-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BBeT2mRAgmsBCfi+ahVIGjH5b1D+xOIoorjLVtNluVHmONuqg6JRwzOD7kNj4N9V NDfh7pz4rcgKyY8DDtLCFA== 0000904454-04-000032.txt : 20040121 0000904454-04-000032.hdr.sgml : 20040121 20040121170321 ACCESSION NUMBER: 0000904454-04-000032 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040121 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: UNITED SURGICAL PARTNERS INTERNATIONAL INC CENTRAL INDEX KEY: 0001101723 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 752749762 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-62341 FILM NUMBER: 04535686 BUSINESS ADDRESS: STREET 1: 17103 PRESTON RD STREET 2: SUITE 200 CITY: N DALLAS STATE: TX ZIP: 75248 MAIL ADDRESS: STREET 1: 17103 PRESTON ROAD 200 N CITY: DALLAS STATE: TX ZIP: 75248 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WELSH CARSON ANDERSON & STOWE VII LP ET AL CENTRAL INDEX KEY: 0001012089 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 320 PARK AVENUE STREET 2: SUITE 2500 CITY: NEW YORK STATE: NY ZIP: 10022 MAIL ADDRESS: STREET 1: 320 PARK AVENUE STREET 2: SUITE 2500 CITY: NEW YORK STATE: NY ZIP: 10022 SC 13G/A 1 s13ga_0120-2004uspii.txt SCHEDULE 13G WITH AMENDMENT SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------------- SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILES PURSUANT TO RULES 13d-1(b),(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. 2)[1] United Surgical Partners International, Inc. (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 913016 30 9 - -------------------------------------------------------------------------------- (CUSIP Number) December 31, 2003 - -------------------------------------------------------------------------------- Date of Event Which Requires Filing of this Statement Check the appropriate box to designate the rule pursuant to which this Schedule is Filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) - ---------------------------- [1]The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act. CUSIP No. 913016 30 9 Page 2 of 6 Pages - -------------------------------------------------------------------------------- 1) Name of Reporting Person Welsh, Carson, I.R.S. Identification Anderson & Stowe No. of Above Person VII, L.P. (Entities Only) - -------------------------------------------------------------------------------- 2) Check the Appropriate Box (a) [ X ] if a Member of a Group (b) [ ] - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place Delaware of Organization - -------------------------------------------------------------------------------- Number of 5) Sole Voting 1,199,110 shares Shares Beneficially Power of Common Stock Owned by Each Reporting Person With: ------------------------------------------- 6) Shared Voting Power -0- ------------------------------------------- 7) Sole Disposi- 1,199,110 shares tive Power of Common Stock ------------------------------------------- 8) Shared Dis- positive Power -0- ------------------------------------------- 9) Aggregate Amount Beneficially 1,199,110 shares of Owned by Each Reporting Person Common Stock - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row (9) 4.4% - -------------------------------------------------------------------------------- 12) Type of Reporting Person PN CUSIP No. 913016 30 9 Page 3 of 6 Pages - -------------------------------------------------------------------------------- 1) Name of Reporting Person WCAS Capital I.R.S. Identification Partners III, L.P. No. of Above Person (Entities Only) - -------------------------------------------------------------------------------- 2) Check the Appropriate Box (a) [ X ] if a Member of a Group (b) [ ] - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place Delaware of Organization - -------------------------------------------------------------------------------- Number of 5) Sole Voting 143,000 shares Shares Beneficially Power of Common Stock Owned by Each Reporting Person With: -------------------------------------------- 6) Shared Voting Power -0- -------------------------------------------- 7) Sole Disposi- 143,000 shares tive Power of Common Stock -------------------------------------------- 8) Shared Dis- positive Power -0- -------------------------------------------- 9) Aggregate Amount Beneficially 143,000 shares of Owned by Each Reporting Person Common Stock - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row (9) 0.5% - -------------------------------------------------------------------------------- 12) Type of Reporting Person PN CUSIP No. 913016 30 9 Page 4 of 6 Pages - -------------------------------------------------------------------------------- 1) Name of Reporting Person WCAS Healthcare I.R.S. Identification Partners, L.P. No. of Above Person (Entities Only) - -------------------------------------------------------------------------------- 2) Check the Appropriate Box (a) [ X ] if a Member of a Group (b) [ ] - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place Delaware of Organization - -------------------------------------------------------------------------------- Number of 5) Sole Voting Shares Beneficially Power -0- Owned by Each Reporting Person With: ----------------------------------------------- 6) Shared Voting Power -0- ----------------------------------------------- 7) Sole Disposi- tive Power -0- ----------------------------------------------- 8) Shared Dis- positive Power -0- ----------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person -0- - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row (9) -0- - -------------------------------------------------------------------------------- 12) Type of Reporting Person PN CUSIP No. 913016 30 9 Page 5 of 6 Pages Amendment No. 2 to Schedule 13G (Final Amendment) ------------------------------------------------- Reference is hereby made to the statement on Schedule 13G filed with the Securities and Exchange Commission on January 22, 2002 and Amendment No. 1 thereto filed on January 22, 2003 (as so amended, the "Schedule 13G"). Terms defined in the Schedule 13G are used herein as so defined. The following Items of the Schedule 13G are hereby amended and restated as follows: Item 4 - Ownership. (a) Amount Beneficially Owned: WCAS VII: 1,199,110 shares of Common Stock WCAS CP III: 143,000 shares of Common Stock WCAS HP: no shares of Common Stock (b) Percent of Class: WCAS VII: 4.4% WCAS CP III: 0.5% WCAS HP: -0- (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: WCAS VII: 1,199,110 shares of Common Stock WCAS CP III: 143,000 shares of Common Stock WCAS HP: no shares of Common Stock (ii) shared power to vote or to direct the vote: -0- (iii) sole power to dispose or to direct the disposition of: WCAS VII: 1,199,110 shares of Common Stock WCAS CP III: 143,000 shares of Common Stock WCAS HP: no shares of Common Stock (iv) shared power to dispose or to direct the disposition of: -0- Item 5 - Ownership of Five Percent or Less of a Class. This statement is being filed to report the fact that as of the date hereof the Reporting Persons have ceased to be the beneficial owners of more than five percent of the Common Stock. CUSIP No. 913016 30 9 Page 6 of 6 Pages Signature: After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. WELSH, CARSON, ANDERSON & STOWE VII, L.P. By: WCAS VII Partners, L.P., General Partner By /s/ Jonathan M. Rather -------------------------------- General Partner WCAS CAPITAL PARTNERS III, L.P. By: WCAS CP III Associates, L.L.C., General Partner By /s/ Jonathan M. Rather -------------------------------- Managing Member WCAS HEALTHCARE PARTNERS, L.P. By: WCAS HP Partners, General Partner By /s/ Jonathan M. Rather --------------------------------- Attorney-in-Fact Date: January 20, 2004 -----END PRIVACY-ENHANCED MESSAGE-----