of the weighted-average assumptions used by the Company to determine net periodic cost follows:
 
                                             
    Pension Plans     SERP  
    2006   2005     2004     2006     2005     2004  
 
Discount rate
  5.40%-5.80%     6.00 %     6.50 %     5.50 %     5.75 %     6.00 %
Rate of compensation increase
  4.00%-5.00%     4.00 %     4.00 %     5.00 %     5.00 %     5.00 %
Expected long term rate of return on assets
  8.50%     8.50 %     8.50 %     N/A       N/A       N/A  
 
The Company’s weighted-average asset allocations by asset category for its pension plans as of the end of the year follows:
 
                                 
    Pension Plans     SERP  
    2006     2005     2006     2005  
 
Equity securities
    100 %     100 %     N/A       N/A  
Debt securities
    0 %     0 %     N/A       N/A  
                                 
Total
    100 %     100 %     N/A       N/A  
 
The Company’s pension plan assets are invested in mutual funds with an underlying investment allocation of 60% equity securities and 40% debt securities. The expected long-term rate of return for the Company’s pension plan assets is based on current expected long-term inflation and historical rates of return on equities and fixed income securities, taking into account the investment policy under the plan. The expected long-term rate of return is weighted based on the target allocation for each asset category. Equity securities are expected to return between 8% and 12% and debt securities are expected to return between 4% and 7%. The Company


28


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
expects its pension plan asset managers will provide a premium of approximately 0.5% to 1.5% per annum to the respective market benchmark indices.
 
The Company’s investment policy related to its pension plans is to provide for growth of capital with a moderate level of volatility by investing in accordance with the target asset allocations stated above. The Company reviews its investment policy, including its target asset allocations, on a semi-annual basis to determine whether any changes in market conditions or amendments to its pension plans requires a revision to its investment policy.
 
The estimated future benefit payments reflecting future service as of the end of 2006 for the Company’s pension and SERP plans follows (in thousands):
 
                 
Years Ending
  Pension Plans     SERP  
 
2007
    182        
2008
    299       66  
2009
    468       66  
2010
    620       66  
2011
    717       1,486  
2012 - 2016
    8,499       12,062  
 
10.   Stockholders’ Equity
 
On June 14, 2000, the Company closed its initial public offering of 18,750,000 shares of common stock; and on July 3, 2000, the underwriters exercised their overallotment option and purchased 1,675,717 shares of common stock. These shares were offered at $13.00 per share. On November 3, 2000, the Company completed an offering of 18,000,000 shares of its common stock at an offering price of $28.1875. Of these shares, 8,000,000 shares were sold by affiliates of FL & Co. and other shareholders. On October 15, 2001, the Company completed an offering of 12,000,000 shares of its common stock at an offering price of $26.80 concurrent with its notes offering. The net proceeds to the Company from the 2001 and the two 2000 common stock offerings in the aggregate were $306.1 million and $514.5 million, respectively, and were used to repay long-term debt.
 
Authorized capital shares of the Company include 400,000,000 shares of capital stock consisting of 300,000,000 shares of common stock and 100,000,000 shares of Preferred Stock. Each of the aforementioned classes of capital stock has a par value of $.01 per share. Shares of Preferred Stock, none of which are outstanding as of December 31, 2006, may be issued in one or more series having such rights, preferences and other provisions as determined by the Board of Directors without approval by the holders of common stock.
 
On January 14, 2006, the Company commenced an open market repurchase program for up to 5,000,000 shares of the Company’s common stock, not to exceed $200 million in repurchases. Under this program, the Company repurchased the entire 5,000,000 shares at a weighted average price of $35.23. This program concluded on November 8, 2006 when the maximum number of shares had been repurchased. This repurchase plan followed a prior repurchase plan for up to 5,000,000 shares which concluded on January 13, 2006. The Company repurchased 3,029,700 shares at a weighted average price of $31.20 per share under this program. On December 13, 2006, the Company commenced another open market repurchase program for up to 5,000,000 shares of the Company’s common stock not to exceed $200 million in repurchases. This program will conclude at the earlier of three years or when the maximum number of shares has been repurchased. As of December 31, 2006, the Company has not repurchased any shares under this program.
 
On September 21, 2004, the Company entered into an underwriting agreement (the “Underwriting Agreement”) among the Company, CHS/Community Health Systems, Inc., Citigroup Global Markets Inc. (“the Underwriter”), Forstmann Little & Co. Equity Partnership-V, L.P. and Forstmann Little & Co. Subordinated


29


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Debt and Equity Management Buyout Partnership-VI, L.P. (collectively, the “Selling Stockholders”). Pursuant to the Underwriting Agreement, the Underwriters purchased 23,134,738 shares of common stock from the Selling Stockholders for $24.21 per share. The Company did not receive any proceeds from any sales of shares by the Selling Stockholders. On September 27, 2004, the Company purchased from the Underwriters 12,000,000 of these shares for $24.21 per share. For corporate law purposes, the Company retired these shares upon repurchase. Accordingly, these 12,000,000 shares are treated as authorized and unissued shares.
 
