-----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, J8iSz8LqYB7q6fpDOUwTjddZRajrk+G9sWvzGs3ShB5NnKvt9kGvR+BwW1tBgjhy 5X1Ea4RvIBPCdVBUBfEO3A== 0000904978-06-000007.txt : 20060310 0000904978-06-000007.hdr.sgml : 20060310 20060309182738 ACCESSION NUMBER: 0000904978-06-000007 CONFORMED SUBMISSION TYPE: 10-K PUBLIC DOCUMENT COUNT: 10 CONFORMED PERIOD OF REPORT: 20051231 FILED AS OF DATE: 20060310 DATE AS OF CHANGE: 20060309 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SUN HEALTHCARE GROUP INC CENTRAL INDEX KEY: 0000904978 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 850410612 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-12040 FILM NUMBER: 06677162 BUSINESS ADDRESS: STREET 1: 101 SUN AVENUE N E CITY: ALBUQUERQUE STATE: NM ZIP: 87109 BUSINESS PHONE: 5058213355 MAIL ADDRESS: STREET 1: 101 SUN LANE N E CITY: ALBUQERQUE STATE: NM ZIP: 87109 10-K 1 form10kfinal1.htm

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
________________

FORM 10-K

(Mark One)

x    Annual Report Pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934

For the fiscal year ended December 31, 2005

OR

o    Transition Report Pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934
For the transition period from            to           

Commission file number 0-49663

SUN HEALTHCARE GROUP, INC.
(Exact name of registrant as specified in its charter)

Delaware
(State of Incorporation)

85-0410612
(I.R.S. Employer Identification No).

18831 Von Karman, Suite 400
Irvine, CA  92612
(949) 255-7100

(Address, including zip code, and telephone number of principal executive offices)

Securities registered pursuant to Section 12(b) of the Act:  None
Securities registered pursuant to Section 12(g) of the Act: 
Common Stock, par value $.01 per share

     Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.

oYes     xNo

     Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.

oYes     xNo

     Indicate by check mark whether the registrant (1) has filed all reports required 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.

xYes     oNo

     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 the registrant's knowledge, in the definitive proxy statement 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 a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of "accelerated filer and large accelerated filer" in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filero

Accelerated filerx

Non-accelerated filero

     Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).

oYes     xNo

     The aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the registrant's most recently completed second fiscal quarter was $96.0 million.

     Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Section 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court.

xYes     oNo

     On March 1, 2006, Sun Healthcare Group, Inc. had 31,150,050 outstanding shares of Common Stock, inclusive of 10,182 shares of treasury stock.

     Documents Incorporated by Reference:  Part III of this Form 10-K incorporates information by reference from the Registrant's definitive proxy statement for the 2006 Annual Meeting to be filed prior to April 30, 2006.

 

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 FORM 10-K

 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2005 

INDEX

 

 

Page

PART I

     

Item 1.

Business

 3

Item 1A.

Risk Factors

10

Item 1B.

Unresolved Staff Comments

15

Item 2.

Properties

15

Item 3.

Legal Proceedings

17

Item 4.

Submission of Matters to a Vote of Security Holders

18

     

PART II

Item 5.

Market for Registrant's Common Equity, Related Stockholder Matters and Issuer

Purchases of Equity Securities

19

Item 6.

Selected Financial Data

19

Item 7.

Management's Discussion and Analysis of Financial Condition and Results of

Operation

22

Item 7A.

Quantitative and Qualitative Disclosures About Market Risk

46

Item 8.

Financial Statements and Supplementary Data

46

Item 9.

Changes in and Disagreements With Accountants on Accounting and Financial

Disclosure

47

Item 9A.

Controls and Procedures

47

Item 9B.

Other Information

47

     

PART III

Item 10.

Directors and Executive Officers of the Registrant

48

Item 11.

Executive Compensation

48

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related

Stockholder Matters

48

Item 13.

Certain Relationships and Related Transactions

48

Item 14.

Principal Accounting Fees and Services

48

     

PART IV

Item 15.

Exhibits and Financial Statement Schedules

49

Signatures

___________________      

53

     References throughout this document to the Company, "we," "our," "ours" and "us" refer to Sun Healthcare Group, Inc. and its direct and indirect consolidated subsidiaries and not any other person.

     SunBridge®, SunDance®, SunPlus®, CareerStaff Unlimited® and related names are registered trademarks of Sun Healthcare Group, Inc. and its subsidiaries.

___________________

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 PART I

 Item 1.  Business

 Overview

     We are a nationwide provider of long-term, subacute and related specialty healthcare services primarily to the senior population in the United States. Our core business is providing inpatient services, primarily through 134 skilled nursing facilities (10 of which are managed), 14 assisted and independent living facilities, seven mental health facilities and three specialty acute care hospitals with 16,910 licensed beds located in 19 states at March 1, 2006. We also provide rehabilitation therapy services, temporary medical staffing services and home health services to adult and pediatric patients.

      In February 2002 we emerged from Chapter 11 bankruptcy proceedings pursuant to the terms of our Plan of Reorganization. As used in this Form 10-K, the term "Predecessor Company" refers to our operations for periods prior to March 1, 2002, while the term "Reorganized Company" is used to describe our operations for periods beginning March 1, 2002 and thereafter. During the bankruptcy proceedings, we divested our international operations and over 100 inpatient facilities. After the bankruptcy proceedings were concluded, our new management team determined that further significant restructuring of our business was necessary in order to preserve and enhance shareholder value. Our restructuring was substantially completed in December 2004 and involved: (i) the renegotiation of the terms of our leases for skilled nursing facilities resulting in an approximate 300 basis point reduction in lease expense as a percentage of net revenues; (ii) the divestiture of 137 poor performing inpatient facilities; and (iii) the sale of non-core assets, including our pharmacy business.

     Commencing in 2005, we implemented a business strategy to leverage our existing platform, and in August 2005 we acquired ProCare One Nurses, LLC ("ProCare"), a leading provider of specialized nurse staffing with approximately 800 nurses on its roster.  In December 2005, we acquired Peak Medical Corporation ("Peak"), an Albuquerque, New Mexico-based operator of 56 skilled nursing facilities and independent and assisted living residences and a small hospice operation. These facilities are located in New Mexico, Oklahoma, Colorado, Montana, Idaho, Utah and Wyoming. We believe these acquisitions will provide us with critical mass in new geographic markets, potential synergies from reduction in overhead, improved purchasing discounts and revenue and margin growth opportunities.

Industry

     The demand for long-term healthcare services is being driven by the aging population, increased life expectancies and a decrease in the number of senior care facilities. During 2004, there were approximately 3.6 million Americans aged 85 or older, or 1.3% of the population, according to the United States Census Bureau. This age group is projected to grow to over 5.7 million by 2010 and to approximately 6.8 million by 2020, or 2.1% of the projected population. Furthermore, the Centers for Medicare and Medicaid Services ("CMS"), a division of the Department of Health and Human Services, predicts that government spending on nursing homes will grow from $106.6 billion in 2002 to approximately $194.6 billion in 2014, representing an annual growth rate of 5.1%. Despite this potential rise in demand for senior care, there has been a noticeable, decreasing trend in the number of certified nursing homes. According to the American Health Care Association, the number of nursing facilities has declined from 17,014 (1,708,500 beds) in 1999 to 16,032 (1,676,770 beds) in June 2005. With no net increase in the number of available beds, we believe these demographic trends will create growth opportunities for the most efficient facility operators.

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Business Segments

     We operate through various direct and indirect subsidiaries that engaged in the following five principal business segments during 2005:

-

inpatient services, primarily skilled nursing facilities;

   

-

rehabilitation therapy services;

   

-

medical staffing services;

   

-

home health services; and

   

-

laboratory and radiology services.

Inpatient services.  As of December 31, 2005, we operated 158* long-term care facilities (consisting of 134 skilled nursing facilities (10 of which are managed), 14* assisted and independent living facilities, seven mental health facilities and three specialty acute care hospitals) in 19 states with 16,965 licensed beds through SunBridge Healthcare Corporation ("SunBridge") and other subsidiaries. Our skilled nursing facilities provide services that include daily nursing, therapeutic rehabilitation, social services, housekeeping, dietary and administrative services for individuals requiring certain assistance for activities in daily living. Several of our skilled nursing facilities also contain wings dedicated to the care of residents afflicted with Alzheimer's disease. Our assisted living facilities provide services that include minimal nursing assistance, housekeeping, dietary, laundry and administrative services for individuals requiring minimal assistance for activities in daily living. Our independent living facilities provide services that include security, housekeeping, dietary and limited laundry services for individuals requiring no assistance for activities in daily living. Our mental health facilities provide a range of inpatient and outpatient services for adults and children through specialized treatment programs. Our specialty acute care hospitals provide rehabilitation, long term acute care and geriatric behavioral health services. We also provide hospice services in three states for individuals facing end of life issues and 72.1% of our net revenues in 2005 was generated through inpatient services, which included one month of Peak operations.  If we had operated Peak for the full year ended December 31, 2005, then 77.8% of our total pro forma net revenues in 2005 would have been generated through inpatient operations.

Rehabilitation therapy services.  We provide rehabilitation therapy services through SunDance Rehabilitation Corporation ("SunDance"). SunDance provides a broad array of rehabilitation therapy services, including speech pathology, physical therapy and occupational therapy. As of December 31, 2005, SunDance provided rehabilitation therapy services to 424 facilities in 34 states, 328 of which were operated by nonaffiliated parties. We also provide rehabilitative and special education services to pediatric clients as well as rehabilitation therapy services for adult home healthcare clients in the greater New York City metropolitan area through HTA of New York, Inc. ("HTA"), a wholly owned subsidiary. Net revenues generated through rehabilitation therapy services were 11.4% of our net revenues in 2005.

_____________________
*We previously reported that, upon the acquisition of Peak Medical Corporation in December 2005, we operated 164 long-term care facilities, including 20 assisted and independent living facilities. Those statistics included six small assisted living and independent living facilities operated by Peak that are located on the same campus as skilled nursing facilities, consistent with the manner presented by Peak. We now count such facilities that share the same campus as one facility, so the number of independent and assisted living facilities described herein is 14 instead of the previously reported 20, and the total number of facilities is 158 instead of 164. The numbers of licensed beds and available beds are not affected by this change.

4


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Medical staffing services.  We are a national provider of temporary medical staffing through CareerStaff Unlimited, Inc. ("CareerStaff"). For the year ended December 31, 2005, CareerStaff derived 66% of its revenues from hospitals and other providers, 21% from skilled nursing facilities, 9% of its revenues from schools and 4% from prisons. CareerStaff provides (i) licensed therapists skilled in the areas of physical, occupational and speech therapy, (ii) nurses, (iii) pharmacists, pharmacist technicians and medical imaging technicians, (iv) physicians, and (v) related medical personnel. CareerStaff also places traveling therapists and nurses on 13-week assignments and, on a permanent basis, places nurses, physicians, therapists and department heads with health care facilities throughout the United States. As of December 31, 2005, CareerStaff provided medical staffing services in major metropolitan areas in 17 states, and also placed temporary traveling therapists in smaller cities and rural areas. Medical staffing services generated 8.0% of our net revenues in 2005.

Home health services.  As of December 31, 2005, we provided skilled nursing care, rehabilitation therapy and home infusion services to adult and pediatric patients in California and Ohio through SunPlus Home Health Services, Inc. ("SunPlus"). SunPlus also operates two licensed home infusion pharmacies in California. Home health services generated 6.9% of our net revenues in 2005.

Laboratory and radiology services.  Through SunAlliance Healthcare Services, Inc. ("SunAlliance"), we provide medical laboratory and radiology services to skilled nursing facilities in Massachusetts, New Hampshire and Rhode Island. On November 4, 2005, SunAlliance sold its mobile radiology operations in Arizona and Colorado. Laboratory and radiology services generated 1.6% of our net revenues in 2005.

Competition

     Our business is competitive. The nature of competition within the inpatient services industry varies by location. We compete with other inpatient facilities based on key competitive factors such as the number of competing facilities in the local market, the types of services available, quality of care, reputation, age and appearance of each facility and the cost of care in each locality. Increased competition in the future could limit our ability to attract and retain residents or to expand our business.

     We also compete with other companies in providing rehabilitation therapy services, medical staffing services, home health services and other ancillary services, and in employing and retaining qualified nurses, therapists and other medical personnel. The primary competitive factors for the ancillary services markets are quality of services, charges for services and responsiveness to customer needs.

Competitive Strengths

We believe that the following competitive strengths will allow us to continue to improve our operations and profitability:

-

National footprint.  Our core business, providing inpatient services, operated through 158 facilities in 19 states at December 31, 2005. These operations, together with our ancillary businesses that operate in many of those states as well as several other jurisdictions, enable us to realize the benefits of economies of scale, purchasing power and increased operating efficiencies relevant to corporate functions. Furthermore, our geographic diversity mitigates our risk associated with fluctuating state regulatory changes related to reimbursement and the handling of patient care liability.

   

-

Core inpatient business.  Our inpatient business has demonstrated consistent revenue and earnings growth through expansion of its service offerings and an increase in the percentage of Medicare revenues. In each of the last eight consecutive quarters, we have increased the percentage of our revenues derived from Medicare, in both patient count and revenue dollars, when compared with

5


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

the same quarter in the prior year, while maintaining inpatient occupancy rates above industry averages. We expect future growth will come from both continued expansion of clinical competencies and services along with continued improvement in referral development within our local medical communities.

   

-

Quality of care and strong brand image.  We have implemented industry leading initiatives to provide a high quality of care to our patients. These steps have resulted in a reduction in the size and number of liability claims along with improved regulatory outcomes from our state licensing bodies. Our standard of care has further strengthened our brand image, allowing us to develop an extensive referral network of patients.

   

-

Ancillary businesses that provide additional opportunities for value creation.  Our medical staffing and home health businesses have a proven operating model. We are making changes to our operating model for our rehabilitation therapy business to adjust to current trends in that business, and we believe that the new operating model will improve our results of operations. These ancillary businesses diversify our revenue base and improve our payor mix.

   

-

Experienced management team with a proven track record. Our management team, at both the executive and operating levels, has significant industry knowledge and operating experience in the long-term care industry. Our chief executive officer, our chief financial officer and the chief operating officer of our operating subsidiaries have over 75 years of cumulative experience. Since 2002, we have acquired Peak and ProCare, completed two common stock offerings, restructured and expanded our loan agreement, disposed of 137 poor performing facilities, sold our pharmacy operations and other non-core assets, reduced our cost structure, and hired experienced executives for key management positions.

Business Strategy

     We intend to build on our competitive strengths to grow our business and maintain our position as a nationwide provider of senior services by achieving the following objectives:

-

Continue our inpatient growth.  We intend to grow our inpatient operations by maintaining a high occupancy rate and enhancing our payor mix. We are currently implementing this strategy by focusing on our clinical and case management skills to increase our percentage of revenues derived from Medicare and creating specialty units within our facilities to meet unique clinical needs within a community. We plan to take advantage of our marketing infrastructure and brand image to attract new patients and to expand our customer base. Additionally, we will continue to explore opportunities to increase our portfolio through acquisition in both existing states and new states that provide appropriate business opportunities.

   

-

Execute strategies in our ancillary businesses.  We will continue to develop and grow our ancillary businesses, which provide us with diversified revenue sources, favorable payor mix and growth opportunities. We believe strong industry fundamentals in the medical staffing and home health sectors will provide consistent demand for our services and allow us to be a leading player in these businesses. We are committed to executing operational strategies to improve both margins and profitability in our rehabilitation therapy business to mitigate the labor pressure that has negatively impacted the business. Our growth strategy will be balanced between organic and acquisition based growth that leverages our existing footprint and infrastructure.

   

-

Increase operational efficiency and leverage our existing platform.  We will continue to focus on improving operating efficiency without compromising our high quality of care. We plan to reduce

   

6


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

costs and enhance efficiency through various methods, including:

   

-

reducing overhead through process improvement and frequent re-examination of costs;

     

-

controlling risks through a highly structured management process;

     

-

reducing our general and professional liability expenses year-over-year; and

     

-

continued analysis of the profitability of individual business units.

Employees and Labor Relations

     As of December 31, 2005, we had approximately 22,000 full-time and part-time employees. Of this total, there were 15,800 employees in our long-term and subacute care operations, 2,500 employees in the rehabilitation therapy services operations, 2,000 employees in the medical staffing business, 1,200 employees in the home health business, 200 employees in the laboratory and radiology business, and 300 employees at the corporate and regional offices.

     As of December 31, 2005, we operated 17 facilities with union employees. 1,226 of our employees (5.6% of all of our employees) who worked in long-term care facilities in Alabama, California, Georgia, Massachusetts, Montana, Ohio, Tennessee and West Virginia were covered by collective bargaining contracts. Collective bargaining agreements covering 560 of these employees (2.5% of all our employees) have expired or will expire in 2006 and are, or will be, subject to renegotiation with the unions.

Federal and State Regulatory Oversight

     The healthcare industry is extensively regulated. In the ordinary course of business, our operations are continuously subject to federal, state and local regulatory scrutiny, supervision and control. This often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. Various laws, including anti-kickback, anti-fraud and abuse provisions codified under the Social Security Act, prohibit certain business practices and relationships that might affect the provision and cost of healthcare services reimbursable under Medicare and Medicaid, as more fully described below. Sanctions for violating these anti-kickback, anti-fraud and abuse provisions include criminal penalties, civil sanctions, fines and possible exclusion from government programs such as Medicare and Medicaid. If a facility is decertified by CMS or a state as a Medicare or Medicaid provider, the facility will not thereafter be reimbursed for caring for residents that are covered by Medicare and Medicaid, and the facility would be forced to care for such residents without being reimbursed or to transfer such residents. See Item 7 - "Management's Discussion and Analysis of Financial Condition and Results of Operations - Revenues from Medicare, Medicaid and Other Sources" for a discussion of our Medicare and Medicaid revenues and how changes and proposed changes in such programs are expected to affect those revenues.

     Our skilled nursing facilities and hospital facilities are currently licensed under applicable state law, and are certified or approved as providers under the Medicare and Medicaid programs. State and local agencies survey all skilled nursing facilities on a regular basis to determine whether such facilities are in compliance with governmental operating and health standards and conditions for participation in government sponsored third‑party payor programs. From time to time, we receive notice of noncompliance with various requirements for Medicare/Medicaid participation or state licensure. We review such notices for factual correctness, and based on such reviews, either take appropriate corrective action and/or challenge the stated basis for the allegation of noncompliance. Where corrective action is required, we work with the reviewing agency to create mutually agreeable measures to be taken to bring the facility or service provider into compliance. Under certain circumstances, the federal and state agencies have the authority to take adverse actions against a facility or service provider, including the imposition of monetary fines, bans on admissions, civil monetary penalties and the

7


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

decertification of a facility or provider from participation in the Medicare and/or Medicaid programs or licensure revocation. When appropriate, we vigorously contest such sanctions. Challenging and appealing notices or allegations of noncompliance can require significant legal expenses and management attention. 

     Various states in which we operate facilities have established minimum staffing requirements or may establish minimum staffing requirements in the future. Our ability to satisfy such staffing requirements depends upon our ability to attract and retain qualified healthcare professionals, including nurses, certified nurse's assistants and other staff. Failure to comply with such minimum staffing requirements may result in the imposition of fines or other sanctions.

     Most states in which we operate have statutes which require that, prior to the addition or construction of new nursing home beds, the addition of new services or certain capital expenditures in excess of defined levels, we first must obtain a Certificate of Need, or CON, which certifies that the state has made a determination that a need exists for such new or additional beds, new services or capital expenditures. The certification process is intended to promote quality health care at the lowest possible cost and to avoid the unnecessary duplication of services, equipment and facilities.

     We are subject to federal and state laws that govern financial and other arrangements between healthcare providers. These laws often prohibit certain direct and indirect payments or fee-splitting arrangements between healthcare providers that are designed to induce the referral of patients to, or the recommendation of, a particular provider for medical products and services. These laws include:

-

the "anti-kickback" provisions of the Medicare and Medicaid programs, which prohibit, among other things, knowingly and willfully soliciting, receiving, offering or paying any remuneration (including any kickback, bribe or rebate) directly or indirectly in return for or to induce the referral of an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part under Medicare or Medicaid; and

   

-

the "Stark laws" which prohibit, with limited exceptions, the referral of patients by physicians for certain services, including home health services, physical therapy and occupational therapy, to an entity in which the physician has a financial interest.

     False claims are prohibited pursuant to criminal and civil statutes. Criminal provisions prohibit filing false claims or making false statements to receive payment or certification under Medicare or Medicaid or failing to refund overpayments or improper payments. Civil provisions prohibit the knowing filing of a false claim or the knowing use of false statements to obtain payment. Suits alleging false claims can be brought by individuals, including employees and competitors.

     We are also subject to regulations under the privacy and security provisions of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). The privacy rules provide for, among other things, (i) giving consumers the right and control over the release of their medical information, (ii) the establishment of boundaries for the use of medical information, and (iii) civil or criminal penalties for violation of an individual's privacy rights.

     These privacy regulations apply to "protected health information," which is defined generally as individually identifiable health information transmitted or maintained in any form or medium, excluding certain education records and student medical records. The privacy regulations limit a provider's use and disclosure of most paper, oral and electronic communications regarding a patient's past, present or future physical or mental health or condition, or relating to the provision of healthcare to the patient or payment for that healthcare.

     The security regulations require us to ensure the confidentiality, integrity, and availability of all electronic protected health information that we create, receive, maintain or transmit. We must protect against reasonably

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

anticipated threats or hazards to the security of such information and the unauthorized use or disclosure of such information. 

Corporate Integrity Agreement, Permanent Injunction and Compliance Process

      The Predecessor Company entered into a Corporate Integrity Agreement (the "CIA") with the Health and Human Services/Office of Inspector General ("HHS/OIG") in July 2001 and it became effective on February 28, 2002. It implemented further internal controls with respect to our quality of care standards and Medicare and Medicaid billing, reporting and claims submission processes and engaged an independent third party to act as Quality Monitor and Independent Review Organization under the CIA. A breach of the CIA could subject us to substantial monetary penalties and exclusion from participation in Medicare and Medicaid programs.

