“S ERVING THE NON-URBAN COMMUNITY”. F ORWARD-LOOKING STATEMENTS This presentation includes...

38
“SERVING THE NON-URBAN COMMUNITY”

Transcript of “S ERVING THE NON-URBAN COMMUNITY”. F ORWARD-LOOKING STATEMENTS This presentation includes...

Page 1: “S ERVING THE NON-URBAN COMMUNITY”. F ORWARD-LOOKING STATEMENTS This presentation includes forward-looking statements based on current management expectations.

“SERVING THE NON-URBAN COMMUNITY”“SERVING THE NON-URBAN COMMUNITY”

Page 2: “S ERVING THE NON-URBAN COMMUNITY”. F ORWARD-LOOKING STATEMENTS This presentation includes forward-looking statements based on current management expectations.

FORWARD-LOOKING STATEMENTSFORWARD-LOOKING STATEMENTS

This presentation includes forward-looking statements based on current management expectations. Numerous factors exist which may cause results to differ from these expectations. Many of the factors that will determine our future results are beyond our ability to control or predict with accuracy. Such forward-looking statements, particularly those statements regarding the effects of the proposed merger between LifePoint Hospitals and Province Healthcare Company, reflect LifePoint Hospitals’ current expectations and beliefs, are not guarantees of performance of LifePoint Hospitals or the newly formed combined entity and are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results to differ from those described in the forward-looking statements. For example, such risks, uncertainties, assumptions and other factors include, without limitation, the possibility that (1) the companies may be unable to obtain the required stockholder approvals; (2) problems may arise in successfully integrating the businesses of the two companies; (3) the acquisition may involve unexpected costs; (4) the combined company may be unable to achieve cost-cutting synergies; (5) the businesses may suffer as a result of uncertainty surrounding the acquisition; and (6) the combined company may be subject to future regulatory or legislative actions. These forward-looking statements are also subject to various risks and uncertainties, including, without limitation, (i) reduction in payments to healthcare providers by government and commercial third-party payors, as well as cost-containment efforts of insurers and other payors; (ii) the possibility of adverse changes in, and requirements of, applicable laws, regulations, policies and procedures, including those required by our corporate integrity agreement; (iii) our ability to manage healthcare risks and the lack of state and federal tort reform; (iv) uncertainty associated with compliance with HIPAA regulations; (v) our ability to enter into and renew payor arrangements on acceptable terms; (vi) our ability to maintain and increase patient volumes and control costs; (vii) the availability, cost and terms of insurance coverage; (viii) the highly competitive nature of the healthcare business, including the competition to recruit and retain physicians; (ix) the ability to attract and retain qualified management and personnel; (x) the geographic concentration of our operations; (xi) our ability to acquire hospitals on favorable terms and to complete budgeted capital improvements successfully; (xii) our ability to operate and integrate newly acquired facilities successfully; (xiii) the availability and terms of capital to fund our business strategy; (xiv) changes in our liquidity or indebtedness; (xv) the potential adverse impact of government investigations and litigation involving the business practices of healthcare providers; (xvi) the successful development and license of software and management information systems; (xvii) changes in generally accepted accounting principles or practices; (xviii) volatility in the market value of our common stock; (xix) changes in general economic conditions and changes in the manner in which employers provide healthcare coverage to their employees; (xx) our reliance on information technology systems maintained by HCA Inc.; (xxi) our ability to comply with all aspects of the Sarbanes-Oxley law; and (xxii) those risks and uncertainties described from time to time in our filings with the SEC, including those related to the proposed transaction between LifePoint Hospitals and Province Healthcare. Therefore, our future results may differ materially from those described in this release. We undertake no obligation to update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