11.   Earnings Per Share
 
The following table sets forth the components of the numerator and denominator for the computation of basic and diluted income from continuing operations per share (in thousands, except share data):
 
                         
    Year Ended December 31,  
    2006     2005     2004  
 
Numerator:
                       
Numerator for basic earnings per share —
                       
Income from continuing operations available to common stockholders — basic
  $ 171,479     $ 190,138     $ 162,357  
                         
Numerator for diluted earnings per share —
                       
Income from continuing operations
  $ 171,479     $ 190,138     $ 162,357  
Interest, net of tax, on 4.25% convertible notes
    135       8,565       8,757  
                         
Income from continuing operations available to common stockholders — diluted
  $ 171,614     $ 198,703     $ 171,114  
                         
Denominator:
                       
Weighted-average number of shares outstanding — basic
    94,983,646       88,601,168       95,643,733  
Effect of dilutive securities:
                       
Non-employee director options
    11,825       11,715       32,336  
Unvested common shares
                23,499  
Restricted Stock awards
    140,959       115,411        
Employee options
    951,360       1,582,063       1,582,146  
4.25% Convertible notes
    145,120       8,385,031       8,582,076  
                         
Weighted-average number of shares outstanding — diluted
    96,232,910       98,695,388       105,863,790  
                         
Dilutive securities outstanding not included in the computation of earnings per share because their effect is antidilutive:
                       
Employee options
    1,261,367       31,100       262,025  
 
12.   Commitments and Contingencies
 
Construction Commitments.  The Company has agreed, as part of the acquisition in 2003 of Southside Regional Medical Center in Petersburg, Virginia, to build a replacement facility with an aggregate estimated construction cost, including equipment, of approximately $135 million. Of this amount, approximately $18 million has been expended through December 31, 2006. The Company expects to spend $55 million in replacement hospital construction and equipment costs related to this project in 2007. This project is required to be completed in 2008. In addition, the Company has agreed, as part of the acquisition in 2004 of


30


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Phoenixville Hospital in Phoenixville, Pennsylvania, to spend $90 million in capital expenditures over eight years to develop and improve the hospital; of this amount approximately $19 million has been expended through December 2006. The Company expects to spend $19 million of this commitment in 2007. The Company has agreed as part of the acquisition in 2005 of Chestnut Hill Hospital, in Philadelphia, Pennsylvania to spend $41 million in capital expenditures over four years to develop and improve the hospital; of this amount approximately $7 million has been expended through December 2006. The Company expects to spend approximately $5 million of this commitment in 2007. As part of the acquisition in 2005 of Bedford County Medical Center in Shelbyville, Tennessee, the Company agreed to build a replacement facility with an aggregate estimated construction cost of approximately $35 million. Of this amount, approximately, $0.8 million has been expended through December 31, 2006. The Company expects to spend $12 million in replacement hospital construction costs related to this project in 2007. The project is required to be completed by June 30, 2009. Also as required by an amendment to a lease agreement entered into in 2005, the Company agreed to build a replacement facility at its Barstow, California location. Construction costs for this replacement facility are estimated to be approximately $60 million. Also in 2005, the Company entered into an agreement with a developer to build and lease to the Company new corporate headquarters. The Company accounts for this project as if it owns the assets. Construction of the new headquarters was completed in December 2006. In January 2007, the Company exercised a purchase option under that lease agreement and acquired the new headquarters by purchasing the equity interests of the previous owner for a purchase price of $34.9 million.
 
Physician Recruiting Commitments.  As part of its physician recruitment strategy, the Company provides income guarantee agreements to certain physicians who agree to relocate to its communities and commit to remain in practice there. Under such agreements, the Company is required to make payments to the physicians in excess of the amounts they earned in their practice up to the amount of the income guarantee. These income guarantee periods are typically for 12 months. Such payments are recoverable by the Company from physicians who do not fulfill their commitment period, which is typically three years, to the respective community. At December 31, 2006, the maximum potential amount of future payments under these guarantees in excess of the liability recorded is $20.8 million.
 
Other.  Under specified acquisition agreements, the Company has deposited funds into escrow accounts to be used solely for the purpose of recruiting physicians to that specified hospital. At December 31, 2006, the Company had $4.4 million deposited in escrow accounts, which is included in other long-term assets.
 
Professional Liability Risks.  Substantially all of the Company’s professional and general liability risks are subject to a per occurrence deductible. Prior to June 1, 2002, substantially all of the Company’s professional and general liability risks were subject to a $0.5 million per occurrence deductible, and for claims reported from June 1, 2002 through June 1, 2003, these deductibles were $2.0 million per occurrence. Additional coverage above these deductibles was purchased through captive insurance companies in which the Company had a 7.5% minority ownership interest and to which the premiums paid by the Company represented less than 8% of the total premium revenues of the captive insurance companies. Concurrently, with the formation of the Company’s own wholly-owned captive insurance company in June 2003, the Company terminated its minority interest relationships in those entities. Substantially all claims reported on or after June 1, 2003 and before June 1, 2005 are self-insured up to $4.0 million per claim. Substantially all claims reported on or after June 1, 2005 are self insured up to $5 million per claim. Management on occasion has changed the insured risk at certain hospitals based upon insurance pricing and other factors and may continue that practice in the future. Excess insurance for all hospitals is purchased through commercial insurance companies and generally after the self-insured amount covers up to $100 million per occurrence for all claims reported on or after June 1, 2003. The Company’s insurance is underwritten on a “claims-made basis.” The Company accrues an estimated liability for its uninsured exposure and self-insured retention based on historical loss patterns and actuarial projections. The Company’s estimated liability for the self-insured portion of professional and general liability claims was $104.2 million and $88.4 million as of December 31, 2006