      The Predecessor Company also consented to the terms of a Permanent Injunction and Final Judgment entered in California state court on October 3, 2001, and we consented to a revised Permanent Injunction and Final Judgment entered on September 14, 2005 ("PIFJ"). The PIFJ, which resulted from investigations by the Bureau of Medi-Cal Fraud and Elder Abuse (the "BMFEA") of the Office of the California Attorney General and applies to our California facilities, requires compliance with certain clinical practices which are substantially consistent with existing law and our current practices, and imposes staffing requirements and specific training obligations. The PIFJ also requires us to issue to the State of California reports similar to those delivered to the HHS/OIG pursuant to the CIA. A breach of the PIFJ could subject us to substantial monetary penalties.

     Our compliance program, referred to as the "Compliance Process," was initiated in 1996. It has evolved as the requirements of federal and private healthcare programs have changed. Significant refinements were initiated in 2001 to parallel requirements of the HHS/OIG compliance guidelines, the CIA, and the PIFJ. There are seven principal elements to the Compliance Process, which integrate the CIA and PIFJ requirements:

     Written Policies, Procedures and Standards of Conduct.  Our business lines have extensive policies and procedures ("P&Ps") modeled after applicable laws, regulations, government manuals and industry practices and customs. The P&Ps govern the clinical, reimbursement, and operational aspects of each subsidiary. To emphasize adherence to our P&Ps, we publish and distribute a Code of Conduct and an employee handbook.

     Designated Compliance Officer and Compliance Committee.  We have a Corporate Compliance Officer whose responsibilities include, among other things: (i) overseeing the Compliance Process; (ii) overseeing compliance with the CIA, PIFJ, and functioning as the liaison with the external monitors and federal government on matters related to the Compliance Process, CIA, and PIFJ; (iii) reporting to the Board of Directors, the Compliance Committee of the Board of Directors, and senior corporate managers on the status of the Compliance Process; and (iv) overseeing the coordination of a comprehensive training program which focuses on the elements of the Compliance Process and employee background screening process. We also maintain a Corporate Compliance Committee, which includes the Chief Executive Officer, Chief Financial Officer, General Counsel, Chief Operating Officer of our operating subsidiaries, Senior Vice President of Human Resources, and the Corporate Compliance Officer. This Committee meets regularly to discuss compliance‑related issues. Compliance matters are also reported to the Compliance Committee of the Board of Directors on a regular basis. The Compliance Committee is comprised solely of independent directors.

     Effective Training and Education.  Every employee, director and officer is trained on the Compliance Process, Code of Conduct, and CIA. All California administrators are trained on the PIFJ, as required. Training also occurs for appropriate employees in applicable provisions of the Medicare and Medicaid laws, fraud and abuse prevention, clinical standards, and practices, and claim submission and reimbursement P&Ps.

     Effective Lines of Communication.  Employees are encouraged to report issues of concern without fear of retaliation using a Four Step Reporting Process, which includes the toll-free "Sun Quality Line." The Four Step

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES 

Reporting Process encourages employees to discuss clinical, ethical, or financial concerns with supervisors and local management since these individuals will be most familiar with the laws, regulations, and policies that impact their concern. The Sun Quality Line is an always-available option that may be used for anonymous reporting if the employee so chooses. Reported concerns are internally reviewed and proper follow-up is conducted.

     Internal Monitoring and Auditing.  Our Compliance Process, in accordance with the CIA, puts internal controls in place to meet the following objectives effectively: (i) accuracy of claims, reimbursement submissions, cost reports and source documents; (ii) provision of patient care, services, and supplies as required by applicable standards and laws; (iii) accuracy of clinical assessment and treatment documentation; and (iv) implementation of the CIA and PIFJ (e.g., background checks, licensing and training). Each business line monitors and audits compliance with P&Ps and other standards to ensure that the objectives listed above are met. Data from these internal monitoring and auditing systems are analyzed and acted upon through a quality improvement process. We have designated the subsidiary presidents and each member of the operations management team as Compliance Liaisons. Each Compliance Liaison is responsible for making certain that all requirements of the Compliance Process are completed at the operational level for which the Compliance Liaison is responsible.

     Enforcement of Standards.  Our policies, the Code of Conduct and the employee handbook as well as all associated training materials clearly indicate that employees who violate our standards will be subjected to discipline. Sanctions range from oral warnings to suspensions and/or to termination of employment. We have also adopted a proactive approach to offset the need for punitive measures. First, we have implemented employee background review practices that surpass industry standards. Second, as noted above, we devote significant resources to employee training. Finally, we have adopted a performance management program intended to make certain that all employees are aware of what duties are expected of them and understand that compliance with policies, procedures, standards and laws related to job functions is required.

     Responses to Detected Offenses and Development of Corrective Actions.  Correction of detected misconduct or a violation of our policies is the responsibility of every manager. As appropriate, a manager is expected to develop and implement corrective action plans and monitor whether such actions are likely to keep a similar violation from occurring in the future.

General Information

     Sun Healthcare Group, Inc. was incorporated in 1993.  Our principal executive offices are located at 18831 Von Karman, Suite 400, Irvine, CA 92612, and our telephone number is (949) 255-7100.  We maintain a website at www.sunh.com.  Through the "About Our Company," "Investor Information" and "SEC Filings" links on our website, we make available free of charge, as soon as reasonably practicable after such information has been filed or furnished to the SEC, each of our filings with the SEC, including our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act.

Item 1A. Risk Factors

      Information provided in this Annual Report on Form 10-K ("Annual Report") contains "forward-looking" information as that term is defined by the Private Securities Litigation Reform Act of 1995 (the "Act").  All statements regarding our expected future financial position, results of operations, cash flows, liquidity, financing plans, business strategy, budgets, the impact of changes in government reimbursement programs, projected costs and capital expenditures, competitive position, growth opportunities, plans and objectives of management for future operations and words such as "anticipate," "believe," "plan," "estimate," "expect," "intend," "may" and other similar expressions are forward-looking statements.  The forward-looking statements are qualified in their entirety by these cautionary statements, which are being made pursuant to the provisions of the Act and with the intention of obtaining the benefits of the "safe harbor" provisions of the Act.  We caution

10


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

investors that any forward-looking statements made by us are not guarantees of future performance and that actual results may differ materially from those in the forward-looking statements as a result of various factors, including, but not limited to, those set forth below and elsewhere herein.  We do not intend, and undertake no obligation, to update our forward-looking statements to reflect future events or circumstances.

     Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements as a result of, but not limited to, the factors set forth below. You should carefully consider the risks described herein. There may be additional risks of which we are presently unaware or that we currently deem immaterial.

Reductions in the reimbursement rates paid by Medicare and Medicaid agencies, and adverse changes in our payor mix could reduce our net earnings, and future reform legislation may directly impact our business.

     For the year ended December 31, 2005, we derived 78.3% of our inpatient revenues from continuing operations (including Peak for the month of December) from Medicare and Medicaid. Federal and state governments continue to focus on methods to curb spending on health care programs such as Medicare and Medicaid, and have implemented or proposed to implement changes that will or could adversely affect our reimbursements. For example, among other things, (i) two temporary add-on payments were eliminated, the number of resource utilization group ("RUG") categories was increased from 44 to 53, and the nursing case-mix weight for all 53 RUG categories was increased; (ii) "therapy caps" were implemented to limit the amount of Medicare Part B reimbursement we receive for providing rehabilitation therapy, and an exceptions process for Medicare beneficiaries who require medically necessary services in excess of the therapy caps was developed; (iii) Medicaid coverage of prescription drugs for Medicare beneficiaries who are also eligible for Medicaid, referred to as "dual eligibles", was shifted to the new Part D Medicare program; and (iv) President Bush's budget proposal for the federal fiscal year beginning October 1, 2006 contains changes that, if enacted as proposed, would materially adversely affect our skilled nursing facilities.  See Item 7 - "Management's Discussion and Analysis of Financial Condition and Results of Operations - Revenues from Medicare, Medicaid and Other Sources" for a discussion of these changes and other changes to our Medicare and Medicaid reimbursements.

     In addition, the amount of our revenues is determined by a number of factors, including the mix of residents and patients and the rates of reimbursement among payors. Changes in the case mix of the residents and patients as well as payor mix among private pay, Medicare and Medicaid can affect our profitability. For instance, a significant increase in our Medicaid population could have a material adverse effect on our financial position, results of operations and cash flow, especially if states operating these programs continue to limit, or more aggressively seek limits on, reimbursement rates.

     In recent years, there have been numerous initiatives on the federal and state levels for comprehensive reforms affecting the payment for and availability of healthcare services. There can be no assurance as to the ultimate content, timing or effect of any healthcare reform legislation, nor is it possible at this time to estimate the impact of potential legislation on us. That impact may have an adverse effect on our financial condition and results of operations.

We are subject to a number of lawsuits and rely primarily on self-funded insurance programs for general and professional liability claims against us.

      Skilled nursing facility operators, including SunBridge and our other inpatient services subsidiaries, are subject to lawsuits alleging negligence resulting in injury or death to residents of the facilities. We currently have numerous patient care lawsuits pending against us, as well as other types of lawsuits, many of which relate to facilities that we no longer operate. Adverse determinations in legal proceedings, whether currently asserted or

11


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

arising in the future, could have a material adverse effect on our financial position, results of operations or cash flows. See Item 3 - "Legal Proceedings."

      We self-insure for the majority of our insurable risks, including general and professional liability, workers' compensation liability and employee health insurance liability, through the use of self-insurance or retrospective and self-funded insurance policies and other hybrid policies, which vary by the states in which we operate. Since January 2000, we have relied upon self-funded insurance programs for general and professional liability claims up to a base amount per claim and an aggregate per location, which amounts we are responsible for funding, and we have obtained excess insurance policies for claims above those amounts. The programs have the following coverages that we are responsible for self-funding: (i) for events occurring from January 1, 2000 to December 31, 2002, $1.0 million per claim, and $3.0 million aggregate per location; (ii) for claims made in 2003, $10.0 million per claim; and (iii) for claims made in 2004, 2005 and 2006, $10.0 million per claim, with a single $5.0 million excess layer that attaches at $5.0 million of liability. There is a risk that the amounts funded to our programs of self-insurance and future cash flows may not be sufficient to respond to all claims asserted under those programs.

     At December 31, 2005, we had recorded reserves of $86.5 million for general and professional liability risks, but we had only pre-funded $3.6 million for such claims. We can give no assurances that a claim in excess of our insurance coverage limits will not arise. A claim against us that is not covered by, or is in excess of, our coverage limits provided by our excess insurance policies could have a material adverse effect upon us. Furthermore, we cannot give assurance that we will be able to obtain additional adequate liability insurance in the future or that, if such insurance is available, it will be available on acceptable terms.

Our healthcare operations are extensively regulated and adverse determinations against us could result in severe penalties, including loss of licensure and decertification.

     In the ordinary course of business, we are continuously subject to a wide variety of federal, state and local laws and regulations and to state and federal regulatory scrutiny, supervision and control in various areas, including referral of patients, false claims under Medicare and Medicaid, health and safety laws and the protection of health information. Such regulatory scrutiny often includes inquiries, civil and criminal investigations, examinations, audits, site visits and surveys, some of which are non-routine. See Item 1 - "Business - - Federal and State Regulatory Oversight" and Item 3 - "Legal Proceedings." If we are found to have engaged in improper practices, we could be subject to civil, administrative or criminal fines, penalties or restitutionary relief or corporate settlement agreements with federal, state or local authorities, and reimbursement authorities could also seek our suspension or exclusion from participation in their program. The exclusion of a facility from participating in Medicare or Medicaid could have a material adverse effect on our financial position, results of operations and cash flows.

We have in the past sustained losses, and may not be able to maintain profitability or generate sufficient operating cash flow to fund our operations.

     Although we reported net income of $24.8 million for the year ended December 31, 2005, we incurred net losses of $18.6 million for the year ended December 31, 2004. Since emerging from bankruptcy in 2002 and until recently, our operations have not generated sufficient cash flow to operate our businesses, and, as a result, we funded operations through a combination of the proceeds of equity offerings and borrowings under a revolving credit facility. We generated positive cash flow from operations during the second half of 2005 and we anticipate positive cash flow from operations for 2006.

 We face national, regional and local competition.

      The healthcare industry is highly competitive and subject to continual changes in the method by which services are provided and the types of companies providing services. Our ability to compete successfully varies from location to location depending on a number of factors, including the number of competing facilities in the local

12


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

market, the types of services available, quality of care, reputation, age and appearance of each facility and the cost of care in each locality. In addition, competition with other providers of rehabilitation therapy services has constrained our ability to pass through increases in costs of providing such services.

We may not be able to successfully identify, complete and integrate future acquisitions, which could harm our profitability.

     Our strategy includes expanding through strategic acquisitions. Successful acquisitions require us to correctly identify appropriate acquisition candidates and to integrate acquired operations with our own, and a failure in either of those tasks would likely result in our inability to realize the benefits we intended to derive from the acquisition. Even if we identify suitable targets, we may be unable to complete acquisitions on terms favorable to us or obtain the necessary financing for these acquisitions. Further, to the extent we complete acquisitions and expansion initiatives, we may be unable to realize the anticipated benefits from acquisitions and expansions because of operational factors or difficulty in integrating the acquisition or expansion with our existing business. Acquisitions may also divert our management from operating our existing business. We can give no assurance that we will be able successfully to identify, complete, and integrate strategic acquisitions.

     Also, we are generally required to obtain regulatory approval from one or more state agencies when making acquisitions. In the case of an acquisition of a business located in a state in which we do not already operate, we are required to obtain the necessary licenses to operate in that state. In addition, although we may already operate in a state in which we acquire a new business, we will be required to obtain regulatory approval if, as a result of the acquisition, we will operate in an area of the state in which we did not operate previously. We may be unable to comply with these regulatory requirements for an acquisition in a timely manner, or at all.

We continue to be affected by an industry-wide shortage of qualified facility care-provider personnel and increasing labor costs.

     We, and other providers in the long-term care industry, have had and continue to have difficulties in retaining qualified personnel to staff our long-term care facilities, particularly nurses, and in such situations we may be required to use temporary employment agencies to provide additional personnel. The labor costs are generally higher for temporary employees than for full-time employees. In addition, many states in which we operate have increased minimum staffing standards. As minimum staffing standards are increased, we may be required to retain additional staffing. In addition, in recent years we have experienced increases in our labor costs primarily due to higher wages and greater benefits required to attract and retain qualified personnel and to increase staffing levels in our long-term and subacute care facilities.

     A similar situation exists in the rehabilitation therapy industry. We, and other providers, have had and continue to have difficulties in hiring a sufficient number of rehabilitation therapists. Under these circumstances, we and others in this industry have been required to offer higher compensation to attract and retain these personnel, and we have been forced to rely on independent contractors, at higher costs, to fulfill our contractual commitments with our customers. Existing contractual commitments, regulatory limitations and the market for these services have made it difficult for us to pass through these increased costs to our customers. Although we have undertaken strategic and structural initiatives to address these issues, if these initiatives are unsuccessful, our financial condition, results of operations and cash flows could be adversely affected.

If we lose our key management personnel, we may not be able to successfully manage our business and achieve our objectives.

     Our future success depends in large part upon the leadership and performance of our executive management team, particularly Richard K. Matros, our chief executive officer, and key employees at the operating level. If we lose the services of one or more of our executive officers or key employees, or if one or more of them decides to

13


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

join a competitor or otherwise compete directly or indirectly with us, we may not be able to successfully manage our business or achieve our business objectives. If we lose the services of any of our key employees at the operating or regional level, we may not be able to replace them with similarly qualified personnel, which could harm our business.

As a result of our acquisition of Peak, certain of Peak's former stockholders may have substantial influence over us. 

     As a result of our acquisition of Peak, RFE Investment Partners V. L.P. and RFE VI SBIC, L.P. (collectively, "RFE") and DFW Capital Partners, L.P. ("DFW") have substantial ownership interests in our company. RFE and DFW beneficially own 19.0% and 6.8%, respectively, of our common stock. In addition, RFE and DFW have each nominated one of our current directors. So long as RFE, on the one hand, or DFW, on the other hand, owns at least 50% of the shares of our common stock it acquired in the Peak acquisition, RFE or DFW, as the case may be, will have the right to nominate successors to its nominee to our Board of Directors. Thus, RFE and DFW, as stockholders, may have the ability to influence our strategic direction and may be able to influence the outcome of all matters, transactions and corporate actions that require approval by our stockholders, other than the election of directors (except for the nominees of RFE and DFW), as to which they have agreed to vote their shares of our common stock in the same proportion as our other stockholders. The interests of RFE and DFW may not always coincide with our interests or the interests of other stockholders. This concentration of stock ownership may also have the effect of delaying, preventing or deterring a change in control of our company, which could deprive our stockholders of an opportunity to receive a premium for their common stock as part of a sale of our company and might adversely affect the market price of our common stock. In addition, this concentration of stock ownership may adversely affect the market price of our common stock because investors may perceive disadvantages in owning stock in a company with significant stockholders.

We do not expect to pay any dividends for the foreseeable future.

     We are currently prohibited by the terms of our Amended and Restated Loan and Security Agreement dated December 2, 2005 (the "Revolving Loan Agreement") from paying dividends to holders of our common stock, and do not anticipate that we will pay any dividends to holders of our common stock in the foreseeable future. Accordingly, investors must rely on sales of their common stock after price appreciation, which may never occur, as the only way to realize any future gains on their investment. Investors seeking cash dividends should not purchase our common stock.

Delaware law and provisions in our Restated Certificate of Incorporation and Amended and Restated Bylaws may delay or prevent takeover attempts by third parties and therefore inhibit our stockholders from realizing a premium on their stock.

      We are subject to the anti-takeover provisions of Section 203 of the Delaware General Corporation Law. This section prevents any stockholder who owns 15% or more of our outstanding common stock from engaging in certain business combinations with us for a period of three years following the time that the stockholder acquired such stock ownership unless certain approvals were or are obtained from our Board of Directors or the holders of 66-2/3% of our outstanding common stock. Our Restated Certificate of Incorporation and Amended and Restated Bylaws also contain several other provisions that may make it more difficult for a third party to acquire control of us without the approval of our Board of Directors. These provisions include, among other things, (i) advance notice for raising business or making nominations at meetings, (ii) an affirmative vote of the holders of 66-2/3% of our outstanding common stock for stockholders to remove directors or amend our Amended and Restated Bylaws or certain provisions of our Restated Certificate of Incorporation, and (iii) the ability to issue "blank check" preferred stock, which our Board of Directors, without stockholder approval, can designate and issue with such dividend, liquidation, conversion, voting or other rights, including the right to issue convertible securities with no limitations on conversion. The issuance of blank check preferred stock may adversely affect the voting and other rights of the

14


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

holders of our common stock as our Board of Directors may designate and issue preferred stock with terms that are senior to our common stock.

     Our Board of Directors can use these and other provisions to discourage, delay or prevent a change in the control of our company or a change in our management. Any delay or prevention of a change of control transaction or a change in our Board of Directors or management could deter potential acquirors or prevent the completion of a transaction in which our stockholders could receive a substantial premium over the then current market price for their shares. These provisions could also limit the price that investors might be willing to pay for shares of our common stock.

Item 1B.  Unresolved Staff Comments

     Not applicable.

Item 2.  Properties

Inpatient Services

     As of March 1, 2006, we operated 158 long-term care, subacute care, assisted living and independent living facilities, of which 56 were acquired in connection with the Peak transaction. The 158 facilities are comprised of 118 properties that are leased, 30 properties that are owned and 10 properties that are managed. We hold options to acquire, at fair value or at a set purchase price, ownership of 22 of the facilities that we currently lease. We also leased office space for administrative purposes in three locations in three states. We consider our properties in general to be in good operating condition and suitable for the purposes for which they are being used. Our facilities that are leased are subject to long-term operating leases or subleases which require us, among other things, to fund all applicable capital expenditures, taxes, insurance and maintenance costs. Our facilities that are owned are subject to mortgage financing. The annual rent payable under most of the leases generally increases based on a fixed percentage or increases in the U.S. Consumer Price Index. Many of the leases contain renewal options to extend the term.

     Our aggregate occupancy percentages for all of our long-term care, subacute care and assisted living facilities in the United States, on a same store basis (excluding the Peak facilities), were 90.0%, 90.6% and 89.7% for the years ended December 31, 2005, 2004 and 2003, respectively. The percentages were computed by dividing the average daily number of beds occupied by the total number of available beds for use during the periods indicated. However, we believe that occupancy percentages, either individually or in the aggregate, should not be relied upon alone to determine the performance of a facility. Other factors include, among other things, the sources of payment, terms of reimbursement and the acuity level of the patients.

     The following table sets forth certain information concerning the 158 facilities that we operated as of March 1, 2006, which consisted of 134 skilled nursing facilities (10 of which are managed), 14 assisted living and independent living facilities, seven mental health facilities, and three specialty acute care hospitals.

15


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

 

 

                       Number of Beds/Units(1)                    

State

Total
Number of
Licensed
Beds/Units(1)

Total
Number of
  Facilities  

Skilled
Nursing

Assisted
  Living  

Independent
and Senior
     Living     

Mental
  Health  

Specialty
Acute
   Care   

New Mexico

1,967

22

1,807

100

60

-

-

Oklahoma

1,747

12

1,420

182

85

60

-

California

1,677

20

1,034

-

-

473

170

Colorado

1,276

9

1,179

-

97

-

-

Idaho

1,201

11

1,179

-

-

-

22

Georgia

1,097

10

1,065

32

-

-

-

New Hampshire

1,068

9

865

203

-

-

-

Massachusetts

1,022

11

965

57

-

-

-

North Carolina

994

8

994

-

-

-

-

Tennessee

919

9

897

22

-

-

-

Alabama

783

7

757

26

-

-

-

West Virginia

739

7

739

-

-

-

-

Montana

650

5

538

97

15

-

-

Washington

608

7

552

56

-

-

-

Ohio

547

5

547

-

-

-

-

Utah

231

3

204

27

-

-

-

Maryland

177

1

177

-

-

-

-

Arizona

161

1

161

-

-

-

-

Wyoming

              46

           1

            46

         -

              -

           -

           -

Total

16,910

158

15,126

802

257

533

192

========

======

=======

=====

=======

======

======


(1)

"Licensed Beds" refers to the number of beds for which a license has been issued, which may vary in some instances from licensed beds available for use, which is used in the computation of occupancy. Available beds for the 158 facilities were 16,168.

 Rehabilitation Therapy Services

      As of March 1, 2006,we leased 33 office spaces and patient care delivery sites in 14 states, and five HTA offices to operate our rehabilitation therapy businesses.

Medical Staffing Services

     As of March 1, 2006, we leased office space in 34 locations in 17 states to operate our CareerStaff medical staffing business.

