10-K/A 1 g93765ae10vkza.htm WINDROSE MEDICAL PROPERTIES TRUST WINDROSE MEDICAL PROPERTIES TRUST
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-K/A

AMENDMENT No. 1
FOR ANNUAL AND TRANSACTION REPORTS PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES AND EXCHANGE ACT OF 1934
(MARK ONE)

þ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934

FOR THE FISCAL YEAR ENDED DECEMBER 31, 2004

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: 001-31375

WINDROSE MEDICAL PROPERTIES TRUST

(Exact name of registrant as specified in its charter)
     
MARYLAND   35-216691
(State or other jurisdiction of   (I.R.S. Employer
incorporation or organization)   Identification No.)

3502 WOODVIEW TRACE, SUITE 210,
INDIANAPOLIS, IN 46268
(Address of principal executive offices)

(317) 860-8180
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

     
Title of Each Class   Name of Each Exchange on Which Registered
Common Shares of Beneficial Interest, par value of $0.01 per share
  New York Stock Exchange

Securities registered pursuant to Section 12(g) or the Act:

Title of Each Class:

None:

Indicate by check mark whether the Registrant (i) 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 (ii) has been subject to such filing requirements for the past 90 days. Yes: þ     No o

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. o

Indicate by check mark whether the registrant is an accelerated filer (as defined in Exchange Act Rule 12b-2). Yes: þ     No o

Aggregate market value of the voting stock held by non-affiliates of the Registrant: $105,550,710 as of June 30, 2004 and $163,925,175 as of February 28, 2005.

As of February 28, 2005, there were 11,642,413 common shares outstanding.

Documents incorporated by reference:

Portions of the Registrant’s definitive Proxy Statement to be filed with the Securities and Exchange Commission no later than 120 days after the Registrant’s fiscal year ended December 31, 2004, and to be delivered to shareholders in connection with the 2005 Annual Meeting of Shareholders to be held on April 26, 2005, are incorporated by reference into Part III.


 


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EXPLANATORY NOTE
SIGNATURES
SIGNATURES
EX-21.01 LIST OF SUBSIDIARIES


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EXPLANATORY NOTE

On March 14, 2005, Windrose Medical Properties Trust filed its Annual Report on Form 10-K for the fiscal year ended December 31, 2004. This Amendment No. 1 has been filed to correct the inadvertent error on page 39, under the caption “Signature” by changing the dates of the conformed signatures on page 39 from March 14, 2004 to March 14, 2005. This Amendment No. 1 has also been filed to correct an inadvertent omission by updating a previously filed exhibit, Exhibit 21.01, to include all new subsidiaries of the Company since this exhibit was last filed. As a result, the exhibit index on page 37, under Part IV (3) has also been amended to state that Exhibit 21.01 is “filed herewith”. We have not made any other changes.

The corrected pages follow.

SIGNATURES

Pursuant to the requirements of the Section 13 or 15(d) 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 on the 15th day of March, 2005.
         
  WINDROSE MEDICAL PROPERTIES TRUST
 
 
  By:   /s/ C. DOUGLAS HANSON    
    C. Douglas Hanson   
    Chief Financial Officer   
 

 


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ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(a) THE FOLLOWING DOCUMENTS ARE FILED AS PART OF THIS FORM 10-K:

1. CONSOLIDATED FINANCIAL STATEMENTS

     
    Page
Index to Financial statements
  F-1
Reports of Independent Registered Public Accounting Firm
  F-2
Consolidated Statements of Operations, Years Ended December 31, 2004, 2003, 2002, and the period January 1, 2002 through August 15, 2002 and the period August 16, 2002 through December 31, 2002
  F-3
Consolidated Balance Sheets, December 31, 2004 and 2003
  F-4
Consolidated Statements of Cash Flows, Years Ended December 31, 2004, 2003 and 2002
  F-5
Consolidated Statements of Shareholders’ Equity (Deficit), Years Ended December 31, 2004, 2003 and 2002
  F-6
Notes to Consolidated Financial Statements
  F-7

2. CONSOLIDATED FINANCIAL STATEMENT SCHEDULES

Schedule III — Real Estate and Accumulated Depreciation

3. EXHIBITS

The following exhibits are filed with this Form 10-K or incorporated herein by reference to the listed documents previously filed with the Securities and Exchange Commission.

         
EXHIBIT    
NUMBER   DESCRIPTION
  3.01    
Registrant’s Articles of Incorporation.*
  3.02    
Registrant’s Bylaws.*
  4.01    
Form of Common Share Certificate.*
  4.02    
Form of Warrant.**
  10.01    
Amended and Restated Agreement of Limited Partnership of Windrose Medical Properties, L.P.*
  10.02    
Windrose Medical Properties Trust 2002 Stock Incentive Plan.*
  10.03    
Overhead Sharing Agreement between Windrose Medical Properties, L.P. and Klipsch Audio, Inc.*
  10.05    
Promissory Note dated August 2, 1999 from Park Medical Associates General Partnership to General Electric Capital Corporation.*
  10.06    
Loan Agreement dated August 2, 1999 between General Electric Capital Corporation and Park Medical Associates General Partnership.*
  10.07    
Deed of Trust, Assignment of Leases and Rents, Security Agreement and Fixture Filing from Park Medical Associates General Partnership to Charles T. Marshall (Trustee) for the benefit of General Electric Capital Corporation.*
  10.08    
Form of Change in Control Severance Agreement between Windrose Medical Properties, L.P. and Fred S. Klipsch.*
  10.09    
Form of Change in Control Severance Agreement between Windrose Medical Properties, L.P. and Frederick L. Farrar.*
  10.10    
Employment Agreement between Windrose Medical Properties Trust, Windrose Medical Properties, L.P. and Fred S. Klipsch, dated February 21, 2005.*****
  10.11    
Employment Agreement between Windrose Medical Properties Trust, Windrose Medical Properties, L.P. and Frederick L. Farrar, dated February 21, 2005.*****
  10.12    
Subordinated Promissory Note dated September 28, 2001 from Windrose International L.L.C. to Fred Klipsch.*

