10-Q 1 g14629qe10vq.htm MEDCATH CORPORATION MedCath Corporation
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-Q
(Mark One)
     
þ   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
For the quarterly period ended June 30, 2008
Or
     
o   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission File Number 000-33009
MEDCATH CORPORATION
(Exact name of registrant as specified in its charter)
     
Delaware   56-2248952
(State or other jurisdiction of   (IRS Employer Identification No.)
incorporation or organization)    
10720 Sikes Place, Suite 300
Charlotte, North Carolina 28277

(Address of principal executive offices, including zip code)
(704) 708-6600
(Registrant’s telephone number, including area code)
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
Yes þ   No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
             
Large accelerated filer o   Accelerated filer þ   Non-accelerated filer o   Smaller reporting company o
        (Do not check if a smaller reporting company)    
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes o   No þ
As of July 31, 2008, there were 19,581,445 shares of $0.01 par value common stock outstanding.
 
 

 


 

MEDCATH CORPORATION
FORM 10-Q
TABLE OF CONTENTS
         
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Exhibit 31.1
       
Exhibit 31.2
       
Exhibit 32.1
       
Exhibit 32.2
       
 Exhibit 31.1
 Exhibit 31.2
 Exhibit 32.1
 Exhibit 32.2

 


Table of Contents

PART I. FINANCIAL INFORMATION
Item 1. Unaudited Financial Statements
MEDCATH CORPORATION
CONSOLIDATED BALANCE SHEETS
(In thousands, except per share data)
(Unaudited)
                 
    June 30,     September 30,  
    2008     2007  
Current assets:
               
Cash and cash equivalents
  $ 120,810     $ 140,276  
Accounts receivable, net
    92,823       85,943  
Income tax receivable
    953        
Medical supplies
    15,763       13,928  
Deferred income tax assets
    14,236       12,389  
Prepaid expenses and other current assets
    5,294       6,197  
Current assets of discontinued operations
    22,402       22,832  
 
           
Total current assets
    272,281       281,565  
Property and equipment, net
    290,929       270,663  
Investments in affiliates
    15,618       5,718  
Goodwill
    58,098       62,740  
Other intangible assets, net
    6,213       6,448  
Other assets
    6,133       6,531  
Long-term assets of discontinued operations
          44,902  
 
           
Total assets
  $ 649,272     $ 678,567  
 
           
 
               
Current liabilities:
               
Accounts payable
  $ 34,227     $ 30,933  
Income tax payable
          10,552  
Accrued compensation and benefits
    17,115       18,567  
Other accrued liabilities
    16,676       13,421  
Current portion of long-term debt and obligations under capital leases
    106,822       4,089  
Current liabilities of discontinued operations
    18,732       24,962  
 
           
Total current liabilities
    193,572       102,524  
Long-term debt
    41,546       146,398  
Obligations under capital leases
    2,295       1,793  
Deferred income tax liabilities
    11,952       12,018  
Other long-term obligations
    412       460  
Long-term liabilities of discontinued operations
          13  
 
           
Total liabilities
    249,777       263,206  
 
               
Commitments and contingencies
               
 
               
Minority interest in equity of consolidated subsidiaries
    28,332       29,737  
 
               
Stockholders’ equity:
               
Preferred stock, $0.01 par value, 10,000,000 shares authorized; none issued
           
Common stock, $0.01 par value, 50,000,000 shares authorized; 21,535,806 issued and 19,581,445 outstanding at June 30, 2008 21,271,144 issued and 21,202,244 outstanding at September 30, 2007
    215       213  
Paid-in capital
    457,513       447,688  
Accumulated deficit
    (41,607 )     (61,821 )
Accumulated other comprehensive loss
    (161 )     (62 )
Treasury stock, at cost; 68,900 shares at September 30, 2007 1,954,361 shares at June 30, 2008
    (44,797 )     (394 )
 
           
Total stockholders’ equity
    371,163       385,624  
 
           
Total liabilities and stockholders’ equity
  $ 649,272     $ 678,567  
 
           
See notes to unaudited consolidated financial statements.

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MEDCATH CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)
(Unaudited)
                                 
    Three Months Ended June 30,     Nine Months Ended June 30,  
    2008     2007     2008     2007  
Net revenue
  $ 157,086     $ 178,492     $ 463,034     $ 515,518  
Operating expenses:
                               
Personnel expense
    51,019       54,383       151,522       162,301  
Medical supplies expense
    44,065       46,593       126,791       137,847  
Bad debt expense
    10,235       14,585       31,852       42,347  
Other operating expenses
    29,676       34,561       89,240       101,919  
Pre-opening expenses
    149             643        
Depreciation
    7,517       8,038       22,591       24,488  
Amortization
    149       126       411       505  
Loss on disposal of property, equipment and other assets
    225       175       391       1,028  
 
                       
Total operating expenses
    143,035       158,461       423,441       470,435  
 
                       
Income from operations
    14,051       20,031       39,593       45,083  
Other income (expenses):
                               
Interest expense
    (3,862 )     (5,125 )     (11,658 )     (18,152 )
Loss on early extinguishment of debt
                      (5,142 )
Interest and other income, net
    285       1,749       1,942       6,274  
Equity in net earnings of unconsolidated affiliates
    2,636       1,175       6,842       4,095  
 
                       
Total other income (expense), net
    (941 )     (2,201 )     (2,874 )     (12,925 )
 
                       
Income from continuing operations before minority interest and incomes taxes
    13,110       17,830       36,719       32,158  
Minority interest share of earnings of consolidated subsidiaries
    (4,293 )     (4,006 )     (13,859 )     (9,481 )
 
                       
Income from continuing operations before income taxes
    8,817       13,824       22,860       22,677  
Income tax expense
    3,469       5,396       8,917       9,882  
 
                       
Income from continuing operations
    5,348       8,428     13,943     12,795  
Income (loss) from discontinued operations, net of taxes
    6,424       837       6,578       (2,176 )
 
                       
Net income
  $ 11,772     $ 9,265     $ 20,521     $ 10,619  
 
                       
 
                               
Earnings (loss) per share, basic
                               
Continuing operations
  $ 0.27     $ 0.40     $ 0.68     $ 0.62  
Discontinued operations
    0.33       0.04       0.32       (0.11 )
 
                       
Earnings (loss) per share, basic
  $ 0.60     $ 0.44     $ 1.00     $ 0.51  
 
                       
 
                               
Earnings (loss) per share, diluted
                               
Continuing operations
  $ 0.27     $ 0.38     $ 0.68     $ 0.60  
Discontinued operations
    0.33       0.04       0.32       (0.10 )
 
                       
Earnings (loss) per share, diluted
  $ 0.60     $ 0.42     $ 1.00     $ 0.50  
 
                       
 
                               
Weighted average number of shares, basic
    19,524       21,144       20,415       20,760  
Dilutive effect of stock options and restricted stock
    107       682       89       650  
 
                       
Weighted average number of shares, diluted
    19,631       21,826       20,504       21,410  
 
                       
See notes to unaudited consolidated financial statements.

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MEDCATH CORPORATION
CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY
(In thousands)
(Unaudited)
                                                                 
                                    Accumulated              
                                    Other              
    Common Stock     Paid-in     Accumulated     Comprehensive     Treasury Stock        
    Shares     Par Value     Capital     Deficit     Income (Loss)     Shares     Amount     Total  
Balance, September 30, 2007
    21,271     $ 213     $ 447,688     $ (61,821 )   $ (62 )     69     $ (394 )   $ 385,624  
Cumulative impact of change in accounting principle (Note 8)
                      (307 )                       (307 )
Exercise of stock options, including income tax benefit
    265       2       4,609                               4,611  
Share buyback
                                  1,885       (44,403 )     (44,403 )
Share-based compensation expense
                5,463                               5,463  
Tax impact of cancellation of stock options
                (247 )                             (247 )
Comprehensive income:
                                                               
Net income
                      20,521                         20,521  
Change in fair value of interest rate swaps, net of income tax benefit
                            (99 )                 (99 )
 
                                                             
Total comprehensive income
                                                            20,422  
 
                                               
Balance, June 30, 2008
    21,536     $ 215     $ 457,513     $ (41,607 )   $ (161 )     1,954     $ (44,797 )   $ 371,163  
 
                                               
See notes to unaudited consolidated financial statements.

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MEDCATH CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
                 
    Nine Months Ended June 30,  
    2008     2007  
Net income
  $ 20,521     $ 10,619  
Adjustments to reconcile net income to net cash provided by operating activities:
               
(Income) loss from discontinued operations, net of taxes
    (6,578 )     2,176  
Bad debt expense
    31,852       42,347  
Depreciation
    22,591       24,488  
Amortization
    411       505  
Excess income tax benefit on exercised stock options
    (648 )     (2,075 )
Loss on disposal of property, equipment and other assets
    391       1,028  
Share-based compensation expense
    5,463       3,849  
Amortization of loan acquisition costs
    659       2,414  
Equity in earnings of unconsolidated affiliates, net of distributions received
    (536 )     (672 )
Minority interest share of earnings of consolidated subsidiaries
    13,859       9,481  
Deferred income taxes
    (1,846 )     1,769  
Change in assets and liabilities that relate to operations:
               
Accounts receivable
    (38,732 )     (51,652 )
Medical supplies
    (1,835 )     (145 )
Prepaids and other assets
    1,052       896  
Accounts payable and accrued liabilities
    (10,276 )     710  
 
           
Net cash provided by operating activities of continuing operations
    36,348       45,738  
Net cash provided by (used in) operating activities of discontinued operations
    1,134     (1,840 )
 
           
Net cash provided by operating activities
    37,482       43,898  
 
               
Investing activities:
               
Purchases of property and equipment
    (38,127 )     (18,596 )
Proceeds from sale of property and equipment
    358       1,569  
Investments in affiliates
    (9,530 )      
 
           
Net cash used in investing activities of continuing operations
    (47,299 )     (17,027 )
Net cash provided by (used in) investing activities of discontinued operations
    76,223       (313 )
 
           
Net cash provided by (used in) investing activities
    28,924       (17,340 )
 
               
Financing activities:
               
Repayments of long-term debt
    (2,144 )     (112,387 )
Repayments of obligations under capital leases
    (1,024 )     (1,374 )
Distributions to minority partners
    (15,850 )     (12,311 )
Repayments from minority partners, net
          185  
Proceeds from exercised stock options
    3,947       5,786  
Purchase of treasury shares
    (44,403 )      
Proceeds from issuance of common stock
          39,658  
Excess income tax benefit on exercised stock options
    648       2,075  
 
           
Net cash used in financing activities of continuing operations
    (58,826 )     (78,368 )
Net cash used in financing activities of discontinued operations
    (13,708 )     (915 )
 
           
Net cash used in financing activities
    (72,534 )     (79,283 )
 
           
 
               
Net decrease in cash and cash equivalents
    (6,128 )     (52,725 )
Consolidated cash and cash equivalents:
               
Beginning of period
    143,893       194,375  
 
           
End of period
  $ 137,765     $ 141,650  
 
           
 
               
Cash and cash equivalents of continuing operations
  $ 120,810     $ 137,598  
Cash and cash equivalents of discontinued operations
  $ 16,955     $ 4,052  
See notes to unaudited consolidated financial statements.