Home Health Services

     As of March 1, 2006, we leased office space in 23 locations in California and Ohio to operate our SunPlus home health business.

Laboratory and Radiology Services

     As of March 1, 2006, we leased 10 locations in Massachusetts to operate our SunAlliance medical laboratory and mobile radiology business.

16


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Corporate

     We lease our executive offices in Irvine, California and we own three corporate office buildings and lease office space in a fourth building in Albuquerque, New Mexico.

Item 3.  Legal Proceedings

     On June 1, 2004, we commenced a declaratory relief action in the Orange County, California Superior Court in which Steadfast Insurance Company, American International Group, Inc. ("AIG") and certain of AIG's subsidiaries are parties. The action seeks, among other things, a judicial determination that the carrier providing coverage under our excess/umbrella insurance policy for liability claims made by residents and patients for the 2000 through 2002 policy years is obligated to provide first dollar insurance coverage for those three policy years pursuant to the terms of the excess/umbrella policy. That policy provides that the excess/umbrella policy continues in force as underlying insurance upon exhaustion of the underlying primary insurance policy. Trial is currently scheduled to commence on August 28, 2006. If we prevail in this action, such a judicial determination would eliminate a portion of our self-insured liabilities for general and professional liability claims and/or require the carrier to reimburse us for certain amounts that we have paid to dispose of such claims. We can give no assurances that we will in fact prevail.

     In September 2005, we resolved allegations by the Bureau of Medi-Cal Fraud and Elder Abuse, a division of the Office of the Attorney General of the State of California, that we violated the terms of the Permanent Injunction and Final Judgment entered in October 2001. The alleged violations included allegations of inadequate staffing, training and supervision at our California inpatient facilities. The resolution of these allegations resulted in the PIFJ. Among other things, the PIFJ states that it does not constitute a finding of any violation of law. It requires adherence by our facilities in California to certain clinical practices specified in the PIFJ (such practices are substantially consistent with existing law and our current practices) and to staffing requirements, and the payment of $2.5 million over a two year period commencing in October 2005. The requirements set forth in the PIFJ will not materially change our operating costs or the manner in which we operate.

     We are a party to various other legal actions and administrative proceedings and are subject to various claims arising in the ordinary course of our business, including claims that our services have resulted in injury or death to the residents of our facilities, claims relating to employment and commercial matters. Although we intend to vigorously defend ourselves in these matters, there can be no assurance that the outcomes of these matters will not have a material adverse effect on our results of operations and financial condition. In certain states in which we have or have had operations, insurance coverage for the risk of punitive damages arising from general and professional liability litigation may not be available due to state law public policy prohibitions. There can be no assurance that we will not be liable for punitive damages awarded in litigation arising in states for which punitive damage insurance coverage is not available.

     We operate in industries that are extensively regulated. As such, in the ordinary course of business, we are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. In addition to being subject to direct regulatory oversight of state and federal regulatory agencies, these industries are frequently subject to the regulatory supervision of fiscal intermediaries. If a provider is found by a court of competent jurisdiction to have engaged in improper practices, it could be subject to civil, administrative or criminal fines, penalties or restitutionary relief, and reimbursement authorities could also seek the suspension or exclusion of the provider or individual from participation in their program. We believe that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations, whether currently asserted or arising in the future, could have a material adverse effect on our financial position, results of operations and cash flows.

17


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

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

(a)   A special meeting of our stockholders was held on October 31, 2005.

(b)   Not applicable.

(c)   The matter voted upon at the meeting and the results are as follows:

1.

Approval of the issuance of up to 8,975,724 shares of our common stock in connection with the acquisition of Peak.

   

      For      

    Against    

    Abstain    

9,303,240

190,517

15,844

(d)   Not applicable.

18


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

PART II

Item 5.  Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

     We began issuing our common stock on February 28, 2002 as part of our Plan of Reorganization.  Our common stock began trading under the symbol "SUHG.OB" on the Over-the-Counter ("OTC") Bulletin Board on April 2, 2002 and then under the symbol "SUNH" on the Nasdaq National Market on March 10, 2004.  The following table shows the high and low sale prices for the common stock as reported by the OTC Bulletin Board and the Nasdaq National Market for the periods indicated:

 

 

High

Low

2005

 

 

 

Fourth Quarter

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$  8.65

$  6.10

Third Quarter

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$  7.57

$  6.03

Second Quarter

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$  7.48

$  5.86

First Quarter

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$  9.60

$  5.90

       

2004

 

 

 

Fourth Quarter

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$  9.35

$  6.76

Third Quarter

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$  9.88

$  5.66

Second Quarter

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$12.34

$  5.03

First Quarter

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$14.30

$  9.90

     There were 4,478 holders of record of our common stock as of March 1, 2006. We have never paid nor declared any dividends on our common stock.  Our Revolving Loan Agreement prohibits us from paying any dividends or making any distributions to our stockholders. We did not repurchase any shares of our common stock during the fourth quarter of 2005.

Item 6.  Selected Financial Data

     The following selected consolidated financial data for the periods indicated have been derived from our consolidated financial statements.  The financial data set forth below should be read in connection with Item 7 - "Management's Discussion and Analysis of Financial Condition and Results of Operations" and with our consolidated financial statements and related notes thereto (in thousands, except per share data):

19


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

                                       Reorganized Company (1)                             

 

 

        Predecessor Company (1)    

 

 

At or For

 

At or For

 

At or For

 

At or For

 

 

At or For

 

At or For

 

 

The Year

 

The Year

 

The Year

 

The Ten

 

 

The Two

 

The Year

 

 

Ended

 

Ended

 

Ended

 

Months Ended

 

 

Months Ended

 

Ended

 

 

December 31,

 

December 31,

 

December 31,

 

December 31,

 

 

February 28,

 

December 31,

 

 

2005(2)

 

2004(3)

 

2003(4)

 

2002(5)

 

 

2002(6)

 

2001(7)

 

Total net revenues

$       882,109

$       813,290

$       778,438

$      636,061

|

$         301,846

$      2,075,234

Income (loss) before income

|

  taxes and discontinued

|

  operations

            2,051

 

           8,750

        (29,481

)

      (297,417

)

|

     1,493,157

          (69,116

)

Income (loss) from

|

  continuing operations

2,837

9,908

(30,146

)

(297,410

)

|

1,493,010

(69,437

)

Income (loss) on discontinued

 

 

 

 

 

|

 

 

  operations

          21,924

         (28,535

)

         30,500

       (140,576

)

|

           (7,639

)

                   -

 

Net income (loss)

$         24,761

$       (18,627

)

$             354

$       (437,986

)

|

$      1,485,371

$         (69,437

)

==========

=========

=========

==========

 

|

==========

==========

Basic earnings per

 

|

  common and common

|

  equivalent share:

|

Income (loss) from

|

  continuing operations

$            0.18

$           0.69

$            (3.00

)

$          (29.74

)

|

$            24.44

$            (1.14

)

Income (loss) on discontinued

|

  operations

              1.37

           (1.98

)

               3.04

            (14.06

)

|

              (0.12

)

                   -

Net income (loss)

$            1.55

$          (1.29

)

$             0.04

$          (43.80

)

|

$            24.32

$            (1.14

)

==========

=========

==========

==========

 

|

==========

==========

Diluted earnings per common

 

|

  and common equivalent

|

  share:

|

Income (loss) from

|

  continuing operations

$            0.18

$           0.68

$             (3.00

)

$          (29.74

)

|

$           24.44

$            (1.14

)

Income (loss) on discontinued

|

  operations

              1.37

           (1.96

)

               3.04

            (14.06

)

|

             (0.12

)

                  -

Net income (loss)

$            1.55

$          (1.28

)

$              0.04

$          (43.80

)

|

$           24.32

$            (1.14

)

==========

=========

==========

==========

 

|

==========

==========

Weighted average number of

 

|

  common and common

 

|

  equivalent shares:

 

|

  Basic

16,003

14,456

10,050

10,000

 

|

61,080

61,096

  Diluted

16,019

14,548

10,050

10,000

 

|

61,080

61,096

==========

=========

==========

==========

 

|

==========

==========

Working (deficit) capital

$         (66,825

)

$        (30,595

)

$         (57,377

)

$       (66,412

)

|

$          69,762

$         (13,259

)

==========

=========

==========

==========

 

|

==========

==========

Total Assets

$        512,306

$       313,153

$        300,398

$       475,835

 

|

$        828,416

$        649,804

==========

=========

==========

==========

 

|

==========

==========

Liabilities subject to

 

|

  compromise

$                  -

$                 -

$                  -

$                 -

 

|

$                  -

$     1,549,139

==========

==========

==========

==========

 

|

==========

==========

Long-term debt

$        186,575

$       107,182

$          78,878

$       196,223

 

|

$        190,146

$         78,235

==========

==========

==========

==========

 

|

==========

==========

Capital leases

$          11,204

$                 -

$                  -

$                 -

 

|

$                  -

$                 -

==========

==========

==========

==========

 

|

==========

==========

Stockholders' (deficit) equity

$          (2,895

)

$       123,380

)

$       (166,398

)

$      (187,218

)

|

$        237,600

$    (1,602,290

)

==========

==========

==========

==========

 

|

==========

==========

20


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

(1)

On February 28, 2002, we emerged from proceedings under the Bankruptcy Code pursuant to the terms of our Plan of Reorganization.

   

(2)

Results for the year ended December 31, 2005 include revenues and expenses for Peak for the month of December 2005 (See "Note 7 - Acquisitions"), a $1.1 million non-cash charge for transaction costs related to the Peak acquisition, a net loss on sale of assets of $0.4 million primarily due to a write-down of a property held for sale, a net loss on extinguishment of debt of $0.4 million related to mortgage restructurings, income of $13.0 million from discontinued operations due primarily to net reductions of $14.6 million in self-insurance reserves for general and professional liability and workers' compensation for prior years on divested facilities, and an $8.9 million gain from disposal of discontinued operations primarily due to receipt in September 2005 of $7.7 million in cash proceeds from the 2003 sale of our pharmaceutical services operations, pursuant to the terms of the sale agreement.

   

(3)

Results for the year ended December 31, 2004 include a non-cash charge of $1.0 million representing an impairment to our carrying values of other long-lived assets (See "Note 8 - Impairment of Intangible and Long-Lived Assets" in our consolidated financial statements), a $2.0 million charge related to restructuring, a net loss on sale of assets of $1.5 million mainly due to the write-down of a property held for sale, a net gain on extinguishment of debt of $3.4 million related to mortgage restructurings, a loss of $23.2 million from discontinued operations and a loss of $5.3 million from disposal of discontinued operations due primarily to the sale of our clinical laboratory and radiology operations located in California and a reserve recorded in connection with the sale of a previously divested segment (See "Note 9 - Discontinued Operations and Assets Held for Sale" in our consolidated financial statements).

   

(4)

Results for the year ended December 31, 2003 include a non-cash charge of $2.8 million representing an impairment to our carrying values of lease intangibles and other long-lived assets (See "Note 8 - Impairment of Intangible and Long-Lived Assets" in our consolidated financial statements), a $14.7 million charge related to restructuring, a net gain on sale of assets of $4.2 million mainly due to the sale of land and buildings, a loss of $25.1 million from discontinued operations and a gain of $55.6 million from disposal of discontinued operations due primarily to the sale of our pharmaceutical and software development operations, termination of 126 facility lease agreements, sale of one other facility and the reductions of the carrying amount of the assets associated with the above described facilities, which facilities and assets were determined not to be integral to our core business operations (See "Note 9 - Discontinued Operations and Assets Held for Sale" in our consolidated financial statements).

   

(5)

Results for the ten month period ended December 31, 2002 include a non-cash charge of $275.4 million representing an impairment to our carrying values of goodwill and other long-lived assets for continuing operations (See "Note 8 - Impairment of Intangible and Long-Lived Assets" in our consolidated financial statements), a net gain on sale of assets of $8.7 million due to the termination of ten facility lease agreements and the reduction of the carrying amount of the assets associated with the above described facilities, which facilities and assets were

 21


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

 determined not to be integral to our core business operations and a loss of $140.6 million from discontinued operations, of which $132.4 million relates to the impairment to our carrying values of goodwill and other long-lived assets for discontinued operations.

   

(6)

Results for the two month period ended February 28, 2002 include a $1.5 billion non-cash gain on extinguishment of debt, a $1.5 million gain for reorganization items due to our chapter 11 filings, a net non-cash loss on discontinued operations of $7.6 million due to the anticipated termination of ten facility lease agreements and the reduction of the carrying amount of the assets associated with the above described facilities, which facilities and assets were determined not to be integral to our core business operations.

   

(7)

Results for the year ended December 31, 2001 include a non-cash charge of $18.8 million representing an impairment to our carrying values of goodwill and other long-lived assets, a charge of $11.0 million due to legal and regulatory matters, a $1.1 million charge related to restructuring, a non-cash gain on sale of assets of $0.8 million and a $42.9 million charge for reorganization items due to our chapter 11 filings, which included the losses for discontinued operations due to the prepetition termination of 45 facility lease agreements and the reduction of the carrying amount of the assets associated with the above described facilities, which facilities and assets were determined not to be integral to our core business operations.

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

     The following discussion should be read in conjunction with the consolidated financial statements and accompanying notes, which appear elsewhere in this Annual Report. This discussion contains forward‑looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in these forward‑looking statements as a result of various factors, including those discussed below and elsewhere in this Annual Report. See Item 1A - "Risk factors."

Overview

     We are a nationwide provider of long-term, subacute and related specialty healthcare services primarily to the senior population in the United States. We operate through various direct and indirect subsidiaries that engaged in the following five principal business segments during 2005:

-

inpatient services, primarily skilled nursing facilities;

   

-

rehabilitation therapy services;

   

-

medical staffing services;

   

-

home health services; and

   

-

laboratory and radiology services.

      In February 2002, we emerged from Chapter 11 bankruptcy proceedings pursuant to the terms of our Plan of Reorganization. During the bankruptcy proceedings, we divested our international operations and over 100 inpatient facilities. After the bankruptcy proceedings were concluded, our new management team determined that

22


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

further significant restructuring of our business was necessary in order to preserve and enhance shareholder value. Our restructuring was substantially completed in December 2004 and involved: (i) the renegotiation of the terms of our leases for skilled nursing facilities resulting in an approximate 300 basis point reduction in lease expense as a percentage of net revenues; (ii) the divestiture of 137 poor performing inpatient facilities; (iii) the sale of non-core assets, including our pharmacy business, and (iv) the reduction of corporate overhead expense.

     Commencing in 2005, we implemented a business strategy to leverage our existing platform, and in August 2005 we acquired ProCare, a leading provider of specialized nurse staffing with approximately 800 nurses on its roster.  In December 2005, we acquired Peak, an Albuquerque, New Mexico-based operator of 56 skilled nursing facilities and independent and assisted living residences and a small hospice operation. These facilities are located in New Mexico, Oklahoma, Colorado, Montana, Idaho, Utah and Wyoming. We believe these acquisitions will provide us with critical mass in new geographic markets, potential synergies from reduction in overhead, improved purchasing discounts and revenue and margin growth opportunities.

     We have updated our historical financial statements to reflect the divestiture of one skilled nursing facility and the sale of our Colorado and Arizona mobile radiology services operations during the year ended December 31, 2005. U.S. generally accepted accounting principles require that these operations be reclassified as discontinued operations on a retroactive basis. The financial information in this Annual Report reflects that reclassification for all periods since February 28, 2002.

Revenues from Medicare, Medicaid and Other Sources

Revenue Sources

     We receive revenues from Medicare, Medicaid, private insurance, self-pay residents, other third party payors and long-term care facilities that utilize our specialty medical services. The sources and amounts of our inpatient services revenues are determined by a number of factors, including the number of licensed beds and occupancy rates of our facilities, the acuity level of patients and the rates of reimbursement among payors. Federal and state governments continue to focus on methods to curb spending on health care programs such as Medicare and Medicaid. This focus has not been limited to skilled nursing facilities, but includes other services provided by us, such as therapy services and home health services. We cannot at this time predict the extent to which these proposals will be adopted or, if adopted and implemented, what effect, if any, such proposals will have on us. Efforts to impose reduced coverage, greater discounts and more stringent cost controls by government and other payors are expected to continue.

     The following table sets forth the total nonaffiliated revenues and percentage of revenues by payor source for our continuing operations, on a consolidated and on an inpatient operations only basis, for the periods indicated (includes Peak for December 2005 only):

 

For the Year Ended

 

December 31, 2005

December 31, 2004

December 31, 2003

 

(dollars in thousands)

Consolidated:

Sources of Revenues

Medicaid

$  316,292

35.9%

$  296,677

36.5%

$  280,903

36.1%

Medicare

243,450

27.6   

215,000

26.4   

195,259

25.1   

Private pay and other

   322,367

    36.5   

   301,613

    37.1   

   302,276

    38.8   

Total

$  882,109

100.0%

$  813,290

100.0%

$  778,438

100.0%

=======

======

=======

======

=======

======

23


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

For the Year Ended

 

December 31, 2005

December 31, 2004

December 31, 2003

 

(dollars in thousands)

Inpatient Only:

Sources of Revenues

Medicaid

$  303,403

47.7%

$  284,230

48.5%

$  267,752

48.9%

Medicare

194,507

30.6   

173,982

29.7   

156,381

28.6   

Private pay and other

   137,720

    21.7   

   128,200

   21.8   

   123,088

   22.5   

Total

$  635,630

100.0%

$  586,413

100.0%

$  547,221

100.0%

=======

======

=======

======

=======

======

Medicare

     Medicare is available to nearly every United States citizen 65 years of age and older. It is a broad program of health insurance designed to help the nation's elderly meet hospital, hospice, home health and other health care costs. Health insurance coverage extends to certain persons under age 65 who qualify as disabled and those having end-stage renal disease. Medicare includes four related health insurance programs: (i) inpatient hospital, skilled long-term care, home healthcare and certain other types of healthcare services ("Part A"); (ii) physicians' services, outpatient services and certain items and services provided by medical suppliers ("Part B"); (iii) a managed care option for beneficiaries who are entitled to Part A and enrolled in Part B ("Medicare Advantage" or "Medicare Part C"); and (iv) a new Medicare Part D ("Part D") benefit that became effective on January 1, 2006 covering prescription drugs. The Medicare program is currently administered by fiscal intermediaries (for Part A and some Part B services) carriers (for Part B) and providers of prescription drug plans and Medicare Advantage plans (for Part D) under the direction of CMS.

     Medicare reimburses our skilled nursing facilities under a prospective payment system ("PPS") for inpatient Medicare Part A covered services. PPS was adopted pursuant to the Balanced Budget Act of 1997 (the "1997 Act"). Under PPS, facilities are paid a predetermined amount per patient, per day, based on the anticipated costs of treating patients. The amount to be paid is determined by classifying each patient into one of 53 resource utilization group ("RUG") categories that are based upon each patient's acuity level.

     The nursing home industry came under financial pressure as a result of the implementation of PPS and other 1997 Act provisions. As a result, in fiscal years 1999 and 2000 Congress implemented four temporary add-on payments to restore some of the Medicare funding to skilled nursing facilities and other healthcare providers that was eliminated by the 1997 Act. Two of the temporary add-on payments expired in 2002 and the remaining two temporary add-on payments expired on January 1, 2006. The uncertainty surrounding the dates on which the add-on payments would expire made financial predictability difficult. The removal of the uncertainty regarding these payments will allow us to more accurately project our revenues.

     The following table sets forth the average amounts of inpatient Medicare Part A revenues per patient, per day, recorded by our skilled nursing ("SNF") and hospital facilities for the periods indicated (includes Peak for December 2005 only):

For the Year Ended
              December 31,               

   2005  

   2004   

   2003  

SNF

$    325.61

$   314.77

$  301.61

Hospital

$ 1,063.24

$1,045.03

$  910.80

     The following changes have been implemented, are scheduled to be implemented, or are proposed to be implemented in the near future and will, if implemented, affect Medicare reimbursement and, as a result, our revenues and earnings.

24


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Skilled nursing facilities

-

CMS issued a 2.8% market basket increase effective with the 2005 Federal fiscal year beginning October 1, 2004, which, when taken into consideration with the Federal wage index adjustments, resulted in a net 3.0% increase. We estimate our Medicare revenues increased approximately $3.1 million ($9.62 per Medicare patient day) for the nine months ended September 30, 2005 as a result of these changes.

   

-

CMS issued a 3.1% market basket increase effective with the 2006 Federal fiscal year beginning October 1, 2005, which when taken into consideration with a revision to the rates paid to nursing homes depending upon their geographic location that will be phased-in over a two-year period (October 1, 2005 to September 30, 2007), results in a net 2.6% increase. We estimate our Medicare revenues increased approximately $1.1 million ($8.60 per Medicare patient day) for the three months ended December 31, 2005 (including Peak for December 2005 only).

   

-

Effective January 1, 2006, the remaining two temporary add-on payments expired, the number of RUG categories increased from 44 to 53, and  the nursing case-mix weight increased for all 53 RUG categories by 8.5%. The nine new RUG categories provide for higher reimbursement rates, and as a result our Medicare revenues will increase for any residents that qualify for the new RUG categories. Based upon our performance for the month of January 2006, we estimate that the continuation of the October 1, 2005 market basket increase and geographic location changes, the expiration of add-on payments, the expansion of the number of RUG categories and increasing the case mix weights that become effective January 1, 2006 will collectively be favorable when compared to our rates prior to the October 1, 2005 rule changes. 

   

-

CMS had previously proposed a three year phase-in of a reduction to the Medicare reimbursement for all unpaid Medicare Part A patient co-payments and deductibles by 30%, which we estimated would have decreased our revenues $3.1 million ($5.02 per Medicare patient day). However, the Deficit Reduction Act of 2005 ("DRA") modified this phase-in by requiring immediate implementation of the full 30% reduction, but limited its impact to Medicare beneficiaries that are not also eligible for Medicaid. We now estimate that this more limited reduction will decrease our inpatient revenues by approximately $0.2 million ($0.30 per Medicare patient day) for calendar year 2006.

   

-

Effective January 1, 2006, Medicaid coverage of prescription drugs for Medicare beneficiaries who are also eligible for Medicaid, referred to as "dual eligibles", were shifted to the new Part D program.  Part D requires new prescription drug plans and Medicare Advantage Plans that offer prescription drug coverage to provide convenient access to long-term care pharmacies and to offer standard contracts to all long-term care pharmacies within the plans' service areas that meet performance standards specified by CMS. We do not yet know whether payment rates for the prescription drugs provided by these plans will be sufficient to cover the costs of the pharmacy needs of skilled nursing facility residents. Moreover, certain drugs are excluded from coverage under the new Medicare benefits in Part D, including several drugs that are commonly prescribed for nursing home and other long-term care residents. As a result, there is a risk that if these excluded prescription drug costs are not reimbursed under Medicaid or through Medicare, we will need to bear the cost of these drugs.