This presentation includes forward-looking statements based on current management expectations. Numerous factors exist which may cause results to differ from these expectations. Many of the factors that will determine our future results are beyond our ability to control or predict with accuracy. Such forward-looking statements, particularly those statements regarding the effects of the proposed merger between LifePoint Hospitals and Province Healthcare Company, reflect LifePoint Hospitals’ current expectations and beliefs, are not guarantees of performance of LifePoint Hospitals or the newly formed combined entity and are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results to differ from those described in the forward-looking statements. For example, such risks, uncertainties, assumptions and other factors include, without limitation, the possibility that (1) the companies may be unable to obtain the required stockholder approvals; (2) problems may arise in successfully integrating the businesses of the two companies; (3) the acquisition may involve unexpected costs; (4) the combined company may be unable to achieve cost-cutting synergies; (5) the businesses may suffer as a result of uncertainty surrounding the acquisition; and (6) the combined company may be subject to future regulatory or legislative actions. These forward-looking statements are also subject to various risks and uncertainties, including, without limitation, (i) reduction in payments to healthcare providers by government and commercial third-party payors, as well as cost-containment efforts of insurers and other payors; (ii) the possibility of adverse changes in, and requirements of, applicable laws, regulations, policies and procedures, including those required by our corporate integrity agreement; (iii) our ability to manage healthcare risks and the lack of state and federal tort reform; (iv) uncertainty associated with compliance with HIPAA regulations; (v) our ability to enter into and renew payor arrangements on acceptable terms; (vi) our ability to maintain and increase patient volumes and control costs; (vii) the availability, cost and terms of insurance coverage; (viii) the highly competitive nature of the healthcare business, including the competition to recruit and retain physicians; (ix) the ability to attract and retain qualified management and personnel; (x) the geographic concentration of our operations; (xi) our ability to acquire hospitals on favorable terms and to complete budgeted capital improvements successfully; (xii) our ability to operate and integrate newly acquired facilities successfully; (xiii) the availability and terms of capital to fund our business strategy; (xiv) changes in our liquidity or indebtedness; (xv) the potential adverse impact of government investigations and litigation involving the business practices of healthcare providers; (xvi) the successful development and license of software and management information systems; (xvii) changes in generally accepted accounting principles or practices; (xviii) volatility in the market value of our common stock; (xix) changes in general economic conditions and changes in the manner in which employers provide healthcare coverage to their employees; (xx) our reliance on information technology systems maintained by HCA Inc.; (xxi) our ability to comply with all aspects of the Sarbanes-Oxley law; and (xxii) those risks and uncertainties described from time to time in our filings with the SEC, including those related to the proposed transaction between LifePoint Hospitals and Province Healthcare. Therefore, our future results may differ materially from those described in this release. We undertake no obligation to update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

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WHO WE ARE AND HOW WE ARE DIFFERENTWHO WE ARE AND HOW WE ARE DIFFERENT

Spin-off of 23 hospitals from HCA on May 11, 1999, with full indemnification

“Pure Play” non-urban, community-based healthcare provider

Employees are shareholders through ESOP and ESPP

Entered into Corporate Integrity Agreement with OIG (Office of Inspector General) in December 2000

Sole acute care facility in 28 of 29 markets

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OPERATING PHILOSOPHY OPERATING PHILOSOPHY “High Five”“High Five”

Creating an outstanding work environment for employeesCreating an outstanding work environment for employees

Expanding the scope and quality of care for patients

Expanding the scope and quality of care for patients

Strengthening the hospital’s central role within the community

Strengthening the hospital’s central role within the community

Managing financial performance responsibly for stakeholdersManaging financial performance responsibly for stakeholders

Supplying the necessary equipment and resources to physicians

Supplying the necessary equipment and resources to physicians

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LIFEPOINT HOSPITALSLIFEPOINT HOSPITALS

CORPORATE OFFICE

Kentucky Kentucky Georgetown (75)Lebanon (75)Mayfield (107)Maysville (101)Paris (58)Russellville (92)Somerset (234)Versailles (25)

Georgetown (75)Lebanon (75)Mayfield (107)Maysville (101)Paris (58)Russellville (92)Somerset (234)Versailles (25)CON StateCON State

Athens (118)Carthage (63)Lawrenceburg (107)Livingston (114)Pulaski (95)Sewanee (41)Winchester (157)

Athens (118)Carthage (63)Lawrenceburg (107)Livingston (114)Pulaski (95)Sewanee (41)Winchester (157)

Tennessee Tennessee

CON StateCON State

Bartow (56)Palatka (141)Bartow (56)Palatka (141)

Florida Florida

CON StateCON State

Andalusia (113)Haleyville (99)Russellville (100)Winfield (71)CON State

Andalusia (113)Haleyville (99)Russellville (100)Winfield (71)CON State

Alabama Alabama

Louisiana Louisiana Ville Platte (102)LaPlace (106)Ville Platte (102)LaPlace (106)

