SIERRA HEALTH SERVICES INC
10-Q, 1995-05-15
HOSPITAL & MEDICAL SERVICE PLANS
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<PAGE>



                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                    FORM 10-Q


(Mark One)
/X/  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
     SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended       March 31, 1995
                              ------------------------------

                                       OR

/ /  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 1-8865

                          SIERRA HEALTH SERVICES, INC.
             (Exact name of registrant as specified in its charter)

          NEVADA                                  88-0200415
     (State or other jurisdiction of              (I.R.S. Employer
     incorporation or organization)               Identification No.)

     2724 NORTH TENAYA WAY                        89128
     LAS VEGAS, NV                                (Zip Code)
     (Address of principal executive offices)

                                 (702) 242-7000
              (Registrant's telephone number, including area code)

                                       N/A
   (Former name, former address and former fiscal year, if changed since last
report)

     Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days.  Yes   X    No
                                                ---      ---

 As of April 30, 1995 there were 14,719,000 shares of common stock outstanding.




<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                                      INDEX

                                                                        Page No.
                                                                        --------


PART I - FINANCIAL INFORMATION

     Item l.   Financial Statements

               Condensed Consolidated Balance Sheets -
                March 31, 1995, and December 31, 1994. . . . . . . . . . .   3

               Condensed Consolidated Statements of Operations -
                Three months ended March 31, 1995, and March 31, 1994. . .   4

               Condensed Consolidated Statements of Cash Flows -
                Three months ended March 31, 1995, and March 31, 1994. . .   5

               Notes to Condensed Consolidated Financial Statements. . . .   6

     Item 2.   Management's Discussion and Analysis of
                Financial Condition and Results of Operations. . . . . . .   7



PART II - OTHER INFORMATION

     Item l.   Legal Proceedings . . . . . . . . . . . . . . . . . . . . .  11

     Item 2.   Changes in Securities . . . . . . . . . . . . . . . . . . .  11

     Item 3.   Defaults upon Senior Securities . . . . . . . . . . . . . .  11

     Item 4.   Submission of Matters to a Vote of Security Holders . . . .  11

     Item 5.   Other Information . . . . . . . . . . . . . . . . . . . . .  11

     Item 6.   Exhibits and Reports on Form 8-K. . . . . . . . . . . . . .  11

Signatures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  12




                                     Page 2
<PAGE>
                         PART I - FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS

                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                      CONDENSED CONSOLIDATED BALANCE SHEETS
<TABLE>
<CAPTION>

                                                  (Unaudited)
                                                   MARCH 31        DECEMBER 31
                                                     1995             1994
                                                --------------    --------------
<S>                                             <C>               <C>
CURRENT ASSETS:
 Cash and Cash Equivalents . . . . . . . . .     $  28,014,000    $  17,227,000
 Short-term Securities . . . . . . . . . . .        90,024,000       87,350,000
 Accounts Receivable - Net . . . . . . . . .         6,340,000        6,571,000
 Prepaid Expenses and Other Assets . . . . .         8,352,000        7,683,000
                                                 -------------    -------------
     Total Current Assets. . . . . . . . . .       132,730,000      118,831,000
                                                 -------------    -------------

LAND, BUILDING AND EQUIPMENT . . . . . . . .        91,239,000       88,449,000
 Less-Accumulated Depreciation . . . . . . .        24,309,000       22,386,000
                                                 -------------    -------------
     Land, Building and Equipment - Net. . .        66,930,000       66,063,000
                                                 -------------    -------------