Rehabilitation therapy

-

For the calendar year beginning January 1, 2005, Medicare Part B rehabilitation therapy services rates were decreased 1.5%. We estimate that our Medicare revenues decreased approximately $0.2 million and $0.7 million for the three and 12 months ended December 31, 2005, respectively, as a result of these changes.

25


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

-

Effective January 1, 2006, the "therapy caps," which limit the amount of Medicare Part B reimbursement we receive for providing rehabilitation therapy, were implemented. However, the DRA allowed CMS to grant exceptions to the therapy caps for services provided during calendar year 2006 if these services meet certain qualifications as medically necessary services, which based on our assessment, will include the majority of our patients. We cannot forecast if the exception process will continue beyond the 2006 calendar year or to the extent to which the exception process will ameliorate the impact of the therapy caps.

   

-

The RUG case mix indexing that became effective on January 1, 2006 resulted in patients of skilled nursing facilities being reclassified into lower rehabilitation RUG categories.  Our therapy nursing home payment rates are based upon the rehabilitation RUG category into which patients are classified, and a shift to the lower paying rehabilitation RUG categories has resulted in decreased revenues.  We are unable to measure the revenue decrease that is directly due to the change in case mix indexing. We are seeking to renegotiate customer contracts to change the current pricing rates to base them upon services provided, and we will terminate unprofitable contracts that we are unable to revise and reduce overhead associated with those contracts.

Home health

-

Our home health Medicare payment rates increased 2.1% for the 2005 calendar year, which we estimate increased our Medicare revenues approximately $0.8 million for the year ended December 31, 2005, respectively.

   

-

CMS has made geographic specific adjustments to the rates paid to home health agencies for the 2006 calendar year, which we estimate will result in an approximately $0.3 million increase (0.9%) in revenues.  However, the DRA froze the Medicare home health reimbursement rates effective January 1, 2006, thereby eliminating a previously announced 2.8% increase in rates, which we estimate would have resulted in a $1.0 million increase if it had been implemented.

Medicaid

     Medicaid is a state‑administered program financed by state funds and federal matching funds. The program provides for medical assistance to the indigent and certain other eligible persons. Although administered under broad federal regulations, states are given flexibility to construct programs and payment methods. Each state in which we operate nursing facilities has its own unique Medicaid reimbursement program. State Medicaid programs include systems that will reimburse a nursing facility for reasonable costs it incurs in providing care to its patients, based upon cost from a prior base year, adjusted for inflation and per diems based upon patient acuity.

     The following table sets forth the average amounts of inpatient Medicaid revenues per patient, per day (excluding any impact of state-imposed provider taxes), recorded by our SNF and hospital facilities for the periods indicated (including Peak for December 2005 only):

For the Year Ended
              December 31,               

   2005  

   2004   

   2003  

SNF

$     139.38

$   132.87

$   123.76

Hospital

$     839.07

$   820.31

$   819.51

26


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

     Medicaid outlays are a significant component of state budgets, and there have been increased cost containment pressures on Medicaid outlays for nursing homes. It is not certain whether reductions in Medicaid rates would be imposed in the future for any states in which we operate.

    Fourteen of the states in which we operate impose a provider tax against nursing homes as a method of increasing federal matching funds paid to those states for Medicaid: Alabama, California, Georgia, Massachusetts, Montana, New Hampshire, New Mexico, North Carolina, Ohio, Oklahoma, Tennessee, Utah, Washington and West Virginia. In California, we estimate its program increased our net Medicaid revenues by $1.3 million (4.5%) for August 1, 2004 through July 31, 2005 and will increase our revenues by an additional $2.0 million (6.5%) for August 1, 2005 through July 31, 2006 above July 2004 revenues, for the facilities we currently operate. As a result of the implementation of the provider tax program in California, we are contractually obligated to utilize some of our increased revenues to increase the wages and benefits of certain classes of employees in five of our California facilities, in an amount to be negotiated. Those states that have imposed the provider tax have used the matching funds to fund Medicaid reimbursement rates paid to nursing homes, although the amount of funding varies by state. Under current rules, the provider tax cannot exceed 6.0% of revenues.

Private payors

     We currently receive approximately 36.5% of our revenues from private insurance, long-term care facilities that utilize our specialty medical services, self-pay facility residents, and other third party payors. These private third party payors are continuing their efforts to control healthcare costs through direct contracts with healthcare providers, increased utilization review and greater enrollment in managed care programs and preferred provider organizations. These private payors increasingly are demanding discounted fee structures and the assumption by healthcare providers of all or a portion of the financial risk.

Other reimbursement matters

     Net revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment by payors during the settlement process. Under cost-based reimbursement plans, payors may disallow, in whole or in part, requests for reimbursement based on determinations that certain costs are not reimbursable or reasonable or because additional supporting documentation is necessary. We recognize revenues from third-party payors and accrue estimated settlement amounts in the period in which the related services are provided. We estimate these settlement balances by making determinations based on our prior settlement experience and our understanding of the applicable reimbursement rules and regulations.

Results of Operations

     The following table sets forth the amount and percentage of certain elements of total net revenues for the following years ended December 31 ($ in thousands):

2005

2004

2003

Inpatient Services

$    635,630

72.0

%

$     585,813

72.0

%

$      546,621

70.3

%

Rehabilitation Therapy Services

137,289

15.6

%

133,118

16.4

%

144,310

18.5

%

Medical Staffing Services

71,147

8.1

%

56,816

6.9

%

61,824

7.9

%

Home Health Services

60,778

6.9

%

56,702

6.9

%

55,533

7.1

%

Laboratory and Radiology Services

14,348

1.6

%

15,709

1.9

%

16,023

2.1

%

Corporate

661

0.1

%

47

0.0

%

73

0.0

%

Intersegment eliminations

      (37,744

)

   (4.3

)%

       (34,915

)

   (4.1)

%

       (45,946

)

    (5.9)

%

  Total net revenues

$    882,109

100.0

%

$     813,290

100.0

%

$     778,438

100.0

%

========

====

========

====

========

====

27


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

     Inpatient services revenues for long-term care, subacute care and assisted living services include revenues billed to patients for therapy, medical staffing, and laboratory and radiology provided by our affiliated operations.  The following table sets forth a summary of the intersegment revenues for the years ended December 31 (in thousands):

 

2005

 

2004

 

2003

 

Inpatient Services

$                 -

$           (600

)

$            (600

)

Rehabilitation Therapy Services

36,951

33,228

38,541

Medical Staffing Services

613

2,103

7,216

Laboratory and Radiology Services

              180

              184

              789

  Total affiliated revenue

$        37,744

$        34,915

$        45,946

=========

=========

=========

     The following table sets forth the amount of net segment income (loss) for the following years ended December 31 (in thousands):

2005

 

2004

 

2003

 

Inpatient Services

$          41,437

$          44,453

$           20,393

Rehabilitation Therapy Services

7,291

10,233

14,720

Medical Staffing Services

4,907

3,205

1,285

Home Health Services

2,489

3,499

3,765

Laboratory and Radiology Services

                (867

)

                 400

               1,470

Net segment income before Corporate

55,257

61,790

41,633

Corporate

           (52,339

)

           (48,396

)

            (57,842

)

Net segment income (loss)

$            2,918

$           13,394

$          (16,209

)

==========

==========

===========

     The following discussion of the "Year Ended December 31, 2005 compared to the Year Ended December 31, 2004" and the "Year Ended December 31, 2004 compared to the Year Ended December 31, 2003" is based on the financial information presented in "Note 17 - Segment Information" in our consolidated financial statements.

Year Ended December 31, 2005 Compared to Year Ended December 31, 2004

     Net revenues increased $68.8 million, or 8.5%, to $882.1 million, of which Peak accounted for $21.1 million, for 2005 from $813.3 million for 2004. Excluding net revenues attributable to Peak, which was acquired in December 2005, net revenues increased $47.7 million, or 5.9%, for 2005 as compared to 2004.

     We reported net income for the year ended December 31, 2005 of $24.8 million, of which Peak accounted for a loss of $1.2 million, compared to a net loss of $18.6 million for the year ended December 31, 2004. Excluding the net loss attributable to Peak, net income for the year ended December 31, 2005 was $26.0 million. The $1.2 million loss associated with Peak was comprised of $1.1 million of transaction costs related to conforming the methodologies for inventory and accounts receivable, $0.5 million of costs related to an accounts receivable contractual reserve recorded at the hospice operations and $0.5 million of costs for overhead, offset by net income of $1.0 million related to the operations of the inpatient facilities.  

     The net income of $24.8 million for the year ended December 31, 2005 included:

-

$21.9 million of income on discontinued operations and the disposal of discontinued operations comprised primarily of:

-

a $7.7 million gain from the partial receipt of a holdback associated with the 2003 sale of our pharmaceutical operations,

-

$15.4 million of income associated with the divestiture of skilled nursing facilities in our Inpatient Services segment, comprised primarily of $14.6 million of prior year self-insurance reserve recoveries related to those facilities, which included $15.5 million for general and professional reserves offset by an increase of $0.9 million in workers' compensation reserves, and $0.8 million of gain on disposal from the sale of one skilled nursing facility;

28


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

professional reserves offset by an increase of $0.9 million in workers' compensation reserves, and $0.8 million of gain on disposal from the sale of one skilled nursing facility;

     

offset by

     

-

$0.9 million of losses related to our mobile radiology operations that were sold in November 2005;

     

-

a $6.8 million, net, reduction in general and professional liability and workers' compensation insurance reserves for prior years due to improvement in claim trends; and

   

-

a net $0.8 million income tax benefit as a result of federal income tax refunds;

offset by

-

$3.2 million in additional interest charges associated primarily with borrowings on our line of credit included in interest, net;

   

-

$1.1 million of transaction costs related to the Peak acquisition as a result of conforming Peak's methodologies for inventory and accounts receivable management to ours;

   

-

a $0.4 million loss on extinguishment of debt associated with debt refinancing; and

   

-

a $0.4 million loss on sale of assets, net, related primarily to write-downs for land and buildings.

     The net loss of $18.6 million for the year ended December 31, 2004 included:

-

a $28.5 million loss on discontinued operations and the disposal of discontinued operations comprised primarily of $17.6 million of losses associated with the California clinical laboratory and radiology operations that were sold in November 2004 that included a revenue adjustment of $3.3 million related to a prior year and a provision for loss adjustment of $3.4 million, $5.3 million of losses associated with the divestiture of six skilled nursing facilities during 2004 and one in 2005 in our Inpatient Services division, $1.0 million of losses associated with the reclassification of our mobile radiology operations to assets held for sale as of September 30, 2005, and $4.3 million of residual costs associated with the sale of our pharmacy operations during 2003;

   

-

$8.9 million of interest expense, net;

   

-

$2.0 million of restructuring costs associated with professional fees and one-time terminations;

   

-

a $1.5 million loss on sale of assets associated with the write-down of land and a building held for sale; and

   

-

a $1.0 million loss on asset impairment,

offset by

-

a $16.5 million, net, reduction in general and professional liability and workers' compensation insurance reserves due to improvement in claim trends, primarily for prior year policies;

   

-

a $3.4 million gain on extinguishment of debt, net, due to mortgage restructurings; and

   

29


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

-

a net $1.2 million income tax benefit, as a result of federal income tax refunds.

Segment information

Inpatient Services.  Total revenues from inpatient services increased $49.8 million, or 8.5%, to $635.6 million for the year ended December 31, 2005 from $585.8 million for the year ended December 31, 2004. The addition of Peak for the month of December 2005 contributed $20.5 million of the increase in net revenues. The remaining increase in net revenues was primarily comprised of:

-

an increase of $9.3 million in Medicare revenues due to an improvement in Medicare patient mix of 80 basis points to 13.8% from 13.0% of total occupancy;

   

-

an increase of $4.5 million in Medicare revenues driven by 2.7% higher Medicare rates; and

   

-

an increase of $14.6 million in Medicaid revenues due primarily to improved rates, including $5.5 million resulting from a California Medicaid rate increase.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $24.5 million, or 8.3%, to $320.8 million for the year ended December 31, 2005 from $296.3 million for the year ended December 31, 2004. $10.1 million of the increase was due to the addition of Peak for the one month of December 2005.  The remaining increase in salaries and benefits was primarily due to:

-

increases in wages and related benefits of $7.4 million to remain competitive in local markets;

   

-

an increase of $3.4 million driven by higher labor hours primarily caused by the increase in Medicare revenues;

   

-

an increase of $1.9 million in salaries and benefits at two hospitals in California to meet or exceed new staffing requirements, and

   

-

a $1.7 million increase in health insurance costs.

     Self-insurance for workers' compensation and general and professional liability insurance increased $4.0 million, or 19.1%, to $24.9 million for the year ended December 31, 2005 as compared to $20.9 million for the year ended December 31, 2004.  The addition of Peak in December 2005 contributed $0.9 million of the increase.  The remaining increase was primarily due to:

-

a $4.8 million increase in 2005 over the prior year as a result of a significant reduction of liabilities due to an improvement in settlement trends for prior periods that was recorded in 2004 ;

 

offset by

   

-

a $1.7 million decrease related to workers' compensation costs primarily related to the reduction in the number of claims related to prior years.

      Other operating costs increased $17.7 million, or 11.0%, to $179.2 million for the year ended December 31, 2005, from $161.5 million for the year ended December 31, 2004.  Excluding the impact of Peak, which contributed $3.8 million of the increase, the remaining increase was primarily due to:

-

a $6.9 million increase in therapy, pharmacy and medical supplies expense attributable to the increase

30


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

in Medicare patient mix;

   

-

a gain of $3.4 million for extinguishment of debt recorded in 2004;

   

-

a $2.4 million increase in provider taxes; and

   

-

a $0.9 million increase in utility expense.

      General and administrative expenses increased $1.6 million, or 13.4%, to $13.5 million for the year ended December 31, 2005 from $11.9 million for the year ended December 31, 2004. The $1.6 million increase was primarily due to salaries and benefits expense for regional administrative and office personnel.

     Facility rent expense of $37.5 million for the year ended December 31, 2005 increased $1.9 million, or 5.3%, compared to the year ended December 31, 2004, primarily due to the addition of the Peak facilities which had $1.4 million in rent for the month of December, 2005.  The remaining increase was due to normally scheduled rent increases.

The provision for losses on accounts receivable increased $1.1 million, or 42.3%, to $3.7 million for the year ended December 31, 2005, from $2.6 million for year ended December 31, 2004, primarily due to the addition for the month of December 2005 of the Peak facilities which contributed $0.8 million of the increase.  The remaining increase was due to the increase in revenues and timing of collections. 

     Depreciation and amortization decreased $0.3 million, or 4.1%, to $7.0 million for the year ended December 31, 2005, from $7.3 million for the year ended December 31, 2004. The decrease was primarily attributable to the conversion of one facility from a capital lease to an operating lease in 2004, partly offset by additional capital expenditures incurred for facility improvements in 2005 and the addition of the Peak facilities for the month of December 2005.

     Net interest expense for the year ended December 31, 2005 was $7.5 million as compared to $5.3 million for the year ended December 31, 2004.  The increase of $2.2 million, or 41.5%, was due to the assumption of Peak indebtedness and consolidation of the indebtedness of the Clipper entities (collectively known as "Clipper") by reason of their status as variable interest entities, which consolidation commenced in the third quarter of 2004. (See "Note 10 - Variable Interest Entities.") Clipper consists of three partnerships, five limited liability companies and one sole proprietorship, each of which own one facility that we operate in New Hampshire.

Rehabilitation Therapy Services.  Total revenues from Rehabilitation Therapy Services increased $4.2 million, or 3.2%, to $137.3 million for the year ended December 31, 2005, from $133.1 million for the year ended December 31, 2004.  Of the $4.2 million increase in total revenues, affiliated revenues increased $3.8 million, or 11.4%, and nonaffiliated revenues increased $0.4 million, or 0.4%. The increase in 2005 of $0.4 million in nonaffiliated revenues was due primarily to the loss of two large chain customers during the second and third quarters of 2004 and the replacement during 2005 of that revenue stream through the growth of rehabilitation agency activity.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $6.4 million, or 7.0%, to $98.1 million for the year ended December 31, 2005 from $91.7 million for the year ended December 31, 2004. The increase was due primarily to an average increase of 7.2% in therapy wages in order to recruit and maintain therapists offset by a $0.9 million reclassification to general and administrative expense of salaries, benefits, and other related expenses for overhead staff that were recorded to operating salaries and benefits in 2004.

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

     Self-insurance for workers' compensation and general and professional liability expenses increased $1.1 million, or 157.1%, to $1.8 million for the year ended December 31, 2005, from $0.7 million for the year ended December 31, 2004. The increase was due to an increase in workers' compensation claims expense.

     Other operating costs, including contract labor expenses, increased $0.8 million, or 3.7%, to $22.6 million for the year ended December 31, 2005 from $21.8 million for the year ended December 31, 2004.  The increase was primarily due to increases in contract therapy expense, legal expense as a result of a reversal of a 2004 accrual for legal fees, and support fees for management information systems.

     General and administrative expenses increased $1.0 million, or 15.6%, to $7.4 million for the year ended December 31, 2005 from $6.4 million for the year ended December 31, 2004.  The increase was primarily due to a $0.9 million reclassification of overhead salaries, benefits, and other related expenses that were recorded to operating salaries and benefits in 2004 and increases in wages.

     The provision for losses on accounts receivable decreased $2.0 million, or 133.3%, to a credit of $0.5 million for the year ended December 31, 2005 from $1.5 million for the year ended December 31, 2004. The decrease in expense was primarily due to improvements in collections in 2005 of older receivables.

 Medical Staffing Services.  Total revenues from Medical Staffing Services increased $14.3 million, or 25.2%, to $71.1 million for the year ended December 31, 2005 from $56.8 million for the year ended December 31, 2004. The increase in revenues was primarily the result of:

-

$6.1 million resulting from the acquisition of ProCare in August 2005 and two small acquisitions earlier in the year;

   

-

$4.6 million attributable to an increase of 196,000 billable hours; and

   

-

$3.7 million due to an average 5.6% bill rate per hour increase.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $12.9 million, or 29.4%, to $56.8 million for the year ended December 31, 2005 from $43.9 million for the year ended December 31, 2004. Of the $12.9 million increase, $8.1 million was directly attributable to the increase in billable hours and $4.8 million from the acquisitions mentioned above.

     Other operating costs increased $0.1 million, or 2.3%, to $4.4 million for the year ended December 31, 2005 from $4.3 million for the year ended December 31, 2004.  The increase was primarily attributable to a $0.5 million increase in contract labor usage by affiliated inpatient services facilities offset by a $0.4 million decrease in various administrative expenses related to travel and meal stipends.

    General and administrative expenses, which include regional costs related to the supervision of operations and all other non-direct costs, decreased $0.4 million, or 12.9%, to $2.7 million for the year ended December 31, 2005 from $3.1 million for the year ended December 31, 2004.  The decrease resulted primarily from corporate restructure of overhead and resulting lower administrative expenses.

     The provision for losses on accounts receivable decreased $0.1 million, or 33.3%, to $0.2 million for the year ended December 31, 2005 from $0.3 million for the prior year due to improved management of receivables and the recoveries of older, fully-reserved receivables.

32


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 Home Health Services.  Total revenues from Home Health Services increased $4.1 million, or 7.2%, to $60.8 million for the year ended December 31, 2005 from $56.7 million for the year ended December 31, 2004.  The increase in revenues was comprised primarily of:

-

a $1.9 million increase in Medicare revenues due to increased patient episodes;

   

-

a $1.7 million increase in commercial insurance revenues due to increased patient visits; and

   

-

a $0.4 million increase in Medicaid revenues due to an acquisition in November 2004.

     Operating salaries and benefits expenses, excluding workers compensation insurance costs, increased $4.6 million, or 11.4%, to $45.1 million for the year ended December 31, 2005 from $40.5 million for the year ended December 31, 2004. The increase is directly attributable to the increase in revenues, overtime, wage increases and a greater utilization of higher skilled labor such as registered nurses and therapists.

     Self-insurance for workers' compensation and general and professional liability expenses decreased $0.5 million, or 23.8%, to $1.6 million for the year ended December 31, 2005 from $2.1 million for the year ended December 31, 2004. The decrease was directly attributable to an improvement in workers' compensation claims experience.

     Other operating costs increased $0.3 million, or 4.5%, to $7.0 million for the year ended December 31, 2005 from $6.7 million for the year ended December 31, 2004.  The increase was driven primarily by higher purchased services, patient medical supplies and other administrative costs.

     General and administrative expenses increased $0.3 million, or 33.3%, to $1.2 million for the year ended December 31, 2005 from $0.9 million for the year ending December 31, 2004. The increase was primarily due to increased recruitment efforts to fill open positions, use of temporary staff/outside consultants and severance payouts.

Laboratory and Radiology Services.  Total revenues from Laboratory and Radiology Services for the year ended December 31, 2005 decreased by $1.4 million, or 8.9%, to $14.3 million from $15.7 million for the year ended December 31, 2004, due primarily to a decrease in the number of nonaffiliated contracts and lower volume per contract.

    Self-insurance for workers' compensation and general and professional liability expenses decreased by $0.1 million, or 16.7%, to $0.5 million for the year ended December 31, 2005 from $0.6 million for the year ended December 31, 2004. The decrease was due to an improvement in workers' compensation claims experience.

     Other operating costs decreased $0.1 million, or 2.2%, to $4.5 million for the year ended December 31, 2005 from $4.6 million for the year ended December 31, 2004.  The decrease was primarily the result of lower property costs.

Corporate.  General and administrative costs not directly attributed to operating segments increased $3.1 million, or 7.0%, to $47.2 million for the year ended December 31, 2005 from $44.1 million for the year ended December 31, 2004. The increase was primarily due to:

-

$1.3 million of accounts payable vendor settlement refunds related to the 2004 restructuring efforts that did not reoccur in 2005;

   

-

$0.9 million of bank service charges of which $0.4 million of the increase related to a recovery of fees in 2004 as a result of the refinance of our credit facility in 2004 that did not reoccur in 2005;

33


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

-

$0.7 million of travel and meeting expenses;

   

-

$0.5 million of professional and consultant fees recorded in 2005 related to various improvement initiatives; and

   

-

$0.5 million of gain on an asset held for sale in 2004 that did not reoccur in 2005,

offset by

-

a $0.6 million decrease in staff salaries and benefits.