Dodge City (110)Dodge City (110)Kansas Kansas

Price (84)Vernal (39)Price (84)Vernal (39)

Utah Utah

WyomingWyomingLander (89)Riverton (70)Lander (89)Riverton (70)

# of licensed beds shown in ( )

Logan (132)Logan (19)CON State

Logan (132)Logan (19)CON State

West VirginiaWest Virginia

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DISCIPLINED APPROACHTO ACQUISITIONSDISCIPLINED APPROACHTO ACQUISITIONS

Market CriteriaMarket Criteria

Non urban hospitals

Sole or significant market provider

Strong community support

Ability to grow adjusted EBITDA margins

Solid existing physician base

Non urban hospitals

Sole or significant market provider

Strong community support

Ability to grow adjusted EBITDA margins

Solid existing physician base

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ACQUISITION HISTORYACQUISITION HISTORY

07/04

10/03

12/02

12/02

10/02

12/01

10/01

01/01

07/00

06/00

River Parishes

Spring View

Logan General/ Guyan Valley

Lakeland/ Northwest

Russellville

Ville Platte

Athens

Bluegrass*

Lander

Putnam

LaPlace, LA

Lebanon, KY

Logan, WV

Haleyville/ Winfield, AL

Russellville, AL

Ville Platte, LA

Athens, TN

Versailles, KY

Lander, WY

Palatka, FL

$36

$22

$75

$38

$27

$22

$24

$ 6

$20

$49

$24

$16

$87

$22

$20

$11

$17

$ 1

$30

$49

106

75

151

170

100

116

118

25

81

141

DateAcquired

MarketLocation Revenues

PurchasePrice**

LicensedBeds

($ in millions)

* Operating Lease** Excluding working capital

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ExpansionExpansion

RoutineRoutine

FOCUSED CAPITAL EXPENDITURE PROGRAMFOCUSED CAPITAL EXPENDITURE PROGRAM

Capital ExpendituresCapital Expenditures($ in millions)($ in millions)

$19.5$19.5

$16.3$16.3

2001

$35.8$35.8

$18.8$18.8

2002

$60.7$60.7

$41.9$41.9$48.5$48.5

$23.6$23.6

2003

$72.1$72.1

$17.3$17.3

YTD Sep. 03

$52.4$52.4

$35.1$35.1

YTD Sep. 04

$56.7$56.7

$14.5$14.5

$42.2$42.2

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TARGETED CAPITAL EXPENDITURE PROGRAMTARGETED CAPITAL EXPENDITURE PROGRAM

($ in millions)($ in millions)

OR

MRI

CT

ER

Rehab

Patient room addition

Cardiac Cath Lab

MOB

Misc. Expansions

12

18

11

5

7

3

5

14

11

$ 6.4

3.0

0.6

1.7

-

-

-

-

0.1

$11.9

4.1

3.6

0.7

0.5

-

-

1.2

0.5

$10.2

8.7

1.3

0.5

2.8

1.4

3.1

6.8

5.6

$ 8.4

6.5

-

3.3

1.7

7.2

2.0

6.4

8.8

No. ofProjects 2000 2001 2002 2003

$ 0.7

3.6

2.3

7.9

2.3

10.3

-

4.4

21.4

2004E

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FINANCIAL DRIVERS AND RESULTSFINANCIAL DRIVERS AND RESULTS

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NET REVENUE BY QUARTER*NET REVENUE BY QUARTER*

($ in millions)($ in millions)

2002

1st Qtr.2003

$212.9$212.9

$174.4$174.4

22.1%22.1%

2004

$247.5$247.5

16.2%16.2%

2002

4th Qtr.

$194.6$194.6

2003

$229.2$229.2

17.7%17.7%

2002

2nd Qtr.2003

$214.1$214.1

$170.7$170.725.4%25.4%

2004

$238.2$238.2

11.3%11.3%

2003

$219.4$219.4

2002

3rd Qtr.

