SIERRA HEALTH SERVICES INC
8-K, 2000-12-22
HOSPITAL & MEDICAL SERVICE PLANS
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                                        SECURITIES AND EXCHANGE COMMISSION
                                              WASHINGTON, D.C.  20549
                                                     FORM 8-K
                                                  CURRENT REPORT

                                      Pursuant to Section 13 or 15(d) of the
                                          Securities Exchange Act of 1934



                                           Sierra Health Services, Inc.
-------------------------------------------------------------------------------

                         (Exact name of registrant as specified in its charter)



                                                 December 15, 2000
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                               Date of Report (Date of earliest event reported)




        Nevada                         1-8865                 88-0200415
    (State or other jurisdiction     (Commission              (I.R.S. Employer
   of incorporation)                 File Number)          Identification No.)


  2724 North Tenaya Way, Las Vegas, Nevada                      89128
(Address of principal executive offices)                      (Zip Code)

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








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Item 5.  Other Events.
         -------------

                  On December 15, 2000, Sierra Health Services,  Inc. ("Sierra")
entered into an Amended and Restated Credit  Agreement with a syndicate of banks
for which Bank of America,  N.A., is the Administrative  Agent and Issuing Bank.
Other lenders  include First Union  National  Bank,  Deutsche  Bank,  AG, Credit
Lyonnais,  Bank One, N.A., Wells Fargo Bank, N.A., and Union Bank of California,
N.A. The new credit agreement amended Sierra's preceding credit agreement, which
Sierra entered into in 1998.  Sierra was not in compliance with the terms of the
financial  covenants in the preceding  credit agreement and received a notice of
default   from  its  lenders  on   November   8,  2000  with   respect  to  this
non-compliance.  As of the date of this report, Sierra is in compliance with the
covenants under the Amended and Restated Credit Agreement.

Revolving Loans

                  The new credit  agreement  provides  Sierra  with a  revolving
credit  facility of $185 million.  The proceeds from  revolving  loans under the
revolving  credit  facility may be used for general  working capital and general
corporate purposes. As of the date of this report, the facility was fully drawn.

                  The available amounts which Sierra can borrow under the credit
facility will be reduced by specified  amounts,  on certain dates.  If the total
amount of outstanding loans exceeds the availability  under the credit facility,
as reduced,  Sierra will be  required to  immediately  prepay 100% of the excess
amount.

                  Under  certain  additional  circumstances,   Sierra  would  be
required to make  prepayments of the loans,  and the amount  available to Sierra
under the revolving  credit facility would be reduced.  For example,  80% of any
excess cash flow that Sierra has in each year must be applied to a repayment  of
the loans and a reduction of the amount  available  under the  revolving  credit
facility.  In addition,  if Sierra or a subsidiary  of Sierra (other than an HMO
subsidiary  and certain other  subsidiaries)  engages in an asset sale or a sale
and leaseback transaction (with the exception of certain assets specified in the
new credit  agreement),  80% of the cash proceeds (net of certain expenses) must
be applied to a repayment of the loans and a reduction  of the amount  available
under the revolving credit facility. Similarly, 80% of the cash proceeds (net of
certain   expenses)  of  certain  equity  issuances  by  Sierra's   wholly-owned
subsidiary, CII Financial, Inc., or a subsidiary of CII Financial, Inc. and 100%
of the cash  proceeds  (net of certain  expenses)  of a debt  issuance by Sierra
(excluding CII Financial,  Inc.) must be applied to a repayment of the loans and
a reduction in the amount available under the revolving credit facility.

                  The credit facility  terminates on September 30, 2003. On that
date,  Sierra will be required to repay the  aggregate  principal  amount of the
revolving loans outstanding.


Interest




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                  Under the credit facility,  revolving loans will bear interest
at the applicable margin plus the greater of:

         *         0.5% per annum above the latest federal funds rate; or

         *         the  per annum prime lending rate of Bank of America, N.A.

                  The  applicable  margin  is  initially  1.75%.   However,  the
applicable margin may be increased or decreased in certain circumstances.

Fees

                  In  connection  with  the  credit  facility,  Sierra  will pay
certain customary fees,  including agents' fees,  commitment fees, and amendment
fees.

Covenants

                  Subject to normal  qualifications  and exceptions,  Sierra has
certain covenants that, among other things,  will restrict the ability of Sierra
and its subsidiaries, including CII Financial, Inc., to dispose of assets, incur
indebtedness,   pay  dividends,  make  investments,   loans  or  advances,  make
acquisitions,  engage in mergers or consolidations, or make capital expenditures
and which otherwise restrict certain corporate  activities.  In addition,  under
the senior  credit  facility,  Sierra will be required to comply with  specified
financial  ratios,  as defined in the new credit  agreement,  including  minimum
interest coverage ratios and leverage ratios.

Events of Default

                  The credit  facility may be  terminated  before  September 30,
2003 upon the occurrence of an event of default. Upon the occurrence of an event
of default, with certain limitations,  Sierra's obligations under the new credit
agreement which are at that time outstanding may become  accelerated.  Events of
default  under the credit  facility  consist of customary  specified  events.  A
default  in  payment  on the  debentures  issued by CII  Financial,  Inc.  would
constitute an event of default.  A bankruptcy  proceeding or other similar event
involving Sierra would also constitute an event of default.

Security

                  The payment and performance of Sierra's  obligations under the
credit facility are secured by:

         *        liens on substantially all of Sierra's assets and the assets
                  of Sierra's subsidiaries, other than CII Financial, Inc. and
                  Sierra's other regulated subsidiaries;





<PAGE>



         *        a guaranty of Sierra's obligations thereunder by each of
                  Sierra's subsidiaries, including CII Financial Inc., but
                  excluding Sierra's insurance subsidiaries and its
                  other regulated subsidiaries; and

         *        other collateral  arrangements,  subject to pledge agreements,
                  the  security   agreements,   deeds  of  trust,   and  similar
                  agreements  between  Sierra,  Sierra's  subsidiaries,  and the
                  lending banks.


Item 7.           Financial Statements, Pro Forma Financial Information and
                  Exhibits.
                  -------------------------------------------------------------

                  (c) Exhibits.

                  Exhibit No.                                 Exhibit

                           1                         Amended and Restated Credit
                                                     Agreement, dated as of
                                                     December 15, 2000, among
                                                     Sierra Health Services,
                                                     Inc., as Borrower, Bank of
                                                     America, N.A., as
                                                     Administrative Agent and
                                                     Issuing Bank, First Union
                                                     National Bank, as
                                                     Syndication Agent, and
                                                     the other financial
                                                     institutions party hereto
                                                     (including exhibits)






<PAGE>






                                                     Signature

                  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.


                                            By: /S/ PAUL H. PALMER
                                               --------------------------------
                                               Paul H. Palmer
                                               Vice President of Finance,
                                               Chief Financial Officer and
                                               Treasurer
                                               (Principal Financial and
                                                Accounting Officer)




Dated:  December 22, 2000





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