Interest expense

     Net interest expense not directly attributed to operating segments increased $1.0 million, or 28.6%, to $4.5 million for the year ended December 31, 2005 from $3.5 million for the year ended December 31, 2004. The increase was primarily due to an increase in borrowings on our credit facility during 2005.

Year Ended December 31, 2004 Compared to Year Ended December 31, 2003

     Net revenues increased $34.9 million to $813.3 million for 2004 from $778.4 million for 2003. We reported a net loss for the year ended December 31, 2004 of $18.6 million compared to net income of $0.4 million for the year ended December 31, 2003.

     The net loss of $18.6 million for the year ended December 31, 2004 included:

-

a $28.5 million loss on discontinued operations and the disposal of discontinued operations comprised primarily of $17.6 million of losses associated with the California clinical laboratory and radiology operations that was sold in November 2004 that included a revenue adjustment of $3.3 million related to a prior year and a provision for loss adjustment of $3.4 million, $5.3 million of losses associated with the divestiture of six skilled nursing facilities during 2004 and one in 2005 in our Inpatient Services division, $1.0 million of losses associated with the reclassification of our mobile radiology operations to assets held for sale as of September 30, 2005, and $4.3 million of residual costs associated with the sale of our pharmacy operations during 2003;

   

-

$8.9 million interest expense, net;

   

-

$2.0 million of restructuring costs associated with professional fees and one-time terminations;

   

-

a $1.5 million loss on sale of assets associated with the write-down of land and a building held for sale; and

   

-

$1.0 million loss on asset impairment,

offset by

-

a $16.5 million, net, reduction in general and professional liability and workers' compensation insurance reserves due to improvement in claim trends, primarily for prior year policies;

   

-

a $3.4 million gain on extinguishment on debt, net due to mortgage restructurings; and

   

34


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

     

-

a net $1.2 million income tax benefit, as a result of federal income tax refunds.

The net income of $0.4 million for the year ended December 31, 2003 included:

-

a $30.5 million gain on discontinued operations primarily driven by income of $49.5 million related to the sale of our pharmaceutical operations and $4.2 million of income related to the sale of our software development company that was sold in November 2003, offset by losses of $21.9 million related to the divestiture of 127 Inpatient Services facilities in 2003, six in 2004 and one in 2005; and

   

-

a $4.2 million gain on sale of land and buildings included in our Other Operations segment,

offset by

-

$16.9 million of interest expense;

   

-

$14.7 million of restructuring charges; and

   

-

$2.8 million of asset impairment charges.

Segment information

Inpatient Services.  Net revenues increased $39.2 million, or 7.2%, to $585.8 million for year ended December 31, 2004 from $546.6 million for the year ended December 31, 2003. The increase in net revenues for the Inpatient Services segment was primarily the result of:

-

an increase of $17.4 million in Medicare revenues, $9.8 million of which was due to an improvement in overall facility occupancy to 90.8% from 90.1%, an improvement in Medicare mix to 13.0% from 12.2% of total occupancy, and $7.6 million due to higher per diem Medicare rates that started in October 2003;

   

-

an increase of $16.5 million in Medicaid revenues, $19.0 million of which was caused by higher per diem Medicaid rates driven mainly by provider taxes, offset, in part, by a decrease of $3.5 million from lower Medicaid occupancy; and

   

-

an increase of $3.9 million in private and commercial insurance revenues due to rate increases.

     Operating salaries and benefits expenses increased $12.9 million, or 4.6%, to $296.3 million for the year ended December 31, 2004 from $283.4 million for the year ended December 31, 2003. The increase was primarily due to wage increases and an increase in labor hours associated with an increase in Medicare census, offset partly with a $3.7 million decrease in health insurance costs due to improved claims experience.

     Self-insurance for workers' compensation and general and professional liability insurance decreased $5.6 million, or 21.1%, to $20.9 million for the year ended December 31, 2004 as compared to $26.5 million for the year ended December 31, 2003. This decrease was comprised primarily of:

-

a $9.1 million decrease related to patient care liability costs, net of a reduction of $14.0 million related to improvement in claims and settlement trends for prior periods;

offset by

35


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 

-

a $3.5 million increase related to workers' compensation insurance costs, net of a reduction of $3.2 million related to deterioration of claims trends for prior periods reflected in the twice yearly actuarial study.

     Other operating costs increased $8.3 million, or 5.4%, to $161.5 million for the year ended December 31, 2004 from $153.2 million for the year ended December 31, 2003. The increase was primarily due to:

-

a $5.6 million increase in provider taxes for the 2004 year as compared to the same period in 2003 due, in part, to the implementation of provider taxes in North Carolina;

   

-

an increase in ancillary therapy costs of $2.5 million driven primarily by the increase in Medicare customer base; and

   

-

a net increase of $0.4 million due to increases in the cost of supplies and other purchased services related to patient care.

     Facility rent expense increased $0.5 million to $35.6 million for the year ended December 31, 2004 from $35.1 million for the year ended December 31, 2003 due to contractually scheduled rent increases on existing leases, offset by the favorable effect of the consolidation of the Clipper partnerships (see "Note 10-Variable Interest Entities").

     General and administrative expenses decreased $1.5 million, or 11.2%, to $11.9 million for year ended December 31, 2004 from $13.4 million for the year ended December 31, 2003. The $1.5 million decrease was primarily due to salaries and benefits expense for regional administrative and office personnel, utilities and supplies that were eliminated as part of the restructuring.

     Depreciation and amortization increased $2.1 million, or 40.4%, to $7.3 million for the 2004 year from $5.2 million for the 2003 year. The increase was primarily attributable to capital expenditures incurred for facility improvements and the additional depreciation and amortization expense associated with the consolidation of Clipper partnerships. (See "Note 10-Variable Interest Entities.")

     The provision for losses on accounts receivable decreased $3.8 million, or 59.4%, to $2.6 million for the year ended December 31, 2004 from $6.4 million for the year ended December 31, 2003 due to improved monitoring of current receivables and the collection of older receivables.

     Net interest expense for the year ended December 31, 2004 was $5.3 million as compared to $3.1 million for the year ended December 31, 2003. The $2.2 million, or 71.0%, increase was primarily due to the scheduled increase in expense related to debt amortization and the additional interest expense related to the consolidation of Clipper partnerships. (See "Note 10-Variable Interest Entities.")

Rehabilitation Therapy Services.  Net revenues for the Rehabilitation Therapy Services segment decreased $11.2 million, or 7.8%, to $133.1 million for the year ended December 31, 2004 from $144.3 million for the year ended December 31, 2003. The decrease was primarily due to the decrease in nonaffiliated sales as a result of the lingering disruption of the sales cycle in 2004 due to the January 2004 termination of the contemplated sale of substantially all of the segment announced in late 2003.

     Operating salaries and benefits expenses decreased $7.2 million, or 7.3%, to $91.7 million for the year ended December 31, 2004 from $98.9 million for the same period in 2003. The decrease was primarily driven by the reduction of employees and reorganization of the operating structure as a result of the impact of lower revenues and a reclassification to general and administrative expenses.

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

     Self-insurance expenses for workers' compensation and professional liability insurances decreased $1.1 million, or 61.1%, to $0.7 million for the year ended December 31, 2004 from $1.8 million for the year ended December 31, 2003. The decrease was primarily due to costs related to improved claims experiences during the year.

     General and administrative expenses increased $2.8 million, or 77.8%, to $6.4 million for the year ended December 31, 2004 from $3.6 million for the year ended December 31, 2003. The increase was primarily due to reclassification of expenses included in operating expenses.

      Depreciation and amortization decreased $0.9 million, or 81.8%, to $0.2 million for the year ended December 31, 2004 from $1.1 million for the year ended December 31, 2003. The decrease was primarily due to the reduction in property carrying values due to closures of administrative office locations in conjunction with the Inpatient Services divestitures during 2003 and the restructuring of operations in 2004.

     The provision for losses on accounts receivable decreased $0.3 million, or 16.7%, to $1.5 million for the year ended December 31, 2004 from $1.8 million for the year ended December 31, 2003. The decrease in expense was primarily due to improved collection and customer credit methods.

Medical Staffing Services.  Net revenues from the Medical Staffing Services segment decreased $5.0 million, or 8.1%, to $56.8 million for the year ended December 31, 2004 from $61.8 million for the year ended December 31, 2003. The decrease was primarily the result of decreased agency staff usage within our affiliated skilled nursing facilities and hospitals.

     Operating salaries and benefits expenses were $43.9 million for the year ended December 31, 2004 as compared to $45.6 million for the year ended December 31, 2003, a decrease of $1.7 million, or 3.7%. The decrease was directly attributable to the decrease in revenue.

     Other operating expenses, which include contract staffing utilized to staff personnel shortages, decreased $5.8 million, or 57.4%, to $4.3 million for the 2004 year from $10.1 million for the 2003 year. The decrease was primarily attributable to a decrease of $5.2 million in contract labor expense due to decreased usage by the affiliated inpatient facilities and a $0.6 million decrease in regional administrative expenses.

     General and administrative expenses increased $0.9 million, or 40.9%, to $3.1 million for the year ended December 31, 2004 from $2.2 million for the year ended December 31, 2003. The increase was primarily due to recruiting and retention costs associated with initiatives to attract new business and retain staff.

Home Health Services.  Net revenues from the Home Health Services segment increased $1.2 million, or 2.2%, to $56.7 million for the year ended December 31, 2004 from $55.5 million for the year ended December 31, 2003. The increase in revenues was due primarily to an increase in Medicare rates.

     Operating salaries and benefits expenses increased $0.2 million, or 0.5%, to $40.5 million for the 2004 year from $40.3 million for the 2003 year. The increase was primarily the result of an increase in health insurance costs.

     Self-insurance expenses for workers' compensation and professional liability insurance increased $0.4 million, or 23.5%, to $2.1 million for the year ended December 31, 2004 from $1.7 million for the year ended December 31, 2003. The increase was primarily the result of increased workers' compensation claims expenses.

     The provision for losses on accounts receivable increased $0.3 million, to $0.5 million for the year ended December 31, 2004 from $0.2 million for the year ended December 31, 2003. The increase was due to better than expected collections on account receivables in 2003 that did not occur in 2004.

37


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Laboratory and Radiology Services.  Net revenues from the Laboratory and Radiology Services segment decreased $0.3 million, or 1.9%, to $15.7 million for the year ended December 31, 2004 from $16.0 million for the year ended December 31, 2003, due primarily to a decrease in contracts in our northeast laboratory operations.

     Operating salaries and benefits expenses decreased $0.1 million, or 1.1%, to $8.9 million for the 2004 year from $8.8 million for the 2003 year. The decrease was primarily the result of a reduction in employees driven by the decrease in revenues.

     Other operating costs increased $0.3 million, or 7.0%, to $4.6 million for the year ended December 31, 2004 from $4.3 million for the year ended December 31, 2003. This increase was due primarily to an increase in purchased and administrative services.

     General and administrative expenses were $0.3 million for the year ended December 31, 2004. These costs were included in operating costs for the same period in 2003.

     The provision for losses on accounts receivable decreased $0.2 million, or 40.0%, to $0.3 million for the year ended December 31, 2004 from $0.5 million for the year ended December 31, 2003. The decrease was primarily the result of improved collections.

Corporate.  General and administrative costs not directly attributed to operating segments increased $0.7 million, or 1.6%, to $44.1 million for the year ended December 31, 2004 from $43.4 million for the year ended December 31, 2003. The increase was primarily due to:

-

$2.0 million of accounts payable vendor settlement payments related to the 2003 restructuring efforts that did not reoccur in 2004;

offset by

-

$1.1 million of excess bank service charges due to a recovery in September 2004 associated with the refinancing of our credit line in September 2003.

Interest expense

     Net interest expense not directly attributed to operating segments decreased $10.4 million, or 74.8%, to $3.5 million for the year ended December 31, 2004 from $13.9 million for the year ended December 31, 2003. The decrease was primarily due to the private placement in March 2004 of our common stock and warrants and the payoff of substantially all of the outstanding revolving loan balance for which interest was not incurred.

Liquidity and Capital Resources

     For the year ended and as of December 31, 2005, our net income was $24.8 million and our working capital deficit was $66.8 million, of which $34.4 million relates to the debt on the Clipper partnerships, which is not our direct obligation and is expected to be refinanced during 2006, and $11.2 million to a capital lease that we intend to convert to an operating lease and for which no principal payment will be required. As of December 31, 2005, we had cash and cash equivalents of $16.6 million, $10.1 million in borrowings and $14.4 million in letters of credit outstanding under our Amended and Restated Loan and Security Agreement dated December 2, 2005 (the "Revolving Loan Agreement") and $61.1 million of funds available for borrowing under our Revolving Loan Agreement, which expires January 31, 2009. We believe that our operating cash flows, existing cash reserves, and availability for borrowing under our Revolving Loan Agreement will provide sufficient funds for our operations, capital expenditures and regularly scheduled debt service payments at least through the next year.

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Cash flows

     For the year ended December 31, 2005, our net cash used for operating activities was $8.3 million, which was primarily the result of $36.8 million in funding for workers' compensation and general and professional liability insurances. The $38.4 million net proceeds from the issuance of our common stock, the $10.1 million in borrowings under our Revolving Loan Agreement and the cash proceeds of $10.7 million from the sale of assets were primarily used to fund $17.4 million in capital expenditures, $8.5 million in net debt service for the year, and $17.8 million in acquisition costs for the inpatient and medical staffing segments. The $8.5 million in debt service was the net of $19.5 million in long-term debt repayments and the $11.0 million borrowing, as a result of the refinance of three facility mortgages.

     On December 2, 2005, we amended and restated our Revolving Loan Agreement, which resulted in an immediate increase in our liquidity of $19.0 million.  The Revolving Loan Agreement was subsequently used to, among other things, pay off $8.5 million outstanding under Peak's credit facility upon our acquisition of Peak on December 9, 2005.

     In December 2005, we sold 6.9 million shares of our common stock at $6.00 per share in a public offering for net proceeds of $38.4 million. We used the net proceeds to repay amounts outstanding under our Revolving Loan Agreement.

     For the year ended December 31, 2004, our net cash used for operating activities was $26.2 million, which was primarily the result of $37.4 million in funding for workers' compensation and general and professional liability insurances. On February 20, 2004, we completed a private placement of our common stock and warrants to purchase common stock to investors. We received net proceeds of $52.3 million in the private placement. We sold 4.4 million shares of our common stock, and warrants to purchase 2.0 million shares of our common stock (inclusive of warrants paid to the placement agent). The price paid by investors was $12.70 per unit, except for 155,400 units sold at $12.87 per unit. Each unit consisted of one share of common stock and a warrant to purchase 0.4 shares of common stock with a warrant exercise period of five years at an average exercise price of $13.05 per share. The $52.3 million net proceeds from the equity offering were used to fund self-insurance liabilities, pay down the $13.1 million balance under our Revolving Loan Agreement, fund $12.9 million in capital expenditures, and pay $6.7 million in debt service for the year.

     On March 1, 2004, we entered into an Amended and Restated Master Lease Agreement with Omega Healthcare Investors, Inc. and various of its affiliates ("Omega"). Prior to our portfolio restructuring, we leased 51 facilities from Omega. Pursuant to the new master lease, we continue to operate 30 facilities (including 23 long-term care facilities, one rehabilitation and one long-term care hospital, and five behavioral facilities). The new master lease also settled a combination of (i) accrued past due rent and (ii) future rent obligations that would otherwise have become due under the previously existing master leases as of March 1, 2004 by combining those amounts into "deferred base rent." This deferred base rent accrued interest (compounded annually) at a floating rate of 375 basis points over the applicable LIBOR rate (subject to a floor rate of 6.0%). However, in April 2004, Omega exercised its right to convert the deferred base rent and accrued interest into 760,000 shares of our common stock and $0.5 million in cash, resulting in a $4.4 million charge recorded in loss on disposal of discontinued operations, net, for the year ended December 31, 2004.

Revolving Loan Agreement

     On December 2, 2005, we entered into an Amended and Restated Loan and Security Agreement with CapitalSource Finance LLC, as collateral agent, and certain lenders, which amended and restated an existing revolving credit facility. The Revolving Loan Agreement, among other things, provides for up to $100 million of borrowing availability and terminates on January 31, 2009. The interest rate on borrowings equals 2.75% (which

39


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

percentage is subject to adjustment after June 2, 2006 based on our fixed charge coverage ratio) plus the greater of (i) 4.31% or (ii) (a) a floating rate equal to the London Interbank Offered Rate for one month adjusted daily or (b), at our option, a rate that is fixed for a period of 30, 60 or 90 days equal to the London Interbank Offered Rate two days prior to the commencement of such period. The Revolving Loan Agreement continues to be secured by almost all of our assets (and the assets of our subsidiaries), including accounts receivable, inventory, stock of our subsidiaries and equipment, but excluding real estate.

     Availability of amounts under the Revolving Loan Agreement is subject to compliance with financial covenants, including a fixed charge coverage covenant, which requires that the ratio of Operating Cash Flow (as defined in the Revolving Loan Agreement) to Fixed Charges (as defined in the Revolving Loan Agreement) equal or exceed 1.0:1.0. Our borrowing availability under the Revolving Loan Agreement is generally limited to up to eighty-five percent (85%) of the value of our accounts receivable that are deemed eligible pursuant to the Revolving Loan Agreement, plus an overadvance facility equal to an additional 15% of the value of such receivables, but not to exceed $100.0 million. Under certain circumstances, the borrowing capacity of the facility may be expanded to up to $150.0 million. The defined borrowing base as of March 1, 2006 was $88.3 million, net of specified reserves of $5.9 million. As of March 1, 2006, we had borrowed $20.3 million and issued $14.6 million in letters of credit, leaving $53.4 million available to us for additional borrowing. The Revolving Loan Agreement contains customary events of default, such as our failure to make payment of amounts due, defaults under other agreements evidencing indebtedness, certain bankruptcy events and a change of control (as defined in the Revolving Loan Agreement). The agreement also contains customary covenants restricting, among other things, incurrence of indebtedness, liens, payment of dividends, repurchase of stock, acquisitions and dispositions, mergers and investments. We have also agreed to limit our capital expenditures to a maximum of $13.0 million in any six-month period. Failure to comply with a covenant or the occurrence of an event of default could result in the acceleration of payment obligations under the Revolving Loan Agreement.

Acquisitions

     On August 29, 2005, we acquired ProCare, a temporary nurse staffing business, for a total purchase price of $8.3 million, of which $4.2 million was paid in cash at closing and $4.1 million is payable over three years pursuant to two promissory notes. The $8.3 million acquisition cost, including $0.1 million in estimated professional fees, was allocated to the assets acquired and liabilities assumed, based on their fair values of $2.5 million to working capital and $5.9 million to intangible assets. Of the $5.9 million of acquired intangible assets, $0.1 million was assigned to trade names, which are an indefinite-lived intangible asset, and $3.3 million was assigned to customer contracts, which is subject to amortization. The remaining $2.5 million of acquired intangible assets, which represented goodwill, was assigned to the Medical Staffing segment and will be subject to annual impairment tests.

     On December 9, 2005, we acquired Peak, which operated or managed 56 inpatient facilities, in exchange for approximately nine million shares of our common stock. The $164.4 million acquisition cost, which included the fair value of Sun Common Stock issued of $55.6 million and options issued of $0.3 million, $95.7 million of assumed indebtedness and $12.8 million in estimated direct transaction costs, was allocated to the assets acquired and liabilities assumed, based on their fair values of $12.8 million to working capital, $74.6 million to property and equipment, $6.0 million to other long-term assets, $2.8 million to identified intangibles, less $7.7 million to other long-term liabilities. The remaining $75.9 million represented goodwill, which was assigned to the Inpatient Services segment and will be subject to annual impairment tests. The allocation of the purchase price was based on preliminary data and could change when final valuation of certain tangible and intangible assets is obtained.

40


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Assets held for sale

     During the year ended December 31, 2005, we sold one nursing facility for $1.0 million in cash, and land and a building for $0.8 million. On November 4, 2005, we sold Pacific Mobile, our mobile and radiology services operations located in Arizona and Colorado.

     In July 2003, we sold the assets of our pharmaceutical services operations to Omnicare, Inc. for $90.0 million. Of the $90.0 million, we received cash proceeds of $75.0 million at closing while $15.0 million was not scheduled to be paid until 2005. Of the $15.0 million, $7.7 million of the hold back was received in September 2005. Payment of the remainder of the hold back is pending the completion of a net asset adjustment reconciliation satisfactory to both parties to the transaction. The reconciliation, which is not directly related to the hold back consideration, and for which provision has previously been made, is expected to be completed during the first quarter of 2006.

      As of December 31, 2005, assets held for sale consisted of two undeveloped parcels of land collectively valued at $1.9 million. We expect to sell them in 2006.

Debt

      As part of the Peak acquisition, we assumed indebtedness of $84.9 million and repaid another $10.8 million of debt through borrowings under our Revolving Loan Agreement.

     As part of the ProCare acquisition in August 2005, we issued $4.1 million in promissory notes payable over three years. As of March 1, 2006, $1.7 million remains outstanding.

     Of the $66.9 million current portion of long-term debt, $45.8 million represents debt which we expect to refinance during 2006, of which Clipper represents $34.4 million. A capital lease of $11.2 million, which was acquired in the Peak acquisition and is presented as a current liability, is expected to be converted to an operating lease during the year and accounted for as a sale/leaseback, and no principal payment is anticipated.

     During August 2005, we refinanced three mortgages that were due in 2005 with CapitalSource Finance for $11.0 million. These loans bear interest at 8.5%, mature in five years, require monthly principal and interest payments and are secured by the real property of the nursing facilities.

     On February 28, 2002, we delivered a promissory note to the federal government as part of our settlement agreement pursuant to our Plan of Reorganization. The remaining payment due under the promissory note is $3.0 million on February 28, 2007. Interest under the promissory note is based upon the weekly average one-year constant maturity treasury yield. The effective interest rate as of December 31, 2005 was 2.24%.

     As part of the PIFJ as described under Item 3 - "Legal Proceedings," we agreed to pay $2.5 million in quarterly payments commencing October 2005 and terminating July 2007.