$175.2$175.2

25.2%25.2%

2004

$253.7$253.7

15.6%15.6%

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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NET REVENUE BY QUARTER – SAME FACILITY*NET REVENUE BY QUARTER – SAME FACILITY*

($ in millions)($ in millions)

2003

1st Qtr.2004

$241.1$241.1

$212.9$212.913.2%13.2%

4th Qtr.2003

$222.9$222.9

2nd Qtr.2003

$214.1$214.1

2004

$232.1$232.1

8.3%8.3%

3rd Qtr.2003

$219.4$219.4

2004

$237.5$237.5

8.4%8.4%

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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EQUIVALENT ADMISSIONS BY QUARTER*EQUIVALENT ADMISSIONS BY QUARTER*

37,70737,707

46,37746,377

2002

4th Qtr.2003

23.0%23.0%35,92435,924

43,30343,303

2002

1st Qtr.2003

20.5%20.5%

2004

9.0%9.0%

47,18847,188

34,46434,464

43,14743,147

2002

2nd Qtr.2003

25.2%25.2%

44,55644,556

2004

3.3%3.3%

42,65142,651

34,44834,448

20032002

3rd Qtr.

23.8%23.8%

46,33146,331

2004

8.6%8.6%

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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2003

1st Qtr.2004

45,71945,71943,30343,303

5.6%5.6%

4th Qtr.2003

44,92844,928

2nd Qtr.2003

43,14743,147

2004

43,17143,171

0.1%0.1%

3rd Qtr.2003

42,65142,651

2004

43,45343,453

1.9%1.9%

EQUIVALENT ADMISSIONS BY QUARTER – SAME FACILITY*EQUIVALENT ADMISSIONS BY QUARTER – SAME FACILITY*

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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ADMISSIONS BY QUARTER*ADMISSIONS BY QUARTER*

2002

4th Qtr.2003

20.9%20.9%

19,629

23,722

2002

1st Qtr.2003

14.8%14.8%

2004

8.6%8.6%19,663

22,577

24,526

2002

2nd Qtr.2003

21.9%21.9%

17,683

21,550

2004

2.1%2.1%

21,997

20032002

3rd Qtr.

19.0%19.0%

20,846

17,513

2004

7.8%7.8%

22,480

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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Page 18: “S ERVING THE NON-URBAN COMMUNITY”. F ORWARD-LOOKING STATEMENTS This presentation includes forward-looking statements based on current management expectations.

NET REVENUE PER EQUIVALENT ADMISSION BY QUARTER – SAME FACILITY*

NET REVENUE PER EQUIVALENT ADMISSION BY QUARTER – SAME FACILITY*

2003

1st Qtr.2004

$5,270$5,270$4,917$4,917

7.2%7.2%

4th Qtr.2003

$4,959$4,959

2nd Qtr.2003

$4,961$4,961

2004

$5,372$5,372

8.3%8.3%

3rd Qtr.2003

$5,145$5,145

2004

$5,474$5,474

6.4%6.4%

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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VOLUME – ER VISITS*VOLUME – ER VISITS*

2002

4th Qtr.2003

28.0%28.0%

86,59186,591

110,842110,842

2002

1st Qtr.2003 2004

18.8%18.8%

78,42978,429

93,13793,13798,88298,882

6.2%6.2%

2002

2nd Qtr.2003

22.8%22.8%

81,52181,521

100,115100,115

2004

2.8%2.8%

102,957102,957

2002

3rd Qtr.2003

25.0%25.0%

83,38183,381

104,227104,227

2004

5.9%5.9%

110,369110,369

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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VOLUME – OP SURGERIES*VOLUME – OP SURGERIES*

2002

4th Qtr.2003

11.5%11.5%

16,39816,398

18,27718,277

2002

1st Qtr.2003 2004

11.5%11.5%

7.9%7.9%15,47315,473

17,24617,24618,60418,604

2002

2nd Qtr.2003

15.7%15.7%15,46615,466

17,89117,891

2004

2.9%2.9%

18,40418,404

2002

3rd Qtr.2003

16.3%16.3%

15,54415,544

18,07418,074

2004

7.2%7.2%

19,36719,367

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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VOLUME – IP SURGERIES*VOLUME – IP SURGERIES*

5,7745,7746,2816,281

2002

4th Qtr.2003

8.8%8.8%10.4%10.4%

5,3385,3385,8945,894

2002

1st Qtr.2003 2004

6,6506,650

12.8%12.8%

12.5%12.5%

5,4615,461

6,1416,141

2002

2nd Qtr.2003

8.4%8.4%

6,6586,658

2004

18.5%18.5%5,2445,244

6,2126,212

2002

3rd Qtr.2003

3.5%3.5%

6,4276,427

2004

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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REVENUES – PAYOR MIX COMBINED I/P AND O/P*REVENUES – PAYOR MIX COMBINED I/P AND O/P*