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
(All tables in thousands, except percentages and per share data)
1. Business and Basis of Presentation
     MedCath Corporation (the Company) primarily focuses on providing high acuity services, predominantly the diagnosis and treatment of cardiovascular disease. The Company owns and operates hospitals in partnership with physicians, most of whom are cardiologists and cardiovascular surgeons. While each of the Company’s majority-owned hospitals (collectively, the hospital division) is licensed as a general acute care hospital, the Company focuses on serving the unique needs of patients suffering from cardiovascular disease. As of June 30, 2008, the Company and its physician partners owned and operated nine hospitals in seven states with a total of 616 licensed beds.
     In addition to its hospitals, the Company provides cardiovascular care services in diagnostic and therapeutic facilities in various locations and through mobile cardiac catheterization laboratories (the MedCath Partners division). The Company also provides consulting and management services tailored primarily to cardiologists and cardiovascular surgeons, which is included in the corporate and other division.
     The Company accounts for all but two of its owned and operated hospitals as consolidated subsidiaries. The Company owns a minority interest in Avera Heart Hospital of South Dakota and Harlingen Medical Center as of June 30, 2008 and is not the primary beneficiary under the revised version of Financial Accounting Standards Board (FASB) Interpretation No. 46, Consolidation of Variable Interest Entities, an interpretation of ARB No. 51 (FIN No. 46-R). Therefore, the Company is unable to consolidate these hospitals’ results of operations and financial position, but rather is required to account for its minority ownership interest in these hospitals as an equity method investment. Harlingen Medical Center was a consolidated entity for the first three quarters of fiscal 2007. In July 2007, the Company sold a portion of its equity interest in Harlingen Medical Center; therefore, the Company no longer is its primary beneficiary and accounts for its minority ownership interest in the hospital as an equity method investment.
     Basis of Presentation — The Company’s unaudited interim consolidated financial statements as of June 30, 2008 and for the three and nine months ended June 30, 2008 and 2007 have been prepared in accordance with accounting principles generally accepted in the United States of America (hereafter, generally accepted accounting principles) and pursuant to the rules and regulations of the Securities and Exchange Commission (the SEC). These unaudited interim consolidated financial statements reflect, in the opinion of management, all material adjustments necessary to fairly state the results of operations and financial position for the periods presented. All intercompany transactions and balances have been eliminated.
     Certain information and disclosures normally included in the notes to consolidated financial statements have been condensed or omitted as permitted by the rules and regulations of the SEC, although the Company believes the disclosure is adequate to make the information presented not misleading. The unaudited interim consolidated financial statements and notes thereto should be read in conjunction with the Company’s audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2007. During the nine months ended June 30, 2008, the Company adopted Financial Accounting Standards Board (FASB) Interpretation No. 48, “Accounting for Uncertainty in Income Taxes — an interpretation of FASB Statement No. 109” (“FIN 48”) which clarifies the accounting for uncertainty in tax positions. This interpretation requires that the Company recognize the impact of a tax position in its consolidated financial statements if that position is more likely than not of being sustained on audit, based on the technical merits of the position (see Note 8).

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
2. Recent Accounting Pronouncements
     In April 2008, the FASB issued FASB Staff Position (FSP) FAS 142-3 Determination of the Useful Life of an Intangible Asset (FSP FAS 142-3), which amends the list of factors an entity should consider in developing renewal or extension assumptions used in determining the useful life of recognized intangible assets under Statements of Financial Accounting Standards (SFAS) No. 142 Goodwill and Other Intangible Assets. The new guidance applies to intangible assets that are acquired individually or with a group of other assets and intangible assets acquired in both business combinations and asset acquisitions. FSP FAS 142-3 is effective for financial statements issued for fiscal years beginning after December 15, 2008, and interim periods within those fiscal years. The impact of FSP FAS 142-3 will be dependent upon any potential future acquisitions.
     In June 2008, Emerging Issues Task Force (EITF) Issue No. 08-3 Accounting by Lessees for Maintenance Deposits Under Lease Arrangements (EITF 08-3) was ratified by the FASB. The EITF reached a consensus that all nonrefundable maintenance deposits that are contractually and substantively related to maintenance of the leased asset are accounted for as deposit assets. The lessee’s deposit asset is expensed or capitalized as part of a fixed asset (depending on the lessee’s maintenance accounting policy) when the underlying maintenance is performed. When the lessee determines that it is less than probable that an amount on deposit will be returned to the lessee (and thus no longer meets the definition of an asset), the lessee must recognize an additional expense for that amount. EITF 08-3 is effective for fiscal years beginning after December 15, 2008, and must be applied by recognizing the cumulative effect of the change in accounting principle in the opening balance of retained earnings as of the beginning of the fiscal year in which this consensus is initially applied. The Company is evaluating the potential impact of the adoption of EITF 08-3.
     In December 2007, the FASB issued SFAS No. 141(R), Business Combinations (SFAS 141(R)). SFAS 141(R) replaces SFAS 141 Business Combinations and addresses the recognition and accounting for identifiable assets acquired, liabilities assumed, and noncontrolling interests in business combinations. This standard will require more assets and liabilities to be recorded at fair value and will require expense recognition (rather than capitalization) of certain pre-acquisition costs. This standard also will require any adjustments to acquired deferred tax assets and liabilities occurring after the related allocation period to be made through earnings. Furthermore, this standard requires this treatment of acquired deferred tax assets and liabilities also be applied to acquisitions occurring prior to the effective date of this standard. SFAS 141(R) is effective for fiscal years beginning after December 15, 2008 and is required to be adopted prospectively with no early adoption permitted. The Company expects SFAS 141R will have an impact on accounting for business combinations, but the effect will be dependent upon any potential future acquisitions.
     In December 2007, the FASB issued SFAS No. 160. Noncontrolling Interests in Consolidated Financial Statements-an Amendment of ARB No. 51 (SFAS 160). SFAS 160 establishes accounting and reporting standards pertaining to ownership interests in subsidiaries held by parties other than the parent, the amount of net income attributable to the parent and to the noncontrolling interest, changes in a parent’s ownership interest, and the valuation of any retained noncontrolling equity investment when a subsidiary is deconsolidated. This statement also establishes disclosure requirements that clearly identify and distinguish between the interests of the parent and the interests of the noncontrolling owners. SFAS 160 is effective for fiscal years beginning on or after December 15, 2008. The Company is evaluating the potential impact of the adoption of SFAS 160.
     In March 2008, the FASB issued SFAS No. 161 “Disclosures about Derivative Instruments and Hedging Activities—an amendment of FASB Statement No. 133” (SFAS 161). SFAS 161 changes the disclosure requirements for derivative instruments and hedging activities. Entities are required to provide enhanced disclosures about how and why an entity uses derivative instruments, how derivative instruments and related hedged items are accounted for under SFAS 133 “Accounting for Derivative Instruments and Hedging Activities” and its related interpretations, and how derivative instruments and related hedged items affect an entity’s financial position, financial performance, and cash flows. SFAS 161 is effective for fiscal years and interim periods beginning after November 15, 2008. The Company is evaluating the potential impact of the adoption of SFAS 161.
3. Acquisitions and Divestitures
Acquisition of Additional Interest
Effective June 30, 2008 the Company acquired an additional 14.29% interest in the Texsan Heart Hospital by converting $9.5 million of intercompany debt to equity.
Discontinued Operations
     During September 2006, the Company decided to seek to dispose of its interest in the Heart Hospital of Lafayette (HHLf) and entered into a confidentiality and exclusivity agreement with a potential buyer. In accordance with Statement of Financial Accounting Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets (SFAS No. 144) it was determined that the carrying value of HHLf was in excess of fair value at December 31, 2007. Accordingly, an impairment charge of $4.1 million was recorded and is included in the loss from discontinued operations in the consolidated statement of operations for the nine months ended June 31, 2007. The sale of HHLf was completed during the first quarter of fiscal 2008, resulting in an immaterial loss.

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
     During May 2008, the Company sold certain net assets of Dayton Heart Hospital to Good Samaritan Hospital for $47.5 million pursuant to a definitive agreement entered into during the first quarter of 2008. The total gain recognized, net of tax, was $3.4 million and is included in income from discontinued operations on the consolidated statement of operations for the three and nine months ended June 30, 2008. $4.6 million of goodwill was allocated to Dayton Heart Hospital and was written off as part of the net gain on the sale of the hospital.
     In accordance with the terms of the sale, Dayton Heart Hospital and Good Samaritan Hospital entered into an indemnification agreement for a period of eighteen months from the date of the sale. Dayton Heart Hospital agreed to indemnify Good Samaritan Hospital from certain exposures arising subsequent to the date of sale, including environmental exposure and exposure resulting from the breach of representations or warranties made in accordance with the sale. The maximum exposure associated with the indemnity agreement is $10 million. The estimated fair value of this indemnification is not material. Additionally, as a condition to the sale and as part of the indemnification agreement, the Company has entered into a non-compete agreement for a period of five years from the date of the sale. The Company was paid $5.0 million under the non-compete agreement. $3.1 million of income, net of tax, related to the non-compete agreement is reported in income from discontinued operations in the consolidated statement of operations for the three and nine months ended June 30, 2008.
     In accordance with the provisions of SFAS No. 144, the Company has classified the results of operations and the assets and liabilities of the hospitals held for sale, as well as the impacts from the collections and payments of the remaining assets and liabilities associated with the hospitals divested, as discontinued operations for the three and nine months ended June 30, 2008 and 2007.
     The results of operations of DHH and HHLf, excluding intercompany interest expense and intercompany gain as a result of the sales, are as follows:
                                 
    Three Months Ended June 30,     Nine Months Ended June 30,  
    2008     2007     2008     2007  
Net revenue
  $ 6,261     $ 22,374     $ 39,809     $ 70,118  
 
Income (loss) before income taxes
  $ 8,069     $ 1,068     $ 8,387     $ (522 )
Income tax expense
    1,645       231       1,809       1,654  
 
                       
Net income (loss)
  $ 6,424     $ 837     $ 6,578     $ (2,176 )
 
                       
Assets and liabilities of discontinued operations included in the consolidated balance sheets are as follows:
                 
    June 30,     September 30,  
    2008     2007  
Cash and cash equivalents
  $ 16,955     $ 3,617  
Accounts receivable, net
    4,417       15,217  
Other current assets
    1,030       3,998  
 
           
Current assets of discontinued operations
  $ 22,402     $ 22,832  
 
           
 
               
Property and equipment, net
  $     $ 44,506  
Investments in affiliates
          240  
Other assets
          156  
 
           
Long-term assets of discontinued operations
  $     $ 44,902  
 
           
 
               
Accounts payable
  $ 10,156     $ 12,951  
Accrued liabilities
    8,576       3,798  
Current portion of long-term debt and obligations under capital leases
          8,213  
 
           
Current liabilities of discontinued operations
  $ 18,732     $ 24,962  
 
           
 
               
Obligations under capital leases
  $     $ 13  
 
           
Long-term liabilities of discontinued operations
  $     $ 13  
 
           
As of June 30, 2008 and September 30, 2007, $9.1 million and $8.5 million, respectively, were reserved related to Medicare outlier payments received by Dayton Heart Hospital in 2004.

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
4. Accounts Receivable
     Accounts receivable, net, consists of the following:
                 
    June 30,     September 30,  
    2008     2007  
Receivables, principally from patients and third-party payors
  $ 160,412     $ 120,806  
Receivables, principally from billings to hospitals for various cardiovascular procedures
    5,092       4,630  
Amounts due under management contracts
    3,648       1,763  
Other
    3,828       4,058  
 
           
 
    172,980       131,257  
Less allowance for doubtful accounts
    (80,157 )     (45,314 )
 
           
Accounts receivable, net
  $ 92,823     $ 85,943  
 
           
5. Equity Investments
     The Company owns minority interests in Avera Heart Hospital of South Dakota, Harlingen Medical Center, and certain diagnostic ventures, for which the Company neither has substantive control over the ventures nor is the primary beneficiary. Therefore, the Company does not consolidate the results of operations and financial position of these entities, but rather accounts for its minority ownership interest in the hospital and other ventures as equity method investments.
     The following represents summarized financial information of Avera Heart Hospital of South Dakota for the three and nine months ended June 30, 2007 and Harlingen Medical Center and Avera Heart Hospital of South Dakota as of June 30, 2008 and September 30, 2007 and for the three and nine months ended June 30, 2008:
                                 
    Three Months Ended June 30,   Nine Months Ended June 30,
    2008   2007   2008   2007
Net revenue
  $ 38,770     $ 15,630     $ 119,592     $ 50,120  
Income from operations
  $ 8,669     $ 3,449     $ 18,619     $ 12,367  
Net income
  $ 4,752     $ 3,166     $ 14,126     $ 11,513  
                 
    June 30,   September 30,
    2008   2007
Current assets
  $ 45,047     $ 44,331  
Long-term assets
  $ 96,743     $ 40,047  
Current liabilities
  $ 17,717     $ 17,458  
Long-term liabilities
  $ 77,582     $ 21,301  
6. Long-term Debt
     Long-term debt consists of the following:
                 
    June 30,     September 30,  
    2008     2007  
Senior Notes
  $ 101,961     $ 101,961  
Notes payable to various lenders
    45,149       47,294  
 
           
 
    147,110       149,255  
Less current portion
    (105,564 )     (2,857 )
 
           
Long-term debt
  $ 41,546     $ 146,398  
 
           

