##### Table of Contents



UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
 Washington, D.C. 20549
 Form 10-Q
  þ
    
    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 For the quarterly period ended June 30, 2009
 or
 o
    
    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 For the transition period from            to
 Commission file number: 000-51251
 (LIFEPOINT HOSPITALS, INC. LOGO)
  Delaware(State or Other Jurisdiction of 
Incorporation or Organization)
    
    20-1538254(I.R.S. Employer
Identification No.)103 Powell CourtBrentwood, Tennessee
    
    37027(Address of Principal Executive Offices)
    
    (Zip Code)
 (615) 372-8500  (Registrants Telephone Number, Including Area Code)
 Not Applicable  (Former name, former address and former fiscal year, if changed since last report)
 þ o
 o o
  Large accelerated filer þ
    
    Accelerated filer o
    
    Non-accelerated filer o
    
    Smaller reporting company o(Do not check if a smaller reporting company)
 o þ




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##### 



TABLE OF CONTENTS
 PART I  FINANCIAL INFORMATIONItem 1. Financial Statements
    
    
    3Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations
    
    
    22Item 3. Quantitative and Qualitative Disclosures about Market Risk
    
    
    44Item 4. Controls and Procedures
    
    
    45PART II  OTHER INFORMATIONItem 1. Legal Proceedings
    
    
    46Item 1A. Risk Factors
    
    
    46Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
    
    
    46Item 4. Submission of Matters to a Vote of Security Holders
    
    
    46Item 6. Exhibits
    
    
    48EX-10.1EX-10.2EX-31.1EX-31.2EX-32.1EX-32.2




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##### Table of Contents



PART I  FINANCIAL INFORMATION
 
 Item 1. Financial Statements.
 LIFEPOINT HOSPITALS, INC.
 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
Unaudited
(In millions, except per share amounts)
 Three Months Ended
    
    
    Six Months EndedJune 30,
    
    
    June 30,2009
    
    
    2008
    
    
    2009
    
    
    2008(as adjusted)
    
    
    
    
    
    
    (as adjusted)Revenues
    
    $
    735.3
    
    
    $
    665.7
    
    
    $
    1,470.8
    
    
    $
    1,350.8Salaries and benefits
    
    
    292.7
    
    
    
    263.9
    
    
    
    579.2
    
    
    
    531.9Supplies
    
    
    102.3
    
    
    
    93.0
    
    
    
    201.9
    
    
    
    186.3Other operating expenses
    
    
    138.6
    
    
    
    122.9
    
    
    
    271.3
    
    
    
    243.9Provision for doubtful accounts
    
    
    92.2
    
    
    
    74.9
    
    
    
    182.4
    
    
    
    155.8Depreciation and amortization
    
    
    35.9
    
    
    
    33.5
    
    
    
    71.0
    
    
    
    65.6Interest expense, net
    
    
    25.9
    
    
    
    26.8
    
    
    
    51.7
    
    
    
    53.7Impairment loss
    
    
    
    
    
    
    0.3
    
    
    
    
    
    
    
    0.3687.6
    
    
    
    615.3
    
    
    
    1,357.5
    
    
    
    1,237.5Income from continuing operations before income taxes
    
    
    47.7
    
    
    
    50.4
    
    
    
    113.3
    
    
    
    113.3Provision for income taxes
    
    
    18.2
    
    
    
    20.3
    
    
    
    43.7
    
    
    
    44.5Income from continuing operations
    
    
    29.5
    
    
    
    30.1
    
    
    
    69.6
    
    
    
    68.8Discontinued operations, net of income taxes:Loss from discontinued operations
    
    
    (2.1
    )
    
    
    (1.4
    )
    
    
    (3.2
    )
    
    
    (3.2
    )Impairment adjustment
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    2.3Loss on sale of hospital
    
    
    (0.6
    )
    
    
    (0.3
    )
    
    
    (0.6
    )
    
    
    (0.3
    )Loss from discontinued operations
    
    
    (2.7
    )
    
    
    (1.7
    )
    
    
    (3.8
    )
    
    
    (1.2
    )Net income
    
    
    26.8
    
    
    
    28.4
    
    
    
    65.8
    
    
    
    67.6Less: Net income attributable to noncontrolling interests
    
    
    (0.5
    )
    
    
    (0.6
    )
    
    
    (1.1
    )
    
    
    (1.1
    )Net income attributable to LifePoint Hospitals, Inc.
    
    $
    26.3
    
    
    $
    27.8
    
    
    $
    64.7
    
    
    $
    66.5Basic earnings (loss) per share attributable to LifePoint
Hospitals, Inc. stockholders:Continuing operations
    
    $
    0.55
    
    
    $
    0.57
    
    
    $
    1.31
    
    
    $
    1.27Discontinued operations
    
    
    (0.05
    )
    
    
    (0.04
    )
    
    
    (0.08
    )
    
    
    (0.02
    )Net income
    
    $
    0.50
    
    
    $
    0.53
    
    
    $
    1.23
    
    
    $
    1.25Diluted earnings (loss) per share attributable to LifePoint
Hospitals, Inc. stockholders:Continuing operations
    
    $
    0.54
    
    
    $
    0.55
    
    
    $
    1.29
    
    
    $
    1.25Discontinued operations
    
    
    (0.05
    )
    
    
    (0.03
    )
    
    
    (0.08
    )
    
    
    (0.02
    )Net income
    
    $
    0.49
    
    
    $
    0.52
    
    
    $
    1.21
    
    
    $
    1.23Weighted average shares and dilutive securities outstanding:Basic
    
    
    52.8
    
    
    
    52.2
    
    
    
    52.5
    
    
    
    53.1Diluted
    
    
    53.6
    
    
    
    53.2
    
    
    
    53.3
    
    
    
    54.2Amounts attributable to LifePoint Hospitals, Inc. stockholders:Income from continuing operations, net of income taxes
    
    $
    29.0
    
    
    $
    29.5
    
    
    $
    68.5
    
    
    $
    67.7Loss from discontinued operations, net of income taxes
    
    
    (2.7
    )
    
    
    (1.7
    )
    
    
    (3.8
    )
    
    
    (1.2
    )Net income
    
    $
    26.3
    
    
    $
    27.8
    
    
    $
    64.7
    
    
    $
    66.5
  3




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 CONDENSED CONSOLIDATED BALANCE SHEETS
(Dollars in millions, except per share amounts)
 June 30,
    
    
    December 31,2009
    
    
    2008 (a)(Unaudited)ASSETSCurrent assets:Cash and cash equivalents
    
    $
    72.0
    
    
    $
    75.7Accounts receivable, less allowances for doubtful accounts of $407.7 and $374.4
at June 30, 2009 and December 31, 2008, respectively
    
    
    340.5
    
    
    
    315.9Inventories
    
    
    72.5
    
    
    
    69.6Assets held for sale
    
    
    7.1
    
    
    
    21.6Prepaid expenses
    
    
    14.6
    
    
    
    12.0Income taxes receivable
    
    
    11.9
    
    
    
    19.9Deferred tax assets
    
    
    112.4
    
    
    
    103.4Other current assets
    
    
    29.2
    
    
    
    19.2660.2
    
    
    
    637.3Property and equipment:Land
    
    
    74.9
    
    
    
    71.1Buildings and improvements
    
    
    1,339.7
    
    
    
    1,257.2Equipment
    
    
    792.4
    
    
    
    737.9Construction in progress (estimated cost to complete and equip after June 30,
2009 is $125.8)
    
    
    34.4
    
    
    
    39.72,241.4
    
    
    
    2,105.9Accumulated depreciation
    
    
    (754.8
    )
    
    
    (689.9
    )1,486.6
    
    
    
    1,416.0Deferred loan costs, net
    
    
    27.6
    
    
    
    31.3Intangible assets, net
    
    
    69.5
    
    
    
    68.8Other
    
    
    3.8
    
    
    
    10.4Goodwill
    
    
    1,524.5
    
    
    
    1,516.5Total assets
    
    $
    3,772.2
    
    
    $
    3,680.3LIABILITIES AND EQUITYCurrent liabilities:Accounts payable
    
    $
    76.6
    
    
    $
    92.3Accrued salaries
    
    
    82.3
    
    
    
    73.2Other current liabilities
    
    
    110.1
    
    
    
    94.5Current maturities of long-term debt
    
    
    1.1
    
    
    
    1.1270.1
    
    
    
    261.1Long-term debt
    
    
    1,388.5
    
    
    
    1,392.1Deferred income taxes
    
    
    152.6
    
    
    
    153.2Reserves for self-insurance claims and other liabilities
    
    
    145.0
    
    
    
    146.2Long-term income tax liability
    
    
    59.5
    
    
    
    59.4Total liabilities
    
    
    2,015.7
    
    
    
    2,012.0Redeemable noncontrolling interests
    
    
    12.0
    
    
    
    12.8Equity:LifePoint Hospitals, Inc. stockholders equity:Preferred stock, $0.01 par value; 10,000,000 shares authorized; no shares issued
    