OTHER ASSETS:
 Funds Withheld by Ceding Insurance Company.         9,855,000       10,234,000
 Long-term Securities. . . . . . . . . . . .        12,626,000       18,824,000
 Restricted Cash and Securities. . . . . . .         4,184,000        3,771,000
 Other . . . . . . . . . . . . . . . . . . .         5,963,000        5,527,000
                                                 -------------    -------------
     Total Other Assets. . . . . . . . . . .        32,628,000       38,356,000
                                                 -------------    -------------
TOTAL ASSETS . . . . . . . . . . . . . . . .     $ 232,288,000    $ 223,250,000
                                                 -------------    -------------
                                                 -------------    -------------
CURRENT LIABILITIES:
  Accounts Payable and Other Accrued
   Liabilities . . . . . . . . . . . . . . .     $   8,193,000    $   6,987,000
  Accrued Payroll and Taxes. . . . . . . . .         8,715,000        8,216,000
  Medical Claims Payable . . . . . . . . . .        30,574,000       31,122,000
  Unearned Premium Revenue . . . . . . . . .         9,714,000       10,637,000
  Current Portion of Long-term Debt. . . . .         2,186,000        2,179,000
                                                 -------------    -------------
     Total Current Liabilities . . . . . . .        59,382,000       59,141,000
FUTURE POLICY BENEFITS . . . . . . . . . . .         9,855,000       10,234,000
LONG-TERM DEBT--LESS CURRENT PORTION . . . .        18,688,000       18,409,000
MINORITY INTERESTS . . . . . . . . . . . . .           457,000        1,094,000
                                                 -------------    -------------
TOTAL LIABILITIES. . . . . . . . . . . . . .        88,382,000       88,878,000
                                                 -------------    -------------
STOCKHOLDERS' EQUITY:
 Preferred Stock, $.01 Par Value,
  1,000,000 Shares Authorized,
  None Issued
 Common Stock, $.005 Par Value,
  40,000,000 Shares Authorized;
  Shares Issued:  1995 - 14,817,000;
  1994 - 14,677,000; . . . . . . . . . . . .            74,000           73,000
 Additional Paid-in Capital. . . . . . . . .        81,866,000       79,256,000
 Treasury Stock, 100,000 Common Shares . . .          (130,000)        (130 000)
 Unrealized Holding Loss on
  Available-for-Sale Securities. . . . . . .          (889,000)      (1,565,000)
 Retained Earnings . . . . . . . . . . . . .        62,985,000       56,738,000
                                                 -------------    -------------
     Total Stockholders' Equity. . . . . . .       143,906,000      134,372,000
                                                 -------------    -------------
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY       $ 232,288,000    $ 223,250,000
                                                 -------------    -------------
                                                 -------------    -------------

</TABLE>

     See accompanying notes to condensed consolidated financial statements.




                                     Page 3

<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
<TABLE>
<CAPTION>

                                                             (Unaudited)
                                                        THREE MONTHS ENDED
                                                    MARCH 31       MARCH 31
                                                      1995            1994
                                                   -----------    -----------
<S>                                                <C>            <C>
OPERATING REVENUES:
  Premiums . . . . . . . . . . . . . . . . . .     $75,548,000    $63,356,000
  Professional Fees. . . . . . . . . . . . . .       3,818,000      2,975,000
  Specialty Product Revenue. . . . . . . . . .       2,791,000      2,431,000
  Investment and Other Revenue . . . . . . . .       1,472,000        641,000
                                                   -----------    -----------
    Total. . . . . . . . . . . . . . . . . . .      83,629,000     69,403,000
                                                   -----------    -----------

OPERATING EXPENSES:
  Medical Expenses . . . . . . . . . . . . . .      57,720,000     47,496,000
  General, Administrative and Other. . . . . .      15,109,000     13,221,000
  Specialty Product Expenses . . . . . . . . .       1,600,000      1,339,000
                                                   -----------    -----------
    Total. . . . . . . . . . . . . . . . . . .      74,429,000     62,056,000
                                                   -----------    -----------

OPERATING INCOME . . . . . . . . . . . . . . .       9,200,000      7,347,000

OTHER INCOME AND EXPENSE:
  Minority Interests in Subsidiary
   Loss (Income) . . . . . . . . . . . . . . .         501,000        (26,000)
  Interest Expense and Other, Net. . . . . . .        (307,000)      (437,000)
                                                   -----------    -----------
    Total. . . . . . . . . . . . . . . . . . .         194,000       (463,000)
                                                   -----------    -----------

INCOME BEFORE INCOME TAXES . . . . . . . . . .       9,394,000      6,884,000
PROVISION FOR INCOME TAXES . . . . . . . . . .       3,147,000      2,409,000
                                                   -----------    -----------

NET INCOME . . . . . . . . . . . . . . . . . .     $ 6,247,000    $ 4,475,000
                                                   -----------    -----------
                                                   -----------    -----------

EARNINGS PER COMMON SHARE. . . . . . . . . . .         $   .43        $   .36
                                                       -------        -------
                                                       -------        -------
WEIGHTED AVERAGE
  COMMON SHARES OUTSTANDING. . . . . . . . . .      14,639,000     12,436,000

</TABLE>

     See accompanying notes to condensed consolidated financial statements.