31


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
and 2005, respectively. These estimated liabilities represent the present value of estimated future professional liability claims payments based on expected loss patterns using a weighted-average discount rate of 4.6% and 4.1% in 2006 and 2005, respectively. The weighted-average discount rate is based on an estimate of the risk- free interest rate for the duration of the expected claim payments. The estimated undiscounted claims liability was $119.8 million and $107.7 million as of December 31, 2006 and 2005, respectively.
 
Legal Matters.  The Company is a party to other legal proceedings incidental to its business. In the opinion of management, any ultimate liability with respect to these actions will not have a material adverse effect on the Company’s consolidated financial position, cash flows or results of operations.
 
13.   Subsequent Events
 
On January 31, 2007, the Company exercised its purchase option with the developer of its newly constructed corporate headquarters and acquired the building by purchasing the equity interests of the previous owner for a purchase price of $34.9 million.
 
Effective April 1, 2007, the Company completed its acquisition of Lincoln General Hospital (157 licensed beds), located in Ruston, Louisiana. The total consideration for this hospital was approximately $47.8 million, of which $43.6 million was paid in cash and $4.2 million was assumed in liabilities. On May 1, 2007, the Company completed its acquisition of Porter Health, a 301 bed acute care hospital located in Valparaiso, Indiana, with a satellite campus in Portage, Indiana, and outpatient medical campuses in Chesterton, Demotte, and Hebron, Indiana. As part of this acquisition, the Company has agreed to construct a 225-bed replacement facility for the Valparaiso hospital no later than April 2011. The total consideration for Porter Health was approximately $110.1 million, of which $83.2 million was paid in cash and $26.9 million was assumed in liabilities. During the quarter ended June 30, 2007, the Company made its initial purchase price allocation relating to these acquisitions resulting in approximately $6.6 million of goodwill being recorded. This allocation is preliminary pending, among other things, finalization of the determination of fair market value of tangible and intangible assets.


32


 

 
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
14.   Quarterly Financial Data (Unaudited)
 
                                         
    Quarter        
    1(st)     2(nd)     3(rd)     4(th)     Total  
    (In thousands, except share and per share data)  
 
Year ended December 31, 2006:
                                       
Net operating revenues
  $ 1,026,562     $ 1,061,054     $ 1,123,483     $ 1,154,477     $ 4,365,576  
Income from continuing operations before taxes
    93,552       85,236       13,314       86,059       278,161  
Income from continuing operations
    57,254       52,369       8,241       53,615       171,479  
Loss on discontinued operations
    (3,216 )                       (3,216 )
Net income
    54,038       52,369       8,241       53,615       168,263  
Income from continuing operations per share:
                                       
Basic
    0.59       0.55       0.09       0.57       1.80  
Diluted
    0.58       0.54       0.09       0.57       1.78  
Net income per share:
                                       
Basic
    0.56       0.55       0.09       0.57       1.77  
Diluted
    0.55       0.54       0.09       0.57       1.75  
Weighted-average number of shares:
                                       
Basic
    96,552,448       95,769,030       94,119,020       93,538,958       94,983,646  
Diluted
    98,209,271       96,870,315       95,258,771       94,644,589       96,232,910  
Year ended December 31, 2005:
                                       
Net operating revenues
  $ 908,263     $ 918,718     $ 929,269     $ 982,070     $ 3,738,320  
Income from continuing operations before taxes
    80,317       75,540       72,122       82,941       310,920  
Income from continuing operations
    49,079       46,150       44,066       50,843       190,138  
Loss on discontinued operations
    (13,091 )     (5,622 )     (1,180 )     (2,701 )     (22,594 )
Net income
    35,988       40,528       42,886       48,142       167,544  
Income from continuing operations per share:
                                       
Basic
    0.56       0.52       0.50       0.57       2.15  
Diluted
    0.52       0.49       0.47       0.54       2.02  
Net income per share:
                                       
Basic
    0.41       0.45       0.49       0.54       1.89  
Diluted
    0.39       0.43       0.46       0.51       1.79  
Weighted-average number of shares:
                                       
Basic
    87,926,338       89,149,815       88,325,411       89,011,180       88,601,168  
Diluted
    98,087,086       99,328,929       98,528,968       98,389,422       98,579,977  