    
    
    
    
    
    Common stock, $0.01 par value; 90,000,000 shares authorized; 60,214,988 and
58,787,009 shares issued at June 30, 2009 and December 31, 2008,
respectively
    
    
    0.6
    
    
    
    0.6Capital in excess of par value
    
    
    1,234.7
    
    
    
    1,212.6Accumulated other comprehensive loss
    
    
    (23.8
    )
    
    
    (28.3
    )Retained earnings
    
    
    679.1
    
    
    
    614.4Common stock in treasury, at cost, 5,459,459 and 5,346,156 shares at June
30, 2009 and December 31, 2008, respectively
    
    
    (149.9
    )
    
    
    (147.3
    )Total LifePoint Hospitals, Inc. stockholders equity
    
    
    1,740.7
    
    
    
    1,652.0Noncontrolling interests
    
    
    3.8
    
    
    
    3.5Total equity
    
    
    1,744.5
    
    
    
    1,655.5Total liabilities and equity
    
    $
    3,772.2
    
    
    $
    3,680.3
 
 (a)
    
    Derived from audited consolidated financial statements, as adjusted (see Note 2).  4




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LIFEPOINT HOSPITALS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
Unaudited
(In millions)
 Three Months Ended
    
    
    Six Months EndedJune 30,
    
    
    June 30,2009
    
    
    2008
    
    
    2009
    
    
    2008(as adjusted)
    
    
    
    
    
    
    (as adjusted)Cash flows from operating activities:Net income
    
    $
    26.8
    
    
    $
    28.4
    
    
    $
    65.8
    
    
    $
    67.6Adjustments to reconcile net income to net cash provided by
operating activities:Loss from discontinued operations
    
    
    2.7
    
    
    
    1.7
    
    
    
    3.8
    
    
    
    1.2Stock-based compensation
    
    
    4.7
    
    
    
    5.7
    
    
    
    10.6
    
    
    
    12.1ESOP expense (non-cash portion)
    
    
    
    
    
    
    2.1
    
    
    
    
    
    
    
    3.9Depreciation and amortization
    
    
    35.9
    
    
    
    33.5
    
    
    
    71.0
    
    
    
    65.6Amortization of physician minimum revenue guarantees
    
    
    3.1
    
    
    
    2.2
    
    
    
    6.2
    
    
    
    4.2Amortization of convertible debt discounts
    
    
    5.2
    
    
    
    4.8
    
    
    
    10.3
    
    
    
    9.6Amortization of deferred loan costs
    
    
    1.8
    
    
    
    1.9
    
    
    
    3.7
    
    
    
    3.7Deferred income taxes (benefit)
    
    
    (4.7
    )
    
    
    6.6
    
    
    
    (10.7
    )
    
    
    6.1Reserves for self-insurance claims, net of payments
    
    
    5.5
    
    
    
    6.9
    
    
    
    11.1
    
    
    
    8.1Increase (decrease) in cash from operating assets and
liabilities, net of effects from acquisitions and
divestitures:Accounts receivable
    
    
    6.0
    
    
    
    5.8
    
    
    
    (15.4
    )
    
    
    (2.8
    )Inventories and other current assets
    
    
    (3.2
    )
    
    
    7.6
    
    
    
    (2.9
    )
    
    
    4.5Accounts payable and accrued expenses
    
    
    3.1
    
    
    
    (6.7
    )
    
    
    (5.7
    )
    
    
    (3.9
    )Income taxes payable/receivable
    
    
    (20.2
    )
    
    
    (27.8
    )
    
    
    11.0
    
    
    
    (4.0
    )Other
    
    
    0.4
    
    
    
    0.8
    
    
    
    0.2
    
    
    
    2.3Net cash provided by operating activities  continuing
operations
    
    
    67.1
    
    
    
    73.5
    
    
    
    159.0
    
    
    
    178.2Net cash used in operating activities  discontinued operations
    
    
    (1.4
    )
    
    
    (1.4
    )
    
    
    (2.9
    )
    
    
    (5.1
    )Net cash provided by operating activities
    
    
    65.7
    
    
    
    72.1
    
    
    
    156.1
    
    
    
    173.1Cash flows from investing activities:Purchase of property and equipment
    
    
    (42.0
    )
    
    
    (41.1
    )
    
    
    (85.1
    )
    
    
    (74.0
    )Acquisitions, net of cash acquired
    
    
    (1.5
    )
    
    
    (9.3
    )
    
    
    (79.7
    )
    
    
    (9.3
    )Proceeds from sale of business
    
    
    3.9
    
    
    
    
    
    
    
    3.9
    
    
    
    Net cash used in investing activities  continuing operations
    
    
    (39.6
    )
    
    
    (50.4
    )
    
    
    (160.9
    )
    
    
    (83.3
    )Net cash provided by (used in) investing activities 
discontinued operations
    
    
    10.4
    
    
    
    (4.5
    )
    
    
    10.4
    
    
    
    (5.0
    )Net cash used in investing activities
    
    
    (29.2
    )
    
    
    (54.9
    )
    
    
    (150.5
    )
    
    
    (88.3
    )Cash flows from financing activities:Proceeds from borrowings
    
    
    
    
    
    
    10.4
    
    
    
    
    
    
    
    10.4Payments on borrowings
    
    
    (13.5
    )
    
    
    
    
    
    
    (13.5
    )
    
    
    Repurchases of common stock
    
    
    (1.0
    )
    
    
    (30.5
    )
    
    
    (2.6
    )
    
    
    (118.1
    )Proceeds from exercise of stock options
    
    
    7.9
    
    
    
    0.1
    
    
    
    9.6
    
    
    
    0.1Proceeds from employee stock purchase plans, net of refunds
    
    
    
    
    
    
    (0.1
    )
    
    
    0.4
    
    
    
    0.3Distributions to noncontrolling interests, net of proceeds
    
    
    (0.3
    )
    
    
    (0.7
    )
    
    
    (0.7
    )
    
    
    (1.0
    )Purchase of redeemable noncontrolling interests
    
    
    (0.8
    )
    
    
    
    
    
    
    (0.8
    )
    
    
    Capital lease payments and other
    
    
    (1.3
    )
    
    
    (4.7
    )
    
    
    (1.7
    )
    
    
    (5.0
    )Net cash used in financing activities
    
    
    (9.0
    )
    
    
    (25.5
    )
    
    
    (9.3
    )
    
    
    (113.3
    )Change in cash and cash equivalents
    
    
    27.5
    
    
    
    (8.3
    )
    
    
    (3.7
    )
    
    
    (28.5
    )Cash and cash equivalents at beginning of period
    
    
    44.5
    
    
    
    32.9
    
    
    
    75.7
    
    
    
    53.1Cash and cash equivalents at end of period
    
    $
    72.0
    
    
    $
    24.6
    
    
    $
    72.0
    
    
    $
    24.6Supplemental disclosure of cash flow information:Interest payments
    
    $
    22.5
    
    
    $
    24.0
    
    
    $
    38.7
    
    
    $
    41.1Capitalized interest
    
    $
    0.3
    
    
    $
    0.2
    
    
    $
    0.6
    
    
    $
    0.3Income taxes paid, net
    
    $
    43.1
    
    
    $
    40.8
    
    
    $
    43.6
    
    
    $
    41.7
  5




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LIFEPOINT HOSPITALS, INC.
 CONDENSED CONSOLIDATED STATEMENT OF EQUITY
For the Six Months Ended June 30, 2009
Unaudited
(In millions)
 LifePoint Hospitals, Inc. StockholdersAccumulatedCapital in
    
    
    OtherCommon Stock
    
    
    Excess of
    
    
    Comprehensive
    
    
    Retained
    
    
    Treasury
    
    
    NoncontrollingShares
    
    
    Amount
    
    
    Par Value
    
    
    Income (loss)
    
    
    Earnings
    
    
    Stock
    
    
    Interests
    
    
    TotalBalance at December 31, 2008 (a)
    
    
    53.4
    
    
    $
    0.6
    
    
    $
    1,212.6
    
    
    $
    (28.3
    )
    
    $
    614.4
    
    
    $
    (147.3
    )
    
    $
    3.5
    
    
    $
    1,655.5Comprehensive income:Net income
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    64.7
    
    
    
    
    
    
    
    1.1
    
    
    
    65.8Net change in fair value of
interest rate swap, net of tax
provision of $2.4
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    4.5
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    4.5Total comprehensive income
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    70.3Exercise of stock options and
tax benefits of
stock-based awards
    
    
    0.8
    
    
    
    
    
    
    
    11.0
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    11.0Stock activity in connection with
employee stock purchase plan
    
    
    
    
    
    
    
    
    
    
    0.4
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    0.4Stock-based compensation
    
    
    0.8
    
    
    
    
    
    
    
    10.6
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    10.6Repurchases of common stock, at cost
    
    
    (0.2
    )
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    (2.6
    )
    
    
    
    
    
    
    (2.6
    )Cash proceeds from (cash distributions
to) noncontrolling interests
    
    
    