                                     Page 4
<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
<TABLE>
<CAPTION>
                                                          (Unaudited)
                                                      THREE MONTHS ENDED
                                                      MARCH 31       MARCH 31
                                                        1995           1994
                                                   --------------  ------------
<S>                                                <C>             <C>
Cash Flows From Operating Activities:
  Net Income . . . . . . . . . . . . . . . . . . . .  $  6,247,000  $ 4,475,000
  Adjustments to Reconcile Net Income to Net Cash
    Provided by Operating Activities:
      Depreciation and Amortization. . . . . . . . .     1,955,000    1,785,000
      Provision for Doubtful Accounts. . . . . . . .       411,000      173,000
    Increase in Other Assets . . . . . . . . . . . .      (510,000)     (90,000)
    Decrease in Minority Interest. . . . . . . . . .      (637,000)     (22,000)
    Changes in Working Capital Accounts:
         Accounts Receivable . . . . . . . . . . . .      (180,000)    (412,000)
         Other Current Assets. . . . . . . . . . . .    (1,062,000)      11,000
         Medical Claims Payable. . . . . . . . . . .      (548,000)   1,207,000
         Other Current Liabilities . . . . . . . . .     1,597,000    2,207,000
                                                      ------------  -----------
    Net Cash Provided by Operating Activities. . . .     7,273,000    9,334,000
                                                      ------------  -----------
Cash Flows From Investing Activities:
  Capital Expenditures . . . . . . . . . . . . . . .    (2,755,000)  (2,126,000)
  Land, Building and Equipment Dispositions, Net . .         7,000       70,000
  Increase in Short-term Securities. . . . . . . . .    (2,196,000)  (5,152,000)
  Decrease (Increase) in Long-term Securities. . . .     6,789,000   (6,922,000)
  Increase in Restricted Cash and Securities . . . .      (413,000)     (17,000)
  Corporate Acquisitions, Net. . . . . . . . . . . .                 (4,000,000)
                                                      ------------  -----------
    Net Cash Provided by (Used for)
     Investing Activities. . . . . . . . . . . . . .     1,432,000  (18,147,000)
                                                      ------------  -----------
Cash Flows From Financing Activities:
  Proceeds from Long-term Borrowings . . . . . . . .       875,000
  Reductions in Debt and Payments
   on Capital Leases . . . . . . . . . . . . . . . .      (589,000)  (3,616,000)
  Exercise of Stock Options. . . . . . . . . . . . .     1,796,000    1,455,000
                                                      ------------  -----------
    Net Cash Provided by (Used for)
     Financing Activities. . . . . . . . . . . . . .     2,082,000   (2,161,000)
                                                      ------------  -----------


Net Increase (Decrease) in Cash and Cash
 Equivalents . . . . . . . . . . . . . . . . . . . .    10,787,000  (10,974,000)
Cash and Cash Equivalents at Beginning of Year . . .    17,227,000   23,188,000
                                                      ------------  ------------
Cash and Cash Equivalents at End of Period . . . . .  $ 28,014,000  $12,214,000
                                                      ------------  -----------
                                                      ------------  -----------

<CAPTION>

                                                        Three Months Ended
 Supplemental condensed consolidated statements       March 31       March 31
  of cash flows information:                            1995           1994
- ------------------------------------------------    ------------    -----------
<S>                                                 <C>             <C>
Liabilities Assumed in Connection with
 Acquisition . . . . . . . . . . . . . . . . . . . .                $ 7,279,000
(Reductions) Additions to Funds Withheld by
 Ceding Insurance Company and Future Policy
 Benefits  . . . . . . . . . . . . . . . . . . . . .  $ (379,000)        87,000
Stock issued for exercise of options and
   related tax benefits. . . . . . . . . . . . . . .     815,000        913,000
Cash paid during the period for interest
   (net of amount capitalized) . . . . . . . . . . .     451,000        610,000
Cash paid during the period for Federal
 Income Taxes. . . . . . . . . . . . . . . .                            650,000

</TABLE>


     See accompanying notes to condensed consolidated financial statements.