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
     The Company has reclassified the senior notes payable as current as of June 30, 2008 as it is the Company’s intent to repurchase all of the 9.875% senior notes due July 2012 within the next twelve months.
     Debt Covenants—At June 30, 2008, the Company was in compliance with all covenants in the instruments governing its outstanding debt.
7. Liability Insurance Coverage
     During June 2007, the Company entered into a new one-year claims-made policy providing coverage for medical malpractice claim amounts in excess of $3.0 million of retained liability per claim. The Company also purchased additional insurance to reduce the retained liability per claim to $250,000 for the MedCath Partners division. During June 2008, the Company entered into a new one- year claims-made policy providing coverage for medical malpractice claim amounts in excess of $2.0 million of retained liability per claim. The Company also purchased additional insurance to reduce the retained liability per claim to $250,000 for the MedCath Partners division.
     Because of the Company’s self-insured retention levels, the Company is required to recognize an estimated expense/liability for the amount of retained liability applicable to each malpractice claim. As of June 30, 2008 and September 30, 2007, the total estimated liability for the Company’s self-insured retention on medical malpractice claims, including an estimated amount for incurred but not reported claims, was approximately $4.5 million and $4.1 million, respectively, which is included in other accrued liabilities on the consolidated balance sheets.
8. Accounting for Uncertainty in Income Taxes
     The Company adopted Financial Accounting Standards Board (FASB) Interpretation (FIN) No. 48, “Accounting for Uncertainty in Income Taxes”, effective October 1, 2007. As a result of the implementation, the Company recognized a $0.3 million net increase to the reserves for uncertain tax positions, net of tax benefits. This increase was accounted for as a cumulative effect adjustment and recognized as a reduction in beginning retained earnings in the consolidated balance sheet. Including the cumulative effect adjustment, the Company had approximately $2.4 million of unrecognized tax benefits as of October 1, 2007. Of this total, $0.3 million represents the amount of unrecognized tax benefits that, if recognized, would favorably impact the effective income tax rate in any future periods. The remaining $2.1 million represents the amount of unrecognized tax benefits for which the ultimate deductibility is certain, but for which there is uncertainty about the timing of deductibility. The timing of such deductibility would not impact the effective tax rate. It is expected that the amount of unrecognized tax benefits will change in the next twelve months; however the Company does not expect the change to have a significant impact on the results of operations or the financial position of the Company.
     The Company includes interest related to tax issues as part of net interest in the consolidated financial statements. The Company records any applicable penalties related to tax issues within the income tax provision. The Company had $0.2 million accrued for interest and penalties as of October 1, 2007. The interest and penalties impact for the unrecognized tax liabilities was immaterial to the consolidated financial results for the first quarter of fiscal 2008.
     Due to the utilization of all federal net operating losses in the past three years, the Company may be subject to examination by the Internal Revenue Service (IRS) back to September 30, 2000. In addition, the Company files income tax returns in multiple states and local jurisdictions. Generally, the Company is subject to state and local audits going back to years ended September 30, 2004; however, due to existing net operating loss carryforwards, the IRS can audit back to September 30, 1998 and September 30, 1999 in a few significant states.
9. Contingencies and Commitments
     Contingencies — Laws and regulations governing the Medicare and Medicaid programs are complex, subject to interpretation and may be modified. The Company believes that it is in compliance with such laws and regulations. However, compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including substantial fines and criminal penalties, as well as repayment of previously billed and collected revenue from patient services and exclusion from the Medicare and Medicaid programs.
     The Company is involved in various claims and legal actions in the ordinary course of business, including malpractice claims arising from services provided to patients that have been asserted by various claimants and additional claims that may be asserted for known incidents through June 30, 2008. These claims and legal actions are in various stages, and some may ultimately be brought to trial. Moreover, additional claims arising from services provided to patients in the past and other legal actions may be asserted in the future. The Company is protecting its interests in all such claims and actions and does not expect the ultimate resolution of these matters to have a material adverse impact on the Company’s consolidated financial position, results of operations or cash flows.
     A joint venture in our Partners Division provides cardiac care services to a hospital pursuant to a Management and Services Agreement. The joint venture and the hospital disagree regarding the interpretation of certain provisions in the Management and Services Agreement. The two parties have agreed to submit these matters to arbitration before a panel of arbitrators, currently scheduled for November 3, 2008. The Company is currently unable to predict a range of expenses, if any, that may be incurred in connection with this matter. However, the Company does not believe the ultimate resolution of the matter will have a material adverse affect on its consolidated balance sheet, statement of operations or cash flows.

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
     The U.S. Department of Justice, or DOJ, conducted an investigation of a clinical trial conducted at one of our hospitals. The investigation concerned alleged improper federal healthcare program billings from 1998-2002 because certain endoluminal graft devices were implanted either without an approved investigational device exception or outside of the approved protocol. The DOJ reached a settlement under the False Claims Act with the medical practice whose physicians conducted the clinical trial. The hospital entered into an agreement with the DOJ under which it paid $5.8 million to the United States to settle, and obtain a release from any federal civil false claims related to DOJ’s investigation. The settlement and release cover both the hospital and the physician who conducted the clinical trial, and does not include any finding of wrong doing or any admission of liability. The Company recorded a $5.8 million reduction in net revenue for the year ended September 30, 2007, to establish a reserve for repayment of a portion of Medicare reimbursement related to hospital inpatient services provided to patients from 1998-2002 in accordance with SFAS No. 5, Accounting for Contingencies. The $5.8 million settlement was paid to the United States in November 2007.
     Commitments — On November 10, 2005, the FASB issued Interpretation No. 45-3, Application of FASB Interpretation No. 45 to Minimum Revenue Guarantees Granted to a Business or Its Owners (FIN No. 45-3), FIN No. 45-3 amends FIN No. 45, Guarantor’s Accounting and Disclosure Requirements for Guarantees, Including Indirect Guarantees of Indebtedness of Others, to expand the scope to include guarantees granted to a business, such as a physician’s practice, or its owner(s), guaranteeing that the revenue of the business for a specified period will be at least a specified amount. Under FIN No. 45-3, the accounting requirements of FIN No. 45 are effective for any new revenue guarantees issued or modified on or after January 1, 2006 and the disclosure of all revenue guarantees, regardless of whether they were recognized under FIN No. 45, is required for all interim and annual periods beginning after January 1, 2006. Some of the Company’s hospitals provide guarantees to certain physician groups for funds required to operate and maintain services for the benefit of the hospital’s patients including emergency care services and anesthesiology services, among others. These guarantees extend for the duration of the underlying service agreements and the maximum potential future payments that the Company could be required to make under these guarantees was approximately $4.9 million through April 2010 as of June 30, 2008. The Company would only be required to pay this maximum amount if none of the physician groups collected fees for services performed during the guarantee period.
10. Per Share Data
     The calculation of diluted earnings (loss) per share considers the potential dilutive effect of options to purchase 1,810,614 and 1,726,812 shares of common stock at prices ranging from $4.75 to $33.05, which were outstanding at June 30, 2008 and 2007, respectively, as well as 145,430 and 193,892 shares of restricted stock which were outstanding at June 30, 2008 and 2007 respectively. Of the outstanding stock options, 1,501,000 and 32,500 have not been included in the calculation of diluted earnings (loss) per share for the three months ended June 30, 2008 and 2007, respectively, and 786,000 and 124,500 options have not been included in the calculation of diluted earnings (loss) per share for the nine months ended June 30, 2008 and 2007, respectively, because the options were anti-dilutive.
11. Stock Compensation Plans
     The estimated fair value of stock options is determined using the Black-Scholes option pricing model for the stock options granted during the three and nine months ended June 30, 2008 and 2007. The range of weighted-average assumptions used are presented in the following table. The expected life of the stock options represents the period of time that options granted are expected to be outstanding and the range given below results from certain groups of employees exhibiting different behavior with respect to the options granted to them and was determined based on an analysis of historical exercise and cancellation behavior. This analysis is updated December 31 of each year with applicable changes reflected in the table below. The risk-free interest rate is based on US Treasury yield curves that approximate the expected life of the stock options in effect on the date of the grant. The expected volatility is based on the historical volatilities of the Company’s common stock and the common stock of comparable publicly traded companies.
                                 
    For the Three Months Ended June 30,   For the Nine Months Ended June 30,
    2008   2007   2008   2007
Expected life
  5-8 years   5-8 years   5-8 years   5-8 years
Risk- free interest rate
    2.64% - 3.98%       4.55% - 5.17%       2.34% - 4.56%       4.44% - 5.17%  
Expected volatility
    33% - 40%       37% - 41%       33% - 41%       37% - 43%  
     At June 30, 2008, the maximum number of shares of common stock which can be issued through awards granted under the MedCath Corporation 2006 Stock Option Plan (the Stock Plan) is 1,750,000, of which 765,570 are outstanding as of June 30, 2008. The Stock Plan will expire, and no awards may be granted there under, after September 30, 2015. Stock options granted under the Stock Plan have an exercise price per share that represents the fair market value of the common stock of the Company on the respective dates that the options are granted. The options expire ten years from the grant date, are fully vested and are exercisable at any time. Subsequent to the exercise of the stock options, the shares of stock acquired upon exercise may be subject to certain sale restrictions depending on the optionee’s employment status and length of time the option was held prior to exercise.

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
     Effective March 5, 2008, the MedCath Corporation Outside Directors’ Compensation Plan (the Directors’ Plan) was amended to increase the maximum number of common stock shares which can be issued under the Directors’ Plan by 300,000. Options under the Directors’ Plan are granted at an exercise price equal to or greater than the fair market value of the underlying stock at the date of the grant. Stock options granted under the Directors’ Plan have an exercise price per share that represents the fair market value of the common stock of the Company on the respective dates that the options are granted. The maximum number of shares of common stock which can be issued through awards granted under the Directors’ Plan is 550,000, of which 221,000 are outstanding as of June 30, 2008.
     Activity for the Company’s option plans were as follows:
                                 
    For the Three Months Ended
    June 30, 2008   June 30, 2007
            Weighted-           Weighted-
    Number of   Average   Number of   Average
    Stock Options   Exercise Price   Stock Options   Exercise Price
Outstanding stock options, beginning of period
    1,802,112     $ 22.03       1,773,612     $ 19.37  
 
                               
Granted
    149,000       19.92       35,500       32.60  
Exercised
    (72,748 )     12.79       (68,400 )     17.41  
Cancelled
    (67,750 )     26.23       (13,900 )     19.53  
 
                               
 
                               
Outstanding stock options, end of period
    1,810,614     $ 22.07       1,726,812     $ 19.10  
 
                               
                                 
    For the Nine Months Ended
    June 30, 2008   June 30, 2007
            Weighted-           Weighted-
    Number of   Average   Number of   Average
    Stock Options   Exercise Price   Stock Options   Exercise Price
Outstanding stock options, beginning of period
    1,727,112     $ 19.11       2,070,472     $ 18.80  
 
                               
Granted
    480,000       24.51       230,500       29.16  
Exercised
    (252,748 )     20.16       (410,146 )     14.02  
Cancelled
    (143,750 )     27.02       (164,014 )     23.02  
 
                               
 
                               
Outstanding stock options, end of period
    1,810,614     $ 22.07       1,726,812     $ 19.10  
 
                               
The following table summarizes information for options outstanding and exercisable at June 30, 2008:
                       
    Number   Weighted-    
    Outstanding   Average   Weighted-
    and   Remaining   Average
Range of Prices   Exercisable   Life (years)   Exercise Price
$4.75 - 15.80
  175,164       6.17     $ 13.18  
15.91 - 18.26
  99,200       7.35       16.27  
19.00 - 20.07
  173,000       7.59       19.28  
20.56 - 21.49
  526,000       7.75       21.45  
21.66 - 22.50
  338,000       7.87       22.42  
23.25 - 27.71
  329,750       8.90       26.41  
27.80 - 30.24
  94,500       8.61       29.32  
30.35 - 33.05
  75,000       8.76       31.55  
 
                     
$4.75 - 33.05
  1,810,614       7.88     $ 22.07  
 
                     

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
     Under SFAS No. 123-R, share-based compensation expense recognized for the three and nine months ended June 30, 2008 was $1.5 million and $5.5 million, respectively. The associated tax benefits related to the compensation expense recognized for the three and nine months ended June 30, 2008 was $0.6 million and $2.2 million, respectively. The compensation expense recognized represents the compensation related to restricted stock awards over the vesting period, as well as the value of all stock options issued during the period as all such options vest immediately. The total intrinsic value of options exercised during the three and nine months ended June 30, 2008 was $0.3 million and $1.3 million, respectively, and the total intrinsic value of options outstanding at June 30, 2008 was $(7.4) million.
     Share-based compensation expense recognized for the three and nine months ended June 30, 2007 was $0.7 million and $3.9 million, respectively. The associated tax benefits related to the compensation expense recognized for the three and nine months ended June 30, 2007 was $0.3 million and $1.6 million, respectively. The compensation expense recognized represents the compensation related to restricted stock awards over the vesting period, as well as the value of all stock options issued during the period as all such options vest immediately. The total intrinsic value of options exercised during the three and nine months ended June 30, 2007 was $1.1 million and $5.6 million, respectively, and the total intrinsic value of options outstanding at June 30, 2007 was $18.8 million.
     During the fiscal year ended September 30, 2006, the Company granted to employees 270,836 shares of restricted stock units, which vest at various dates through March 2009. The compensation expense, which represents the fair value of the stock measured at the market price at the date of grant, less estimated forfeitures, is recognized on a straight-line basis over the vesting period. Unamortized compensation expense related to restricted stock amounted to $0.6 million at June 30, 2008.
12. Reportable Segment Information
     The Company’s reportable segments consist of the hospital division and the MedCath Partners division.
     Financial information concerning the Company’s operations by each of the reportable segments as of and for the periods indicated is as follows:

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
                                 
    Three Months Ended June 30,     Nine Months Ended June 30,  
    2008     2007     2008     2007  
Net revenue:
                               
Hospital division
  $ 145,663     $ 166,550     $ 428,876     $ 476,786  
MedCath Partners division
    10,853       11,314       32,350       37,096  
Corporate and other
    570       628       1,808       1,636  
 
                       
Consolidated totals
  $ 157,086     $ 178,492     $ 463,034     $ 515,518  
 
                       
 
                               
Income (loss) from operations:
                               
Hospital division
  $ 14,777     $ 21,517     $ 63,488     $ 49,617  
MedCath Partners division
    1,161       1,770       4,853       6,665  
Corporate and other
    (1,887 )     (3,256 )     (28,748 )     (11,199 )
 
                       
Consolidated totals
  $ 14,051     $ 20,031     $ 39,593     $ 45,083  
 
                       
 
                               
Depreciation and amortization:
                               
Hospital division
  $ 6,272     $ 6,718     $ 18,760     $ 20,344  
MedCath Partners division
    1,158       1,344       3,678       4,269  
Corporate and other
    236       102       564       380  
 
                       
Consolidated totals
  $ 7,666     $ 8,164     $ 23,002     $ 24,993  
 
                       
 
                               
Interest expense (income) including intercompany, net:
                               
Hospital division
  $ 4,654     $ 7,749     $ 16,240     $ 23,416  
MedCath Partners division
    4       (16 )     (18 )     (49 )
Corporate and other
    (1,075 )     (4,333 )     (6,453 )     (11,279 )
 
                       
Consolidated totals
  $ 3,583     $ 3,400     $ 9,769     $ 12,088  
 
                       
 
                               
Capital expenditures:
                               
Hospital division
  $ 14,607     $ 7,761     $ 38,705     $ 15,389  
MedCath Partners division
    593       (106 )     1,710       368  
Corporate and other
    833       1,168       3,198       2,898  
 
                       
Consolidated totals
  $ 16,033     $ 8,823     $ 43,613     $ 18,655  
 
                       
                 
    June 30,     September 30,  
    2008     2007  
Aggregate identifiable assets:
               
Hospital division
  $ 510,836     $ 542,827  
MedCath Partners division
    41,222       34,021  
Corporate and other
    97,214       101,719  
 
           
Consolidated totals
  $ 649,272     $ 678,567  
 
           
     Substantially all of the Company’s net revenue in its hospital division and MedCath Partners division is derived directly or indirectly from patient services. The amounts presented for corporate and other primarily include management and consulting fees, general overhead and administrative expenses, financing activities, certain cash and cash equivalents, prepaid expenses, other assets and operations of the business not subject to separate segment reporting.
     All of the Company’s goodwill is recorded within the Corporate and other segment.

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
13. Comprehensive Income
                                 
    Three Months Ended June 30,     Nine Months Ended June 30,  
    2008     2007     2008     2007  
Net Income
  $ 11,772     $ 9,265     $ 20,521     $ 10,619  
Changes in fair value of interest rate swaps, net of tax benefit
    146       87       (99 )     86  
 
                       
Comprehensive Income
  $ 11,918     $ 9,352     $ 20,422     $ 10,705  
 
                       
14. Treasury Stock
     During August 2007, the board of directors approved a stock repurchase program of up to $59.0 million. During the nine month period ended June 30, 2008 1,885,461 million shares of common stock, with a total cost of $44.4 million, have been repurchased by the Company under this program. None of the shares were repurchased during the three months ended June 30, 2008.
15. Guarantor/Non-Guarantor Financial Statements
     The following tables present the condensed consolidated financial information for each of MedCath Corporation (the Parent), MedCath Holdings Corporation (the Issuer), all wholly owned domestic subsidiaries of the Issuer (the Guarantors) and the subsidiaries of the Issuer that are not Guarantors (the Non-Guarantors), together with consolidating eliminations, as of and for the periods indicated.

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
MEDCATH CORPORATION
CONDENSED CONSOLIDATING BALANCE SHEET
June 30, 2008
                                                 
                            Non-              
    Parent     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
Current assets:
                                               
Cash and cash equivalents
  $     $     $ 69,531     $ 51,279     $     $ 120,810  
Accounts receivable, net
                5,632       87,191             92,823  
Other current assets
                35,072       18,615       (17,441 )     36,246  
Current assets of discontinued operations
                1,721       21,380       (699 )     22,402  
 
                                   
Total current assets
                111,956       178,465       (18,140 )     272,281  
Property and equipment, net
                17,688       273,241             290,929  
Investments in subsidiaries
    371,163       371,163       70,190       (62 )     (812,454 )      
Goodwill
                58,098                   58,098  
Intercompany notes receivable
                219,545             (219,545 )      
Other long-term assets
                23,914       4,050             27,964  
 
                                   
Total assets
  $ 371,163     $ 371,163     $ 501,391     $ 455,694     $ (1,050,139 )   $ 649,272  
 
                                   
 
                                               
Current liabilities:
                                               
Accounts payable
  $     $     $ 1,604     $ 32,623     $     $ 34,227  
Accrued compensation and benefits
                5,130       11,985             17,115  
Other current liabilities
                7,205       26,912       (17,441 )     16,676  
Current portion of long- term debt and obligations under capital leases
                102,339       4,483             106,822  
Current liabilities of discontinued operations
                1,916       17,515       (699 )     18,732  
 
                                   
Total current liabilities
                118,194       93,518       (18,140 )     193,572  
Long- term debt
                      41,546             41,546  
Obligations under capital leases
                82       2,213             2,295  
Intercompany notes payable
                      219,545       (219,545 )      
Deferred income tax liabilities
                11,952                   11,952  
Other long- term obligations
                      412             412  
 
                                   
Total liabilities
                130,228       357,234       (237,685 )     249,777  
Minority interest in equity of consolidated subsidiaries
                            28,332       28,332  
Total stockholders’ equity
    371,163       371,163       371,163       98,460       (840,786 )     371,163  
 
                                   
Total liabilities and stockholders’ equity
  $ 371,163     $ 371,163     $ 501,391     $ 455,694     $ (1,050,139 )   $ 649,272  
 
                                   

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
MEDCATH CORPORATION
CONDENSED CONSOLIDATING BALANCE SHEET
September 30, 2007
                                                 
                            Non-              
    Parent     Issuer     Guarantors     Guarantors     Eliminations     Consolidated  
Current assets:
                                               
Cash and cash equivalents
  $     $     $ 80,044     $ 60,232     $     $ 140,276  
Accounts receivable, net
                5,372       80,571               85,943  
Other current assets
                23,529       15,804       (6,819 )     32,514  
Current assets of discontinued operations
                14,470       21,810       (13,448 )     22,832  
 
                                   
Total current assets
                123,415       178,417       (20,267 )     281,565  
Property and equipment, net
                17,434       253,229             270,663  
Investments in subsidiaries
    385,624       385,624       64,167       (62 )     (835,353 )      
Goodwill
                62,740                   62,740  
Intercompany notes receivable
                205,478             (205,478 )      
Other long-term assets
                15,045       3,652             18,697  
Long-term assets of discontinued operations
                34,470       44,902       (34,470 )     44,902  
 
                                   
Total assets
  $ 385,624     $ 385,624     $ 522,749     $ 480,138     $ (1,095,568 )   $ 678,567  
 
                                   
 
                                               
Current liabilities:
                                               
Accounts payable
  $     $     $ 1,087     $ 29,846     $     $ 30,933  
Income tax payable
                10,552                   10,552  
Accrued compensation and benefits
                6,617       11,950             18,567  
Other current liabilities
                4,077       16,141       (6,797 )     13,421  
Current portion of long- term debt and obligations under capital leases
                473       3,616             4,089  
Current liabilities of discontinued operations
                      38,432       (13,470 )     24,962  
 
                                   
Total current liabilities
                22,806       99,985       (20,267 )     102,524  
Long- term debt
                101,904       44,494             146,398  
Obligations under capital leases
                397       1,396             1,793  
Intercompany notes payable
                      205,478       (205,478 )      
Deferred income tax liabilities
                12,018                   12,018  
Other long- term obligations
                      460             460  
Long-term liabilities of discontinued operations
                      34,483       (34,470 )     13  
 
                                   
Total liabilities
                137,125       386,296       (260,215 )     263,206  
Minority interest in equity of consolidated subsidiaries
                            29,737       29,737  
Total stockholders’ equity
    385,624       385,624       385,624       93,842       (865,090 )     385,624  
 
                                   
Total liabilities and stockholders’ equity
  $ 385,624     $ 385,624     $ 522,749     $ 480,138     $ (1,095,568 )   $ 678,567  
 
                                   

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
MEDCATH CORPORATION
CONDENSED CONSOLIDATING STATEMENT OF OPERATIONS
Three Months Ended June 30, 2008
                                                 
    Parent     Issuer     Guarantors     Non- Guarantors     Eliminations     Consolidated  
Net revenue
  $     $     $ 7,443     $ 151,259     $ (1,616 )   $ 157,086  
Total operating expenses
                9,799       134,852       (1,616 )     143,035  
 
                                   
Income (loss) from operations
                (2,356 )     16,407             14,051  
Interest expense
                (2,867 )     (995 )           (3,862 )
Interest and other income (expense), net
                3,938       (3,653 )           285  
Equity in net earnings of unconsolidated affiliates
    11,772       11,772       17,789             (38,697 )     2,636  
 
                                   
Income from continuing operations before minority interest, income taxes and discontinued operations
    11,772       11,772       16,504       11,759       (38,697 )     13,110  
Minority interest share of earnings of consolidated subsidiaries
                            (4,293 )     (4,293 )
 
                                   
Income from continuing operations before income taxes and discontinued operations
    11,772       11,772       16,504       11,759       (42,990 )     8,817  
Income tax expense
                3,246       223             3,469  
 
                                   
Income from continuing operations
    11,772       11,772       13,258       11,536       (42,990 )     5,348  
Income (loss) from discontinued operations, net of taxes
                (1,486 )     7,910             6,424  
 
                                   
Net income
  $ 11,772     $ 11,772     $ 11,772     $ 19,446     $ (42,990 )   $ 11,772  
 
                                   
MEDCATH CORPORATION
CONDENSED CONSOLIDATING STATEMENT OF OPERATIONS
Three Months Ended June 30, 2007
                                                 
    Parent     Issuer     Guarantors     Non- Guarantors     Eliminations     Consolidated  
Net revenue
  $     $     $ 7,962     $ 172,518     $ (1,988 )   $ 178,492  
Total operating expenses
                11,724       148,725       (1,988 )     158,461  
 
                                   
Income (loss) from operations
                (3,762 )     23,793             20,031  
Interest expense
                (2,894 )     (2,231 )           (5,125 )
Interest and other income (expense), net
                7,217       (5,468 )           1,749  
Equity in net earnings of unconsolidated affiliates
    9,265       9,265       13,929             (31,284 )     1,175  
 
                                   
Income from continuing operations before minority interest, income taxes and discontinued operations
    9,265       9,265       14,490       16,094       (31,284 )     17,830  
Minority interest share of earnings of consolidated subsidiaries
                            (4,006 )     (4,006 )
 
                                   
Income from continuing operations before income taxes and discontinued operations
    9,265       9,265       14,490       16,094       (35,290 )     13,824  
Income tax expense
                5,396                   5,396  
 
                                   
Income from continuing operations
    9,265       9,265       9,094       16,094       (35,290 )     8,428  
Income from discontinued operations, net of taxes
                171       666             837  
 
                                   
Net income
  $ 9,265     $ 9,265     $ 9,265     $ 16,760     $ (35,290 )   $ 9,265  
 
                                   

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
MEDCATH CORPORATION
CONDENSED CONSOLIDATING STATEMENT OF OPERATIONS
Nine Months Ended June 30, 2008
                                                 
    Parent     Issuer     Guarantors     Non- Guarantors     Eliminations     Consolidated  
Net revenue
  $     $     $ 22,558     $ 445,866     $ (5,390 )   $ 463,034  
Total operating expenses
                53,703       375,128       (5,390 )     423,441  
 
                                   
Income (loss) from operations
                (31,145 )     70,738             39,593  
Interest expense
                (8,647 )     (3,011 )           (11,658 )
Interest and other income (expense), net
                15,100       (13,158 )           1,942  
Equity in net earnings of unconsolidated affiliates
    20,521       20,521       54,768             (88,968 )     6,842  
 