33


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Acquisition of Triad, Related Financing and Supplemental Condensed Consolidating Financial Information
On July 25, 2007, the Company completed its acquisition of Triad Hospitals, Inc. (“Triad”) pursuant to which the Company acquired Triad for $54 per share in cash, or approximately $6.968 billion in the aggregate, including the assumption of approximately $1.702 billion of existing indebtedness of Triad. In connection with the closing of the Triad acquisition, the Company has assumed both recorded and unrecorded contingencies of Triad. The merger was approved by Triad’s stockholders at a meeting held on June 13, 2007. The combined company owns or operates approximately 129 hospitals in 28 states, with a total bed count of approximately 19,200.
In connection with the consummation of the merger, the Company obtained $7.215 billion of senior secured financing under a new credit facility (the “New Credit Facility”) and its wholly-owned subsidiary, CHS/Community Health Systems, Inc. (the “Issuer”), issued $3.021 billion aggregate principal amount ($3.000 billion, net of discount) of 8.875% senior notes due 2015 (the “Notes”) at the closing of the merger. The Notes are senior obligations of the Issuer and are guaranteed on a senior basis by the Company and by certain of the Company’s domestic subsidiaries. The Company used the net proceeds from the Notes offering and the net proceeds of the $6.065 billion of term loans under the New Credit Facility to pay the consideration under the merger agreement, to refinance certain of its indebtedness and indebtedness of Triad, to complete certain related transactions, to pay certain costs and expenses of the transactions and for general corporate uses. A $750 million revolving credit facility and a $400 million delayed draw term loan facility is available to the Company for working capital and general corporate purposes under the new credit facility. This revolving credit facility also will include a sub facility for letters of credit and a swingline sub facility. Also, in connection with the consummation of the merger, the Company completed an early repayment of its outstanding $300 million aggregate principal amount of 6-½% Senior Subordinated Notes due 2012 through a cash tender offer and consent solicitation.
The loans under the New Credit Facility will bear interest on the outstanding unpaid principal amount at a rate equal to an applicable percentage plus, at the Company’s option, either (a) an alternative base rate determined by reference to the greater of (1) the prime rate announced by Credit Suisse and (2) the federal funds rate plus one-half of 1.0%, or (b) a reserve adjusted Eurodollar rate. The applicable percentage for term loans is 1.25% for alternative base rate loans and 2.25% for Eurodollar rate loans, and the applicable percentage for revolving loans will be up to 1.25% for alternative base rate revolving loans and up to 2.25% for Eurodollar revolving loans, in each case based on the Company’s leverage ratio. Loans under the swingline sub facility bear interest at the rate applicable to alternative base rate loans under the revolving credit facility.
The Notes issued in connection with the Triad acquisition were issued in the principal amount of $3.021 billion. These Notes will mature on July 15, 2015. Interest on the Notes will accrue at the rate of 8-7/8% per annum and will be payable semiannually in arrears in January 15 and July 15, commencing January 15, 2008. Interest on the Notes will accrue from the date of original issuance. Interest will be completed on the basis of 360-day year comprised of twelve 30-day month.
The Notes are unsecured obligations of the Company. Secured debt and other secured obligation of the Company (including obligations with respect to the Credit Agreement) will be effectively senior to the Notes to the extent of the value of the assets securing such debt or other obligations. The Notes are fully and unconditionally guaranteed by the Company and certain of its current and future, direct and indirect, 100% owned domestic subsidiaries. Such guarantees are joint and several. The following condensed consolidating financial statements present the parent guarantor, the issuer, the subsidiary guarantors, the subsidiary non-guarantors and eliminations. This condensed consolidating financial information has been prepared and presented in accordance with SEC Regulation S-X Rule 3-10 “Financial Statements of Guarantors and Affiliates whose Securities Collateralize an issue Registered or Being Registered”.

34


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Supplemental Condensed Consolidating Financial Information (Continued)
CONSOLIDATED BALANCE SHEETS
(Amounts in thousands)
                                                 
    Parent             Other     Non-              
    Guarantor     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
December 31, 2005:
                                               
ASSETS
                                               
Current assets:
                                               
Cash and cash equivalents
  $     $     $ 83,579     $ 20,529     $     $ 104,108  
Patient accounts receivable, net of allowance for doubtful accounts
                524,139       131,890             656,029  
Supplies
                78,154       17,046             95,200  
Deferred income taxes
    4,128                               4,128  
Prepaid expenses and taxes
                32,615       762             33,377  
Other current assets
                19,306       2,061             21,367  
 
                                   
Total current assets
    4,128             737,793       172,288             914,209  
 
                                   
Property and equipment, net
                1,310,004       300,987             1,610,991  
 
                                   
Goodwill
                1,120,660       139,156             1,259,816  
 
                                   
Other assets, net of accumulated amortization
          23,390       106,772       19,040             149,202  
 
                                   
Investment in subsidiaries
    816,196       801,226       308,382             (1,925,804 )      
 
                                   
Total assets
  $ 820,324     $ 824,616     $ 3,583,611     $ 631,471     $ (1,925,804 )   $ 3,934,218  
 
                                   
LIABILITIES AND STOCKHOLDERS’ EQUITY
                                               
Current liabilities:
                                               
Current maturities of long-term debt
  $ 126     $ 12,000     $ 5,933     $ 1,065     $     $ 19,124  
Accounts payable
                134,147       55,793             189,940  
Current income taxes payable
                19,811                   19,811  
Deferred income taxes-current
                                   