Capital expenditures

     We incurred total net capital expenditures related to improvements at facilities, as reflected in the segment reporting, of $17.4 million, $12.9 million and $16.6 million for the years ended December 31, 2005, 2004 and 2003, respectively. There were no significant capital expenditures for divested facilities for the year ended December 31, 2005. We had construction commitments as of December 31, 2005 under various contracts of $3.3 million related to improvements at facilities. We expect to incur approximately $24.0 million in capital expenditures during 2006, related primarily to improvements at existing facilities and information system upgrades.

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Other

     We continue to resolve bankruptcy claims for periods prior to October 14, 1999 that were filed by various State Medicaid agencies. As of December 31, 2005, we expect to pay $2.5 million to the State Medicaid agencies to resolve these claims. The payments are expected to be made partly in cash, partly with promissory notes and potentially netted against reimbursements payable to us.

Obligations and Commitments

     The following table provides information about our contractual obligations and commitments in future years as of December 31, 2005 (in thousands):

 

                                    Payments Due by Period                                         

 

 

 

 

 

 

 

After

 

Total

2006

2007

2008

2009

2010

2010

Contractual Obligations:

Debt (1)(2)

$ 200,547

$  60,011

$ 26,018

$ 25,743

$ 14,516

$  25,928

$   48,331

Capital lease (3)

12,401

12,401

-

-

-

-

-

Construction commitments

3,277

3,277

-

-

-

-

-

Purchase obligations

123,200

42,000

42,000

29,200

10,000

-

-

Operating leases

417,978

66,160

62,622

56,940

54,344

50,921

126,991

Other long-term liabilities (4)

      9,747

       404

    2,036

    2,036

    2,036

     3,235

             -

Total

$ 767,150

$ 184,253

$132,676

$113,919

$ 80,896

$  80,084

$ 175,322

=======

=======

======

======

======

======

=======

               

 

 

                 Amount of Commitment Expiration Per Period                  

 

Total

 

 

 

 

 

 

 

Amounts

 

 

 

 

 

After

 

Committed

2006

2007

2008

2009

2010

2010

Other Commercial Commitments:

Letters of credit

$    15,660

$  15,660

$            -

$            -

$            -

$             -

$               -

Total

$    15,660

$ 15,660

$            -

$            -

$            -

$             -

$               -

=======

======

======

======

======

=======

========

               

(1)

Includes total interest on debt of $14.4 million based on contractual rates, of which $3.2 million is attributed to variable interest rates determined using the weighted-average method.

(2)

Includes $54.1 million of debt related to Clipper, of which $3.9 million is interest. We expect that $34.4 million, which is classified as current debt, will be refinanced during 2006. (See "Note 10 - Variable Interest Entities.")

(3)

Includes interest of $1.2 million.

(4)

We entered into an agreement that granted us options, exercisable sequentially over a period of seven years, pursuant to which we can acquire up to 100 percent of the ownership of nine entities for an aggregate remaining amount of $9.7 million, of which $0.4 million is recorded in other accrued liabilities in our consolidated balance sheet. The agreement also provides the owners of those entities the right to require us to purchase those ownership interests at the above described times and option prices. (See "Note 10 - Variable Interest Entities.")

Critical Accounting Estimates

     Our discussion and analysis of the financial condition and results of operations are based upon the consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the

42


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

United States. The preparation of these financial statements requires the use of estimates and judgments that affect the reported amounts and related disclosures of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results may differ materially from these estimates. We believe the following critical accounting policies, among others, affect the more significant judgments and estimates used in the preparation of the consolidated financial statements.

     Net revenues.  Net revenues consist of long-term and subacute care revenues, rehabilitation therapy revenues, medical staffing services revenues, home health revenues and laboratory and radiology revenues. Net revenues are recognized as services are provided. Revenues are recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid. Net revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment. Estimated third-party payor settlements are recorded in the period the related services are rendered. The methods of making such estimates are reviewed periodically, and differences between the net amounts accrued and subsequent settlements or estimates of expected settlements are reflected in current results of operations, when determined.

     Accounts receivable and related allowance.  Our accounts receivable relate to services provided by our various operating divisions to a variety of payors and customers. The primary payors for services provided in long-term and subacute care facilities that we operate are the Medicare program and the various state Medicaid programs. The rehabilitation therapy service operations provide services to patients in nonaffiliated long-term, rehabilitation and acute care facilities. The billings for those services are submitted to the nonaffiliated facilities. Many of the nonaffiliated long-term care facilities receive a large majority of their revenues from the Medicare program and the state Medicaid programs.

     Estimated provisions for doubtful accounts are recorded each period as an expense to the consolidated statements of operations. In evaluating the collectibility of accounts receivable, we consider a number of factors, including the age of the accounts, changes in collection patterns, the financial condition of our customers, the composition of patient accounts by payor type, the status of ongoing disputes with third-party payors and general industry conditions. Any changes in these factors or in the actual collections of accounts receivable in subsequent periods may require changes in the estimated provision for loss. Changes in these estimates are charged or credited to the results of operations in the period of the change.

     The allowance for uncollectible accounts related to facilities that we currently operate is computed by applying a bad debt percentage to the individual accounts receivable aging categories based on historical collections. An adjustment is then recorded each month to adjust the allowance based on this procedure. In addition, a retrospective collection analysis is performed within each operating company to test the adequacy of the reserve on a semi-annual basis.

     The allowance for uncollectible accounts related to facilities that we have divested was based on a percentage of outstanding accounts receivable at the time of divestiture and was recorded in gain or loss on disposal of discontinued operations, net. As collections are recognized, the allowance is adjusted as appropriate. Due to favorable collections, $0.2 million and $6.5 million of the reserve was recovered during the years ended December 31, 2005 and 2004, respectively. As of December 31, 2005, accounts receivable for divested operations were fully reserved.

     Insurance.  We self-insure for certain insurable risks, including general and professional liability, workers' compensation liability and employee health insurance liability through the use of self-insurance or retrospective and self-funded insurance policies and other hybrid policies, which vary by the states in which we operate. There is a risk that amounts funded to our self-insurance programs may not be sufficient to respond to all claims asserted under those programs. Provisions for estimated reserves, including incurred but not reported losses, are provided in

43


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

the period of the related coverage. An independent actuarial analysis is prepared twice a year to determine the adequacy of the self-insurance obligations booked as liabilities on our financial statement. The methods of making such estimates and establishing the resulting reserves are reviewed periodically and are based on historical paid claims information and nationwide nursing home trends. Any adjustments resulting there from are reflected in current earnings. Claims are paid over varying periods, and future payments may be different than the estimated reserves.

     The most recent workers' compensation actuarial analysis completed in December 2005 by our independent actuaries reflected an overall improvement in worker's compensation liability cost trends for the current policy year. We have recorded reserves of $56.1 million and $62.8 million as of December 31, 2005 and 2004, respectively. We estimated our range of exposure at December 31, 2005 was $50.5 million to $61.7 million. Effective with the policy period beginning January 1, 2002, we discount our workers' compensation reserves based on a 4% discount rate. At December 31, 2005, the discounting of these policy periods resulted in a reduction to our reserves of $11.6 million. Based on the results of the actuarial analyses completed in June and December 2005, we adjusted our reserves between continuing operations and discontinued operations, recording increases of $0.9 million related to continuing operations for incidents in prior years, and of $1.0 million related to discontinued operations for incidents in prior years. Based on the results of the actuarial analyses completed in 2004, we recorded a net pre-tax charge of $0.2 million for the year ended December 31, 2004 related to a slight degradation in claim trends primarily for prior year policies for discontinued operations for workers' compensation liability costs.

     The most recent actuarial analysis completed in December 2005 by our independent actuaries reflected an improvement in patient care liability cost trends for the 2002 and 2003 policy years. We have recorded reserves of $86.5 million and $104.7 million as of December 31, 2005 and 2004, respectively. We estimated our range of exposure at December 31, 2005 was $77.8 million to $95.1 million. Based on the results of the actuarial analyses completed in June and December 2005, we reduced our reserves by $23.2 million, of which $7.7 million was related to continuing operations for incidents in prior years, and $15.5 million related to discontinued operations for incidents in prior years. Based on the results of the actuarial analyses completed in 2004, we recorded a net pre-tax credit of $17.9 million for the year ended December 31, 2004 related to improvement in claim trends primarily for prior year policies for patient care liability costs.

Impairment of assets.

Goodwill and Accounting for Business Combinations

     Goodwill represents the excess of the purchase price over the fair value of the net assets of acquired companies.  Our goodwill included in our consolidated balance sheets as of December 31, 2005 and 2004 was $81.3 million and $0.4 million, respectively.  The increase in our goodwill during 2005 was primarily the result of the Peak business combination in the Inpatient Services segment and three acquisitions in our Medical Staffing segment.

     Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets ("SFAS No. 142") established new rules on the accounting for goodwill and other intangible assets. Under SFAS No. 142, goodwill and intangible assets with indefinite lives are no longer amortized; however, they are subject to annual impairment tests as prescribed by the statement. Intangible assets with definite lives continue to be amortized over their estimated useful lives.

     The purchase price of acquisitions is allocated to the assets acquired and liabilities assumed based upon their respective fair values and subject to change during the twelve month period subsequent to the acquisition date.  We engage independent third-party valuation firms to assist us in determining the fair values of assets acquired

44


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

and liabilities assumed.  Such valuations require us to make significant estimates and assumptions, including projections of future events and operating performance.

     Pursuant to SFAS No. 142, we perform our annual goodwill impairment analysis during the fourth quarter for each reporting unit that constitutes a business for which discrete financial information is produced and reviewed by operating segment management. We determine impairment by comparing the net assets of each reporting unit to their respective fair values. We determine the estimated fair value of each reporting unit using a discounted cash flow analysis. In the event a unit's net assets exceed its fair value, an implied fair value of goodwill must be determined by assigning the unit's fair value to each asset and liability of the unit. The excess of the fair value of the reporting unit over the amounts assigned to its assets and liabilities is the implied fair value of goodwill. An impairment loss is measured by the difference between the goodwill carrying value and the implied fair value. We did not record a goodwill impairment for the years ended December 31, 2005, 2004 or 2003.

Indefinite life intangibles

     Pursuant to SFAS No. 142, we evaluate the recoverability of our indefinite life intangibles, which are principally trademarks, by comparing the asset's respective carrying value to estimates of fair value. We determine the estimated fair value of these intangible assets through a discounted cash flow analysis. We internally prepared an impairment analysis using discounted cash flows in order to estimate the fair value of Indefinite Life Intangibles. We did not record an impairment to our Indefinite Life Intangibles for the years ended December 31, 2005, 2004 or 2003.

Finite life intangibles

     Pursuant to SFAS No. 142, we evaluate the recoverability of our finite life intangibles by comparing an asset's respective carrying value to estimates of undiscounted cash flows over the life of the intangible. If the carrying value of the asset exceeded the undiscounted cash flows, an impairment loss was measured by comparing the estimated fair value of the asset, based on discounted cash flows, to its carrying value. We did not record an impairment to our Finite Life Intangibles for the years ended December 31, 2005 or 2004. We did record an impairment of $0.5 million for the year ended December 31, 2003 within our Inpatient Services segment.

Long-lived assets

     The Financial Accounting Standards Board ("FASB") issued Statement of Financial Accounting Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets ("SFAS No. 144"), which addresses financial accounting and reporting for the impairment of long-lived assets (other than goodwill and indefinite lived intangibles) and for long-lived assets to be disposed of. SFAS No. 144 requires impairment losses to be recognized for long-lived assets used in operations when indicators of impairment are present and the estimated undiscounted cash flows are not sufficient to recover the assets' carrying amounts at each facility. The impairment loss is measured by comparing the estimated fair value of the asset, usually based on discounted cash flows, to its carrying amount. In accordance with SFAS No. 144, we assess the need for an impairment write-down when such indicators of impairment are present.

     2005.  During the year ended December 31, 2005, we did not record an impairment.

     2004.  During the year ended December 31, 2004, we recorded pretax charges totaling $1.0 million for asset impairments. The asset impairment charges related to a $1.0 million write-down of property and equipment in our Inpatient Services segment for certain nursing facilities whose book value exceeded estimated fair value when tested for impairment.

45


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

     2003.  During the year ended December 31, 2003, we recorded pretax charges totaling $2.3 million for asset impairments. The asset impairment charges consisted of a $2.3 million write-down of property and equipment in our Inpatient Services segment for certain nursing facilities whose book value exceeded estimated fair value when tested for impairment.

Recent Accounting Pronouncements

     On December 16, 2004, the Financial Accounting Standards Board (FASB) issued FASB Statement No. 123 (revised 2004), Share-Based Payment, which is a revision of FASB Statement No. 123, Accounting for Stock-Based Compensation. Statement 123(R) supersedes APB Opinion No. 25, Accounting for Stock Issued to Employees, and amends FASB Statement No. 95, Statement of Cash Flows. Generally, the approach in Statement 123(R) is similar to the approach described in Statement 123. However, Statement 123(R) requires all share-based payments to employees, including grants of employee stock options, to be recognized in the statement of operations based on their fair values. Pro forma disclosure is no longer an alternative.

     We adopted Statement 123(R) using the modified-prospective method on January 1, 2006, in which compensation cost is recognized beginning with the effective date (a) based on the requirements of Statement 123(R) for all share-based payments granted after the effective date and (b) based on the requirements of Statement 123 for all awards granted to employees prior to the effective date of Statement 123(R) that remain unvested on the effective date. Based on the estimated value of current unvested stock options, we expect wages and related expenses to increase $0.9 million for the year ending December 31, 2006, beginning January 1, 2006.

Item 7A.  Quantitative and Qualitative Disclosures About Market Risk

     We are exposed to market risk because we hold debt that is sensitive to changes in interest rates.  We manage our interest rate risk exposure by maintaining a mix of fixed and variable rates for debt.  The following table provides information regarding our market sensitive financial instruments and constitutes a forward-looking statement.

 

Fair Value

Fair Value

                                       Expected Maturity Dates                                     

December 31,

December 31,

2006

2007

2008

2009

2010

Thereafter

Total

2005(1)(2)

2004(2)

(Dollars in thousands)

Fixed rate debt (3)

$ 55,036

$    6,714

$  23,382

$    3,349

$ 23,658

$   45,225

$157,364

$   147,783

$     54,497

   Rate

8.8%

5.5%

7.8%

8.4%

9.5%

6.8%

Variable rate debt

$ 11,820

$  17,442

$      512

$  10,154

$       14

$         52

$ 39,994

$     35,185

$     12,990

   Rate

7.7%

8.6%

6.5%

7.2%

5.5%

5.5%

(1)

Total debt increased by $95.7 million in connection with the Peak acquisition.

(2)

The fair value of fixed and variable rate debt were determined based on the current rates offered for debt with similar risks and maturities.

(3)

Fixed rate long-term debt includes $50.2 million related to the consolidation of Clipper as of December 31, 2005 and $51.0 million as of December 31, 2004. (See "Note 10 - Variable Interest Entities.")

Item 8.  Financial Statements and Supplementary Data

     Information with respect to Item 8 is contained in our consolidated financial statements and financial statement schedules and are set forth herein beginning on Page F-1.

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

  Not applicable.

Item 9A.  Controls and Procedures

Management's Report on Disclosure Controls and Procedures

     As of the end of the period covered by this report, our management, including our principal executive officer (Richard Matros) and principal financial officer (L. Bryan Shaul), conducted an evaluation of the effectiveness of our disclosure controls and procedures.  Disclosure controls and procedures are designed to ensure that information required to be disclosed in our periodic reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission's rules and forms.  Based on that evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures are effective.  No change in our internal control over financial reporting occurred during the fourth quarter of 2005 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Management's Report on Internal Control over Financial Reporting

     Management is responsible for establishing and maintaining adequate internal control over financial reporting. We maintain a system of internal control that is designed to provide reasonable assurance as to the fair and reliable preparation and presentation of the consolidated financial statements, as well as to safeguard assets from unauthorized use or disposition.

     We acquired Peak Medical Corporation in December 2005 and excluded it from our assessment of the effectiveness of our internal control over financial reporting as of December 31, 2005. For the year ended December 31, 2005, Peak contributed $21.1 million, or 2.4%, of our total revenues, and, as of December 31, 2005, accounted for $112.6 million, or 25.8%, of our total assets, excluding goodwill that was recorded in connection with the acquisition of Peak of $75.9 million.

    We conducted an evaluation of the effectiveness of our internal control over financial reporting as of December 31, 2005 based on the framework in Internal Control - Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission ("COSO"). This evaluation included reviewing the documentation of controls, evaluating the design effectiveness of controls, testing the operating effectiveness of controls and making a conclusion on this evaluation. Although there are inherent limitations in the effectiveness of any system of internal control over financial reporting, based on our evaluation, we have concluded that our internal control over financial reporting was effective as of December 31, 2005.

     Our assessment of the effectiveness of our internal control over financial reporting as of December 31, 2005 has been audited by Ernst & Young LLP, an independent registered public accounting firm, as stated in their attestation report, which is included herein. (See page F-3).

Item 9B.  Other Information

Not applicable.

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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 PART III

Item 10.  Directors and Executive Officers of the Registrant

     The information required under Item 10 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A within 120 days after the end of fiscal 2005.

Item 11.  Executive Compensation

     The information required under Item 11 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A within 120 days after the end of fiscal 2005.

Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

     The information required under Item 12 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A within 120 days after the end of fiscal 2005.

Item 13.  Certain Relationships and Related Transactions

     The information required under Item 13 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A within 120 days after the end of fiscal 2005.

Item 14.  Principal Accounting Fees and Services

     The information required under Item 14 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A within 120 days after the end of fiscal 2005.

48


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 PART IV

Item 15.  Exhibits and Financial Statement Schedules

(a)

(1)

The following consolidated financial statements of Sun Healthcare Group, Inc. and subsidiaries are filed as part of this report under Item 8 - Financial Statements and Supplementary Data:

     

Reports of Ernst & Young LLP, Independent Registered Public Accounting Firm

     

Consolidated Balance Sheets as of December 31, 2005 and 2004

     

Consolidated Statements of Operations for the years ended December 31, 2005, 2004, and 2003

     

Consolidated Statements of Stockholders' (Deficit) Equity for the years ended December 31, 2005, 2004, and 2003

     

Consolidated Statements of Cash Flows for the years ended December 31, 2005, 2004, and 2003

     

Notes to Consolidated Financial Statements

     

(2)

Financial schedules required to be filed by Item 8 of this form, and by Item 15(d) below:

     

Schedule II Valuation and Qualifying Accounts for the years ended December 31, 2005, 2004, and 2003

     

All other financial schedules are not required under the related instructions or are inapplicable and therefore have been omitted.

     

(b)

Exhibits

 

   

Exhibit

 

Number

Description of Exhibits

   

2.1(18)

Agreement and Plan of Merger, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., Pinnacle Acquisition Corp., Peak Medical Corporation and the stockholders of Peak Medical Corporation

   

2.1.1(19)

Amendment No. 1, dated as of July 7, 2005, to the Agreement and Plan of Merger, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., Pinnacle Acquisition Corp., Peak Medical Corporation and the stockholders of Peak Medical Corporation

2.1.2(19)

Amendment No. 2, dated as of September 16, 2005, to the Agreement and Plan of Merger, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., Pinnacle Acquisition Corp., Peak Medical Corporation and the stockholders of Peak Medical Corporation

   

2.2(5)

Asset Purchase Agreement by and among Omnicare, Inc. (as buyer) and SunScript Pharmacy Corporation, Advantage Health Services, Inc., HoMed Convalescent, Inc., SunScript Medical Services, Inc. and First Class Pharmacy, Inc. (as sellers) dated June 15,

49


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES 

Exhibit

 

Number

Description of Exhibits

   
  2003
   

3.1(1)

Amended and Restated Certificate of Incorporation of Sun Healthcare Group, Inc.

   

3.2(1)

Amended and Restated Bylaws of Sun Healthcare Group, Inc.

   

4.1(1)

Sample Common Stock Certificate of Sun Healthcare Group, Inc.

   

4.2(3)

Form of Warrant issued by Sun Healthcare Group, Inc. in February 2004 to each of the purchasers named on the list of purchasers attached thereto

   

4.3(3)

Form of Registration Rights Agreement dated February 2004 between Sun Healthcare Group, Inc. and the purchasers named on the list of purchasers attached thereto

   

4.4(3)

Form of Subscription Agreement dated February 2004 between Sun Healthcare Group, Inc. and the purchasers named on the list of purchasers attached thereto

   

4.5(18)

Registration Rights Agreement dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent

   

4.5(19)

Amendment No. 1, dated as of July 7, 2005, to the Registration Rights Agreement, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent

   

4.6

The Registrant has instruments that define the rights of holders of long-term debt that are not being filed herewith, in reliance upon Item 601(b)(iii) of Regulation S-K. The Registrant agrees to furnish to the SEC, upon request, copies of these instruments

   

10.1(14)

Amended and Restated Loan and Security Agreement dated December 2, 2005 among Sun Healthcare Group, Inc. and certain of its subsidiaries as Borrowers, Capital Source Finance, LLC, as Collateral Agent and certain other lending institutions

   

10.1.1(15)

Joinder and First Amendment to Amended and Restated Loan and Security Agreement dated December 9, 2005 among Sun Healthcare Group, Inc. and certain of its subsidiaries as Borrowers and CapitalSource Finance, LLC as Collateral Agent

   

10.1.2(21)

Second Amendment to Amended and Restated Loan and Security Agreement dated February 24, 2006 among Sun Healthcare Group, Inc. and certain of its subsidiaries as Borrowers and CapitalSource Finance, LLC as Collateral Agent

   

10.2(4)+

Amended and Restated 2002 Non-Employee Director Equity Incentive Plan of Sun Healthcare Group, Inc.