                                     Page 5
<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


1.   The accompanying unaudited financial statements include the consolidated
     accounts of Sierra Health Services, Inc. ("Sierra", a holding Company,
     together with its subsidiaries collectively referred to as the "Company").
     The financial statements include the operations of HMO Texas L.C. ("HMO
     Texas").  The Company currently owns a 50% interest in HMO Texas and
     manages the HMO's operations.  However, HMO Texas has an agreement with a
     key employee whereby he may be granted a nominal equity interest in HMO
     Texas, if certain employment requirements are fulfilled in the future. This
     agreement is subject to certain regulatory and other approvals. All
     material intercompany balances and transactions have been eliminated.
     These statements have been prepared in conformity with the generally
     accepted accounting principles used in preparing the Company's annual
     audited consolidated financial statements, but do not contain all of the
     information and disclosures that would be required in a complete set of
     audited financial statements.  They should, therefore, be read in
     conjunction with the Company's audited consolidated financial statements
     and notes thereto for the years ended December 31, 1994 and 1993.  In the
     opinion of management, all adjustments, consisting only of recurring
     adjustments necessary for a fair statement of the results of operations
     for the three month period  ended March 31, 1995, have been made.

2.   On May 9, 1995, the Company filed a Registration Statement on Form
     S-4 with the Securities and Exchange Commission for the listing of 700,000
     shares of its Common Stock, $.005 par value.  Once registered, these shares
     may be offered, issued and sold from time to time by the Company in
     connection with the expansion of the Company's business through various
     acquisitions and other business combinations.

3.   Amounts in the accompanying Condensed Consolidated Statement of Operations
     for the three months ended March 31, 1994 have been reclassified to
     conform with current year presentation.


                                     Page 6
<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES


ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS.

RESULTS OF OPERATIONS, THREE MONTHS ENDED MARCH 31, 1995, COMPARED TO THREE
MONTHS ENDED MARCH 31, 1994.

     The total operating revenues of the Company for the three months ended
March 31, 1995 increased 20.5% to $83.6 million, from $69.4 million for the
three months ended March 31, 1994.  The increase was primarily due to premium
revenue increases of $12.2 million, or 19.2%, from the Company's HMO and
insurance subsidiaries.  Such additional premium revenue resulted principally
from a 16.4% increase in member months (the number of months of each period
that an individual is enrolled in a plan).  The Company's HMO and insurance
subsidiaries premium rates increased approximately 2.8% overall primarily due
to a 7.5% increase in its capitation rate for its Medicare members established
by the Health Care Financing Administration ("HCFA").  Professional fees
increased by $800,000, or 28.3%, primarily due to the acquisition of a
specialty practice as well as the opening of a new 44,000 square foot medical
facility in the third quarter of 1994 both of which contributed to increased
fee for service revenue. The Company's Specialty Product Revenue increased
$400,000, or 14.8%, primarily due to an increase in the Company's workers'
compensation product enrollment.  Investment and other revenue increased
$800,000, or 130%, due to increased invested cash balances from the
Company's common stock offering completed in October, 1994.

     Total medical expenses increased by $10.2 million over the same three
month period last year.  This 21.5% increase resulted primarily from the
consolidated member month growth as well as the additional fee for service
business discussed above.  The medical expenses as a percentage of premium
revenues and professional fees ("Medical Loss Ratio") increased to 72.7% for the
three months ended March 31, 1995, compared to 71.6% for the same period last
year.  This is due primarily to the new medical facility discussed above and an
increase in Medicare members as a percentage of total members.  Medicare
enrollees have a higher Medical Loss Ratio and, accordingly,
a higher overall weighted average Medical Loss Ratio results.  Specialty
product expenses increased $300,000, or 19.5%, primarily due to the additional
workers' compensation enrollees.