Self-PaySelf-Pay

9 Months – 9/30/039 Months – 9/30/03MedicaidMedicaid MedicareMedicare

Commercial and Managed Care

Commercial and Managed Care

39.8%39.8%

36.6%36.6%10.9%10.9%

8.6%8.6%4.1%4.1%OtherOther

Self-PaySelf-Pay

3Q043Q04MedicaidMedicaid MedicareMedicare

Commercial and Managed Care

Commercial and Managed Care

39.2%39.2%

34.5%34.5%11.6%11.6%

10.6%10.6%4.1%4.1%

OtherOther

Self-PaySelf-Pay

3Q033Q03MedicaidMedicaid MedicareMedicare

Commercial and Managed Care

Commercial and Managed Care

40.2%40.2%

35.2%35.2%10.6%10.6%

9.8%9.8%4.2%4.2%OtherOther

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

Self-PaySelf-Pay

MedicaidMedicaid MedicareMedicare

Commercial and Managed Care

Commercial and Managed Care

38.7%38.7%

37.0%37.0%11.1%11.1%

9.4%9.4%3.8%3.8%OtherOther

9 Months – 9/30/049 Months – 9/30/04

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Supplies(% of net revenue)

Supplies(% of net revenue)

Labor(% of net revenue)

Labor(% of net revenue)

40.2%

20032002

39.2%

Bad Debt(% of net revenue)

Bad Debt(% of net revenue)

Other(% of net revenue)

Other(% of net revenue)

12.4%13.0%

20032002

7.0%8.5%

20032002

18.1% 17.8%

20032002

EXPENSE MANAGEMENT*EXPENSE MANAGEMENT*

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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EXPENSE MANAGEMENT*EXPENSE MANAGEMENT*Supplies

(% of net revenue)

Supplies(% of net revenue)

Labor(% of net revenue)

Labor(% of net revenue)

3Q043Q03

39.9% 40.3%

Bad Debt(% of net revenue)

Bad Debt(% of net revenue)

Other(% of net revenue)

Other(% of net revenue)

12.8% 12.7%

3Q043Q03

10.2%9.6%

3Q043Q03

17.5% 17.4%

3Q043Q03

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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ADJUSTED EBITDA BY QUARTER*ADJUSTED EBITDA BY QUARTER*

($ in millions)($ in millions)

$46.2$46.2$48.1$48.1

2002

4th Qtr.2003

4.2%4.2%$41.8$41.8$46.0$46.0

2002

1st Qtr.2003 2004

10.4%10.4%

23.4%23.4%

$56.8$56.8

$38.2$38.2$42.5$42.5

2002

2nd Qtr.2003

10.9%10.9%

$51.7$51.7

2004

21.7%21.7%$40.6$40.6

$43.0$43.0

2002

3rd Qtr.2003

5.6%5.6%

$50.9$50.9

2004

18.3%18.3%

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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ADJUSTED EBITDA BY QUARTER – SAME FACILITY*ADJUSTED EBITDA BY QUARTER – SAME FACILITY*

2003

1st Qtr.2004

$56.3$56.3

$45.9$45.921.6%21.6%

2004

$51.2$51.2

20.2%20.2%

2nd Qtr.2003

$42.5$42.5

4th Qtr.2003

$47.7$47.7

($ in millions)($ in millions)

2004

$49.5$49.5

16.3%16.3%

3rd Qtr.2003

$43.1$43.1

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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2003

1st Qtr.2004

23.3%23.3%21.6%21.6%

170bps170bps

4th Qtr.2003

21.4%21.4%

2nd Qtr.2003

19.8%19.8%

2004

22.0%22.0%

220bps220bps

3rd Qtr.2003

19.6%19.6%

2004

21.0%21.0%

140bps140bps

MARGINS BY QUARTER – SAME FACILITY*MARGINS BY QUARTER – SAME FACILITY*

* Excludes Bartow Memorial Hospital, which LifePoint Hospitals is expecting to exchange for another hospital in the fourth quarter of 2004 or first quarter of 2005.