                                   
Income from continuing operations before minority interest, income taxes and discontinued operations
    20,521       20,521       30,076       54,569       (88,968 )     36,719  
Minority interest share of earnings of consolidated subsidiaries
                            (13,859 )     (13,859 )
 
                                   
Income from continuing operations before income taxes and discontinued operations
    20,521       20,521       30,076       54,569       (102,827 )     22,860  
Income tax expense
                8,477       440             8,917  
 
                                   
Income from continuing operations
    20,521       20,521       21,599       54,129       (102,827 )     13,943  
Income (loss) from discontinued operations, net of taxes
                (1,078 )     7,656             6,578  
 
                                   
Net income
  $ 20,521     $ 20,521     $ 20,521     $ 61,785     $ (102,827 )   $ 20,521  
 
                                   
MEDCATH CORPORATION
CONDENSED CONSOLIDATING STATEMENT OF OPERATIONS
Nine Months Ended June 30, 2007
                                                 
    Parent     Issuer     Guarantors     Non- Guarantors     Eliminations     Consolidated  
Net revenue
  $     $     $ 24,288     $ 497,247     $ (6,017 )   $ 515,518  
Total operating expenses
                36,917       439,535       (6,017 )     470,435  
 
                                   
Income (loss) from operations
                (12,629 )     57,712             45,083  
Interest expense
                (10,523 )     (7,629 )           (18,152 )
Loss on early extinguishment of debt
                (4,992 )     (150 )           (5,142 )
Interest and other income (expense), net
                21,906       (15,632 )           6,274  
Equity in net earnings of unconsolidated affiliates
    10,619       10,619       28,860             (46,003 )     4,095  
 
                                   
Income from continuing operations before minority interest, income taxes and discontinued operations
    10,619       10,619       22,622       34,301       (46,003 )     32,158  
Minority interest share of earnings of consolidated subsidiaries
                            (9,481 )     (9,481 )
 
                                   
Income from continuing operations before income taxes and discontinued operations
    10,619       10,619       22,622       34,301       (55,484 )     22,677  
Income tax expense
                9,882                   9,882  
 
                                   
Income from continuing operations
    10,619       10,619       12,740       34,301       (55,484 )     12,795  
Loss from discontinued operations, net of taxes
                (2,121 )     (55 )           (2,176 )
 
                                   
Net income
  $ 10,619     $ 10,619     $ 10,619     $ 34,246     $ (55,484 )   $ 10,619  
 
                                   

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MEDCATH CORPORATION
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — Continued
MEDCATH CORPORATION
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
Nine Months Ended June 30, 2008
                                         
                    Non-              
    Parent     Guarantors     Guarantors     Eliminations     Consolidated  
Net cash (used in) provided by operating activities
  $     $ 44,024     $ (28,932 )   $ 22,390     $ 37,482  
Net cash (used in) provided by investing activities
          (14,127 )     43,051             28,924  
Net cash provided by (used in) financing activities
          (40,409 )     (9,735 )     (22,390 )     (72,534 )
 
                             
(Decrease) increase in cash and cash equivalents
          (10,512 )     4,384           (6,128 )
Consolidated cash and cash equivalents:
                                       
Beginning of period
          80,044       63,850             143,893  
 
                             
End of period
  $     $ 69,532     $ 68,234     $     $ 137,765  
 
                             
MEDCATH CORPORATION
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
Nine Months Ended June 30, 2007
                                         
                    Non-              
    Parent     Guarantors     Guarantors     Eliminations     Consolidated  
Net cash provided by (used in) operating activities
  $     $ (15,253 )   $ 59,151     $     $ 43,898  
Net cash provided by (used in) investing activities
    (7,861 )     24,677       (42,017 )     7,861       (17,340 )
Net cash provided by (used in) financing activities
    7,861       (64,405 )     (14,878 )     (7,861 )     (79,283 )
 
                             
Decrease in cash and cash equivalents
          (54,981 )     2,256           (52,725 )
Consolidated cash and cash equivalents:
                                       
Beginning of year
          177,972       16,403             194,375  
 
                             
End of year
  $     $ 122,991     $ 18,659     $     $ 141,650  
 
                             
16. Subsequent Event
     During July 2008 the Company paid $2.5 million to acquire an additional three percent interest in the Heart Hospital of New Mexico.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The following discussion and analysis of our financial condition and results of operations should be read in conjunction with the interim unaudited consolidated financial statements and related notes included elsewhere in this report, as well as the audited consolidated financial statements and related notes thereto and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in our Annual Report on Form 10-K for the fiscal year ended September 30, 2007.
Overview
     General. We are a healthcare provider focused primarily on providing high acuity services, predominantly the diagnosis and treatment of cardiovascular disease. We own and operate hospitals in partnership with physicians whom we believe have established reputations for clinical excellence. We also have partnerships with community hospital systems, and we manage the cardiovascular program of various hospitals operated by other parties. We have ownership interests in and operate nine hospitals, with a total of 616 licensed beds, of which 612 are staffed and available, and are located in predominately high growth markets in seven states: Arizona, Arkansas, California, Louisiana, New Mexico, South Dakota, and Texas. We are currently in the process of developing a new hospital in Kingman, Arizona. We expect this hospital to open in late 2009 or early 2010. This hospital is designed to accommodate a total of 106 licensed beds and will initially open with 70 licensed beds. We expanded our patient beds by 28 licensed beds at Arkansas Heart Hospital earlier this year and just completed a 60 bed addition at TexSan Heart Hospital in August 2008. We are expanding our licensed beds by 80 at Louisiana Medical Center Heart Hospital with remaining capacity for an additional 40 beds at that hospital. We are also expanding our Bakersfield Heart Hospital by 72 inpatient beds and 16 emergency department beds that will diversify the services offered by the hospital.
     In addition to our hospitals, we currently own and/or manage eighteen cardiac diagnostic and therapeutic facilities. Nine of these facilities are located at hospitals operated by other parties. These facilities offer invasive diagnostic and, in some cases, therapeutic procedures. The remaining nine facilities are not located at hospitals and offer only diagnostic procedures. Effective January 1, 2007, we renamed our diagnostic and therapeutic division “MedCath Partners”.
     Revenue Sources by Division. The largest percentage of our net revenue is attributable to our hospital division. The following table sets forth the percentage contribution of each of our consolidating divisions to consolidated net revenue in the periods indicated below.
                                 
    Three Months Ended June 30,   Nine Months Ended June 30,
Division   2008   2007   2008   2007
Hospital
    92.7 %     93.3 %     92.6 %     92.5 %
MedCath Partners
    6.9 %     6.3 %     7.0 %     7.2 %
Corporate and other
    0.4 %     0.4 %     0.4 %     0.3 %
 
                               
Net Revenue
    100.0 %     100.0 %     100.0 %     100.0 %
 
                               
     Revenue Sources by Payor. We receive payments for our services rendered to patients from the Medicare and Medicaid programs, commercial insurers, health maintenance organizations and our patients directly. Generally, our net revenue is determined by a number of factors, including the payor mix, the number and nature of procedures performed and the rate of payment for the procedures. Since cardiovascular disease disproportionately affects those age 55 and older, the proportion of net revenue we derive from the Medicare program is higher than that of most general acute care hospitals. The following table sets forth the percentage of consolidated net revenue we earned by category of payor in the periods indicated.
                                 
    Three Months Ended June 30,   Nine Months Ended June 30,
Payor   2008   2007   2008   2007
Medicare
    38.7 %     41.6 %     38.7 %     41.8 %
Medicaid
    5.0 %     5.4 %     4.7 %     4.8 %
Commercial and other, including self-pay
    56.3 %     53.0 %     56.6 %     53.4 %
 
                               
Total consolidated net revenue
    100.0 %     100.0 %     100.0 %     100.0 %
 
                               
     A significant portion of our net revenue is derived from federal and state governmental healthcare programs, including Medicare and Medicaid, and we expect the net revenue that we receive from the Medicare program as a percentage of total consolidated net revenue will remain significant in future periods. Our payor mix may fluctuate in future periods due to changes in reimbursement, market and industry trends with self-pay patients and other similar factors.
     The Medicare and Medicaid programs are subject to statutory and regulatory changes, retroactive and prospective rate adjustments, administrative rulings, court decisions, executive orders and freezes and funding reductions, all of which may significantly affect our business. In addition, reimbursement is generally subject to adjustment following audit by third party payors, including the fiscal intermediaries who administer the Medicare program for Centers for Medicare and Medicaid Services (CMS). Final determination of amounts due providers under the Medicare program often takes several years because of such audits, as well as resulting provider appeals and the application of technical reimbursement provisions. We believe that adequate provision has been made for any adjustments that might result from these programs; however, due to the complexity of laws and regulations governing the Medicare and Medicaid programs, the manner in which they are interpreted and the other complexities involved in estimating our net revenue, there is a possibility that recorded estimates will change by a material amount in the near term.

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Results of Operations
Three Months Ended June 30, 2008 Compared to Three Months Ended June 30, 2007
     Statement of Operations Data. The following table presents our results of operations in dollars and as a percentage of net revenue for the periods indicated:
                                                 
    Three Months Ended June 30,  
    (in thousands except percentages)  
                    Increase/Decrease     % of Net Revenue  
    2008     2007     $     %     2008     2007  
Net revenue
  $ 157,086     $ 178,492     $ (21,406 )     (12.0 )%     100.0 %     100.0 %
Operating expenses:
                                               
Personnel expense
    51,019       54,383       (3,364 )     (6.2 )%     32.5 %     30.5 %
Medical supplies expense
    44,065       46,593       (2,528 )     (5.4 )%     28.1 %     26.1 %
Bad debt expense
    10,235       14,585       (4,350 )     (29.8 )%     6.5 %     8.2 %
Other operating expenses
    29,676       34,561       (4,885 )     (14.1 )%     18.9 %     19.3 %
Pre-opening expenses
    149             149       100.0 %     0.1 %      
Depreciation
    7,517       8,038       (521 )     (6.5 )%     4.8 %     4.5 %
Amortization
    149       126       23       18.3 %     0.1 %     0.1 %
Loss on disposal of property, equipment and other assets
    225       175       50       (28.6 )%     0.1 %     0.1 %
 
                                   
Income from operations
    14,051       20,031       (5,980 )     (29.9 )%     8.9 %     11.2 %
Other income (expenses):
                                               
Interest expense
    (3,862 )     (5,125 )     1,263       24.6 %     (2.5 )%     (2.9 )%
Interest and other income, net
    285       1,749       (1,464 )     (83.7 )%     0.2 %     1.0 %
Equity in net earnings of unconsolidated affiliates
    2,636       1,175       1,461       124.3 %     1.7 %     0.6 %
 
                                   
Income from continuing operations before minority interest, income taxes and discontinued operations
    13,110       17,830       (4,720 )     (26.5 )%     8.3 %     9.9 %
Minority interest share of earnings of consolidated subsidiaries
    (4,293 )     (4,006 )     (287 )     (7.2 )%     (2.7 )%     (2.2 )%
 
                                   
Income from continuing operations before income taxes and discontinued operations
    8,817       13,824       (5,007 )     (36.2 )%     5.6 %     7.7 %
Income tax expense
    3,469       5,396       (1,927 )     (35.7 )%     2.2 %     3.0 %
 
                                   
Income from continuing operations
    5,348       8,428       (3,080 )     (36.5 )%     3.4 %     4.7 %
Income from discontinued operations, net of taxes
    6,424       837       5,587       667.5 %     4.1 %     0.5 %
 
                                   
Net income
  $ 11,772     $ 9,265     $ 2,507       27.1 %     7.5 %     5.2 %
 
                                   
Harlingen Medical Center is treated as an unconsolidated equity investment for the three months ended June 30, 2008 whereas it was consolidated for the three months ended June 30, 2007. For comparison purposes, the selected operating data below are presented on an actual basis and on a same facility basis. Same facility basis reflects Harlingen Medical Center as though it was an equity investment for the three months ended June 30, 2007. The following table presents selected operating data on a consolidated basis and a same facility basis for the periods indicated:
                                         
    Three Months Ended June 30,
                            2007 Same    
    2008   2007   % Change   Facility   % Change
Selected Operating Data (a):
                                       
Number of hospitals
    7       8               7          
Licensed beds (b)
    449       533               421          
Staffed and available beds (c)
    449       516               404          
Admissions (d)
    7,384       9,455       (21.9 )%     7,759       (4.8 )%
Adjusted admissions (e)
    10,341       12,997       (20.4 )%     10,238       1.0 %
Patient days (f)
    27,132       31,153       (12.9 )%     26,397       2.8 %
Adjusted patient days (g)
    38,105       42,564       (10.5 )%     34,827       9.4 %
Average length of stay (days) (h)
    3.67       3.29       11.6 %     3.40       7.9 %
Occupancy (i)
    66.4 %     66.3 %             71.8 %        
Inpatient catheterization procedures (j)
    3,961       4,738       (16.4 )%     4,530       (12.6 )%
Inpatient surgical procedures (k)
    2,260       2,608       (13.3 )%     2,126       6.3 %
Hospital net revenue (in thousands except percentages)
  $ 144,676     $ 166,349       (13.0 )%   $ 147,670       (2.0 )%
 
(a)   Selected operating data includes consolidated hospitals in operation as of the end of the period reported in continuing operations but does not include hospitals which are accounted for using the equity method or as discontinued operations in our consolidated financial statements. During the fourth quarter of fiscal 2007, Harlingen Medical Center ceased to be a consolidated subsidiary due to the sale of a portion of our equity interest in the hospital.