    
    
    
    
    
    
    
    0.1
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    (0.8
    )
    
    
    (0.7
    )Balance at June 30, 2009
    
    
    54.8
    
    
    $
    0.6
    
    
    $
    1,234.7
    
    
    $
    (23.8
    )
    
    $
    679.1
    
    
    $
    (149.9
    )
    
    $
    3.8
    
    
    $
    1,744.5
 
 (a)
    
    Derived from audited consolidated financial statements, as adjusted (see Note 2).  6




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
June 30, 2009
Unaudited
 Note 1. Basis of Presentation
     Note 2. New Accounting Standards
 SFAS No. 160
  
    
    The Company reclassified a portion of its noncontrolling interests from the
mezzanine section of its accompanying condensed consolidated balance sheets to equity.
As of December 31, 2008, this reclassification totaled $3.5 million. Certain of the
Companys noncontrolling interests will continue to be classified in the mezzanine
section of its accompanying condensed consolidated balance sheets as these
noncontrolling interests include redemption features that cause these interests not to meet the
requirements for classification as equity in accordance with EITF Topic D-98.
Redemption of these interests features would require the delivery of cash.
 7




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
 
    
    Net income attributable to noncontrolling interests is no longer deducted to
arrive at net income. Instead, net income is attributed to the controlling and
noncontrolling interests in the accompanying condensed consolidated statements of
operations. As a result, net income for the three and six months ended June 30, 2008
increased by $0.6 million and $1.1 million, respectively, from net income previously
reported. These changes had no impact on the Companys earnings per share calculations.
 FSP APB 14-1
 1 2 1 2 1 4 1 4 1 2 1 4 1 2 1 4
  As PreviouslyReported in theCompany's
    
    AdjustmentForm 10-Q for
    
    Made Duringthe Three
    
    the ThreeMonths Ended
    
    Months Ended
    
    As CurrentlyMarch 31, 2009
    
    June 30, 2009
    
    ReportedCondensed consolidated balance sheet as of December 31, 2008:Deferred income taxes
    
    $
    146.8
    
    
    $
    6.4
    
    
    $
    153.2Capital in excess of par value
    
    $
    1,219.5
    
    
    $
    (6.9
    )
    
    $
    1,212.6Retained earnings
    
    $
    613.9
    
    
    $
    0.5
    
    
    $
    614.4
 8




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
  AdjustmentsforAs Originally
    
    Adjustments for the
    
    Discontinued
    
    As CurrentlyReported
    
    Adoption of FSP APB 14-1
    
    Operations
    
    ReportedCondensed consolidated balance sheet as of December 31, 2008:Long-term debt
    
    $
    1,515.6
    
    
    $
    (123.5
    )
    
    $
    
    
    
    $
    1,392.1Deferred income taxes
    
    $
    103.1
    
    
    $
    50.1
    
    
    $
    
    
    
    $
    153.2Capital in excess of par value
    
    $
    1,116.3
    
    
    $
    96.3
    
    
    $
    
    
    
    $
    1,212.6Retained earnings
    
    $
    637.3
    
    
    $
    (22.9
    )
    
    $
    
    
    
    $
    614.4Condensed consolidated statement of operations for the three
months ended June 30, 2008:Interest expense, net
    
    $
    22.2
    
    
    $
    4.8
    
    
    $
    (0.2
    )
    
    $
    26.8Provision for income taxes
    
    $
    21.9
    
    
    $
    (2.1
    )
    
    $
    0.5
    
    
    $
    20.3Net income attributable to LifePoint Hospitals, Inc.
    
    $
    30.5
    
    
    $
    (2.7
    )
    
    $
    
    
    
    $
    27.8Basic earnings per share attributable to LifePoint Hospitals,
Inc. stockholders
    
    $
    0.58
    
    
    $
    (0.05
    )
    
    $
    
    
    
    $
    0.53Diluted earnings per share attributable to LifePoint
Hospitals, Inc. stockholders
    
    $
    0.57
    
    
    $
    (0.05
    )
    
    $
    
    
    
    $
    0.52Condensed consolidated statement of operations for the six months
ended June 30, 2008:Interest expense, net
    
    $
    44.7
    
    
    $
    9.6
    
    
    $
    (0.6
    )
    
    $
    53.7Provision for income taxes
    
    $
    46.7
    
    
    $
    (3.8
    )
    
    $
    1.6
    
    
    $
    44.5Net income attributable to LifePoint Hospitals, Inc.
    
    $
    72.3
    
    
    $
    (5.8
    )
    
    $
    
    
    
    $
    66.5Basic earnings per share attributable to LifePoint Hospitals,
Inc. stockholders
    
    $
    1.36
    
    
    $
    (0.11
    )
    
    $
    
    
    
    $
    1.25Diluted earnings per share attributable to LifePoint
Hospitals, Inc. stockholders
    
    $
    1.33
    
    
    $
    (0.10
    )
    
    $
    
    
    
    $
    1.23
  June 30, 2009
    
    
    December 31, 20083 1/2% Notes:Principal balance
    
    $
    575.0
    
    
    $
    575.0Unamortized discount
    
    
    (89.9
    )
    
    
    (97.4
    )Net carrying balance
    
    $
    485.1
    
    
    $
    477.63 1/4% Debentures:Principal balance
    
    $
    225.0
    
    
    $
    225.0Unamortized discount
    
    
    (23.3
    )
    
    
    (26.1
    )Net carrying balance
    
    $
    201.7
    
    
    $
    198.9
 1 4 1 2 1 4 1 4 1 2
 9




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
  Three Months Ended June 30,
    
    
    Six Months Ended June 30,2009
    
    
    2008
    
    
    2009
    
    
    20083 1/2% Notes:Contractual cash interest expense
    
    $
    5.1
    
    
    $
    5.1
    
    
    $
    10.1
    
    
    $
    10.1Non-cash interest expense (discount amortization)
    
    
    3.8
    
    
    
    3.5
    
    
    
    7.5
    
    
    
    7.0Total interest expense
    
    $
    8.9
    
    
    $
    8.6
    
    
    $
    17.6
    
    
    $
    17.13 1/4% Debentures:Contractual cash interest expense
    
    $
    1.8
    
    
    $
    1.8
    
    
    $
    3.6
    
    
    $
    3.6Non-cash interest expense (discount amortization)
    
    
    1.4
    
    
    
    1.3
    
    
    
    2.8
    
    
    
    2.6Total interest expense
    
    $
    3.2
    
    
    $
    3.1
    
    
    $
    6.4
    
    
    $
    6.2
 SFAS No. 141(R), Business Combinations, (SFAS No. 141(R))
   10




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
 SFAS No. 157, Fair Value Measurements, (SFAS No. 157)
    SFAS No. 161, Disclosures about Derivative Instruments and Hedging Activities, an amendment of
FASB Statement No. 133, (SFAS No. 161)
  11




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
 FSP SFAS No. 107-1 and APB 28-1, Interim Disclosures about Fair Value of Financial
Instruments, (FSP SFAS No. 107-1 and APB 28-1)
  Cash and Cash Equivalents, Accounts Receivable and Accounts Payable
 LongTerm Debt. 1 2 1 4
 Carrying Amount
    
    Fair ValueJune 30,
    
    December 31,
    
    June 30,
    
    December 31,2009
    
    2008
    
    2009
    
    2008Term B Loans
    
    $
    692.9
    
    
    $
    706.4
    
    
    $
    654.8
    
    
    $
    586.331/2% Notes, excluding unamortized discount
    
    $
    575.0
    
    
    $
    575.0
    
    
    $
    465.8
    
    
    $
    387.331/4% Debentures, excluding unamortized discount
    
    $
    225.0
    
    
    $
    225.0
    
    
    $
    181.1
    
    
    $
    162.0
 1 4 1 2
 Interest Rate Swap.
  SFAS No. 165, Subsequent Events, (SFAS No. 165)
  12




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
 SFAS No. 168, The FASB Accounting Standards Codification TM and the Hierarchy of
Generally Accepted Accounting Principles  A Replacement of FASB Statement No. 162, (SFAS No.
168)
 TM TM
 Note 3. Acquisition
    Accounts receivable
    
    $
    12.4Inventories
    
    
    2.1Prepaid expenses and other current assets
    
    
    0.6Property and equipment
    
    
    71.4Goodwill
    
    
    8.6Total assets acquired, excluding cash
    
    
    95.1Accounts payable
    
    
    6.2Accrued salaries
    
    
    3.6Other current liabilities
    
    
    1.4Capital leases
    
    
    1.3Total liabilities assumed
    
    
    12.5Net assets acquired
    
    $
    82.6
  Note 4. Discontinued Operations
  13




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
     Three Months Ended
    
    Six Months EndedJune 30,
    
    June 30,2009
    
    2008
    
    2009
    
    2008Revenues
    
    $
    5.3
    
    
    $
    14.7
    
    
    $
    16.1
    
    
    $
    30.8Loss before income tax benefits
    
    $
    (4.0
    )
    