                                     Page 7
<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

2.   MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
     OPERATIONS (continued).

RESULTS OF OPERATIONS, THREE MONTHS ENDED MARCH 31, 1995, COMPARED TO THREE
MONTHS ENDED MARCH 31, 1994 (continued).

     General, administrative and other ("G&A") costs increased $1.9 million, or
14.3%, compared to the first quarter of 1994.  As a percentage of revenues,
however, the G&A costs for the first quarter of 1995 decreased to 18.1% from
19.0% during the comparable period in 1994.  The G&A increase includes a $1.0
million charge for certain pre-opening and operating costs associated with HMO
Texas, which became licensed and began marketing during the first quarter of
1995.  The Company has an agreement to manage the operations of HMO Texas in
addition to its 50% ownership interest.  Such operations are included in the
accompanying condensed consolidated financial statements with appropriate
adjustments made to minority interests.  In addition, compensation costs
increased $700,000 primarily resulting from additional employees supporting
expanded services.  Broker fees increased by $400,000 due to member growth.
These increases were partially offset by reductions in other G&A costs.  The
Company markets its products primarily to employer groups and labor unions
through its internal sales personnel and independent insurance brokers.  Such
brokers receive commissions based on the premiums received from each group.  The
Company's agreements with its member groups are usually for twelve months and
are subject to an annual renewal. For the fiscal quarter ended March 31, 1995
the Company's ten largest employer groups were, in the aggregate, responsible
for approximately 20% of its total revenues. Although none of such employer
groups accounted for more than 5% of total revenues for that period, the loss
of one or more of the larger employer groups could have a material adverse
effect on the Company's business.

     The Company's effective tax rate for the first quarter of 1995 approximated
33.5% compared to 35.0% in the first quarter of 1994. The decrease was due
primarily to increased investments in tax preferred municipal securities.

     Net income for the three months ended March 31, 1995, increased 39.6% to
$6.2 million from $4.5 million for the comparable period in 1994.  The
approximate $1.7 million increase in earnings was primarily due to increased
operating revenues, decreased G&A expenses as a percentage of revenues, and
a decrease in the effective tax rate. Such decreases were partially offset by
an increased Medical Loss Ratio.

LIQUIDITY AND CAPITAL RESOURCES

     The Company's $7.3 million cash flow from operating activities during the
first three months of 1995 resulted primarily from $6.2 million of net income
and $2.0 million in depreciation and amortization, along with an increase in
other current liabilities of approximately $1.6 million.  Such increases in cash
were offset by an approximate $2.5 million net change in other balance sheet
accounts.




                                     Page 8
<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

2.   MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
     OPERATIONS (continued).


LIQUIDITY AND CAPITAL RESOURCES (continued)

     The $3.5 million provided by investing and financing activities since
December 31, 1994, consisted principally of a $6.8 million reduction in
securities that mature beyond twelve months from March 31, 1995, offset by
increases totaling $2.6 million in short-term securities and restricted cash and
securities.  Additional sources include $900,000 received from long-term
borrowings and $1.8 million received pursuant to the exercise of certain
outstanding Company stock options.  Cash receipts discussed above were partially
offset by approximately $2.7 million used for net capital expenditures and
$600,000 used for the reduction of debt.

     The holding company may receive dividends from its HMO and insurance
subsidiaries which generally must be approved by certain state insurance
departments. The Company's insurance subsidiary and HMO subsidiaries are
required by state regulatory agencies to maintain certain deposits and must
also meet certain net worth and reserve requirements.  The insurance subsidiary
and both HMO subsidiaries had restricted assets on deposit in various states
totaling $3.5 million, as of March 31, 1995.  The wholly-owned HMO, HMO Texas
and the insurance subsidiary also meet requirements
to maintain minimum stockholders' equity, on a statutory basis, of $200,000,
$500,000 and $3.0 million, respectively.  Of the cash and cash equivalents and
short-term securities held at March 31, 1995, $12.6 million is designated for
use only by the insurance subsidiary, another $36.4 million only by the
wholly-owned HMO, and $2.2 million only by HMO Texas.  Such amounts are
available for transfer to the holding Company from the insurance subsidiary
and the HMO subsidiaries only to the extent that they can be remitted in
accordance with terms of existing management agreements and by dividends.
Remaining amounts are available on an unrestricted basis.