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(b)   Licensed beds represent the number of beds for which the appropriate state agency licenses a facility regardless of whether the beds are actually available for patient use.
 
(c)   Staffed and available beds represent the number of beds that are readily available for patient use at the end of the period.
 
(d)   Admissions represent the number of patients admitted for inpatient treatment.
 
(e)   Adjusted admissions is a general measure of combined inpatient and outpatient volume. We computed adjusted admissions by dividing gross patient revenue by gross inpatient revenue and then multiplying the quotient by admissions.
 
(f)   Patient days represent the total number of days of care provided to inpatients.
 
(g)   Adjusted patient days is a general measure of combined inpatient and outpatient volume. We computed adjusted patient days by dividing gross patient revenue by gross inpatient revenue and then multiplying the quotient by patient days.
 
(h)   Average length of stay (days) represents the average number of days inpatients stay in our hospitals.
 
(i)   We computed occupancy by dividing patient days by the number of days in the period and then dividing the quotient by the number of staffed and available beds.
 
(j)   Inpatients with a catheterization procedure represent the number of inpatients with a procedure performed in one of the hospitals’ catheterization labs during the period.
 
(k)   Inpatient surgical procedures represent the number of surgical procedures performed on inpatients during the period.
Net Revenue. Net revenue decreased 12.0% or $21.4 million to $157.1 million for the third quarter of fiscal 2008 from $178.5 million for the third quarter of fiscal 2007. During the third quarter of fiscal 2007 we consolidated Harlingen Medical Center. Harlingen Medical Center is treated as an unconsolidated equity investment for the third quarter of fiscal 2008. Net revenue on a same facility basis (comparing the Company’s third quarter of fiscal 2008 to the third quarter of fiscal 2007 excluding the actual results of Harlingen Medical Center), was as follows:
                                                 
    Three Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   % of Net Revenue
    2008   2007   $   %   2008   2007
Net revenue
  $ 157,086     $ 159,813     $ (2,727 )     (1.7 )%     100.0 %     100.0 %
     On a consolidated same facility basis, net revenue decreased 1.7% in the third quarter of fiscal 2008 when compared to the third quarter of fiscal 2007. The decline is mainly driven by a reduction in admissions due to doctor group disruptions at two of our hospitals and a shift from inpatient to outpatient services as a result of certain of our payors requiring catheterization procedures to be performed on an outpatient basis. The shift is evidenced by an increase in same facility hospital adjusted admissions of 1.0% and an increase in adjusted patient days of 9.4% in the third quarter of fiscal 2008 compared to the third quarter of fiscal 2007. Adjusted admissions and adjusted patient days are both measures which take into consideration inpatient and outpatient volume. The shift is also evidenced by a 12.6% decline in our inpatient catheterization procedures and a 4.8% decline in admissions, which represent the number of patients admitted for inpatient treatment, from the third quarter of fiscal 2007 to the third quarter of fiscal 2008.
     Our same facility net revenue was also impacted by higher uncompensated care discounts, which we refer to as charity care discounts, that are recorded as a reduction to gross revenue. The increase in uncompensated care discounts reflects an increase in the number of patients applying and qualifying for charity discounts. Charity care discounts were $4.2 million for the third quarter of fiscal 2008 compared to $1.1 million for the same period of the prior year.
     Personnel expense. Personnel expense decreased 6.2% to $51.0 million for the third quarter of fiscal 2008 from $54.4 million for the third quarter of fiscal 2007. Personnel expense on a same facility basis was as follows:
                                                 
    Three Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   % of Net Revenue
    2008   2007   $   %   2008   2007
Personnel expense
  $ 51,019     $ 47,655     $ 3,364       7.1 %     32.5 %     29.8 %
     The $3.4 million increase in personnel expense on a same facility basis was primarily due to the increase in clinical labor to support the increase in adjusted admissions and annual merit adjustments offset by a reduction in contract labor expense at our hospitals. Our corporate division experienced a $0.7 million increase in stock based compensation in the third quarter of fiscal 2008 compared to the third quarter of fiscal 2007, which was offset by a decrease in personnel expense related to bonuses.
     Medical supplies expense. Medical supplies expense decreased 5.4% to $44.1 million for the third quarter of fiscal 2008 from $46.6 million for the third quarter of fiscal 2007. On a same facility basis, medical supplies expense increased 1.9% as shown below:

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    Three Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   %of Net Revenue
    2008   2007   $   %   2008   2007
Medical supplies expense
  $ 44,065     $ 43,252       813       1.9 %     28.1 %     27.1 %
     The 1.9% increase in medical supplies expense on a same facility basis during the three months ended June 30, 2008 is a result of a 6.3% increase in our inpatient surgical procedures and a 54.4% increase in outpatient surgeries on a same facility basis as well as a 5.3% increase in drug eluting stents and a 7.1% increase in AICDS.
     Bad debt expense. Bad debt expense decreased 29.8% to $10.2 million for the third quarter of fiscal 2008 from $14.6 million for the third quarter of fiscal 2007. As a percentage of net revenue, bad debt expense decreased to 6.5% from 8.2% for the three months ended June 30, 2008 and 2007, respectively. Bad debt expense on a same facility basis was as follows:
                                                 
    Three Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   % of Net Revenue
    2008   2007   $   %   2008   2007
Bad debt expense
  $ 10,235     $ 10,593       (358 )     (3.4 )%     6.5 %     6.6 %
     The 3.4% decrease in bad debt expense on a same facility basis is attributable to the improvement of our cash collections for the third quarter of fiscal 2008 compared to the same quarter of fiscal 2007. In addition, we are identifying and qualifying more of our patients for charity care discounts, which results in an increase in deductions from gross revenue and an offsetting decrease in bad debt expense. Total bad debt plus charity care discounts was 9.3% of same facility net revenue excluding charity discounts for the third quarter of fiscal 2008 compared to 7.8% in the third quarter of fiscal 2007.
     Other operating expenses. Other operating expenses decreased 14.1% to $29.7 million for the three months ended June 30, 2008 from $34.6 million for the three months ended June 30, 2007. On a same facility basis, other operating expenses decreased 1.0% as follows:
                                                 
    Three Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   %of Net Revenue
    2008   2007   $   %   2008   2007
Other operating expense
  $ 29,676     $ 29,972       (296 )     (1.0 )%     18.9 %     18.8 %
     Other operating expenses decreased slightly for the third quarter of fiscal 2008 compared to the same period of fiscal 2007. We experienced an increase in other operating expenses in our hospital division as a result of an increase in contract services due to the increase in adjusted admissions. We also experienced an increase in our Partners division as a result of increased legal fees related to arbitration over management services with one of our joint venture partners. These increases were offset by a decrease in our corporate division due to the reduction of the management bonus accrual for fiscal 2008.
     Interest expense. Interest expense decreased $1.2 million or 24.6% to $3.9 million for the third quarter of fiscal 2008 from $5.1 million for the third quarter of fiscal 2007. The $1.2 million decrease in interest expense is primarily attributable to the overall reduction in our outstanding debt as we repurchased approximately $36.2 million of our senior notes and repaid $21.2 million of our REIT loan at one of our facilities during the first quarter of fiscal 2007.
     Interest and other income, net. Interest and other income, net, decreased to $0.3 million for the third quarter of fiscal 2008 from $1.7 million for the third quarter of fiscal 2007. The decrease in interest and other income is a direct result of the approximately $17.8 million decrease in our cash balance from June 30, 2007 to June 30, 2008 and a reduction in interest earned on cash balances. Our cash balance decreased approximately $44.4 million as a result of stock repurchases during the first two quarters of fiscal 2008.
     Equity in net earnings of unconsolidated affiliates. Equity in net earnings of unconsolidated affiliates increased approximately $1.5 million for the third quarter of fiscal 2008 compared to the third quarter of fiscal 2007. For the third quarter of fiscal 2008 we reported Harlingen Medical Center as an equity investment and recorded our allocation of the hospital’s income for the third quarter in equity in net earnings of unconsolidated affiliates. Therefore, equity in net earnings of unconsolidated affiliates for the third quarter of fiscal 2008 includes the earnings at two hospitals in which we hold less than a 50% interest as opposed to only one hospital for the third quarter of fiscal 2007. The impact of these two hospitals during the third quarter of 2008 was approximately $0.7 million. The remaining increase is attributable to a $0.8 million increase in the MedCath Partners division as a result of new ventures.
     Minority interest share of earnings of consolidated subsidiaries. Minority interest share of earnings of consolidated subsidiaries increased to $4.3 million for the third quarter of fiscal 2008 from $4.0 million for the third quarter of fiscal 2007. This $0.3 million increase was primarily due to the net increase in earnings of certain of our established hospitals and MedCath Partners’ ventures which were allocated to our minority partners on a pro rata basis. In addition, one of our hospitals in which we received a disproportionate share of income in the third quarter of fiscal 2007 now shares income on a pro-rata basis between us and the physician members. We expect our earnings allocated to minority interests to fluctuate in future periods as we either recognize disproportionate losses and/or recoveries thereof through disproportionate profit recognition. For a more complete discussion of our accounting for minority

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interests, including the basis for disproportionate allocation accounting, see Critical Accounting Policies in our Annual Report on Form 10-K for the fiscal year ended September 30, 2007.
     Income tax expense. Income tax expense was $3.5 million for the third quarter of fiscal 2008 compared to $5.4 million for the third quarter of fiscal 2007, which represents an effective tax rate of approximately 39.3% and 39.0% for the respective periods.
     Income from discontinued operations, net of taxes. Income from discontinued operations, net of taxes, reflects the results of Dayton Heart Hospital and the Heart Hospital of Lafayette for the third quarter of fiscal 2008 and fiscal 2007, respectively. Income from discontinued operations increased to $6.4 million, net of tax, for the third quarter of fiscal 2008 from $0.8 million, net of tax, for the third quarter of fiscal 2007. The increase is a result of the gain recognized on the sale of certain assets of Dayton Heart Hospital during the third quarter of fiscal 2008 offset by income tax and operating losses of Dayton Heart Hospital for the third quarter of fiscal 2008 prior to the sale.
Nine Months Ended June 30, 2008 Compared to Nine Months Ended June 31, 2007
     Statement of Operations Data. The following table presents our results of operations in dollars and as a percentage of net revenue for the periods indicated:
                                                 
    Nine Months Ended June 30,  
    (in thousands except percentages)  
                    Increase/Decrease     %of Net Revenue  
    2008     2007     $     %     2008     2007  
Net revenue
  $ 463,034     $ 515,518     $ (52,484 )     (10.2 )%     100.0 %     100.0 %
Operating expenses:
                                               
Personnel expense
    151,522       162,301       (10,779 )     (6.6 )%     32.7 %     31.5 %
Medical supplies expense
    126,791       137,847       (11,056 )     (8.0 )%     27.4 %     26.7 %
Bad debt expense
    31,852       42,347       (10,495 )     (24.8 )%     6.9 %     8.2 %
Other operating expenses
    89,240       101,919       (12,679 )     (12.4 )%     19.3 %     19.8 %
Pre-opening expenses
    643             643       100.0 %     0.1 %      
Depreciation
    22,591       24,488       (1,897 )     (7.7 )%     4.9 %     4.8 %
Amortization
    411       505       (94 )     (18.6 )%     0.1 %     0.1 %
Loss on disposal of property, equipment and other assets
    391       1,028       (637 )     62.0 %     0.1 %     0.2 %
 
                                   
Income from operations
    39,593       45,083       (5,490 )     (12.2 )%     8.5 %     8.7 %
Other income (expenses):
                                               