Net investment in subsidiary-liability
                                   
Accrued liabilities:
                                               
Employee compensation
                97,174       24,601             121,775  
Interest
    3,087       5,439       (21 )     86             8,591  
Other
                64,036       14,126             78,162  
 
                                   
Total current liabilities
    3,213       17,439       321,080       95,671             437,403  
Long-term debt
    436,498       1,173,000       37,493       1,509             1,648,500  
Deferred income taxes
    157,579                               157,579  
Other Long Term Liabilities
                96,993       29,166             126,159  
Intercompany payable
    (1,341,543 )     (1,182,015 )     2,326,249       535,120       (337,811 )      
Stockholders’ equity:
                                               
Preferred Stock
                                               
Common Stock
    945             1       2       (3 )     945  
Additional paid-in Capital
    1,195,726                               1,195,726  
Treasury stock, at cost
    (6,678 )                             (6,678 )
Accumulated other comprehensive income
    15,191       15,191       222             (15,413 )     15,191  
Retained earnings
    359,393       801,001       801,573       (29,997 )     (1,572,577 )     359,393  
 
                                   
Total stockholders’ equity
    1,564,577       816,192       801,796       (29,995 )     (1,587,993 )     1,564,577  
 
                                   
Total liabilities and stockholders’ equity
  $ 820,324     $ 824,616     $ 3,583,611     $ 631,471     $ (1,925,804 )   $ 3,934,218  
 
                                   

35


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Supplemental Condensed Consolidating Financial Information (Continued)
CONSOLIDATED BALANCE SHEETS
(Amounts in thousands)
                                                 
    Parent             Other     Non-              
    Guarantor     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
December 31, 2006:
                                               
ASSETS
                                               
Current assets:
                                               
Cash and cash equivalents
  $     $     $ 28,713     $ 11,853     $     $ 40,566  
Patient accounts receivable, net of allowance for doubtful accounts
                634,227       139,757             773,984  
Supplies
                94,070       19,250             113,320  
Deferred income taxes
    13,249                             13,249  
Prepaid expenses and taxes
                32,447       (62 )           32,385  
Other current assets
                27,727       20,153             47,880  
 
                                   
Total current assets
    13,249             817,184       190,951             1,021,384  
 
                                   
Property and equipment, net
                1,657,517       329,060             1,986,577  
 
                                   
Goodwill
                1,178,014       158,511             1,336,525  
 
                                   
Other assets, net of accumulated amortization
          20,804       127,367       13,922             162,093  
 
                                   
Investment in subsidiaries
    1,081,747       1,068,432       367,456             (2,517,635 )      
 
                                   
Total assets
  $ 1,094,996     $ 1,089,236     $ 4,147,538     $ 692,444     $ (2,517,635 )   $ 4,506,579  
 
                                   
LIABILITIES AND STOCKHOLDERS’ EQUITY
                                               
Current liabilities:
                                               
Current maturities of long-term debt
  $     $ 16,000     $ 20,375     $ (979 )   $     $ 35,396  
Accounts payable
                209,354       38,393             247,747  
Current income taxes payable
                7,626                   7,626  
Deferred income taxes — current
                                   
Net investment in subsidiary — liability
                                   
Accrued liabilities:
                                               
Employee compensation
                132,883       29,305             162,188  
Interest
    867       5,866       316       73             7,122  
Other
                91,096       24,108             115,204  
 
                                   
Total current liabilities
    867       21,866       461,650       90,900             575,283  
 
                                   
Long-term debt
    300,000       1,556,000       48,962       819             1,905,781  
 
                                   
Deferred income taxes
    141,472                               141,472  
 
                                   
Other long-term liabilities
                125,427       34,943             160,370  
 
                                   
Intercompany payable
    (1,071,016 )     (1,570,373 )     2,447,810       625,088       (431,509 )      
 
                                   
Stockholders’ equity:
                                               
Preferred Stock
                                               
Common Stock
    950             1       2       (3 )     950  
Additional paid-in Capital
    1,195,947                   (1 )     1       1,195,947  
Treasury stock, at cost
    (6,678 )                             (6,678 )
Accumulated other comprehensive income
    5,798       5,798       (7,516 )           1,718       5,798  
Retained earnings
    527,656       1,075,945       1,071,204       (59,307 )     (2,087,842 )     527,656  
 
                                   
Total stockholders’ equity
    1,723,673       1,081,743       1,063,689       (59,306 )     (2,086,126 )     1,723,673  
 
                                   
Total liabilities and stockholders’ equity
  $ 1,094,996     $ 1,089,236     $ 4,147,538     $ 692,444     $ (2,517,635 )   $ 4,506,579  
 
                                   

36


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Supplemental Condensed Consolidating Financial Information (Continued)
CONSOLIDATED STATEMENTS OF INCOME
(Amounts in thousands)
                                                 
    Parent             Other     Non-              
    Guarantor     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
Year ended December 31, 2004:
                                               
Net operating revenues
  $             2,632,377       571,130             3,203,507  
 
                                   
Operating costs and expenses:
                                               