   

10.3(13)+

2004 Equity Incentive Plan of Sun Healthcare Group, Inc.

   

10.4(16)+

Peak Medical Corporation 1998 Stock Incentive Plan

   

10.5(2)

Corporate Integrity Agreement between the Office of Inspector General of the Department of Health and Human Services and Sun Healthcare Group, Inc. dated July 12, 2001

50


   

10.6(2)+

Employment Agreement with Richard K. Matros dated February 28, 2002

   

10.7(17)+

Employment Agreement with L. Bryan Shaul dated as of February 14, 2005

   

10.8(4)+

Employment Agreement with William A.  Mathies dated February 28, 2002

   

10.9(20)+

Employment Agreement with Michael Newman dated March 22, 2005

   

10.10(7)+

Employment Agreement with Heidi J. Fisher dated February 11, 2002

   

10.11(11)+

Severance Agreement with Richard L. Peranton dated as of November 1, 2004

   

10.12(8)+

Severance Agreement with Tracy A. Gregg dated April 2, 2003

   

10.13(2)+

Form of Severance Agreement with Chauncey J. Hunker dated March 22, 2002

   

10.14(12)+

Severance Agreement with Jennifer L. Botter dated August 24, 2004

   

10.15(9)

Amended and Restated Master Lease Agreement among Sun Healthcare Group, Inc. and certain of its subsidiaries (as Lessees) and Omega Healthcare Investors, Inc. and certain of its affiliates (as Lessors) dated March 1, 2004

   

10.15.1*

First Amendment to Amended and Restated Master Lease Agreement, Amended and Restated Security Agreement and Amended and Restated Guaranty

   

10.15.2*

Second Amendment to Amended and Restated Master Lease Agreement, Amended and Restated Security Agreement and Amended and Restated Guaranty

   

10.15.3*

Third Amendment to Amended and Restated Master Lease Agreement, Amended and Restated Security Agreement and Amended and Restated Guaranty

   

10.16(18)

Stockholders Agreement dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent

   

10.16.1(19)

Amendment No. 1, dated as of July 7, 2005, to the Stockholders Agreement, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent

   

10.16.2(19)

Amendment No. 2, dated as of September 16, 2005, to the Stockholders Agreement, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent

   

14.1(10)

Code of Ethics for Chief Executive Officer, Financial Officers and Financial Personnel

   

21.1*

Subsidiaries of Sun Healthcare Group, Inc.

   

23.1*

Consent of Ernst & Young LLP

   

31.1*

Section 302 Sarbanes-Oxley Certifications by Principal Executive Officer and Principal Financial and Accounting Officer

51


   

32.1*

Section 906 Sarbanes-Oxley Certifications by Principal Executive Officer and Principal Financial and Accounting Officer

_______________

*      Filed herewith.

+      Designates a management compensation plan, contract or arrangement

(1)

Incorporated by reference from exhibits to our Form 8-A filed on March 6, 2002

   

(2)

Incorporated by reference from exhibits to our Form 10-K filed on March 29, 2002

   

(3)

Incorporated by reference from exhibits to our Form 8-K filed on February 20, 2004

   

(4)

Incorporated by reference from exhibits to our Form 10-Q filed on August 16, 2002

   

(5)

Incorporated by reference from exhibits to our Form 10-Q filed on August 14, 2003

   

(6)

Incorporated by reference from exhibits to our Form 8-K dated February 28, 2002, as amended on Form 8-K/A

   

(7)

Incorporated by reference from exhibits to our Form 10-K filed on March 28, 2003

   

(8)

Incorporated by reference from exhibits to our Form 10-Q filed on May 14, 2003

   

(9)

Incorporated by reference from exhibits to our Form 10-K filed on March 5, 2004

   

(10)

Incorporated by reference from exhibits to our Form 10-Q filed on May 7, 2004

   

(11)

Incorporated by reference from exhibits to our Form 8-K filed on November 18, 2004

   

(12)

Incorporated by reference from exhibits to our Form 8-K filed on December 9, 2004

   

(13)

Incorporated by reference from Appendix B to our Proxy Statement filed on April 8, 2004

   

(14)

Incorporated by reference from exhibits to our Form 8-K filed on December 7, 2005

   

(15)

Incorporated by reference from exhibits to our Form 8-K filed on December 15, 2005

   

(16)

Incorporated by reference from exhibits to our Form S-8 filed on January 9, 2006

   

(17)

Incorporated by reference from exhibits to our Form 10-K filed on March 3, 2005

   

(18)

Incorporated by reference from exhibits to our Form 8-K filed on May 19, 2005

   

(19)

Incorporated by reference from exhibits to our Form 10-Q filed on November 1, 2005

   

(20)

Incorporated by reference from exhibits to our Form 8-K filed on November 30, 2005

   

(21)

Incorporated by reference from exhibits to our Form 8-K filed on March 2, 2006

52


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 SIGNATURES

     Pursuant to the requirements of Section 13(a) 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.

SUN HEALTHCARE GROUP, INC.

   
   

By:    /s/ Richard K. Matros                  

       Richard K. Matros

       Chairman of the Board and Chief

         Executive Officer

March 9, 2006

53


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

      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 as of March 9, 2006 in the capacities indicated.

Signatures

Title

   

Chairman of the Board and Chief Executive Officer

 /s/ Richard K. Matros                                 

(Principal Executive Officer)

   Richard K. Matros

Executive Vice President and Chief Financial

 /s/ Bryan Shaul                                       

Officer (Principal Financial Officer)

   Bryan Shaul

Senior Vice President and Corporate Controller

 /s/ Jennifer L. Botter                                    

(Principal Accounting Officer)

   Jennifer L. Botter

   

/s/ Gregory S. Anderson                               

Director

   Gregory S. Anderson

 

/s/ Tony M. Astorga                                      

Director

   Tony M. Astorga

   

/s/ Christian K. Bement                                 

Director

   Christian K. Bement

   

/s/ Michael J. Foster                                     

Director

   Michael J. Foster

   

/s/ Barbara B. Kennelly                                

Director

   Barbara B. Kennelly

   

/s/ Steven M. Looney                                   

Director

   Steven M. Looney

   

/s/ Keith W. Pennell                                      

Director

   Keith W. Pennell

   

/s/ Milton J. Walters                                      

Director

   Milton J. Walters

54


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Index to Consolidated Financial Statements

December 31, 2005

Page

   

Reports of Ernst & Young LLP, Independent Registered Public Accounting

F-2 to F-4

  Firm

   

Consolidated Balance Sheets

     As of December 31, 2005 and 2004

F-5 to F-6

   

Consolidated Statements of Operations

     For the years ended December 31, 2005, 2004 and 2003

F-7

   

Consolidated Statements of Stockholders' Deficit

     For the years ended December 31, 2005, 2004 and 2003

F-8

   

Consolidated Statements of Cash Flows

     For the years ended December 31, 2005, 2004 and 2003

F-9

   

Notes to Consolidated Financial Statements

F-10 to F-46

   

Supplementary Data (Unaudited) - Quarterly Financial Data

1-2

F-1


Report of Ernst & Young LLP, Independent Registered Public Accounting Firm

The Board of Directors and Stockholders
Sun Healthcare Group, Inc.

We have audited the accompanying consolidated balance sheets of Sun Healthcare Group, Inc. as of December 31, 2005 and 2004 and the related consolidated statements of operations, stockholders' deficit and cash flows for each of the three years in the period ended December 31, 2005. Our audits also included the financial statement schedule listed in the Index at Item 15(a). These consolidated financial statements and schedule are the responsibility of management of Sun Healthcare Group, Inc. (the "Company"). Our responsibility is to express an opinion on these financial statements and schedule based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States).  Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Sun Healthcare Group, Inc. at December 31, 2005 and 2004 and the consolidated results of their operations and their cash flows for each of the three years in the period ended December 31, 2005 in conformity with accounting principles generally accepted in the United States. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic consolidated financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the effectiveness of Sun Healthcare Group, Inc.'s internal control over financial reporting as of December 31, 2005, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated March 6, 2006 expressed an unqualified opinion thereon.

Ernst & Young LLP

Dallas, Texas
March 6, 2006

F-2


Report of Ernst & Young LLP, Independent Registered Public Accounting Firm

The Board of Directors and Shareholders

Sun Healthcare Group, Inc.

We have audited management's assessment, included in the accompanying Management's Report on Internal Control over Financial Reporting, that Sun Healthcare Group, Inc. maintained effective internal control over financial reporting as of December 31, 2005, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO criteria). Sun Healthcare Group, Inc.'s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting. Our responsibility is to express an opinion on management's assessment and an opinion on the effectiveness of the company's internal control over financial reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, evaluating management's assessment, testing and evaluating the design and operating effectiveness of internal control, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

A company's internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company's internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company's assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements.  Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

As indicated in the accompanying Management's Report on Internal Control over Financial Reporting, management's assessment of and conclusion on the effectiveness of internal control over financial reporting did not include the internal controls over financial reporting of Peak Medical Corporation, a material business acquired on December 9, 2005, which is included in the December 31, 2005 consolidated financial statements of the Company and contributed approximately $21.1 million, or 2.4%, of the Company's total revenues, and, as of December 31, 2005, accounted for approximately $112.6 million, or 25.8%, of the Company's total assets, excluding $75.9 million of goodwill that was recorded in connection with the acquisition. Our audit of internal control over financial reporting of the Company also did not include an evaluation of the internal control over financial reporting of Peak Medical Corporation.

F-3


In our opinion, management's assessment that Sun Healthcare Group, Inc. maintained effective internal control over financial reporting as of December 31, 2005, is fairly stated, in all material respects, based on the COSO criteria.  Also, in our opinion, Sun Healthcare Group, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2005, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of Sun Healthcare Group, Inc. as of December 31, 2005 and 2004 and the related consolidated statements of operations, stockholders' deficit and cash flows for each of the three years in the period ended December 31, 2005. Our audits also included the financial statement schedule listed in the Index at Item 15(a).  Our report dated March 6, 2006 expressed an unqualified opinion thereon.

Ernst & Young LLP

Dallas, Texas
March 6, 2006

F-4


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

 ASSETS
(in thousands)

 

December 31, 2005

 

December 31, 2004

 

Current assets:

  Cash and cash equivalents

$             16,641

$             19,834

  Restricted cash

25,142

26,649

  Accounts receivable, net of allowance for doubtful accounts of $29,384

    and $40,293 at December 31, 2005 and 2004, respectively

123,639

95,829

  Other receivables, net of allowance of $2,909 and $5,591 at

    December 31, 2005 and 2004, respectively

2,429

2,616

  Inventories, net

5,055

3,514

  Prepaid expenses

6,414

 

3,232

  Assets held for sale

                1,897

                4,736


Total current assets
 

181,217

156,410

Property and equipment, net of accumulated depreciation and amortization

  of $75,999 at December 31, 2005 and $28,965 at December 31, 2004

187,734

105,852

Intangible assets, net of accumulated amortization of $8,262 at

  December 31, 2005 and $6,006 at December 31, 2004

19,335

10,299

Goodwill

81,265

405

Restricted cash, non-current

35,517

34,111

Other assets, net

                7,238

 

                6,076

 

Total assets

$           512,306

$           313,153

===========

===========

F-5


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS (Continued)

LIABILITIES AND STOCKHOLDERS' DEFICIT
(in thousands, except share data)

December 31, 2005

 

December 31, 2004

Current liabilities:

 

  Accounts payable

$                 45,115

 

$                 36,163

 

  Accrued compensation and benefits

42,393

 

35,481

 

  Accrued self-insurance obligations, current

37,238

 

40,236

 

  Income taxes payable

10,493

 

9,752

 

  Other accrued liabilities

45,947

 

47,897

 

  Current portion of long-term debt:

 

 

    Company obligations

21,237

 

16,363

 

    Clipper partnerships

34,415

 

1,113

 

  Capital leases, current

                   11,204

 

                           -

 

 

 

Total current liabilities

248,042

 

187,005

 

 

 

Accrued self-insurance obligations, net of current

109,953

 

130,686

 

Long-term debt, net of current:

 

 

  Company obligations

115,094

 

39,803

 

  Clipper partnerships

15,829

 

49,903

 

Unfavorable lease obligations, net of accumulated amortization of

 

 

  $11,166 and $9,395 at December 31, 2005 and 2004, respectively

11,454

 

13,985

 

Other long-term liabilities

                   14,829

 

                  15,151

 

 

 

Total liabilities

515,201

 

436,533

 

 

 

Commitments and contingencies

 

 

 

 

Stockholders' deficit:

 

 

   Preferred stock of $.01 par value, authorized

 

 

     10,000,000 shares, zero shares were issued and outstanding as of

 

 

     December 31, 2005 and 2004

-

 

-

 

   Common stock of $.01 par value, authorized

 

 

     50,000,000 shares, 31,143,728 shares issued and 31,133,546 shares

 

 

     outstanding as of December 31, 2005 and 15,325,477 shares issued

 

 

     and outstanding as of December 31, 2004

311

 

153

 

  Additional paid-in capital

428,771

 

334,158

 

  Accumulated deficit

            (431,498

)

            (456,259

)

(2,416

)

(121,948

)

  Less:

 

 

    Unearned compensation

(388

)

(1,432

)

    Common stock held in treasury, at cost, 10,182 shares

 

 

      as of December 31, 2005

                     (91

)

                         -

  Total stockholders' deficit

                (2,895

)

            (123,380

)

  Total liabilities and stockholders' deficit

$             512,306

 

$             313,153

 

  

============

 

============

 

See accompanying notes.

F-6


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)

 

 

For the Year

 

For the Year

 

For the Year

 

 

Ended

 

Ended

 

Ended

 

 

December 31,

 

December 31,

 

December 31,

 

 

      2005     

 

      2004      

 

      2003      

 

             

Total net revenues

$       882,109

       813,290

$       778,438

Costs and expenses:

  Operating salaries and benefits

529,828

481,264

477,180

  Self-insurance for workers' compensation and general

     and professional liability insurance

30,002

25,360

32,158

  Operating administrative expenses

24,930

22,642

20,156

  Other operating costs

179,597

167,431

149,697

  Facility rent expense

40,953

39,107

38,769

  General and administrative expenses

47,194

44,104

43,394

  Depreciation and amortization

9,874

9,206

7,123

  Provision for losses on accounts receivable

4,356

5,323

9,278

  Interest, net

12,049

8,853

16,892

  Loss on asset impairment

361

1,028

2,774

  Restructuring costs, net

122

1,972

14,676

  Loss on lease termination

-

150

-

  Loss (gain) on sale of assets, net

384

1,494

(4,178

)

  Loss (gain) on extinguishment of debt, net

               408

            (3,394

)

                    -

 

Total costs and expenses

        880,058

 

         804,540

 

         807,919

 


Income (loss) before income taxes and discontinued operations

2,051

8,750

(29,481

)

Income tax (benefit) expense

             (786

)

            (1,158

)

              665

 

Income (loss) from continuing operations

           2,837

             9,908

       (30,146

)

Discontinued operations:

   Income (loss) from discontinued operations

13,035

(23,214

)

(25,149

)

   Gain (loss) on disposal of discontinued operations, net of related

 

 

 

 

 

 

    tax expense of $650 for the year ended December 31, 2003

          8,889

  

           (5,321

)

            55,649

 

Income (loss) on discontinued operations

        21,924

         (28,535

)

            30,500

 


Net income (loss)

$       24,761

$       (18,627

)

$               354

========

=========

=========

Basic earnings per common and common equivalent share:

   Income (loss) from continuing operations

$            0.18

$             0.69

$              (3.00

)

   Income (loss) from discontinued operations, net of tax

            1.37

            (1.98

)

               3.04

   Net income (loss)

$            1.55

$            (1.29

)

$               0.04

========

=========

=========

Diluted earnings per common and common equivalent share:

   Income (loss) from continuing operations

$            0.18

$             0.68

$              (3.00

)

   Income (loss) from discontinued operations, net of tax

            1.37

            (1.96

)

               3.04

   Net income (loss)

$            1.55

$            (1.28

)

$               0.04

========

=========

=========

Weighted average number of common and common equivalent

   shares outstanding:

   Basic

16,003

14,456

10,050

   Diluted

16,019

14,548

10,050

See accompanying notes.

F-7


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' DEFICIT
(in thousands)

 

 

 

For the Year Ended

 

For the Year Ended

 

For the Year Ended

 

 

 

December 31, 2005

 

December 31, 2004

 

December 31, 2003

 

 

 

Shares

 

Amount

 

Shares

 

Amount

 

Shares

 

Amount

 

 

Common stock

 

 

Issued and outstanding at beginning of period

15,325

$        153

10,044

$        100

9,321

$            93

 

Retirement of common stock

(5

)

-

-

-

-

 

Cancellation of restricted stock awards

-

(4

)

-

-

-

 

Issuance of common stock

6,900

 

69

 

5,285

 

53

 

723

 

7

 

 

Issuance of common stock in connection with

 

 

 

 

   Peak transaction

       8,924

 

           89

 

             -

 

              -

 

               -

 

               -

 

Common stock issued and outstanding at

 

 

 

 

   end of period

31,144

         311

15,325

         153

10,044

          100

 

 

=======

======

=======

 

Additional paid-in capital

 

Balance at beginning of period

334,158

272,889

253,375

 

Issuance of common stock in excess of par value

94,681

61,881

19,514

 

Cancellation of restricted stock awards

(58

)

(57

)

-

 

Other

         (10

)

       (555

)

              -

 

 

Additional paid-in capital at end of period

 

 

 428,771

 

 

 

 334,158

 

 

 

   272,889

 

 

 

 

Accumulated deficit

 

Balance at beginning of period

(456,259

)

(437,632

)

(437,986

)

 

Net income (loss)

   24,761

  (18,627

)

          354

 

Accumulated deficit at end of period

 

 

(431,498

)

 

 

(456,259

)

 

 

  (437,632

)

 

 

 

Total

 

 

    (2,416

)

 

 

(121,948

)

 

 

  (164,643

)

 

 

 

Unearned compensation

 

Balance at beginning of period

(1,432

)

(1,755

)

(2,700

)

 

Restricted stock awards

38

(1,013

)

-

 

Restricted stock vested

 

 

948

1,279

945

 

 

Other

          58

            57

                -

 

 

Unearned compensation at end of period

 

 

       (388

)

 

 

     (1,432

)

 

 

       (1,755

)

 
 

Common stock in treasury

 

Balance at beginning of period

-

-

-

-

-

-

 

Purchase of treasury stock

            10

 

        (91

)

            -

 

              -

 

               -

 

               -

 

 

Common stock in treasury at end of period

10

        (91

)

-

              -

-

 

               -

 

 

=======

======

=======

 

 

 

 

 

 

 

Total stockholders' deficit

$   (2,895

)

$(123,380

)

 

$ (166,398

)

 

 

======

=======

 

=======

See accompanying notes.

F-8


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands) 

For the Year Ended

For the Year Ended

For the Year Ended

December 31, 2005

December 31, 2004

December 31, 2003

Cash flows from operating activities:

Net income (loss)

$              24,761

$            (18,627

)

$                 354

Adjustments to reconcile net income (loss) to net cash (used for) provided by

   operating activities, including discontinued operations:

   Loss (gain) on extinguishment of debt, net

408

(3,394

)

-

   Loss on lease termination

-

150

-

   Depreciation

4,876

5,254

4,609

   Amortization

5,101

4,356

4,787

   Amortization of favorable and unfavorable lease intangibles

(1,714

)

(3,265

)

(8,740

)

   Provision for losses on accounts receivable

5,009

11,901

19,073

   Loss (gain) on sale of assets, net

384

1,494

(4,178

)

   (Gain) loss on disposal of discontinued operations, net

(8,889

)

5,321

(55,649

)

   Transaction costs

1,100

-

-

   Loss on asset impairment

361

1,028

2,774

   Restricted stock and option compensation expense

1,303

1,570

945

   Other, net

1,010

2,045

898

Changes in operating assets and liabilities, net of acquisitions:

   Accounts receivable, net

(6,530

)

6,485

74,937

   Inventories, net

12

(17

)

790

   Other receivables, net

(155

)

558

4,261

   Restricted cash

1,231

9,006

12,472

   Prepaids and other assets

2,698

(1,658

)

4,573

   Accounts payable

3,359

(14,406

)

3,656

   Accrued compensation and benefits

(588

)

(6,230

)

(24,141

)

   Accrued self-insurance obligations

(32,552

)

(26,213

)

11,985

   Income taxes payable

794

1,436

1,120

   Other accrued liabilities

(9,887

)

(4,687

)

(18,084

)

   Other long-term liabilities

(405

)

2,151

467

   Minority interest

                      -

                       -

                    (120

)

      Net cash (used for) provided by operating activities before reorganization costs

(8,313

)

(25,742

)

36,789

      Net cash paid for reorganization costs

                      -

                  (499

)

                (10,225

)

      Net cash (used for) provided by operating activities

              (8,313

)

             (26,241

)

                 26,564

 

Cash flows from investing activities:

   Capital expenditures, net

(17,416

)

(12,890

)

(16,564

)

   Proceeds from sale of assets held for sale

10,742

1,857

83,616

   Acquisitions

(17,816

)

(700

)

-

   Repayment of long-term notes receivable

                  237

                    147

                      839

      Net cash (used for) provided by investing activities

             (24,253

)

               (11,586

)

                  67,891

 

Cash flows from financing activities:

   Net repayments under Revolving Loan Agreement

(233

)

(12,491

)

(84,274

)

   Long-term debt borrowings

11,000

-

-

   Long-term debt repayments

(19,495

)

(6,727

)

(5,620

)

   Net proceeds from issuance of common stock

38,428

52,266

-

   Distribution of partnership equity

                 (327

)

                   (961

)

                          -

      Net cash provided by (used for) financing activities

              29,373

                32,087

                (89,894

)

             

Net (decrease) increase in cash and cash equivalents

(3,193

)

(5,740

)

4,561

Cash and cash equivalents at beginning of period

             19,834

                25,574

                 21,013

Cash and cash equivalents at end of period

$            16,641

$               19,834

$                25,574

===========

=============

=============

Supplemental disclosure of cash flow information:

   Interest payments

$            10,360

$               9 ,420

$                21,457

   Capitalized interest

$                 132

$                     76

$                       77

   Income taxes refunded, net

$             (1,580

)

$               (2,595

)

$                   (455

)

See accompanying notes.

F-9


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 

DECEMBER 31, 2005

 (1)  Nature of Business

      References throughout this document to the Company include Sun Healthcare Group, Inc. and our consolidated subsidiaries. In accordance with the Securities and Exchange Commission's "Plain English" guidelines, this Annual Report has been written in the first person. In this document, the words "we," "our," "ours" and "us" refer to Sun Healthcare Group, Inc. and its direct and indirect consolidated subsidiaries and not any other person.

Business

     We are a provider of long-term, subacute and related specialty healthcare in the United States.  We operate through five principal business segments: (i) inpatient services, (ii) rehabilitation therapy services, (iii) medical staffing services, (iv) home health services and (v) laboratory and radiology services.  Inpatient services represent the most significant portion of our business.  We operated 158 long-term care facilities, inclusive of 10 managed facilities, in 19 states as of March 1, 2006.