     The Company's liquidity needs over the next twelve months will primarily be
for certain new computer equipment, medical equipment and other items, the
acquisition and construction of medical facilities to support growing
membership, debt service and any expansion of the Company's operations.  During
1994 the Company began construction of a 28,000 square foot outpatient surgical
facility in Las Vegas with an estimated total cost, including equipment, of
$6.5 million.  Completion is expected in the third quarter of 1995.

     In June, 1994, Sierra renewed its $5.0 million unsecured line of credit
from PriMerit Bank, F.S.B. for an additional one year term at an interest rate
of prime plus 1%.  The line of credit, if drawn upon, will be used for general
corporate purposes and will be available for additional working capital, if
necessary.

     The Company believes that existing working capital, operating cash flow
and, if necessary, amounts available under its line of credit will be sufficient
to fund its capital expenditures, debt service and any expansion activities
during the next twelve months.



                                     Page 9
<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

2.   MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
     OPERATIONS (continued).

LIQUIDITY AND CAPITAL RESOURCES (continued)

     The Company's membership at March 31, 1995 and 1994 was as follows:
<TABLE>
<CAPTION>

                                             Number of Members at Period Ended
                                             March 31, 1995     March 31, 1994
                                             --------------     --------------
<S>                                          <C>                <C>
HMO
  Commercial . . . . . . . . . . . . . . . .      107,874        95,222
  Medicare . . . . . . . . . . . . . . . . .       20,607        16,339
Managed Indemnity. . . . . . . . . . . . . .       26,309        27,748
Medicare Supplement. . . . . . . . . . . . .       10,512         4,625
Administrative Services. . . . . . . . . . .       66,452        60,699
Workers' Compensation Services . . . . . . .       94,983        75,418
                                                  -------       -------
Total Members. . . . . . . . . . . . . . . .      326,737       280,051
                                                  -------       -------
                                                  -------       -------
</TABLE>


HEALTH CARE REFORM

     Numerous proposals relating to health care and insurance reform have been
and may continue to be introduced in the United States Congress and in state
legislatures.  At this time, the Company cannot determine which legislation, if
any, will be enacted or what effect such legislation may have on the Company.

INFLATION

     Health care costs generally continue to rise at a rate faster than the
Consumer Price Index.  The Company has been able to somewhat lessen the impact
of such inflation by managing medical costs.  There can be no assurance,
however, that in the future, the Company's ability to manage medical costs will
not be negatively impacted by items such as technological advances, utilization
changes and catastrophic items, which could, in turn, result in medical cost
increases equaling or exceeding premium increases.





                                     Page 10
<PAGE>
                           PART II - OTHER INFORMATION


Item 1.        LEGAL PROCEEDINGS


               None

Item 2.        CHANGES IN SECURITIES

               None

Item 3.        DEFAULTS UPON SENIOR SECURITIES

               None

Item 4.        SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

               None

Item 5.        OTHER INFORMATION

               On May 9, 1995, the Company filed a Registration Statement
               on Form S-4 with the Securities and Exchange Commission for the
               listing of 700,000 shares of its Common Stock, $.005 par value.
               Once registered, these shares may be offered, issued and sold
               from time to time by the Company in connection with the
               expansion of the Company's business through various acquisitions
               and other business combinations.

Item 6.        EXHIBITS AND REPORTS ON FORM 8-K

               (a)  Exhibits

                (3.1)    Articles of Incorporation, together with amendments
                         thereto to date, incorporated by reference to the
                         Registrant's Annual Report on Form 10-K for the fiscal
                         year ended December 31, 1990.

                (3.2)    Certificate of Division of Shares into Smaller
                         Denominations of the Registrant, incorporated by
                         reference to Exhibit 3.3 to the Registrant's Annual
                         Report on Form 10-K for the fiscal year ended
                         December 31, 1992.

                (3.3)    Amended and Restated Bylaws of the Registrant, as
                         amended through March 22, 1995, incorporated by
                         reference to Exhibit 3.3 to the Registrant's Annual
                         Report on Form 10-K for the fiscal year ended
                         December 31, 1994.