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UNAUDITED SUPPLEMENTAL INFORMATIONUNAUDITED SUPPLEMENTAL INFORMATION

($ in millions) ($ in millions)

Adjusted EBITDA is defined as earnings before depreciation and amortization, interest expense, debt retirement costs, ESOP expense, gain on previously impaired assets, minority interest in earnings of consolidated entity, income taxes and discontinued operations. Our management uses adjusted EBITDA to evaluate our operating performance and as a measure of performance for incentive compensation purposes. We believe adjusted EBITDA is a measure of performance used by some investors, equity analysts and others to make informed investment decisions. In addition, multiples of current or projected adjusted EBITDA are used to estimate current or prospective enterprise value. Adjusted EBITDA should not be considered as a measure of financial performance under accounting principles generally accepted in the United States, and the items excluded from adjusted EBITDA are significant components in understanding and assessing financial performance. Adjusted EBITDA should not be considered in isolation or as an alternative to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. Because adjusted EBITDA is not a measurement determined in accordance with accounting principles generally accepted in the United States and is susceptible to varying calculations, adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies.

Adjusted EBITDA

Depreciation and amortization

Interest expense, net

Debt retirement costs

ESOP expense

Minority interests in earnings of consolidated entities

Provision for income taxes

Loss from discontinued operations, net of income taxes

Net income

Adjusted EBITDA

Depreciation and amortization

Interest expense, net

Debt retirement costs

ESOP expense

Minority interests in earnings of consolidated entities

Provision for income taxes

Loss from discontinued operations, net of income taxes

Net income

20022002

$ 166.8

(35.0)

(13.3)

(31.0)

(9.7)

(2.2)

(32.7)

(1.4)

$ 41.5

$ 166.8

(35.0)

(13.3)

(31.0)

(9.7)

(2.2)

(32.7)

(1.4)

$ 41.5

Years Ended December 31,Years Ended December 31,

20032003

$ 179.6

(43.1)

(12.8)

-

(6.9)

(0.7)

(45.9)

(1.7)

$ 68.5

$ 179.6

(43.1)

(12.8)

-

(6.9)

(0.7)

(45.9)

(1.7)

$ 68.5

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UNAUDITED SUPPLEMENTAL INFORMATIONUNAUDITED SUPPLEMENTAL INFORMATION

($ in millions)

Adjusted EBITDA is defined as earnings before depreciation and amortization, interest expense, debt retirement costs, ESOP expense, gain on previously impaired assets, minority interests in earnings of consolidated entities, income taxes and discontinued operations. Our management uses adjusted EBITDA to evaluate our operating performance and as a measure of performance for incentive compensation purposes. We believe adjusted EBITDA is a measure of performance used by some investors, equity analysts and others to make informed investment decisions. In addition, multiples of current or projected adjusted EBITDA are used to estimate current or prospective enterprise value. Adjusted EBITDA should not be considered as a measure of financial performance under accounting principles generally accepted in the United States, and the items excluded from adjusted EBITDA are significant components in understanding and assessing financial performance. Adjusted EBITDA should not be considered in isolation or as an alternative to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. Because adjusted EBITDA is not a measurement determined in accordance with accounting principles generally accepted in the United States and is susceptible to varying calculations, adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies.

20032003

$ 131.5

(31.5)

(9.9)

-

(4.9)

(0.5)

(34.2)

(1.3)

$ 49.2

$ 131.5

(31.5)

(9.9)

-

(4.9)

(0.5)

(34.2)

(1.3)

$ 49.2

Adjusted EBITDA

Depreciation and amortization

Interest expense, net

Debt retirement costs

ESOP expense

Minority interests in earnings of consolidated entities

Provision for income taxes

Loss from discontinued operations, net of income taxes

Net income

Adjusted EBITDA

Depreciation and amortization

Interest expense, net

Debt retirement costs

ESOP expense

Minority interests in earnings of consolidated entities

Provision for income taxes

Loss from discontinued operations, net of income taxes

Net income

20042004

$ 159.4

(34.5)

(9.7)

(1.5)

(7.1)

(0.7)

(42.1)

(1.5)

$ 62.3

$ 159.4

(34.5)

(9.7)

(1.5)

(7.1)

(0.7)

(42.1)

(1.5)

$ 62.3

Nine Months Ended September 30,

Nine Months Ended September 30,

20032003

$ 43.0

(10.2)

(3.3)

-

(1.8)

(0.3)

(11.0)

(0.2)

$ 16.2

$ 43.0

(10.2)

(3.3)

-

(1.8)

(0.3)

(11.0)

(0.2)

$ 16.2

20042004

$ 50.9

(12.1)

(3.1)

-

(2.3)

(0.1)

(13.2)

(0.4)

$ 19.7

$ 50.9

(12.1)

(3.1)

-

(2.3)

(0.1)

(13.2)

(0.4)

$ 19.7

Three Months Ended September 30,

Three Months Ended September 30,

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1st Qtr.