    $
    (2.2
    )
    
    $
    (5.7
    )
    
    $
    (5.1
    )Net loss
    
    $
    (2.1
    )
    
    $
    (1.4
    )
    
    $
    (3.2
    )
    
    $
    (3.2
    )
 Note 5. Repurchases of Common Stock
    14




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS   (Continued)
 Note 6. Goodwill and Intangible Assets
 Goodwill
   Contract-Based Physician Minimum Revenue Guarantees
   Non-Competition Agreements
  Certificates of Need
  15




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
 Summary of Intangible Assets
  GrossCarrying
    
    
    Accumulated
    
    
    NetClass of Intangible Asset
    
    Amount
    
    
    Amortization
    
    
    TotalAmortized intangible assets:Contract-based physician minimum revenue guarantees:Balance at December 31, 2008
    
    $
    66.4
    
    
    $
    (16.2
    )
    
    $
    50.2Additions, net of terminations
    
    
    5.7
    
    
    
    1.9
    
    
    
    7.6Amortization expense
    
    
    
    
    
    
    (6.2
    )
    
    
    (6.2
    )Balance at June 30, 2009
    
    $
    72.1
    
    
    $
    (20.5
    )
    
    $
    51.6Non-competition agreements:Balance at December 31, 2008
    
    $
    20.2
    
    
    $
    (8.1
    )
    
    $
    12.1Amortization expense
    
    
    
    
    
    
    (0.7
    )
    
    
    (0.7
    )Balance at June 30, 2009
    
    $
    20.2
    
    
    $
    (8.8
    )
    
    $
    11.4Indefinite-lived intangible assets:Certificates of need:Balance at December 31, 2008 and June 30, 2009
    
    $
    6.5
    
    
    $
    
    
    
    $
    6.5Total intangible assets:Balance at December 31, 2008
    
    $
    93.1
    
    
    $
    (24.3
    )
    
    $
    68.8Additions, net of terminations
    
    
    5.7
    
    
    
    1.9
    
    
    
    7.6Amortization expense
    
    
    
    
    
    
    (6.9
    )
    
    
    (6.9
    )Balance at June 30, 2009
    
    $
    98.8
    
    
    $
    (29.3
    )
    
    $
    69.5
 Note 7. Stock-Based Compensation
  Stock Options
   Six Months EndedJune 30,2009
    
    2008Expected volatility
    
    
    40.2
    %
    
    
    32.0
    %Risk free interest rate (range)
    
    
    0.10% - 2.92
    %
    
    
    1.07% - 3.74
    %Expected dividends
    
    
    
    
    
    
    Average expected term (years)
    
    
    5.4
    
    
    
    5.3Fair value per share of stock options granted
    
    $
    7.92
    
    
    $
    8.08
 16




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
   Other Stock-Based Awards
     Summary
  Three Months Ended
    
    
    Six Months EndedJune 30,
    
    
    June 30,2009
    
    
    2008
    
    
    2009
    
    
    2008Other stock-based awards
    
    $
    3.2
    
    
    $
    3.9
    
    
    $
    7.2
    
    
    $
    8.2Stock options
    
    
    1.5
    
    
    
    1.8
    
    
    
    3.4
    
    
    
    3.9Total stock-based compensation expense
    
    $
    4.7
    
    
    $
    5.7
    
    
    $
    10.6
    
    
    $
    12.1Tax benefits on stock-based compensation expense
    
    $
    2.1
    
    
    $
    2.5
    
    
    $
    4.6
    
    
    $
    5.0
 17




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
  Note 8. Interest Rate Swap
  Notional AmountDate Range
    
    (In millions)November 30, 2007 to November 28, 2008
    
    $
    750.0November 28, 2008 to November 30, 2009
    
    
    600.0November 30, 2009 to November 30, 2010
    
    
    450.0November 30, 2010 to May 30, 2011
    
    
    300.0
    Balance Sheet Location
    
    June 30, 2009
    
    
    December 31, 2008Derivative
designated as a
hedging instrument
under SFAS No. 133:Interest rate swap
    
    Reserves for self-insurance claims andother liabilities
    
    $
    38.1
    
    
    $
    45.0
 18




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
  Location of gain  (loss)
    
    
    Amount of gain (loss)recognized in Income on
    
    
    recognized in Income onAmount of gain (loss)
    
    
    Derivative (Ineffective
    
    
    Derivative (Ineffectiverecognized in OCI on
    
    
    Portion and Amount
    
    
    Portion and AmountDerivative (Effective
    
    
    Excluded from
    
    
    Excluded fromPortion)
    
    
    Effectiveness Testing)
    
    
    Effectiveness Testing)For the Three
    
    
    For the Six
    
    
    
    
    
    
    For the Three
    
    
    For the SixMonths Ended
    
    
    Months Ended
    
    
    
    
    
    
    Months Ended
    
    
    Months EndedJune 30,
    
    
    June 30,
    
    
    
    
    
    
    June 30,
    
    
    June 30,2009
    
    
    2008
    
    
    2009
    
    
    2008
    
    
    
    
    
    
    2009
    
    
    2008
    
    
    2009
    
    
    2008Derivative in
SFAS No. 133 cash
flow hedging
relationships:Interest rate swap
    
    $
    4.9
    
    
    $
    19.7
    
    
    $
    6.9
    
    
    $
    1.2
    
    
    Interest expense, net
    
    $
    
    
    
    $
    
    
    
    $
    
    
    
    $
    (0.6
    )
 Fair Value
  19




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
 Note 9. Earnings (Loss) Per Share
  Three Months Ended
    
    
    Six Months EndedJune 30,
    
    
    June 30,2009
    
    
    2008
    
    
    2009
    
    
    2008Numerator for basic and diluted earnings per share
attributable to LifePoint Hospitals, Inc.:Income from continuing operations
    
    $
    29.5
    
    
    $
    30.1
    
    
    $
    69.6
    
    
    $
    68.8Less: Net income attributable to noncontrolling interests
    
    
    (0.5
    )
    
    
    (0.6
    )
    
    
    (1.1
    )
    
    
    (1.1
    )Income from continuing operations attributable to
LifePoint Hospitals, Inc.
stockholders
    
    
    29.0
    
    
    
    29.5
    
    
    
    68.5
    
    
    
    67.7Loss from discontinued operations, net of income taxes
    
    
    (2.7
    )
    
    
    (1.7
    )
    
    
    (3.8
    )
    
    
    (1.2
    )Net income attributable to LifePoint Hospitals, Inc.
    
    $
    26.3
    
    
    $
    27.8
    
    
    $
    64.7
    
    
    $
    66.5Denominator:Weighted average shares outstanding  basic
    
    
    52.8
    
    
    
    52.2
    
    
    
    52.5
    
    
    
    53.1Effect of dilutive securities: stock options and other
stock-based awards
    
    
    0.8
    
    
    
    1.0
    
    
    
    0.8
    
    
    
    1.1Weighted average shares outstanding  diluted
    
    
    53.6
    
    
    
    53.2
    
    
    
    53.3
    
    
    
    54.2Basic earnings (loss) per share attributable to LifePoint
Hospitals, Inc. stockholders:Continuing operations
    
    $
    0.55
    
    
    $
    0.57
    
    
    $
    1.31
    
    
    $
    1.27Discontinued operations
    
    
    (0.05
    )
    
    
    (0.04
    )
    
    
    (0.08
    )
    
    
    (0.02
    )Net income
    
    $
    0.50
    
    
    $
    0.53
    
    
    $
    1.23
    
    
    $
    1.25Diluted earnings (loss) per share attributable to LifePoint
Hospitals, Inc. stockholders:Continuing operations
    
    $
    0.54
    
    
    $
    0.55
    
    
    $
    1.29
    
    
    $
    1.25Discontinued operations
    
    
    (0.05
    )
    
    
    (0.03
    )
    
    
    (0.08
    )
    
    
    (0.02
    )Net income
    
    $
    0.49
    
    
    $
    0.52
    
    
    $
    1.21
    
    
    $
    1.23
 1 2 1 4 1 4 1 2
 Note 10. Contingencies
 Legal Proceedings and General Liability Claims
   20




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##### Table of Contents



LIFEPOINT HOSPITALS, INC.
 NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS  (Continued)
 Physician Commitments
  Capital Expenditure Commitments
  Acquisitions
  Note 11. Subsequent Events
    21




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Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations.
     Risk
Factors
 Overview
  22




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##### Table of Contents



Competitive and Regulatory Environment
     23




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##### Table of Contents



Medicare Reimbursement
    24




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Business Strategy
 ®
      25




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##### Table of Contents



Additional Growth
   Revenue Sources
     Other Events
  26




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##### Table of Contents



Results of Operations
 Managements Discussion
and Analysis of Financial Condition and Results of Operations:
 Acquisition.
 Admissions.
 bps.
 Continuing operations.
 ESOP
 Effective tax rate
 Emergency room visits.
 Equivalent admissions.
 Net revenue days outstanding
 Medicare case mix index.
 N/A. .
 Outpatient surgeries.
 Same-hospital
 27