Salaries and benefits
                1,030,643       248,493             1,279,136  
Provision for bad debts
                257,238       67,405             324,643  
Supplies
                321,529       68,055             389,584  
Rent
                58,486       18,500             76,986  
Other operating expenses
                513,480       125,557             639,037  
Minority interest in earnings
                130       2,364             2,494  
Depreciation and amortization
                129,225       19,930             149,155  
Equity in earnings of subsidiaries
    (255,504 )     (255,504 )     10,844             500,164        
 
                                   
Total operating costs and expenses
    (255,504 )     (255,504 )     2,321,575       550,304       500,164       2,861,035  
 
                                   
Income from operations
    255,504       255,504       310,802       20,826       (500,164 )     342,472  
Interest expense, net of interest income
                54,431       20,825             75,256  
Loss from early extinguishment of debt
                788                   788  
 
                                   
Income from continuing operations before income taxes
    255,504       255,504       255,583       1       (500,164 )     266,428  
Provision for income taxes
    104,071                               104,071  
 
                                   
 
                                             
Income from continuing operations
    151,433       255,504       255,583       1       (500,164 )     162,357  
Discontinued operations, net of taxes:
                                               
Loss from operations of hospitals sold or held for sale
                      (7,279 )           (7,279 )
Net loss on sale of hospitals
                      (2,020 )           (2,020 )
Impairment of long-lived assets of hospital held for sale
                      (1,625 )           (1,625 )
 
                                   
 
                                             
Loss on discontinued operations
                      (10,924 )           (10,924 )
 
                                   
Net income
  $ 151,433     $ 255,504     $ 255,583     $ (10,923 )   $ (500,164 )   $ 151,433  
 
                                   

37


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Supplemental Condensed Consolidating Financial Information (Continued)
CONSOLIDATED STATEMENTS OF INCOME
(Amounts in thousands)
                                                 
    Parent             Other     Non-              
    Guarantor     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
Year ended December 31, 2005:
                                               
Net operating revenues
  $     $     $ 2,987,635     $ 750,685     $     $ 3,738,320  
 
                                   
Operating costs and expenses:
                                               
Salaries and benefits
                1,156,679       329,728             1,486,407  
Provision for bad debts
                299,802       77,794             377,596  
Supplies
                360,011       88,199             448,210  
Rent
                63,629       23,581             87,210  
Other operating expenses
                593,677       172,020             765,697  
Minority interest in earnings
                129       2,975             3,104  
Depreciation and amortization
                135,306       29,257             164,563  
Equity in earnings of subsidiaries
    (288,326 )     (288,326 )     12,021             564,631        
 
                                   
Total operating costs and expenses
    (288,326 )     (288,326 )     2,621,253       723,555       564,631       3,332,787  
 
                                   
Income from operations
    288,326       288,326       366,382       27,130       (564,631 )     405,533  
Interest expense, net of interest income
                77,639       16,965             94,604  
Loss from early extinguishment of debt
                9                   9  
 
                                   
Income from continuing operations before income taxes
    288,326       288,326       288,734       10,165       (564,631 )     310,920  
Provision for income taxes
    120,782                               120,782  
 
                                   
Income from continuing operations
    167,544       288,326       288,734       10,165       (564,631 )     190,138  
Discontinued operations, net of taxes:
                                               
Loss from operations of hospitals
                                 
sold or held for sale
                      (10,505 )           (10,505 )
Net loss on sale of hospitals
                      (7,618 )           (7,618 )
Impairment of long-lived assets of hospital held for sale
                      (4,471 )           (4,471 )
 
                                   
Loss on discontinued operations
                      (22,594 )           (22,594 )
 
                                   
Net income
  $ 167,544     $ 288,326     $ 288,734     $ (12,429 )   $ (564,631 )   $ 167,544  
 
                                   

38


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Supplemental Condensed Consolidating Financial Information (Continued)
CONSOLIDATED STATEMENTS OF INCOME
(Amounts in thousands)
                                                 
    Parent             Other     Non-              
    Guarantor     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
Year ended December 31, 2006:
                                               
Net operating revenues
  $     $     $ 3,519,487     $ 846,089     $     $ 4,365,576  
 
                                   
Operating costs and expenses:
                                               
Salaries and benefits
                1,350,640       390,583             1,741,223  
Provision for bad debts
                434,536       113,245             547,781  
Supplies
                410,850       99,501             510,351  
Other operating expenses
                707,585       189,506             897,091  
Rent
                69,421       27,683             97,104  
Minority interest in earnings
                59       2,736             2,795  
Depreciation and amortization
                157,307       31,464             188,771  
Equity in earnings of subsidiaries
    (274,945 )     (274,945 )     34,624             515,266        
 
                                   
Total operating costs and expenses
    (274,945 )     (274,945 )     3,165,022       854,718       515,266       3,985,116  
 
                                   
Income from operations
    274,945       274,945       354,465       (8,629 )     (515,266 )     380,460  
Interest expense, net of interest income
                84,833       17,466             102,299  
Loss from early extinguishment of debt
                                   
 
                                   
Income from continuing operations before income taxes
    274,945       274,945       269,632       (26,095 )     (515,266 )     278,161  
Provision for income taxes
    106,682                               106,682  
 