Interest expense
    (11,658 )     (18,152 )     6,494       35.8 %     (2.5 )%     (3.5 )%
Loss on early extinguishment of debt
          (5,142 )     5,142       100.0 %           (1.0 )%
Interest and other income, net
    1,942       6,274       (4,332 )     (69.0 )%     0.4 %     1.2 %
Equity in net earnings of unconsolidated affiliates
    6,842       4,095       2,747       67.1 %     1.5 %     0.8 %
 
                                   
Income from continuing operations before minority interest, income taxes and discontinued operations
    36,719       32,158       4,561       14.2 %     7.9 %     6.2 %
Minority interest share of earnings of consolidated subsidiaries
    (13,859 )     (9,481 )     (4,378 )     (46.2 )%     (3.0 )%     (1.8 )%
 
                                   
Income from continuing operations before income taxes and discontinued operations
    22,860       22,677       183       0.8 %     4.9 %     4.4 %
Income tax expense
    8,917       9,882       (965 )     (9.8 )%     1.9 %     1.9 %
 
                                   
Income from continuing operations
    13,943       12,795       1,148       9.0 %     3.0 %     2.5 %
Income (loss) from discontinued operations, net of taxes
    6,578       (2,176 )     8,754       402.3 %     1.4 %     (0.4 )%
 
                                   
Net income
  $ 20,521     $ 10,619     $ 9,902       93.2 %     4.4 %     2.1 %
 
                                   
Harlingen Medical Center is treated as an unconsolidated equity investment for the nine months ended June 30, 2008 whereas it was consolidated for the nine months ended June 30, 2007. For comparison purposes, the selected operating data below are presented onan actual basis and on a same facility basis. Same facility basis reflects Harlingen Medical Center as though it was an equity investment for the nine months ended June 30, 2008. The following table presents selected operating data on a consolidated basis and a same facility basis for the periods indicated:

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    Nine Months Ended June 30,
                            2007 Same    
    2008   2007   % Change   Facility   % Change
Selected Operating Data (a):
                                       
Number of hospitals
    7       8               7          
Licensed beds ( b )
    449       533               421          
Staffed and available beds ( c )
    449       516               404          
Admissions ( d )
    22,380       28,265       (20.8 )%     22,779       (1.8 )%
Adjusted admissions ( e )
    30,979       38,708       (20.0 )%     29,767       4.1 %
Patient days ( f )
    81,853       95,920       (14.7 )%     80,304       1.9 %
Adjusted patient days ( g )
    113,790       130,585       (12.9 )%     105,133       8.2 %
Average length of stay (days) ( h )
    3.66       3.39       8.0 %     3.53       3.7 %
Occupancy ( i )
    66.5 %     68.1 %             72.8 %        
Inpatients with a catheterization procedure (j)
    12,244       14,022       (12.7 )%     13,396       (8.6 )%
Inpatient surgical procedures (k)
    6,332       7,518       (15.8 )%     6,076       4.2 %
Hospital net revenue (in thousands except percentages)
  $ 426,300     $ 474,336       (10.1 )%   $ 413,324       3.1 %
 
(a)   Selected operating data includes consolidated hospitals in operation as of the end of the period reported in continuing operations but does not include hospitals which are accounted for using the equity method or as discontinued operations in our consolidated financial statements. During the fourth quarter of fiscal 2007, Harlingen Medical Center ceased to be a consolidated subsidiary due to the sale of a portion of our equity interest in the hospital.
 
(b)   Licensed beds represent the number of beds for which the appropriate state agency licenses a facility regardless of whether the beds are actually available for patient use.
 
(c)   Staffed and available beds represent the number of beds that are readily available for patient use at the end of the period.
 
(d)   Admissions represent the number of patients admitted for inpatient treatment.
 
(e)   Adjusted admissions is a general measure of combined inpatient and outpatient volume. We computed adjusted admissions by dividing gross patient revenue by gross inpatient revenue and then multiplying the quotient by admissions.
 
(f)   Patient days represent the total number of days of care provided to inpatients.
 
(g)   Adjusted patient days is a general measure of combined inpatient and outpatient volume. We computed adjusted patient days by dividing gross patient revenue by gross inpatient revenue and then multiplying the quotient by patient days.
 
(h)   Average length of stay (days) represents the average number of days inpatients stay in our hospitals.
 
(i)   We computed occupancy by dividing patient days by the number of days in the period and then dividing the quotient by the number of staffed and available beds.
 
(j)   Inpatients with a catheterization procedure represent the number of inpatients with a procedure performed in one of the hospitals’ catheterization labs during the period.
 
(k)   Inpatient surgical procedures represent the number of surgical procedures performed on inpatients during the period.
Net Revenue. Net revenue decreased 10.2% or $52.5 million to $463.0 million for the nine months ended June 30, 2008 from $515.5 million for the nine months ended June 30, 2007. During the first nine months of 2007 we consolidated Harlingen Medical Center. Harlingen Medical Center is treated as an unconsolidated equity investment for the first nine months of fiscal 2008. Net revenue on a same facility basis (comparing the first nine months of fiscal 2008 to the first nine months of fiscal 2007 excluding the actual results of Harlingen Medical Center), was as follows:
                                                 
    Nine Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   %of Net Revenue
    2008   2007   $   %   2008   2007
Net revenue
  $ 463,034     $ 454,506     $ 8,528       1.9 %     100.0 %     100.0 %
On a consolidated same facility basis, net revenue increased 1.9% from the first nine months of fiscal 2008 compared to the same period of fiscal 2007. Same facility hospital adjusted admissions increased 4.1% and adjusted patient days increased 8.2% in the first nine months of fiscal 2008 compared to the first nine months of fiscal 2007. The increase in adjusted admissions can be mainly attributed to growth in our outpatient services in certain markets, offset by a reduction in our inpatient volumes of certain of our hospitals. In addition, net revenue for the nine months ended June 30, 2007 was negatively impacted as a result of recording a $5.8 million reduction in net revenue for a portion of certain federal healthcare billings reimbursed in prior years.
     Personnel expense. Personnel expense decreased 6.6% to $151.5 million for the first nine months of fiscal 2008 from $162.3 million for the first nine months of fiscal 2007. Personnel expense on a same facility basis was as follows:

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    Nine Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   % of Net Revenue
    2008   2007   $   %   2008   2007
Personnel expense
  $ 151,522     $ 142,766     $ 8,756       6.1 %     32.7 %     31.4 %
          On a same facility basis, stock based compensation increased $1.6 million for the first nine months of fiscal 2008 compared to the first nine months of fiscal 2007. Stock based compensation is recorded as personnel expense upon the grant of stock options to our employees, directors and certain executives. Same facility personnel expense also increased as a result of an increase in adjusted admissions during the first nine months of fiscal 2008 compared to the same period for fiscal 2007.
          Medical supplies expense. Medical supplies expense decreased 8.0% to $126.8 million for the first nine months of fiscal 2008 from $137.8 million for the first nine months of fiscal 2007. On a same facility basis, medical supplies expense was as follows:
                                                 
    Nine Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   % of Net Revenue
    2008   2007   $   %   2008   2007
Medical supplies expense
  $ 126,791     $ 128,578     $ (1,787 )     (1.4 )%     27.4 %     28.3 %
          The $1.8 million or 1.4% decrease in medical supplies expense on a same facility basis during the nine months ended June 30, 2008 is a result of continued price reductions due to our supply chain initiatives and a decrease in higher cost procedures offset by a 4.1% increase in adjusted admissions on a same facility basis.
          Bad debt expense. Bad debt expense decreased 24.8% to $31.9 million for the first nine months of fiscal 2008 from $42.3 million for the first nine months of fiscal 2007. As a percentage of net revenue, bad debt expense decreased to 6.9% from 8.2% for the nine months ended June 30, 2008 and 2007, respectively. Bad debt expense on a same facility basis was as follows:
                                                 
    Nine Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   % of Net Revenue
    2008   2007   $   %   2008   2007
Bad debt expense
  $ 31,852     $ 29,721     $ 2,131       7.2 %     6.9 %     6.5 %
          The 7.2% increase in bad debt expense on a same facility basis is attributable to an increase in the patient’s portion of accounts due after insurance as a result of an increase in commercial payors for the first nine months of fiscal 2008 compared to the same period of fiscal 2007.
          Other operating expenses. Other operating expenses decreased 12.4% to $89.2 million for the nine months ended June 30, 2008 from $101.9 million for the nine months ended June 30, 2007. On a same facility basis, other operating expenses was as follows:
                                                 
    Nine Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   % of Net Revenue
    2008   2007   $   %   2008   2007
Other operating expense
  $ 89,240     $ 88,700     $ 540       0.6 %     19.3 %     19.5 %
          Other operating expenses were unfavorably impacted by an increase in contract services due to the growth in volume at several of our facilities as well as increased maintenance costs at our hospitals as our newer hospitals are now several years into operations.
          Interest expense. Interest expense decreased 35.8% to $11.7 million for the first nine months of fiscal 2008 from $18.2 million for the first nine months of fiscal 2007 or a decrease of 20.1% or $2.9 million on a same facility basis as shown below.
                                                 
    Nine Months Ended June 30,
    (in thousands except percentages)
                    Increase/Decrease   % of Net Revenue
    2008   2007   $   %   2008   2007
Interest expense
  $ 11,658     $ 14,597     $ (2,939 )     (20.1 )%     2.5 %     3.2 %
During the first nine months of fiscal 2007 we repurchased approximately $36.2 million of our senior notes and repaid $21.2 million of our REIT loan at one of our facilities which has reduced interest expense on an annual basis.
          Loss on early extinguishment of debt. There was no loss for the early extinguishment of debt during the first nine months of fiscal 2008, as compared to an approximate $5.1 million loss on the early extinguishment of debt during the first nine months of fiscal 2007. During the first nine months of fiscal 2007, this loss consisted of a $3.5 million repurchase premium and the write off of approximately $1.0 million of deferred loan acquisition costs related to the prepayment of a portion of our senior notes. We also

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incurred $0.6 million in deferred loan acquisition costs in the first nine months of fiscal 2007 related to the prepayment of $39.9 million of our senior secured credit facility.
          Interest and other income, net. Interest and other income, net, decreased to $1.9 million for the first nine months of fiscal 2008 from $6.3 million for the first nine months of fiscal 2007. The decrease in interest and other income is a direct result of the approximately $17.8 million decrease in our cash balance from June 30, 2007 to June 30, 2008.
          Equity in net earnings of unconsolidated affiliates. Equity in net earnings of unconsolidated affiliates increased approximately $2.7 million for the first nine months of fiscal 2008 compared to the first nine months of fiscal 2007. For the first nine months of fiscal 2008 we reported Harlingen Medical Center as an equity investment and recorded our allocation of the hospital’s income for the first nine months in equity in net earnings of unconsolidated affiliates. Therefore, equity in net earnings of unconsolidated affiliates for the first nine months of fiscal 2008 includes the earnings at two hospitals in which we hold less than a 50% interest as opposed to only one hospital for the first nine months of fiscal 2007. The remainder of equity in earnings of unconsolidated affiliates is attributable to earnings in various MedCath Partners diagnostic ventures in which we hold less than a 50% interest. The impact of reporting Harlingen Medical Center as an unconsolidated affiliate during the first nine months of 2008 was approximately $0.5 million. The remaining $2.7 million increase is attributable to a $1.4 million increase in the MedCath Partners division, a $0.4 million increase in the other unconsolidated hospital and a $0.4 million increase in other ventures.
          Minority interest share of earnings of consolidated subsidiaries. Minority interest share of earnings of consolidated subsidiaries increased to $13.9 million for the first nine months of fiscal 2008 from $9.5 million for the first nine months of fiscal 2007. This $4.4 million increase was primarily due to the net increase in earnings of certain of our established hospitals and MedCath Partners’ ventures which were allocated to our minority partners on a pro rata basis. We expect our earnings allocated to minority interests to fluctuate in future periods as we either recognize disproportionate losses and/or recoveries thereof through disproportionate profit recognition. For a more complete discussion of our accounting for minority interests, including the basis for disproportionate allocation accounting, see Critical Accounting Policies in our Annual Report on Form 10-K for the fiscal year ended September 30, 2007.
          Income tax expense. Income tax expense was $8.9 million for the first nine months of fiscal 2008 compared to $9.9 million for the first nine months of fiscal 2007, which represents an effective tax rate of approximately 39.0% and 43.6% for the respective periods. Our tax rate for the first nine months of fiscal 2008 has been reduced as a result of the utilization of net operating loss carryforwards for some of our entities.
          Income (loss) from discontinued operations, net of taxes. Income from discontinued operations, net of taxes, reflects the results of Dayton Heart Hospital and the Heart Hospital of Lafayette for the first nine months of fiscal 2007 and fiscal 2008. Net income from discontinued operations was $6.6 million for the first nine months of fiscal 2008 compared to a loss of $2.2 million for the first nine months of fiscal 2007. In accordance with SFAS No. 144, the Company evaluated the carrying value of the long-lived assets related to Heart Hospital of Lafayette during the first nine months of fiscal 2007 and determined that the carrying value was in excess of the fair value. Accordingly, an impairment charge of $4.1 million was recorded in accordance with SFAS No. 144 during the first quarter of fiscal 2007. The $4.1 million impairment charge was offset by net income related to Dayton Heart Hospital for the first nine months of fiscal 2007. Income from discontinued operations, net of taxes, for the first nine months of fiscal 2008 includes the gain recorded as a result of the sale of certain assets of Dayton Heart Hospital offset by operating losses of Dayton Heart Hospital prior to the sale.
Liquidity and Capital Resources
          Working Capital and Cash Flow Activities. Our consolidated working capital was $78.7 million at June 30, 2008 and $179.0 million at September 30, 2007. Consolidated working capital decreased primarily as a result of our classification of our 9.875% senior notes as current as of June 30, 2008, as discussed within Obligations and Availability of Financing.
          The cash provided by continuing operations from operating activities was $36.3 million for the first nine months of fiscal 2008 compared to $45.7 million provided by operating activities for the first nine months of fiscal 2007. The decrease in cash provided by continuing operations is primarily a result of cash used from continuing operations during the first nine months of fiscal 2008 to pay income tax liabilities and accrued bonuses related to fiscal 2007 performance to our employees. We also paid a $5.8 million settlement to the United States Department of Justice in November 2007 as a result of an investigation of a clinical trial conducted at one of our hospitals.
          Our investing activities from continuing operations used net cash of $47.3 million for the first nine months of fiscal 2008 compared to net cash used of $17.0 million for the first nine months of fiscal 2007. The total cash used for capital expenditures increased by $20.0 million during the first nine months of 2008 compared to the first nine months of fiscal 2007 as a result of the expansion of several of our hospital facilities and the construction of a new acute care hospital in Kingman, Arizona. We also used approximately $9.5 million to acquire interests in ventures in the MedCath Partners division. This is offset by approximately $.6 million in cash received from the sale of a part of our interest in Harlingen Medical Center as well as $76.2 million in cash received as a result of the sale of our discontinued operations, the Heart Hospital of Lafayette and the Dayton Heart Hospital, during the first nine months of fiscal 2008.
          Our financing activities from continuing operations used net cash of $58.8 million for the first nine months of fiscal 2008 compared