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##### Table of Contents



Operating Results Summary
  Three Months Ended June 30,
    
    
    Six Months Ended June 30,2009
    
    
    2008
    
    
    2009
    
    
    2008% of
    
    
    
    
    
    
    % of
    
    
    
    
    
    
    % of
    
    
    
    
    
    
    % ofAmount
    
    
    Revenues
    
    
    Amount
    
    
    Revenues
    
    
    Amount
    
    
    Revenues
    
    
    Amount
    
    
    RevenuesRevenues
    
    $
    735.3
    
    
    
    100.0
    %
    
    $
    665.7
    
    
    
    100.0
    %
    
    $
    1,470.8
    
    
    
    100.0
    %
    
    $
    1,350.8
    
    
    
    100.0
    %Salaries and benefits
    
    
    292.7
    
    
    
    39.8
    
    
    
    263.9
    
    
    
    39.7
    
    
    
    579.2
    
    
    
    39.4
    
    
    
    531.9
    
    
    
    39.4Supplies
    
    
    102.3
    
    
    
    13.9
    
    
    
    93.0
    
    
    
    14.0
    
    
    
    201.9
    
    
    
    13.7
    
    
    
    186.3
    
    
    
    13.8Other operating expenses
    
    
    138.6
    
    
    
    18.9
    
    
    
    122.9
    
    
    
    18.3
    
    
    
    271.3
    
    
    
    18.4
    
    
    
    243.9
    
    
    
    18.1Provision for doubtful
accounts
    
    
    92.2
    
    
    
    12.5
    
    
    
    74.9
    
    
    
    11.3
    
    
    
    182.4
    
    
    
    12.4
    
    
    
    155.8
    
    
    
    11.5Depreciation and amortization
    
    
    35.9
    
    
    
    4.9
    
    
    
    33.5
    
    
    
    5.1
    
    
    
    71.0
    
    
    
    4.9
    
    
    
    65.6
    
    
    
    4.8Interest expense, net
    
    
    25.9
    
    
    
    3.5
    
    
    
    26.8
    
    
    
    4.0
    
    
    
    51.7
    
    
    
    3.5
    
    
    
    53.7
    
    
    
    4.0Impairment loss
    
    
    
    
    
    
    
    
    
    
    0.3
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    0.3
    
    
    
    687.6
    
    
    
    93.5
    
    
    
    615.3
    
    
    
    92.4
    
    
    
    1,357.5
    
    
    
    92.3
    
    
    
    1,237.5
    
    
    
    91.6Income from continuing
operations before income
taxes
    
    
    47.7
    
    
    
    6.5
    
    
    
    50.4
    
    
    
    7.6
    
    
    
    113.3
    
    
    
    7.7
    
    
    
    113.3
    
    
    
    8.4Provision for income taxes
    
    
    18.2
    
    
    
    2.5
    
    
    
    20.3
    
    
    
    3.1
    
    
    
    43.7
    
    
    
    3.0
    
    
    
    44.5
    
    
    
    3.3Income from continuing
operations
    
    
    29.5
    
    
    
    4.0
    
    
    
    30.1
    
    
    
    4.5
    
    
    
    69.6
    
    
    
    4.7
    
    
    
    68.8
    
    
    
    5.1Less: Net income
attributable to
noncontrolling
interests
    
    
    (0.5
    )
    
    
    
    
    
    
    (0.6
    )
    
    
    (0.1
    )
    
    
    (1.1
    )
    
    
    (0.1
    )
    
    
    (1.1
    )
    
    
    (0.1
    )Income from continuing
operations attributable to
LifePoint Hospitals, Inc.
    
    $
    29.0
    
    
    
    4.0
    %
    
    $
    29.5
    
    
    
    4.4
    %
    
    $
    68.5
    
    
    
    4.6
    %
    
    $
    67.7
    
    
    
    5.0
    %
 28




---



##### Table of Contents



For the Three Months Ended June 30, 2009 and 2008
 Revenues
  Three Months EndedJune 30,
    
    Increase
    
    % Increase2009
    
    2008
    
    (Decrease)
    
    (Decrease)Continuing operations:Revenues (dollars in millions)
    
    $
    735.3
    
    
    $
    665.7
    
    
    $
    69.6
    
    
    
    10.4
    %Admissions
    
    
    45,714
    
    
    
    45,945
    
    
    
    (231
    )
    
    
    (0.5
    )Equivalent admissions
    
    
    97,405
    
    
    
    93,063
    
    
    
    4,342
    
    
    
    4.7Revenues per equivalent admission
    
    $
    7,549
    
    
    $
    7,154
    
    
    $
    395
    
    
    
    5.5Medicare case mix index
    
    
    1.27
    
    
    
    1.27
    
    
    
    
    
    
    
    Average length of stay (days)
    
    
    4.3
    
    
    
    4.3
    
    
    
    
    
    
    
    Inpatient surgeries
    
    
    13,391
    
    
    
    13,559
    
    
    
    (168
    )
    
    
    (1.2
    )Outpatient surgeries
    
    
    38,732
    
    
    
    36,786
    
    
    
    1,946
    
    
    
    5.3Emergency room visits
    
    
    233,556
    
    
    
    215,791
    
    
    
    17,765
    
    
    
    8.2Outpatient factor
    
    
    2.13
    
    
    
    2.02
    
    
    
    0.11
    
    
    
    5.4Same-hospital:Revenues (dollars in millions)
    
    $
    702.6
    
    
    $
    665.7
    
    
    $
    36.9
    
    
    
    5.5
    %Admissions
    
    
    43,501
    
    
    
    45,945
    
    
    
    (2,444
    )
    
    
    (5.3
    )Equivalent admissions
    
    
    92,965
    
    
    
    93,063
    
    
    
    (98
    )
    
    
    (0.1
    )Revenues per equivalent admission
    
    $
    7,557
    
    
    $
    7,154
    
    
    $
    403
    
    
    
    5.6Medicare case mix index
    
    
    1.30
    
    
    
    1.27
    
    
    
    0.03
    
    
    
    2.4Average length of stay (days)
    
    
    4.3
    
    
    
    4.3
    
    
    
    
    
    
    
    Inpatient surgeries
    
    
    12,723
    
    
    
    13,559
    
    
    
    (836
    )
    
    
    (6.2
    )Outpatient surgeries
    
    
    36,740
    
    
    
    36,786
    
    
    
    (46
    )
    
    
    (0.1
    )Emergency room visits
    
    
    222,816
    
    
    
    215,791
    
    
    
    7,025
    
    
    
    3.3Outpatient factor
    
    
    2.14
    
    
    
    2.02
    
    
    
    0.12
    
    
    
    5.9
  Three MonthsEndedJune 30,2009
    
    2008Medicare
    
    
    29.7
    %
    
    
    31.2
    %Medicaid
    
    
    10.1
    
    
    
    9.4HMOs, PPOs and other private insurers
    
    
    44.4
    
    
    
    44.6Self-Pay
    
    
    13.2
    
    
    
    12.0Other
    
    
    2.6
    
    
    
    2.8100.0
    %
    
    
    100.0
    %
  29




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##### Table of Contents



Expenses
 Salaries and Benefits
  Three Months Ended June 30,% of
    
    
    
    
    
    % of
    
    Increase
    
    % Increase2009
    
    Revenues
    
    2008
    
    Revenues
    
    (Decrease)
    
    (Decrease)Salaries and benefits (dollars in millions)
    
    $
    292.7
    
    
    
    39.8
    %
    
    $
    263.9
    
    
    
    39.7
    %
    
    $
    28.8
    
    
    
    10.8
    %Man-hours per equivalent admission
    
    
    93.1
    
    
    
    N/A
    
    
    
    93.6
    
    
    
    N/A
    
    
    
    (0.5
    )
    
    
    (0.5
    )%Salaries and benefits per equivalent admission
    
    $
    3,019
    
    
    
    N/A
    
    
    $
    2,843
    
    
    
    N/A
    
    
    $
    176
    
    
    
    6.2
    %
  Supplies
  Three Months Ended June 30,% of
    
    
    
    
    
    % of
    
    Increase
    
    % Increase2009
    
    Revenues
    
    2008
    
    Revenues
    
    (Decrease)
    
    (Decrease)Supplies (dollars in millions)
    
    $
    102.3
    
    
    
    13.9
    %
    
    $
    93.0
    
    
    
    14.0
    %
    
    $
    9.3
    
    
    
    10.0
    %Supplies per equivalent admission
    
    $
    1,048
    
    
    
    N/A
    
    
    $
    997
    
    
    
    N/A
    
    
    $
    51
    
    
    
    5.1
    %
  30




---



##### Table of Contents



Other Operating Expenses
  Three Months Ended June 30,% of
    
    
    
    
    
    
    % of
    
    
    Increase
    
    
    % Increase2009
    
    
    Revenues
    
    
    2008
    
    
    Revenues
    
    
    (Decrease)
    