                                   
Income from continuing operations
    168,263       274,945       269,632       (26,095 )     (515,266 )     171,479  
Discontinued operations, net of taxes:
                                               
Loss from operations of hospitals sold or held for sale
                      (657 )           (657 )
Net loss on sale of hospitals
                      (2,559 )           (2,559 )
Impairment of long-lived assets of hospital held for sale
                                   
 
                                   
Loss on discontinued operations
                      (3,216 )           (3,216 )
 
                                   
Net income
  $ 168,263     $ 274,945     $ 269,632     $ (29,311 )   $ (515,266 )   $ 168,263  
 
                                   

39


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Supplemental Condensed Consolidating Financial Information (Continued)
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)
                                                 
    Parent             Other     Non-              
    Guarantor     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
Year ended December 31, 2004:
                                               
Cash flows from operating activities:
                                               
Net income
  $ 151,433     $ 255,504     $ 255,583     $ (10,923 )   $ (500,164 )   $ 151,433  
Adjustments to reconcile net income to net cash provided by operating activities:
                                               
Depreciation and amortization
                129,225       29,155             158,380  
Deferred income taxes
    32,552                   9,350             41,902  
Equity based compensation expense
    2                               2  
Loss on early extinguishment of debt
    788                               788  
Minority interest in earnings
                      1,578             1,578  
Impairment on hospital held for sale
                      2,539             2,539  
Loss on sale of hospitals
                      2,186             2,186  
Other non-cash expenses, net
                765       (96 )           669  
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
                                               
Patient accounts receivable
                (28,425 )     (3,389 )           (31,814 )
Supplies, prepaid expenses and other current assets
                (11,712 )     (1,837 )           (13,549 )
Accounts payable, accrued liabilities and income taxes
    13,250       100       (37,532 )     (189 )           (24,371 )
Advances to subsidiaries, net of return on investment
    (222,766 )     (316,460 )     33,218       5,844       500,164        
Other
    5,361       (3,459 )     33,694       411             36,007  
 
                                   
Net cash provided by operating activities
    (19,380 )     (64,315 )     374,816       34,629             325,750  
Cash flows from investing activities:
                                               
Acquisitions of facilities and other related equipment
                (128,850 )     (4,183 )           (133,033 )
Purchases of property and equipment
                (146,835 )     (17,451 )           (164,286 )
Disposition of hospitals
                      7,850             7,850  
Proceeds from sale of equipment
                770       20             790  
Increase in other assets
                (22,066 )     (7,734 )           (29,800 )
 
                                   
Net cash used in investing activities
                (296,981 )     (21,498 )           (318,479 )
Cash flows from financing activities:
                                               
Proceeds from exercise of stock options
    9,900                               9,900  
Proceeds from senior Subordinated Notes
    300,000                               300,000  
Stock Buy-Back
    (290,520 )                                     (290,520 )
Deferred financing costs
                (12,785 )     2             (12,783 )
Excess tax benefits relating to stock-based compensation
                                   
Redemption of convertible notes
                                   
Proceeds from minority investors in joint ventures
                                   
Redemption of minority investments in joint ventures
                      (3,522 )           (3,522 )
Distribution to minority investors in joint ventures
                      (1,238 )           (1,238 )
Borrowings under Credit Agreement
          1,724,640       1,129       (1 )           1,725,768  
Repayments of long-term indebtedness
          (1,660,325 )     (7,388 )     (996 )           (1,668,709 )
 
                                   
Net cash (used in) provided by financing activities
    19,380       64,315       (19,044 )     (5,755 )           58,896  
 
                                   
Net change in cash and cash equivalents
                58,791       7,376             66,167  
Cash and cash equivalents at beginning of period
                10,516       5,815             16,331  
 
                                   
Cash and cash equivalents at end of period
  $     $     $ 69,307     $ 13,191     $     $ 82,498  
 
                                   

40


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Supplemental Condensed Consolidating Financial Information (Continued)
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)
                                                 
    Parent             Other     Non-              
    Guarantor     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
Year ended December 31, 2005:
                                               
Cash flows from operating activities:
                                               
Net income
  $ 167,544     $ 288,326     $ 288,734     $ (12,429 )   $ (564,631 )   $ 167,544  
Adjustments to reconcile net income to net cash provided by operating activities:
                                               
Depreciation and amortization
                135,306       30,856             166,162  
Deferred income taxes
    9,889                               9,889  
Stock compensation expense
    4,956                   1             4,957  
Excess tax benefits relating to stock-based compensation
                                   
Minority interest in earnings
                129       2,975             3,104  
Impairment on hospital held for sale
                      6,718             6,718  
Loss on sale of hospitals
                      6,295             6,295  
Other non-cash expenses, net
                1,616       (876 )           740  
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
                                               
Patient accounts receivable
                (39,035 )     (8,420 )           (47,455 )
Supplies, prepaid expenses and other current assets
                (18,616 )     1,778             (16,838 )
Accounts payable, accrued liabilities and income taxes
    24,183       803       40,955       19,015             84,956  
Advances to subsidiaries, net of return on investment
    (183,328 )     (272,332 )     (92,822 )     (16,149 )     564,631        
Other
    7,327       (4,797 )     27,979       (5,532 )           24,977  
 