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EXHIBIT    
NUMBER   DESCRIPTION
  10.13    
Subordinated Promissory Note dated May 11, 2002 from Windrose International, L.L.C. to Klipsch Audio, Inc.*
  10.14    
Promissory Note dated May 1, 1999 from Hospital Affiliates Development Corporation to Robin P. Barksdale.*
  10.15    
Promissory Note dated May 1, 1999 from Hospital Affiliates Development Corporation to Frederick L. Farrar.*
  10.16    
Promissory Note dated May 1, 1999 from Hospital Affiliates Development Corporation to Fred S. Klipsch.*
  10.17    
Promissory Note dated May 1, 1999 from Hospital Affiliates Development Corporation to Athena Development.*
  10.18    
Subordinated Promissory Note dated May 11, 2002 from Windrose International, L.L.C. to Charles Lanham.*
  10.19    
Promissory Note payable by Alliance Design Group to Hospital Affiliates Development Corporation.*
  10.20    
Secured Revolving Credit Agreement, dated September 27, 2002, by and between Windrose Medical Properties, L.P. and The Huntington National Bank.*
  10.21    
Credit Note, dated September 27, 2002, from Windrose Medical Properties, L.P. to The Huntington National Bank.*
  10.22    
Secured Construction Loan Facility with Huntington National Bank, dated as of September 10, 2004.*****
  10.23    
Secured Construction Loan Facility with Huntington National Bank, dated as of December 3, 2004.****
  21.01    
List of Subsidiaries of the Registrant.****
  23.01    
Consent of KPMG LLP.****
  31.01    
Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.****
  31.02    
Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.****
  31.03    
Certification of Chief Operating Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.****
  32.01    
Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to section 906 of the Sarbanes-Oxley Act of 2002.****
  32.02    
Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to section 906 of the Sarbanes-Oxley Act of 2002.****
  32.03    
Certification of Chief Operating Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to section 906 of the Sarbanes-Oxley Act of 2002.****


*   Previously filed as an exhibit to the Company’s Registration Statement on Form S-11, as amended, Registration No. 333-89186, and incorporated by reference herein.
 
**   Previously filed as an exhibit to the Company’s Registration Statement on Form S-3, Registration No. 333-108659, and incorporated by reference herein.
 
***   Previously filed as an exhibit to the Company’s Registration Statement on Form S-11, as amended, Registration No. 333-110612, and incorporated by reference herein.
 
****   Filed herewith.
 
*****   Previously filed as an exhibit to the Company’s Current Report on Form 8-K, dated February 22, 2005 and incorporated by reference herein.
 
******   Previously filed as an exhibit to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2004, and incorporated by reference herein.

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(b) EXHIBITS

The exhibits required to be filed with this Form 10-K pursuant to Item 601 of regulation S-K are listed under “Exhibits” in Part IV, Item 15(a)(3) of this Form 10-K, and are incorporated herein by reference.

(c) FINANCIAL STATEMENT SCHEDULE

The Financial Statement Schedule required to be filed with this Form 10-K is listed under “Consolidated Financial Statement Schedules” in Part IV, Item 15(a)(2) of this Form 10-K, and is incorporated herein by reference.

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SIGNATURES

PURSUANT TO THE REQUIREMENTS OF SECTION 13 OR 15(d) 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.
         
  WINDROSE MEDICAL PROPERTIES
TRUST (Registrant)
 
 
Date: March 14, 2005  By:   /s/ FRED S. KLIPSCH    
    FRED S. KLIPSCH   
    CHAIRMAN, CHIEF EXECUTIVE OFFICER, AND TRUSTEE (PRINCIPAL EXECUTIVE OFFICER)   
 
         
     
  By:   /s/ C. DOUGLAS HANSON    
    C. DOUGLAS HANSON   
    VICE PRESIDENT AND CHIEF FINANCIAL OFFICER (PRINCIPAL FINANCIAL AND ACCOUNTING OFFICER)   
 

PURSUANT TO THE REQUIREMENTS OF THE SECURITIES EXCHANGE ACT OF 1934, THIS REPORT HAS BEEN SIGNED BELOW BY THE FOLLOWING PERSONS ON BEHALF OF THE REGISTRANT AND IN THE CAPACITIES AND ON THE DATES INDICATED.

         
SIGNATURE   TITLE   DATE
 
/s/ FRED S. KLIPSCH
FRED S. KLIPSCH
  Chairman, Chief Executive Officer, and Trustee (Principal Executive Officer)   March 14, 2005
/s/ FREDERICK L. FARRAR
FREDERICK L. FARRAR
  President, Chief Operating Officer and Treasurer   March 14, 2005
/s/ BRYAN MILLS
BRYAN MILLS
  Trustee   March 14, 2005
/s/ STEPHEN GOLDSMITH
STEPHEN GOLDSMITH
  Trustee   March 14, 2005
/s/ BRUCE M. JACOBSON
BRUCE M. JACOBSON
  Trustee   March 14, 2005
/s/ JEAN L. WOJTOWICZ
JEAN L. WOJTOWICZ
  Trustee   March 14, 2005
/s/ DAVID L. MARAMAN
DAVID L. MARAMAN
  Trustee   March 14, 2005
/s/ DARRELL E. ZINK, JR.
DARRELL E. ZINK, JR.
  Trustee   March 14, 2005

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