    
    (Decrease)Professional fees
    
    $
    18.6
    
    
    
    2.5
    %
    
    $
    15.5
    
    
    
    2.3
    %
    
    $
    3.1
    
    
    
    20.3
    %Utilities
    
    
    12.3
    
    
    
    1.7
    
    
    
    12.4
    
    
    
    1.9
    
    
    
    (0.1
    )
    
    
    (0.2
    )Repairs and maintenance
    
    
    16.9
    
    
    
    2.3
    
    
    
    13.8
    
    
    
    2.1
    
    
    
    3.1
    
    
    
    21.5Rents and leases
    
    
    6.9
    
    
    
    1.0
    
    
    
    6.6
    
    
    
    1.0
    
    
    
    0.3
    
    
    
    5.1Insurance
    
    
    13.3
    
    
    
    1.8
    
    
    
    11.4
    
    
    
    1.7
    
    
    
    1.9
    
    
    
    16.2Physician recruiting
    
    
    5.2
    
    
    
    0.7
    
    
    
    5.6
    
    
    
    0.8
    
    
    
    (0.4
    )
    
    
    (6.9
    )Contract services
    
    
    37.0
    
    
    
    5.0
    
    
    
    33.6
    
    
    
    5.0
    
    
    
    3.4
    
    
    
    10.1Non-income taxes
    
    
    10.1
    
    
    
    1.4
    
    
    
    8.8
    
    
    
    1.3
    
    
    
    1.3
    
    
    
    14.9Other
    
    
    18.3
    
    
    
    2.5
    
    
    
    15.2
    
    
    
    2.2
    
    
    
    3.1
    
    
    
    20.5$
    138.6
    
    
    
    18.9
    %
    
    $
    122.9
    
    
    
    18.3
    %
    
    $
    15.7
    
    
    
    12.8
    %
      Provision for Doubtful Accounts
  Three Months Ended June 30,% of
    
    
    
    
    
    % of
    
    Increase
    
    % Increase2009
    
    Revenues
    
    2008
    
    Revenues
    
    (Decrease)
    
    (Decrease)Provision for doubtful accounts
    
    $
    92.2
    
    
    
    12.5
    %
    
    $
    74.9
    
    
    
    11.3
    %
    
    $
    17.3
    
    
    
    22.9
    %Related key indicators:Charity care write-offs
    
    $
    16.1
    
    
    
    0.9
    %
    
    $
    13.1
    
    
    
    0.8
    %
    
    $
    3.0
    
    
    
    22.9
    %Self-pay revenues, net of charity care
write-offs and uninsured discounts
    
    $
    96.8
    
    
    
    13.2
    %
    
    $
    79.7
    
    
    
    12.0
    %
    
    $
    17.1
    
    
    
    21.4
    %Net revenue days outstanding (at end of period)
    
    
    41.8
    
    
    
    N/A
    
    
    
    41.4
    
    
    
    N/A
    
    
    
    0.4
    
    
    
    1.0
    %
 31




---



##### Table of Contents



Managements Discussion and Analysis of Financial Condition and
Results of Operations
 Depreciation and Amortization
  Interest Expense
  Provision for Income Taxes
  32




---



##### Table of Contents



For the Six Months Ended June 30, 2009 and 2008
 Revenues
  Six Months EndedJune 30,
    
    Increase
    
    % Increase2009
    
    2008
    
    (Decrease)
    
    (Decrease)Continuing operations:Revenues (dollars in millions)
    
    $
    1,470.8
    
    
    $
    1,350.8
    
    
    $
    120.0
    
    
    
    8.9
    %Admissions
    
    
    95,233
    
    
    
    97,059
    
    
    
    (1,826
    )
    
    
    (1.9
    )Equivalent admissions
    
    
    195,799
    
    
    
    190,333
    
    
    
    5,466
    
    
    
    2.9Revenues per equivalent admission
    
    $
    7,512
    
    
    $
    7,097
    
    
    $
    415
    
    
    
    5.8Medicare case mix index
    
    
    1.28
    
    
    
    1.27
    
    
    
    0.01
    
    
    
    0.8Average length of stay (days)
    
    
    4.3
    
    
    
    4.3
    
    
    
    
    
    
    
    Inpatient surgeries
    
    
    27,209
    
    
    
    27,466
    
    
    
    (257
    )
    
    
    (0.9
    )Outpatient surgeries
    
    
    75,291
    
    
    
    72,056
    
    
    
    3,235
    
    
    
    4.5Emergency room visits
    
    
    460,244
    
    
    
    443,851
    
    
    
    16,393
    
    
    
    3.7Outpatient factor
    
    
    2.06
    
    
    
    1.96
    
    
    
    0.10
    
    
    
    5.1Same-hospital:Revenues (dollars in millions)
    
    $
    1,417.0
    
    
    $
    1,350.8
    
    
    $
    66.2
    
    
    
    4.9
    %Admissions
    
    
    91,536
    
    
    
    97,059
    
    
    
    (5,523
    )
    
    
    (5.7
    )Equivalent admissions
    
    
    188,747
    
    
    
    190,333
    
    
    
    (1,586
    )
    
    
    (0.8
    )Revenues per equivalent admission
    
    $
    7,507
    
    
    $
    7,097
    
    
    $
    410
    
    
    
    5.8Medicare case mix index
    
    
    1.29
    
    
    
    1.27
    
    
    
    0.02
    
    
    
    1.6Average length of stay (days)
    
    
    4.3
    
    
    
    4.3
    
    
    
    
    
    
    
    Inpatient surgeries
    
    
    26,082
    
    
    
    27,466
    
    
    
    (1,384
    )
    
    
    (5.0
    )Outpatient surgeries
    
    
    71,973
    
    
    
    72,056
    
    
    
    (83
    )
    
    
    (0.1
    )Emergency room visits
    
    
    442,872
    
    
    
    443,851
    
    
    
    (979
    )
    
    
    (0.2
    )Outpatient factor
    
    
    2.06
    
    
    
    1.96
    
    
    
    0.10
    
    
    
    5.1
  Six MonthsEndedJune 30,2009
    
    2008Medicare
    
    
    30.3
    %
    
    
    32.0
    %Medicaid
    
    
    10.2
    
    
    
    9.6HMOs, PPOs and other private insurers
    
    
    44.1
    
    
    
    43.9Self-Pay
    
    
    12.9
    
    
    
    11.6Other
    
    
    2.5
    
    
    
    2.9100.0
    %
    
    
    100.0
    %
  33




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##### Table of Contents



Expenses
 Salaries and Benefits
  Six Months Ended June 30,% of
    
    
    
    
    
    % of
    
    Increase
    
    % Increase2009
    
    Revenues
    
    2008
    
    Revenues
    
    (Decrease)
    
    (Decrease)Salaries and benefits (dollars in millions)
    
    $
    579.2
    
    
    
    39.4
    %
    
    $
    531.9
    
    
    
    39.4
    %
    
    $
    47.3
    
    
    
    8.8
    %Man-hours per equivalent admission
    
    
    91.8
    
    
    
    N/A
    
    
    
    91.9
    
    
    
    N/A
    
    
    
    (0.1
    )
    
    
    (0.1
    )%Salaries and benefits per equivalent admission
    
    $
    2,954
    
    
    
    N/A
    
    
    $
    2,788
    
    
    
    N/A
    
    
    $
    166
    
    
    
    6.0
    %
  Supplies
  Six Months Ended June 30,% of
    
    
    
    
    
    % of
    
    Increase
    
    % Increase2009
    
    Revenues
    
    2008
    
    Revenues
    
    (Decrease)
    
    (Decrease)Supplies (dollars in millions)
    
    $
    201.9
    
    
    
    13.7
    %
    
    $
    186.3
    
    
    
    13.8
    %
    
    $
    15.6
    
    
    
    8.4
    %Supplies per equivalent admission
    
    $
    1,028
    
    
    
    N/A
    
    
    $
    977
    
    
    
    N/A
    
    
    $
    51
    
    
    
    5.2
    %
  34




---



##### Table of Contents



Other Operating Expenses
  Six Months Ended June 30,% of
    
    
    
    
    
    
    % of
    
    
    Increase
    
    
    % Increase2009
    
    
    Revenues
    
    
    2008
    
    
    Revenues
    
    
    (Decrease)
    
    
    (Decrease)Professional fees
    
    $
    35.2
    
    
    
    2.4
    %
    
    $
    31.2
    
    
    
    2.3
    %
    
    $
    4.0
    
    
    
    12.9
    %Utilities
    
    
    25.1
    
    
    
    1.7
    
    
    
    24.4
    
    
    
    1.8
    
    
    
    0.7
    
    
    
    2.9Repairs and maintenance
    
    
    32.5
    
    
    
    2.2
    
    
    
    27.5
    
    
    
    2.0
    
    
    
    5.0
    
    
    
    17.9Rents and leases
    
    
    14.2
    
    
    
    1.0
    
    
    