                  (4)    Rights Agreement dated as of June 14, 1994 between the
                         Registrant and Continental Stock Transfer & Trust
                         Company, incorporated by reference to Exhibit 3.4 to
                         the Registrant's Registration Statement on Form S-3
                         effective October 11, 1994 (Reg. No. 33-83664).

                  (11)   Computation of earnings per share.

                  (27)   Financial Data Schedule

               (b)  Reports on Form 8-K

                    The Company filed a Current Report on Form 8-K dated
                    March 2, 1995 with the Securities and Exchange Commission
                    in connection with the signing of a Business Affiliation
                    Agreement among the Registrant, the Galtney Group, Inc.
                    and HMO Texas Holdings Inc.; as well as the signing of
                    reinsurance agreements between Sierra Health & Life
                    Insurance and Allianz Life Insurance Company of North
                    America dated October 1, 1994.

                                     Page 11

<PAGE>

                                    SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.



                                            SIERRA HEALTH SERVICES, INC.

                                            ----------------------------
                                                 (Registrant)



Date    May 12, 1995                        /s/ James L. Starr
     ------------------                     -----------------------------
                                            James L. Starr
                                            Vice President
                                            Chief Financial Officer and
                                             Treasurer
                                            (Chief Accounting Officer)


<PAGE>
                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                        COMPUTATION OF EARNINGS PER SHARE

                                   EXHIBIT 11
<TABLE>
<CAPTION>

                                              THREE MONTHS ENDED
                                              MARCH       MARCH
                                              1995        1994
                                          -----------  ----------
<S>                                       <C>          <C>
NET INCOME . . . . . . . . . . . . . . . $ 6,247,000   $ 4,475,000

EARNINGS PER COMMON SHARE. . . . . . . .        $.43          $.36

Weighted Average Common Shares
 Outstanding . . . . . . . . . . . . . .   14,639,000   12,436,000

- ---------------------------------------------------------------------

PRIMARY EARNINGS PER COMMON
 SHARE AND COMMON SHARE
 EQUIVALENTS . . . . . . . . . . . . . .        $.42            $.35

Weighted Average Common and Common
 Equivalent Shares Outstanding . . . . .  14,853,000      12,765,000

- ---------------------------------------------------------------------

FULLY DILUTED PRIMARY EARNINGS
 PER COMMON AND COMMON
 SHARE EQUIVALENTS . . . . . . . . . . .       $.42          $.35

Weighted Average Common and Common
 Equivalent Shares Outstanding Assuming
 Full Dilution . . . . . . . . . . . . .  14,872,000     12,768,000


</TABLE>

Note:  Common Equivalent Shares represent the incremental effect of outstanding
       stock options and stock appreciation rights.





                                     Page 13


<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS AND IS QUALIFIED IN ITS
ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-1995
<PERIOD-START>                             JAN-01-1995
<PERIOD-END>                               MAR-31-1995
<CASH>                                      28,014,000
<SECURITIES>                               106,834,000
<RECEIVABLES>                                6,340,000
<ALLOWANCES>                                 2,400,000
<INVENTORY>                                          0
<CURRENT-ASSETS>                           132,730,000
<PP&E>                                      91,239,000
<DEPRECIATION>                              24,309,000
<TOTAL-ASSETS>                             232,288,000
<CURRENT-LIABILITIES>                       59,382,000
<BONDS>                                     18,688,000
<COMMON>                                        74,000
                                0
                                          0
<OTHER-SE>                                 143,832,000
<TOTAL-LIABILITY-AND-EQUITY>               232,288,000
<SALES>                                              0
<TOTAL-REVENUES>                            83,629,000
<CGS>                                                0
<TOTAL-COSTS>                               74,429,000
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                               411,000
<INTEREST-EXPENSE>                             307,000
<INCOME-PRETAX>                              9,394,000
<INCOME-TAX>                                 3,147,000
<INCOME-CONTINUING>                          6,247,000
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                 6,247,000
<EPS-PRIMARY>                                      .43
<EPS-DILUTED>                                        0
        

</TABLE>


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