$0.13$0.13

$0.36$0.25$0.25

$0.45$0.60

4th Qtr.

$0.27

$0.50$0.44

$0.16

CONSISTENT EARNINGSPER SHARE HISTORYCONSISTENT EARNINGSPER SHARE HISTORY

(a) Includes effect of debt retirement costs of $(0.04) for second quarter 2001 and $(0.04) for full year.

(b) Includes effect of debt retirement costs of $(0.02), $(0.41), $(0.06) and $(0.01) in first, second, third and fourth quarters 2002, respectively, and $(0.50) for full year.

(c) Includes effect of debt retirement costs of $(0.02) for second quarter 2004.

20002001 (a)

2002 (b)

2003

Year

$0.54

$0.90

$1.07

$1.76

2004 (c)

2nd Qtr.

$0.11$0.18

$(0.07)

$0.40$0.48

3rd Qtr.

$0.33$0.20

$0.14

$0.42$0.50

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1st Qtr.

$0.13$0.13

$0.38

$0.25$0.25

$0.45

$0.60

4th Qtr.

$0.16

$0.27

$0.45$0.50

Year

$0.54

$0.94

$1.56

$1.76

2nd Qtr.

$0.11

$0.40$0.34

$0.22

$0.50

ADJUSTED EARNINGSPER SHARE HISTORYADJUSTED EARNINGSPER SHARE HISTORY

(a) Excludes effect of debt retirement costs of $(0.04) for second quarter 2001 and $(0.04) for full year.

(b) Excludes effect of debt retirement costs. Represents $(0.02), $(0.41), $(0.06) and $(0.01) in first, second, third and fourth quarters 2002, respectively, and $(0.50) for year.

(c) Excludes effect of debt retirement costs of $(0.02) for second quarter 2004.

Exclusive of Debt Retirement CostsExclusive of Debt Retirement Costs

20002001 (a)

2002 (b)

20032004 (c)

3rd Qtr.

$0.39

$0.20$0.14

$0.42$0.50

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CAPITALIZATIONCAPITALIZATION($ in millions)

Total Debt/Capitalization

Total Debt/LTM Adjusted EBITDA

LTM Adjusted EBITDA/Interest Expense

Total Debt/Capitalization

Total Debt/LTM Adjusted EBITDA

LTM Adjusted EBITDA/Interest Expense

31.6%

1.1x

16.5x

31.6%

1.1x

16.5x

40.6%

1.5x

14.0x

40.6%

1.5x

14.0x

Total Debt

Bank Debt

41/2% Convertible Notes

Total Debt

Total Stockholders’ Equity

Total Capitalization

9/30/04

$ -

221.0

221.0

477.7

$698.7

12/31/03

$ 20.0

250.0

270.0

394.3

$664.3

Page 37: “S ERVING THE NON-URBAN COMMUNITY”. F ORWARD-LOOKING STATEMENTS This presentation includes forward-looking statements based on current management expectations.

WHY INVEST IN

LIFEPOINT?

WHY INVEST IN

LIFEPOINT?Less than 10% of rural hospitals are

owned by proprietary owners

Community involvement

Solid payor base

Our focus on recruiting quality physicians

Opportunities for physicians and employees to enhance their quality of life in rural communities

Less than 10% of rural hospitals are owned by proprietary owners

Community involvement

Solid payor base

Our focus on recruiting quality physicians

Opportunities for physicians and employees to enhance their quality of life in rural communities

Page 38: “S ERVING THE NON-URBAN COMMUNITY”. F ORWARD-LOOKING STATEMENTS This presentation includes forward-looking statements based on current management expectations.

“SERVING THE NON-URBAN COMMUNITY”“SERVING THE NON-URBAN COMMUNITY”

To learn more about LifePoint Hospitals, Inc.please visit our website at

www.lifepointhospitals.com

To learn more about LifePoint Hospitals, Inc.please visit our website at

www.lifepointhospitals.com