    12.8
    
    
    
    0.9
    
    
    
    1.4
    
    
    
    11.3Insurance
    
    
    25.4
    
    
    
    1.7
    
    
    
    21.2
    
    
    
    1.6
    
    
    
    4.2
    
    
    
    19.8Physician recruiting
    
    
    11.5
    
    
    
    0.8
    
    
    
    10.1
    
    
    
    0.7
    
    
    
    1.4
    
    
    
    14.3Contract services
    
    
    72.5
    
    
    
    4.9
    
    
    
    67.5
    
    
    
    5.0
    
    
    
    5.0
    
    
    
    7.4Non-income taxes
    
    
    20.5
    
    
    
    1.4
    
    
    
    18.7
    
    
    
    1.4
    
    
    
    1.8
    
    
    
    9.5Other
    
    
    34.4
    
    
    
    2.3
    
    
    
    30.5
    
    
    
    2.4
    
    
    
    3.9
    
    
    
    13.0$
    271.3
    
    
    
    18.4
    %
    
    $
    243.9
    
    
    
    18.1
    %
    
    $
    27.4
    
    
    
    11.3
    %
      Provision for Doubtful Accounts
  Six Months Ended June 30,% of
    
    
    
    
    
    % of
    
    Increase
    
    % Increase2009
    
    Revenues
    
    2008
    
    Revenues
    
    (Decrease)
    
    (Decrease)Provision for doubtful accounts
    
    $
    182.4
    
    
    
    12.4
    %
    
    $
    155.8
    
    
    
    11.5
    %
    
    $
    26.6
    
    
    
    17.0
    %Related key indicators:Charity care write-offs
    
    $
    28.5
    
    
    
    0.8
    %
    
    $
    26.6
    
    
    
    0.8
    %
    
    $
    1.9
    
    
    
    7.3
    %Self-pay revenues, net of charity care
write-offs and uninsured discounts
    
    $
    189.1
    
    
    
    12.9
    %
    
    $
    157.3
    
    
    
    11.6
    %
    
    $
    31.8
    
    
    
    20.2
    %Net revenue days outstanding (at end of period)
    
    
    41.8
    
    
    
    N/A
    
    
    
    41.4
    
    
    
    N/A
    
    
    
    0.4
    
    
    
    1.0
    %
 35




---



##### Table of Contents



Managements Discussion and Analysis of Financial Condition and
Results of Operations
 Depreciation and Amortization
  Interest Expense
  Provision for Income Taxes
  36




---



##### Table of Contents



Liquidity and Capital Resources
 Liquidity
   Three Months Ended
    
    Six Months EndedJune 30,
    
    June 30,2009
    
    2008
    
    2009
    
    2008Net cash flows provided by continuing operations
    
    $
    67.1
    
    
    $
    73.5
    
    
    $
    159.0
    
    
    $
    178.2Less: Purchase of property and equipment
    
    
    (42.0
    )
    
    
    (41.1
    )
    
    
    (85.1
    )
    
    
    (74.0
    )Free operating cash flow
    
    
    25.1
    
    
    
    32.4
    
    
    
    73.9
    
    
    
    104.2Acquisitions, net of cash acquired
    
    
    (1.5
    )
    
    
    (9.3
    )
    
    
    (79.7
    )
    
    
    (9.3
    )Proceeds from borrowings
    
    
    
    
    
    
    10.4
    
    
    
    
    
    
    
    10.4Payments on borrowings
    
    
    (13.5
    )
    
    
    
    
    
    
    (13.5
    )
    
    
    Proceeds from exercise of stock options
    
    
    7.9
    
    
    
    0.1
    
    
    
    9.6
    
    
    
    0.1Repurchases of common stock
    
    
    (1.0
    )
    
    
    (30.5
    )
    
    
    (2.6
    )
    
    
    (118.1
    )Other
    
    
    1.5
    
    
    
    (5.5
    )
    
    
    1.1
    
    
    
    (5.7
    )Cash flows from operations used in discontinued operations
    
    
    (1.4
    )
    
    
    (1.4
    )
    
    
    (2.9
    )
    
    
    (5.1
    )Cash flows from investing activities provided by (used
in) discontinued operations
    
    
    10.4
    
    
    
    (4.5
    )
    
    
    10.4
    
    
    
    (5.0
    )Increase (decrease) in cash and cash equivalents
    
    $
    27.5
    
    
    $
    (8.3
    )
    
    $
    (3.7
    )
    
    $
    (28.5
    )
   Capital Expenditures
  37




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##### Table of Contents



Three Months Ended
    
    
    Six Months EndedJune 30,
    
    
    June 30,2009
    
    
    2008
    
    
    2009
    
    
    2008Capital projects
    
    $
    29.0
    
    
    $
    30.1
    
    
    $
    58.3
    
    
    $
    50.6Routine
    
    
    9.5
    
    
    
    10.1
    
    
    
    21.0
    
    
    
    22.2Information systems
    
    
    3.5
    
    
    
    0.9
    
    
    
    5.8
    
    
    
    1.2$
    42.0
    
    
    $
    41.1
    
    
    $
    85.1
    
    
    $
    74.0Depreciation expense
    
    $
    35.6
    
    
    $
    33.2
    
    
    $
    70.4
    
    
    $
    65.0Ratio of capital expenditures to depreciation expense
    
    
    118.0
    %
    
    
    123.8
    %
    
    
    120.9
    %
    
    
    113.8
    %
  Debt
  Amortization ofDecember 31,
    
    
    Payments of
    
    
    Convertible Debt
    
    
    
    
    
    
    June 30,2008
    
    
    Borrowings
    
    
    Discounts
    
    
    Other (a)
    
    
    2009Senior Secured
Credit Facilities:Term B Loans
    
    $
    706.4
    
    
    $
    (13.5
    )
    
    $
    
    
    
    $
    
    
    
    $
    692.9Revolving Loans
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    Province 71/2% Senior
Subordinated Notes
    
    
    6.1
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    6.131/4% Debentures
    
    
    225.0
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    225.031/2% Notes
    
    
    575.0
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    575.0Unamortized
discounts on 31/4%
Debentures and 31/2%
Notes
    
    
    (123.5
    )
    
    
    
    
    
    
    10.3
    
    
    
    
    
    
    
    (113.2
    )Capital leases
    
    
    4.2
    
    
    
    (1.7
    )
    
    
    
    
    
    
    1.3
    
    
    
    3.8$
    1,393.2
    
    
    $
    (15.2
    )
    
    $
    10.3
    
    
    $
    1.3
    
    
    $
    1,389.6
 
 (a)
    
    Represents the assumption of capital lease obligations in connection with the Companys
acquisition of Rockdale effective February 1, 2009. 38




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##### Table of Contents



June 30,
    
    
    December 31,
    
    
    Increase2009
    
    
    2008
    
    
    (Decrease)Current portion of long-term debt
    
    $
    1.1
    
    
    $
    1.1
    
    
    $
    Long-term debt
    
    
    1,388.5
    
    
    
    1,392.1
    
    
    
    (3.6
    )Unamortized discounts of convertible debt instruments (a)
    
    
    113.2
    
    
    
    123.5
    
    
    
    (10.3
    )Total debt, excluding unamortized discounts of
convertible debt instruments
    
    
    1,502.8
    
    
    
    1,516.7
    
    
    
    (13.9
    )Total LifePoint Hospitals, Inc. stockholders equity (a)
    
    
    1,740.7
    
    
    
    1,652.0
    
    
    
    88.7Total capitalization
    
    $
    3,243.5
    
    
    $
    3,168.7
    
    
    $
    74.8Total debt to total capitalization
    
    
    46.3
    %
    
    
    47.9
    %
    
    
    (1.6
    )%Percentage of:Fixed rate debt, excluding unamortized discounts of
convertible debt instruments (a)
    
    
    53.9
    %
    
    
    53.4
    %Variable rate debt (b)
    
    
    46.1
    
    
    
    46.6100.0
    %
    
    
    100.0
    %Percentage of:Senior debt
    
    
    46.4
    %
    
    
    46.8
    %Subordinated debt, excluding unamortized discounts of
convertible debt instruments (a)
    
    
    53.6
    
    
    
    53.2100.0
    %
    
    
    100.0
    %
 
 (a)
    
    Effective January 1, 2009, we adopted the provisions of FSP APB 14-1. The adoption of FSP APB
14-1 required us to retrospectively restate prior periods to separately reflect the liability
and equity components of our convertible debt instruments and to recognize interest expense
for the related debt at our market rate of borrowing for non-convertible debt instruments as
opposed to the explicit rate of our convertible debt instruments. Please refer to Note 2 to
our accompanying condensed consolidated financial statements included elsewhere in this report
for an additional discussion of the impact the adoption of FSP APB 14-1 had on our total debt
and stockholders equity.(b)
    