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to net cash used of $78.4 million for the first nine months of fiscal 2007. The net cash used for financing activities for the first nine months of fiscal 2008 is primarily a result of the $44.4 million purchase of treasury shares and distributions to minority partners of $22.4 million.
          Capital Expenditures. Expenditures for property and equipment for the first nine months of fiscal years 2008 and 2007 were $43.6 million and $18.7 million, respectively. During the nine months ended June 30, 2008, we continued the development of our hospital in Kingman, Arizona and the expansion projects at two of our existing hospitals. The amount of capital expenditures we incur in future periods will depend largely on the type and size of strategic investments we make in future periods.
          Obligations and Availability of Financing. At June 30, 2008, we had $150.7 million of outstanding debt, $106.8 million of which was classified as current. The senior notes payable are classified as current as of June 30, 2008 as it is our intent to repurchase all of the 9.875% senior notes due July 2012 within the next twelve months. Of the outstanding debt, $102.0 million was outstanding under our 9.875% senior notes and $48.2 million was outstanding to lenders to our hospitals. The remaining $0.5 million of debt was outstanding to lenders under capital leases and other miscellaneous indebtedness. No amounts were outstanding to lenders under our $100.0 million revolving credit facility at June 30, 2008. At the same date, however, we had letters of credit outstanding of $1.7 million, which reduced our availability under this facility to $98.3 million.
          During the nine months ended June 30, 2007, we sold approximately 1.7 million shares of common stock to the public. The $39.7 million in net proceeds from this offering were used to repurchase approximately $36.2 million of our outstanding senior notes and to pay approximately $3.5 million of associated premiums and expenses associated with the note repurchase.
          Covenants related to our long-term debt restrict the payment of dividends and require the maintenance of specific financial ratios and amounts and periodic financial reporting. The Company was in compliance with all covenants in the instruments governing its outstanding debt at June 30, 2008.
          At June 30, 2008, we guaranteed either all or a portion of the obligations of our subsidiary hospitals for equipment and other notes payable. We provide these guarantees in accordance with the related hospital operating agreements, and we receive a fee for providing these guarantees from the hospitals or the physician investors.
          We believe that internally generated cash flows and available borrowings under our senior secured credit facility will be sufficient to finance our business plan, capital expenditures and our working capital requirements for the next 12 to 18 months.
          Intercompany Financing Arrangements. We provide secured real estate, equipment and working capital financings to our majority-owned hospitals. The aggregate amount of the intercompany real estate, equipment and working capital and other loans outstanding as of June 30, 2008 was $240.5 million.
          Each intercompany real estate loan is separately documented and secured with a lien on the borrowing hospital’s real estate, building and equipment and certain other assets. Each intercompany real estate loan typically matures in 6 to 10 years and accrues interest at variable rates based on LIBOR plus an applicable margin or a fixed rate similar to terms commercially available.
          Each intercompany equipment loan is separately documented and secured with a lien on the borrowing hospital’s equipment and certain other assets. Amounts borrowed under the intercompany equipment loans are payable in monthly installments of principal and interest over terms that range from 5 to 7 years. The intercompany equipment loans accrue interest at fixed rates ranging from 7.38% to 8.58% or variable rates based on LIBOR plus an applicable margin. The weighted average interest rate for the intercompany equipment loans at June 30, 2008 was 8.16%.
          We typically receive a fee from the minority partners in the subsidiary hospitals as consideration for providing these intercompany real estate and equipment loans.
          We also use intercompany financing arrangements to provide cash support to individual hospitals for their working capital and other corporate needs. We provide these working capital loans pursuant to the terms of the operating agreements between our physician and hospital investor partners and us at each of our hospitals. These intercompany loans are evidenced by promissory notes that establish borrowing limits and provide for a market rate of interest to be paid to us on outstanding balances. These intercompany loans are subordinate to each hospital’s mortgage and equipment debt outstanding, but are senior to our equity interests and our partners’ equity interests in the hospital venture and are secured, subject to the prior rights of the senior lenders, in each instance by a pledge of certain of the borrowing hospital’s assets. Also as part of our intercompany financing and cash management structure, we typically sweep cash from individual hospitals as amounts are available in excess of the individual hospital’s working capital needs. These funds are advanced pursuant to cash management agreements with the individual hospital that establish the terms of the advances and provide for a rate of interest to be paid consistent with the market rate earned by us on the investment of its funds. These cash advances are due back to the individual hospital on demand and are subordinate to our equity investment in the hospital venture. As of June 30, 2008 and September 30, 2007, we held $34.5 million and $33.0 million, respectively, of intercompany working capital and other notes and related accrued interest, net of advances from our hospitals.
Forward-Looking Statements
          Some of the statements and matters discussed in this report and in exhibits to this report constitute forward-looking statements.

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Words such as “expects,” “anticipates,” “approximates,” “believes,” “estimates,” “intends” and “hopes” and variations of such words and similar expressions are intended to identify such forward-looking statements. We have based these statements on our current expectations and projections about future events. These forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties that could cause actual results to differ materially from those projected in these statements. Although we believe that these statements are based upon reasonable assumptions, we cannot assure you that we will achieve our goals. In light of these risks, uncertainties and assumptions, the forward-looking events discussed in this report and its exhibits might not occur. Our forward-looking statements speak only as of the date of this report or the date they were otherwise made. Other than as may be required by federal securities laws to disclose material developments related to previously disclosed information, we undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. We urge you to review carefully all of the information in this report and our other filings with the SEC, and the discussion of risk factors in Item 1A. Risk Factors in our Annual Report on Form 10-K for the year ended September 30, 2007, before making an investment decision with respect to our debt and equity securities. A copy of this report, including exhibits, is available on the internet site of the SEC at http://www.sec.gov or through our website at http://www.medcath.com .
Item 3. Quantitative and Qualitative Disclosures About Market Risk
          We maintain a policy for managing risk related to exposure to variability in interest rates, commodity prices, and other relevant market rates and prices which includes considering entering into derivative instruments (freestanding derivatives), or contracts or instruments containing features or terms that behave in a manner similar to derivative instruments (embedded derivatives) in order to mitigate our risks. In addition, we may be required to hedge some or all of our market risk exposure, especially to interest rates, by creditors who provide debt funding to us. There was no material change in our policy for managing risk related to variability in interest rates, commodity prices, other relevant market rates and prices during the third quarter of 2008. See Item 7A in the Company’s Annual Report on Form 10-K for further discussions about market risk.
Item 4. Controls and Procedures
          The President and Chief Executive Officer and the Chief Financial Officer of the Company (its principal executive officer and principal financial officer, respectively) have concluded, based on their evaluation of the Company’s disclosure controls and procedures as of June 30, 2008, that the Company’s disclosure controls and procedures were effective as of June 30, 2008 to ensure that information required to be disclosed by the Company in the reports filed or submitted by it under the Securities Exchange Act of 1934, as amended (the Exchange Act), is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and include controls and procedures designed to ensure that information required to be disclosed by the Company in the reports that it files under the Exchange Act is accumulated and communicated to the Company’s management, including the Chief Executive Officer and the Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure.
          No change in the Company’s internal control over financial reporting was made during the most recent fiscal quarter covered by this report that materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.
PART II. OTHER INFORMATION
Item 1. Legal Proceedings
          We are occasionally involved in legal proceedings and other claims arising out of our operations in the normal course of business. See Note 9 — Contingencies and Commitments to the consolidated financial statements.
Item 1A. Risk Factors
          Information concerning certain risks and uncertainties appears under the heading “Forward-Looking Statements” in Part I, Item 2 of this report and Part I, Item 1A of our Annual Report on Form 10-K for the year ended September 30, 2007. You should carefully consider these risks and uncertainties before making an investment decision with respect to our debt and equity securities. Such risks and uncertainties could materially adversely affect our business, financial condition or operating results.
          During the period covered by this report, there have been no material changes from the risk factors previously disclosed in our Annual Report on Form 10-K for the year ended September 30, 2007 or filings subsequently made with the Securities and Exchange Commission.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
          On July 27, 2001, we completed an initial public offering of our common stock pursuant to our Registration Statement on Form S-1 (File No. 333-60278) that was declared effective by the SEC on July 23, 2001. We expect to use the remaining proceeds of approximately $13.8 million from the offering to fund development activities, working capital requirements and other corporate purposes. Although we have identified these intended uses of the remaining proceeds, we have broad discretion in the allocation of the net proceeds from the offering. Pending this application, we will continue to invest the net proceeds of the offering in cash and cash-equivalents, such as money market funds or short-term interest bearing, investment-grade securities.

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          The Board of Directors approved a stock repurchase program of up to $59.0 million in August 2007, which was announced November 2007. Stock purchases can be made from time to time in the open market or in privately negotiated transactions in accordance with applicable federal and state securities laws and regulations. The repurchase program may be discontinued at any time. Subsequent to the approval of the stock repurchase program, the Company has purchased 1,885,461 shares of common stock at a total cost of $44.4 million, with a remaining $14.6 million available to be repurchased per the approved stock repurchase program. No shares were repurchased during the third quarter of fiscal year 2008.
          See Note 9 to our annual financial statements in our Annual Report on Form 10-K for the year ended September 30, 2007 for a description of restrictions on payments of dividends.
Item 6. Exhibits
         
Exhibit    
No.   Description
  10.1    
Employment agreement dated June 23, 2008 by and between MedCath Corporation and Jeffrey L. Hinton (1)
       
 
  31.1    
Certification of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
       
 
       
 
  31.2    
Certification of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
       
 
       
 
  32.1    
Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
       
 
       
 
  32.2    
Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
 
(1)   Incorporated by reference from the Company’s Current Report on Form 8-K filed June 23, 2008

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SIGNATURES
          Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
             
    MEDCATH CORPORATION    
 
           
 
           
Dated: August 11, 2008 
  By:    /s/ O. EDWIN FRENCH    
 
           
   
      O. Edwin French    
 
   
      President and Chief Executive Officer (principal executive officer)     
 
           
 
           
 
           
 
           
 
  By:     /s/ JEFFREY L. HINTON      
 
           
 
      Jeffrey L. Hinton    
 
      Executive Vice President and Chief Financial Officer (principal financial officer)     
 
           
 
           
   
           
 
  By:   /s/ LORA RAMSEY  
 
   
 
           
 
      Lora Ramsey    
 
 
      Vice President — Controller
(principal accounting officer)
   

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