                                   
Net cash provided by operating activities
    30,571       12,000       344,246       24,232             411,049  
Cash flows from investing activities:
                                               
Acquisitions of facilities and other related equipment
                (125,493 )     (32,886 )           (158,379 )
Purchases of property and equipment
                (162,401 )     (25,964 )           (188,365 )
Disposition of hospitals
                (6,500 )     58,498             51,998  
Proceeds from sale of equipment
                112       2,213             2,325  
Increase in other assets
                (22,444 )     (12,407 )           (34,851 )
 
                                   
Net cash used in investing activities
                (316,726 )     (10,546 )           (327,272 )
Cash flows from financing activities:
                                               
Proceeds from exercise of stock options
    49,580                               49,580  
Stock buy-back
    (79,853 )                             (79,853 )
Deferred financing costs
                (1,259 )                 (1,259 )
Excess tax benefits relating to stock-based compensation
                                   
Redemption of convertible notes
    (298 )                             (298 )
Proceeds from minority investors in joint ventures
                      1,383             1,383  
Redemption of minority investments in joint ventures
                      (3,242 )           (3,242 )
Distribution to minority investors in joint ventures
                      (1,939 )           (1,939 )
Borrowings under Credit Agreement
                                   
Repayments of long-term indebtedness
          (12,000 )     (11,989 )     (2,550 )           (26,539 )
 
                                   
Net cash (used in) provided by financing activities
    (30,571 )     (12,000 )     (13,248 )     (6,348 )           (62,167 )
 
                                   
Net change in cash and cash equivalents
                14,272       7,338             21,610  
Cash and cash equivalents at beginning of period
                69,307       13,191             82,498  
 
                                   
Cash and cash equivalents at end of period
  $     $     $ 83,579     $ 20,529     $     $ 104,108  
 
                                   

41


 

COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
15. Supplemental Condensed Consolidating Financial Information (Continued)
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)
                                                 
    Parent             Other     Non-              
    Guarantor     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
Year ended December 31, 2006:
                                               
Cash flows from operating activities:
                                               
Net income
  $ 168,263     $ 274,945     $ 269,632     $ (29,311 )   $ (515,266 )   $ 168,263  
Adjustments to reconcile net income to net cash provided by operating activities:
                                             
Depreciation and amortization
                157,307       31,464               188,771  
Deferred income taxes
    (25,228 )                               (25,228 )
Stock compensation expense
    20,073                                 20,073  
Excess tax benefits relating to stock-based compensation
    (6,819 )                               (6,819 )
Minority interest in earnings
                59       2,736               2,795  
Impairment on hospital held for sale
                                     
Loss on sale of hospitals
                        3,937               3,937  
Other non-cash expenses, net
                517       (17 )             500  
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
                                             
Patient accounts receivable
                (67,215 )     (3,926 )             (71,141 )
Supplies, prepaid expenses and other current assets
                (11,010 )     6,466               (4,544 )
Accounts payable, accrued liabilities and income taxes
    4,935       1,358       81,880       (36,022 )             52,151  
Advances to subsidiaries, net of return on investment
    4,976       (655,565 )     62,468       72,855       515,266        
Other
    (11,148 )     (7,738 )     23,643       16,740               21,497  
 
                                   
Net cash provided by operating activities
    155,052       (387,000 )     517,281       64,922             350,255  
 
                                   
Cash flows from investing activities:
                                               
Acquisitions of facilities and other related equipment
                (362,290 )     (22,328 )           (384,618 )
Purchases of property and equipment
                (182,907 )     (41,612 )           (224,519 )
Disposition of hospitals
                      750             750  
Proceeds from sale of equipment
                104       4,376             4,480  
Increase in other assets
                (21,559 )     (14,791 )           (36,350 )
 
                                   
Net cash used in investing activities
                (566,652 )     (73,605 )           (640,257 )
 
                                   
Cash flows from financing activities:
                                               
Proceeds from exercise of stock options
    14,573                               14,573  
Stock buy-back
    (176,316 )                             (176,316 )
Deferred financing costs
                (2,153 )                 (2,153 )
Excess tax benefits relating to stock-based compensation
    6,819                               6,819  
Redemption of convertible notes
    (128 )                             (128 )
Proceeds from minority investors in joint ventures
                      6,890             6,890  
Redemption of minority investments in joint ventures
                (56 )     (859 )           (915 )
Distribution to minority investors in joint ventures
                      (3,220 )           (3,220 )
Borrowings under Credit Agreement
          1,031,000                         1,031,000  
Repayments of long-term indebtedness
          (644,000 )     (3,286 )     (2,804 )           (650,090 )
 
                                   
 
                                               
Net cash (used in) provided by financing activities
    (155,052 )     387,000       (5,495 )     7             226,460  
 
                                   
Net change in cash and cash equivalents
                (54,866 )     (8,676 )           (63,542 )
Cash and cash equivalents at beginning of period
                83,579       20,529             104,108  
 
                                   
Cash and cash equivalents at end of period
  $     $     $ 28,713     $ 11,853     $     $ 40,566  
 
                                   

42