    The above calculation does not consider the effect of our interest rate swap. Our interest
rate swap mitigates a portion of our floating rate risk on our outstanding variable rate
borrowings which converts our variable rate debt to an annual fixed rate of 5.585%. Our
interest rate swap decreases our variable rate debt as a percentage of our outstanding debt
from 46.1% to 6.2% as of June 30, 2009 and from 46.6% to 7.0% as of December 31, 2008. Please
refer to Note 8 to our accompanying consolidated financial statements included elsewhere in
this report for a discussion of our interest rate swap agreement. Capital Resources
 Senior Secured Credit Facilities
 Terms
  39




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##### Table of Contents



Letters of Credit and Availability
  Interest Rates
   Covenants
   Level atRequirement
    
    June 30, 2009Minimum Interest Coverage Ratio
    
    
    33.50:1.00
    
    
    
    6.00Maximum Total Leverage Ratio
    
    
    £4.00:1.00
    
    
    
    3.13
   40




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##### Table of Contents



31/2% Convertible Senior Subordinated Notes due May 15, 2014
 1 2 1 2 1 2 1 2 1 2
 1 2 1 2
 1 2
 1 2 1 2 1 2
 1 2 1 2
 31/4% Convertible Senior Subordinated Debentures due August 15, 2025
 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 4 1 4
 41




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##### Table of Contents



1 4 1 4
 1 4 1 4 1 4 1 4
 1 4 1 4
 Interest Rate Swap
  Liquidity and Capital Resources Outlook
    42




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##### Table of Contents



Contractual Obligations
  Off-Balance Sheet Arrangements
  Critical Accounting Estimates
  
    
    it requires assumptions to be made that were uncertain at the time the estimate was
made; and
    
    changes in the estimate or different estimates that could have been made could have a
material impact on our consolidated results of operations or financial condition.
  
    
    Revenue recognition/Allowance for contractual discounts;
    
    Allowance for doubtful accounts and provision for doubtful accounts;
    
    Goodwill impairment analysis;
    
    Professional and general liability claims;
    
    Accounting for stock-based compensation; and
    
    Accounting for income taxes.
 Recently Issued Accounting Pronouncements
  43




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##### Table of Contents



Contingencies
  
    
    Legal proceedings and general liability claims;
    
    Physician commitments;
    
    Capital expenditure commitments; and
    
    Acquisitions.
 
 Item 3.
    
    Quantitative and Qualitative Disclosures about Market Risk.
 Interest Rates
  Outstanding Debt
   1 2 1 4
 Carrying Amount
    
    Fair ValueJune 30,
    
    December 31,
    
    June 30,
    
    December 31,2009
    
    2008
    
    2009
    
    2008Term B Loans
    
    $
    692.9
    
    
    $
    706.4
    
    
    $
    654.8
    
    
    $
    586.331/2% Notes, excluding unamortized discount
    
    $
    575.0
    
    
    $
    575.0
    
    
    $
    465.8
    
    
    $
    387.331/4% Debentures, excluding unamortized discount
    
    $
    225.0
    
    
    $
    225.0
    
    
    $
    181.1
    
    
    $
    162.0
 1 4 1 2
 Cash Balances
  44




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##### Table of Contents

\

Item 4.
    
    Controls and Procedures.
   45




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##### Table of Contents



PART II  OTHER INFORMATION
 
 Item 1.
    
    Legal Proceedings.
   
 Item 1A.
    
    Risk Factors.
  
 Item 2.
    
    Unregistered Sales of Equity Securities and Use of Proceeds.
  Total Number
    
    Approximateof Shares
    
    Dollar ValuePurchased as
    
    of Shares thatWeighted
    
    Part of a
    
    May Yet beTotal Number
    
    Average
    
    Publicly
    
    Purchasedof Shares
    
    Price Paid
    
    Announced
    
    Under thePeriod
    
    Purchased
    
    per Share
    
    Program
    
    Program(In millions)April 1, 2009 to April 30, 2009(a)
    
    
    41,855
    
    
    $
    23.65
    
    
    
    
    
    
    $
    May 1, 2009 to May 31, 2009(a)
    
    
    1,192
    
    
    $
    27.27
    
    
    
    
    
    
    $
    June 1, 2009 to June 30, 2009
    
    
    
    
    
    $
    
    
    
    
    
    
    
    $
    Total
    
    
    43,047
    
    
    $
    23.75
    
    
    
    
    
    
    $
    
 
 (a)
    
    These relate to shares redeemed for tax withholding purposes upon vesting of certain
previously granted stock awards under the LTIP and MSPP plans. 
 Item 4.
    
    Submission of Matters to a Vote of Security Holders.
  Proposal 1  Election of Directors.
 Votes
    
    VotesFor
    
    WithheldMarguerite W. Kondracke
    
    
    20,657,107
    
    
    
    27,640,697John E. Maupin, Jr., D.D.S.
    
    
    21,157,205
    
    
    
    27,140,599Owen G. Shell, Jr.
    
    
    21,159,314
    
    
    
    27,138,490
  46




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##### Table of Contents



Proposal 2  Ratification of the selection of Ernst & Young LLP as our independent
registered public accounting firm for the year ending December 31, 2009.
 Votes
    
    Votes
    
    VotesFor
    

Against
    

Abstain48,060,762
    
    227,842
    
    9,199
 Proposal 3  Reapproval of the Issuance of Common Stock Under the Companys Management
Stock Purchase Plan.
 Votes
    
    Votes
    
    VotesFor
    

Against
    

Abstain35,024,012
    
    10,825,451
    
    12,466
  Proposal 4  Reapproval of the Issuance of Awards Under the Companys Outside Directors
Stock and Incentive Compensation Plan.
 Votes
    
    Votes
    
    VotesFor
    

Against
    

Abstain28,726,011
    
    17,110,543
    
    25,374
  Proposal 5  Reapproval of the Companys Executive Performance Incentive Plan.
 Votes
    
    Votes
    
    VotesFor
    

Against
    

Abstain45,126,257
    
    3,144,820
    
    26,726
  47




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##### Table of Contents



Item 6.
    
    Exhibits.
 ExhibitNumber
    
    Description3.1
    
    Amended and Restated Certificate of Incorporation (incorporated by
reference from exhibits to the Registration Statement on Form S-8 filed
on April 19, 2005, File No. 333-124093).3.2
    
    Second Amended and Restated Bylaws (incorporated by reference from
exhibits to the LifePoint Hospitals, Inc. Current Report on Form 8-K
dated October 16, 2006, File No. 000-51251).3.3
    
    Amendment No. 1 to the Second Amended and Restated Bylaws of LifePoint
Hospitals, Inc. (incorporated by reference from exhibits to the LifePoint
Hospitals, Inc. Current Report on Form 8-K dated May 20, 2008, File No.
000-51251).10.1
    
    Amendment No. 3,  dated March 24, 2009, to the LifePoint Hospitals, Inc.
Management Stock Purchase Plan.10.2
    
    Amendment, dated March 24, 2009, to the Amended and Restated LifePoint
Hospitals, Inc. Outside Directors Stock and Incentive Compensation Plan.31.1
    
    Certification of the Chief Executive Officer of LifePoint Hospitals, Inc.
Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.31.2
    
    Certification of the Chief Financial Officer of LifePoint Hospitals, Inc.
Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.32.1
    
    Certification of the Chief Executive Officer of LifePoint Hospitals, Inc.
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.32.2
    
    Certification of the Chief Financial Officer of LifePoint Hospitals, Inc.
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
 48




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##### Table of Contents



SIGNATURES
  LifePoint Hospitals, Inc.By:
    /s/ Michael S. CogginMichael S. CogginChief Accounting Officer
(Principal Accounting Officer)  49




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##### Table of Contents



EXHIBIT INDEX
 ExhibitNumber
    
    Description3.1
    
    Amended and Restated Certificate of Incorporation (incorporated by
reference from exhibits to the Registration Statement on Form S-8 filed
on April 19, 2005, File No. 333-124093).3.2
    
    Second Amended and Restated Bylaws (incorporated by reference from
exhibits to the LifePoint Hospitals, Inc. Current Report on Form 8-K
dated October 16, 2006, File No. 000-51251).3.3
    
    Amendment No. 1 to the Second Amended and Restated Bylaws of LifePoint
Hospitals, Inc. (incorporated by reference from exhibits to the LifePoint
Hospitals, Inc. Current Report on Form 8-K dated May 20, 2008, File No.
000-51251).10.1
    
    Amendment No. 3, dated March 24, 2009, to the LifePoint Hospitals, Inc.
Management Stock Purchase Plan.10.2
    
    Amendment, dated March 24, 2009, to the Amended and Restated LifePoint
Hospitals, Inc. Outside Directors Stock and Incentive Compensation Plan.31.1
    
    Certification of the Chief Executive Officer of LifePoint Hospitals, Inc.
Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.31.2
    
    Certification of the Chief Financial Officer of LifePoint Hospitals, Inc.
Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.32.1
    
    Certification of the Chief Executive Officer of LifePoint Hospitals, Inc.
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.32.2
    
    Certification of the Chief Financial Officer of LifePoint Hospitals, Inc.
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.