Comparability of Financial Information

     We adopted the provisions of Statement of Financial Accounting Standard ("FASB"), Accounting for the Impairment or Disposal of Long-Lived Assets ("SFAS No. 144") as of January 1, 2002, requiring reclassification of the results of operations of subsequent divestitures for all periods presented to discontinued operations within the Statement of Operations.

(2)  Basis of Reporting and Current Operating Environment

Restructuring

     In January 2003, we initiated efforts to restructure the portfolio of leases under which we operate most of our long-term care facilities. During the period January 1, 2003 to December 31, 2005, we divested 137 of our under-performing facilities by transitioning operations of those facilities to new operators.

 Liquidity

      For the year ended and as of December 31, 2005, our net income was $24.8 million and our working capital deficit was $66.8 million, of which $34.4 million relates to the debt on the Clipper partnerships, which is not our direct obligation and is expected to be refinanced during 2006, and $11.2 million relates to a capital lease that we intend to convert to an operating lease and for which no principal payment will be required. As of December 31, 2005, we had cash and cash equivalents of $16.6 million, $10.1 million in borrowings and $14.4 million in letters of credit outstanding under our Revolving Loan Agreement and $61.1 million of funds available for borrowing under our Revolving Loan Agreement, which expires January 31, 2009. We believe that our operating cash flows, existing cash reserves, and availability for borrowing under our Revolving Loan Agreement will provide sufficient funds for our operations, capital expenditures and regularly scheduled debt service payments at least through the next year.

 F-10


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

Reorganization

   On February 6, 2002, the United States Bankruptcy Court for the District of Delaware (the "Bankruptcy Court") approved our Plan of Reorganization that was filed with the Bankruptcy Court on November 7, 2001. On February 28, 2002, we emerged from proceedings under chapter 11 of Title 11 of the United States Code (the "Bankruptcy Code") pursuant to the terms of our Plan of Reorganization.

     In connection with our emergence from bankruptcy, we reflected the terms of the Plan of Reorganization in our consolidated financial statements by adopting the fresh-start accounting provisions of SOP 90-7.  Under fresh-start accounting, a new reporting entity is deemed to be created and the recorded amounts of assets and liabilities are adjusted to reflect their estimated fair values. For accounting purposes, the fresh-start adjustments have been recorded in the consolidated financial statements as of March 1, 2002.

(3)  Summary of Significant Accounting Policies

(a)  Use of Estimates

    The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Significant estimates include determination of third-party payor settlements, allowances for doubtful accounts and notes receivable, self-insurance obligations, goodwill and other intangible assets and loss accruals.  Actual results could differ from those estimates.

(b)  Principles of Consolidation

     Our consolidated financial statements include the accounts of our subsidiaries in which we own more than 50% of the voting interest. Investments of companies in which we own between 20 - 50% of the voting interests and joint ventures were accounted for using the equity method, which records as income an ownership percentage of the reported income of the subsidiary, regardless of whether it was or was not received by the parent.  Investments in companies in which we own less than 20% of the voting interests are carried at cost. All significant intersegment accounts and transactions have been eliminated in consolidation.

     In accordance with FASB Interpretation No. 46, Consolidation of Variable Interest Entities ("FIN No. 46R"), we are required to consolidate certain entities when control exists through means other than ownership of voting (or similar) interests in variable interest entities commonly referred to as special purpose entities, effective for the first reporting period that ends after March 15, 2004. FIN No. 46R requires consolidation by the majority holder of expected residual gains and losses of the activities of a variable interest entity. (See "Note 10 - Variable Interest Entities.")

(c)  Cash and Cash Equivalents

     We consider all highly liquid, unrestricted investments with original maturities of three months or less to be cash equivalents. Cash equivalents are stated at cost, which approximates fair value.

F-11


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

(d)  Net Revenues

     Net revenues consist of long-term and subacute care revenues, rehabilitation therapy services revenues, temporary medical staffing services revenues and other ancillary services revenues. Net revenues are recognized as services are provided. Revenues are recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid. Net revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment. Estimated third-party payor settlements are recorded in the period the related services are rendered. The methods of making such estimates are reviewed periodically, and differences between the net amounts accrued and subsequent settlements or estimates of expected settlements are reflected in the current period results of operations. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation.

     Revenues from Medicaid from our continuing operations accounted for 35.9%, 36.5%, and 36.1%, of our net revenue for the years ended December 31, 2005, 2004 and 2003, respectively.  Revenues from Medicare from our continuing operations comprised 27.6%, 26.4% and 25.1% of our net revenues for the years ended December 31, 2005, 2004 and 2003, respectively.

(e)  Accounts Receivable

      Our accounts receivable relate to services provided by our various operating divisions to a variety of payors and customers. The primary payors for services provided in long-term and subacute care facilities that we operate are the Medicare program and the various state Medicaid programs. The rehabilitation therapy service operations provide services to patients in unaffiliated long-term, rehabilitation and acute care facilities. The billings for those services are submitted to the unaffiliated facilities. Many of the unaffiliated long-term care facilities receive a large majority of their revenues from the Medicare program and the state Medicaid programs.

     Estimated provisions for doubtful accounts are recorded each period as an expense to the statement of operations.  In evaluating the collectibility of accounts receivable, we consider a number of factors, including the age of the accounts, changes in collection patterns, the financial condition of our customers, the composition of patient accounts by payor type, the status of ongoing disputes with third-party payors and general industry conditions.  Any changes in these factors or in the actual collections of accounts receivable in subsequent periods may require changes in the estimated provision for loss. Changes in these estimates are charged or credited to the results of operations in the period of change.

     The allowance for uncollectible accounts related to facilities that we currently operate is computed by applying a bad debt percentage to the individual accounts receivable aging categories based on historical collections.  An adjustment is then recorded each month in the results of operations to adjust the allowance based on the analysis. In addition, a retrospective collection analysis is performed within each operating company to test the adequacy of the reserve on a semi-annual basis.

     The allowance for uncollectible accounts related to facilities that we have divested was based on a percentage of outstanding accounts receivable at the time of divestiture and is recorded in gain or loss on disposal of discontinued operations, net.  As collections are recognized, the allowance is adjusted as appropriate. Due to favorable collections, $0.2 million and $6.5 million of the reserve was recovered in the years ended December 31, 2005 and 2004. As of December 31, 2005, accounts receivable for divested operations were fully reserved.

F-12


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

(f)  Inventories

     As of December 31, 2005, our inventories relate to the long-term and subacute care operations and are stated at the lower of cost or market.

(g)  Property and Equipment

     Property and equipment are stated at the lower of carrying value or fair value. Property and equipment held under capital lease are stated at the net present value of future minimum lease payments.  Major renewals or improvements are capitalized whereas ordinary maintenance and repairs are expensed as incurred. Depreciation is computed using the straight-line method over the estimated useful lives of the assets as follows: buildings and improvements - five to forty years; leasehold improvements - the shorter of the estimated useful lives of the assets or the life of the lease; and equipment - three to twenty years. We capitalize interest directly related to the development and construction of new facilities as a cost of the related asset. Under SFAS No. 144, we subject our long-lived assets to an annual impairment test. (See "Note 8 - Impairment of Intangible and Long-Lived Assets.")

 (h)  Intangible Assets

      Under Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets ("SFAS No. 142"), we no longer amortize goodwill and intangible assets with indefinite lives. Instead, we subject them to annual impairment tests. Intangible assets with definite lives continue to be amortized over their estimated useful lives. (See "Note 8 - Impairment of Intangible and Long-Lived Assets.")

 (i)  Stock-Based Compensation

      In December 2002, the FASB issued Statement of Financial Accounting Standards No. 148, Accounting for Stock-Based Compensation-Transition and Disclosure ("SFAS No. 148").  This statement amends Statement of Financial Accounting Standards No. 123, Accounting for Stock-Based Compensation ("SFAS No. 123"). The provisions of SFAS No. 123 were effective for interim and annual financial statements for fiscal years ended after December 15, 2002. This statement provides alternative methods of transition for a voluntary change to the fair value based method of accounting for stock-based employee compensation. Also, this statement amends the disclosure requirements of SFAS No. 123 to require prominent disclosures in both annual and interim financial statements about the method of accounting for stock-based employee compensation and the effect of the method used on reported results. We continue to apply the intrinsic value method of Accounting Principles Board Opinion No. 25, Accounting for Stock Issued to Employees ("APB No. 25"). (See "Note 14 - Capital Stock.")

     On December 16, 2004, the Financial Accounting Standards Board (FASB) issued FASB Statement No. 123 (revised 2004), Share-Based Payment, which is a revision of FASB Statement No. 123, Accounting for Stock-Based Compensation. Statement 123(R) supersedes APB Opinion No. 25, Accounting for Stock Issued to Employees, and amends FASB Statement No. 95, Statement of Cash Flows. Generally, the approach in Statement 123(R) is similar to the approach described in Statement 123. However, Statement 123(R) requires all share-based payments to employees, including grants of employee stock options, to be recognized in the statement of operations based on their fair values. Pro forma disclosure is no longer an alternative.

     We adopted Statement 123(R) using the modified-prospective method on January 1, 2006, in which compensation cost is recognized beginning with the effective date (a) based on the requirements of Statement 123(R) for all share-based payments granted after the effective date and (b) based on the requirements of

F-13


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

Statement 123 for all awards granted to employees prior to the effective date of Statement 123(R) that remain unvested on the effective date. Based on the estimated value of current unvested stock options, we expect wages and related expenses to increase $0.9 million for the year ending December 31, 2006, beginning January 1, 2006.

(j)  Net Income (Loss) Per Share

      Basic net income (loss) per share is based upon the weighted average number of common shares outstanding during the period.  The weighted average number of common shares for the year ended December 31, 2005 includes all the common shares that are presently outstanding, common shares to be issued once the prepetition claims are finalized, and the common shares issued as common stock awards and exclude non-vested restricted stock.  (See "Note 14 - Capital Stock.")

      The diluted calculation of income (loss) per common share includes the dilutive effect of warrants, stock options and non-vested restricted stock, using the treasury stock method. However, in periods of losses from continuing operations, diluted net income (loss) per common share is based upon the weighted average number of common shares outstanding.

(k)  Reclassification

      Certain reclassifications have been made to the prior period financial statements to conform to the 2005 financial statement presentation.

(4)  Loan Agreements

     On December 2, 2005, we entered into an Amended and Restated Loan and Security Agreement (the "Revolving Loan Agreement") with CapitalSource Finance LLC, as collateral agent, and certain lenders, which amended and restated an existing revolving credit facility. The Revolving Loan Agreement, among other things, provides for up to $100 million of borrowing availability and terminates on January 31, 2009. The interest rate on borrowings equals 2.75% (which percentage is subject to adjustment after June 2, 2006 based on our fixed charge coverage ratio) plus the greater of (i) 4.31% or (ii) (a) a floating rate equal to the London Interbank Offered Rate for one month adjusted daily or (b), at our option, a rate that is fixed for a period of 30, 60 or 90 days equal to the London Interbank Offered Rate two days prior to the commencement of such period. The Revolving Loan Agreement continues to be secured by almost all of our assets (and the assets of our subsidiaries), including accounts receivable, inventory, stock of our subsidiaries and equipment, but excluding real estate.

     Availability of amounts under the Revolving Loan Agreement is subject to compliance with financial covenants, including a fixed charge coverage covenant, which requires that the ratio of Operating Cash Flow (as defined in the Revolving Loan Agreement) to Fixed Charges (as defined in the Revolving Loan Agreement) equal or exceed 1.0:1.0. Our borrowing availability under the Revolving Loan Agreement is generally limited to up to eighty-five percent (85%) of the value of our accounts receivable that are deemed eligible pursuant to the Revolving Loan Agreement, plus an overadvance facility equal to an additional 15% of the value of such receivables, but not to exceed $100.0 million. Under certain circumstances, the borrowing capacity of the facility may be expanded to up to $150.0 million. The defined borrowing base as of December 31, 2005 was $85.6 million, net of specified reserves of $5.9 million. As of December 31, 2005, we had $10.1 million in borrowings outstanding and we had issued $14.4 million in letters of credit, leaving $61.1 million available to us for additional borrowing. The Revolving Loan Agreement contains customary events of default, such as our failure to make payment of amounts due, defaults under other agreements evidencing indebtedness, certain bankruptcy events and a change of control

 F-14


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

(as defined in the Revolving Loan Agreement). The agreement also contains customary covenants restricting, among other things, incurrence of indebtedness, liens, payment of dividends, repurchase of stock, acquisitions and dispositions, mergers and investments. We have also agreed to limit our capital expenditures to a maximum of $13.0 million in any six-month period. Failure to comply with a covenant or the occurrence of an event of default could result in the acceleration of payment obligations under the Revolving Loan Agreement.

(5)  Long-Term Debt and Capital Lease Obligation

     Our long-term debt and capital lease obligations consisted of the following as of the periods indicated (in thousands):

December 31, 2005

December 31, 2004

         

Revolving Loan Agreement

$            10,141

$                     -

Mortgage notes payable due at various dates through 2037, interest at

   rates from 5.5% to 12.0%, collateralized by various facilities(1)(2)

158,874

91,239

Capital lease(3)

11,204

-

Industrial Revenue Bonds

6,360

6,905

Other long-term debt

             11,200

               9,038

Total long-term debt(1)

197,779

107,182

   Less amounts due within one year

            (66,856

)

            (17,476

)

Long-term debt, net of current portion

$          130,923

$            89,706

===========

===========

(1)

Net of fair value premium of $0.4 million related to the Peak acquisition (See "Note 7 - Acquisitions.")

(2)

Includes $50.2 million and $51.0 million related to the consolidation of Clipper as of December 31, 2005 and 2004, respectively (See "Note 10 - Variable Interest Entities.")

(3)

We expect to convert the capital lease to an operating lease during 2006, and no principal payment is anticipated.

     The scheduled or expected maturities of long-term debt, excluding premium, as of December 31, 2005, were as follows (in thousands):

     2006

$           66,856

     2007

24,156

     2008

23,894

     2009

13,503

     2010

23,672

Thereafter

            45,277

$        197,358

==========

     Included in the expected maturities of long-term debt are the following amounts related to the consolidation of Clipper (See "Note 10 - Variable Interest Entities") (in thousands):  $34,415, $276, $293, $310, $328, and $14,622, respectively, for 2006, 2007, 2008, 2009, 2010 and thereafter.

F-15


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

(6)  Property and Equipment

     Property and equipment consisted of the following as of the periods indicated (in thousands):

 

December 31, 2005

 

December 31, 2004

 

         

Land

$                        17,979

$                    10,527

Buildings and improvements

158,678

 

70,029

 

Equipment

51,471

28,850

Leasehold improvements

33,158

 

23,171

 

Construction in process

                        2,447

                       2,240

   Total

263,733

 

134,817

 

Less accumulated depreciation

                     (75,999

)

                   (28,965

)

    Property and equipment, net

$                   187,734

 

$                  105,852

 

===============

 

==============

 

 (7)  Acquisitions

    In December 2005, we completed the purchase of Peak Medical Corporation, which operated or managed 56 inpatient facilities, by acquiring all of the outstanding stock of Peak in exchange for approximately nine million shares of our stock.  Peak's results of operations have been included in the consolidated financial statements since the date of acquisition.

     The following unaudited pro forma results of operations of Sun for the year ended December 31, 2005 and 2004, assume that the Peak acquisition occurred at the beginning of each of the periods presented. As a result of the Peak acquisition, we recognized a non-recurring pre-tax charge for transaction costs of $1.1 million. These unaudited pro forma results are not necessarily indicative of the actual results of operations that would have been achieved, nor are they necessarily indicative of future results of operations (in thousands, except per share data):

F-16


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

For the Year Ended

December 31,

        2005       

      2004       

         

Revenues

$      1,107,546

$        1,041,727

Costs and expenses:

  Operating costs

1,008,409

944,661

  Facility rent

53,906

52,958

  Depreciation and amortization

13,931

13,415

  Interest, net

19,975

17,729

  Non-operating costs

               1,274

               1,249

Total costs and expenses

        1,097,495

        1,030,012

         

Income before income taxes and discontinued operations

10,051

11,715

Income tax benefit

                (786

)

              (1,158

)

Income from continuing operations

$           10,837

$            12,873

==========

===========

Net income (loss)

$           31,867

$           (16,965

)

==========

===========

Earnings per share:

Basic:

Income from continuing operations

$                0.68

$               0.89

Net income (loss)

$                1.99

$              (1.09

)

         

Diluted:

Income from continuing operations

$                0.68

$               0.88

Net income (loss)

$                1.99

$              (1.17

)

     The total purchase price of the Peak acquisition is as follows (in thousands):

Fair value of 8.9 million shares of Common Stock issued

$             55,538

Fair value of assumed debt obligations

95,739

Stock option costs

320

Estimated direct transaction costs

              12,832

$           164,429

===========

     Under the purchase method of accounting, the total purchase price as shown in the table above was allocated to Peak's net tangible and intangible assets based upon their estimated fair values as of December 1, 2005. The excess of the purchase price over the estimated fair value of the net tangible and intangible assets is recorded as goodwill. The estimated fair value of our Common Stock issued was based on the $6.26 historic Sun average share price for the period of May 12 through May 16, 2005, which is in accordance with Emerging Issues Task Force Issue Number 99-12, "Determination of the Measurement Date for the Market Price of Acquirer Securities Issued in a Purchase Business Combination" ("EITF No. 99-12"). As stated in paragraph 4 in EITF No. 99-12, when the number of the acquirer's shares or amount of other consideration is not subject to change pursuant to the existing terms of the acquisition agreement, the value of the acquirer's marketable equity securities issued to effect a purchase business combination should be determined pursuant to the guidance in paragraph 74 of Accounting Principles Board Opinion 16 ("APB No. 16"), Business Combinations, based on the market price of the securities over a reasonable period of time before and after the terms of the acquisition are agreed to and announced.  The Task Force members observed that the reasonable period of time referred to in paragraph 74 of APB No. 16 is intended to be very short, such as a few days before and after the acquisition is agreed to and announced.

F-17


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

     The purchase price allocation for the Peak acquisition has been prepared on preliminary basis and is subject to changes as new facts and circumstances emerge. We have engaged a third-party valuation firm to complete a valuation of property and equipment. Once the valuation study is completed, we will adjust the purchase price allocation to reflect the final values along with the final determination of any favorable or unfavorable lease intangibles. In addition, we are also finalizing our insurance reserves for general and professional and workers' compensation liabilities with our third party actuary. Changes in the purchase price allocation may impact deferred taxes and goodwill.

     The preliminary fair values of assets acquired and liabilities assumed at the date of acquisition were as follows (in thousands):

Net working capital

$      12,824

Property and equipment

74,561

Identifiable intangible assets

2,820

Goodwill

75,940

Other long-term assets

         6,024

Total assets acquired

     172,169

   

Debt

95,739

Other long-term liabilities

         7,740

Total liabilities assumed

     103,479

   

Net assets acquired

$     68,690

========

     We identified $2.8 million in intangible assets in connection with the Peak acquisition, of which $2.3 million represented a management contract and $0.5 million represented operating licenses. The amortization period for the management contract is six years. The $75.9 million in goodwill was assigned to the Inpatient Services segment, none of which is expected to be deductible for tax purposes. Net deferred tax assets of $19.0 million, for which a full valuation allowance was recognized, were recorded in the Peak acquisition.

    In connection with the Peak acquisition, we recognized a pretax charge for transaction costs of $1.1 million in the year ended December 31, 2005 comprised of the following (in millions):

Adjustment to Peak acquired accounts receivable

$            0.5

Adjustment to Peak acquired inventory

              0.6

$            1.1

========

     The adjustment to acquired accounts receivable reflects the impact of conforming Peak's accounting treatment regarding the estimation of the net realizable value of accounts receivable to our accounting policy. The adjustment to acquired inventory reflects the impact of conforming Peak's per bed calculation to our per bed calculation.

F-18


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

Other Acquisitions

     On August 29, 2005, we acquired ProCare, a temporary nurse staffing business, for a total purchase price of $8.3 million, of which $4.2 million was paid at closing and $4.1 million is payable over three years pursuant to two promissory notes. The $8.3 million acquisition cost, including $0.1 million in estimated professional fees, was allocated to the assets acquired and liabilities assumed, based on their fair values of $2.5 million to working capital and $5.9 million to intangible assets. Of the $5.9 million of acquired intangible assets, $0.1 million was assigned to trade names, an indefinite-lived intangible asset, and $3.3 million was assigned to customer contracts, which is subject to amortization. The remaining $2.5 million of acquired intangible assets represented goodwill, was assigned to the Medical Staffing segment and will be subject to annual impairment tests.

     In April 2005, we acquired the operations of SingleSource Staffing and Goddard Healthcare Consulting, Inc. for a combined purchase price of $2.4 million, all of which was allocated to goodwill.

     In November 2004, we acquired one home health agency for $0.7 million in cash and allocated the purchase price to goodwill and licenses of $0.4 million and $0.3 million, respectively. We acquired operations of one skilled nursing facility during the year ended December 31, 2003 by entering into a new lease agreement in March 2003.

(8)   Intangible and Long-Lived Assets

(a)  Intangible Assets

     The following table provides information regarding our intangible assets, which are included in the accompanying consolidated balance sheets at December 31, (in thousands):

F-19


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

Gross
Carrying
   Amount   


Accumulated
Amortization


Net
     Total     

Finite-lived Intangibles:

Lease intangibles:

          2005

$       7,940

$       4,517

$       3,423

          2004

5,796

3,178

2,618

Deferred financing cost:

          2005

$       6,518

$       3,593

$       2,925

          2004

3,676

2,825

851

Management and customer contracts

          2005

$       5,634

$         144

$       5,490

          2004

-

-

-

       

Indefinite-lived Intangibles:

Trademarks:

          2005

$       5,954

$             4

$       5,950

          2004

5,954

-

5,954

Other intangible assets:

          2005

$       1,551

$             4

$       1,547

          2004

879

3

876

       

Total intangible assets:

          2005

$     27,597

$      8,262

$     19,335

          2004

16,305

6,006

10,299

       

Unfavorable lease intangibles:

          2005

$     22,620

$    11,166

$     11,454

          2004

23,380

9,395

13,985

     The net credit to amortization expense was a result of the amortization on unfavorable lease intangibles, which recognize a reduction in rent expense in connection with a fair market valuation performed on our facility lease agreements.  The net credit recorded to amortization was as follows for the years ended December 31, (in thousands):

    2005    

 

    2004    

 

    2003    

 

             

Amortization expense

$              622

 

$           1,592

$           1,854

Amortization of unfavorable and            

   favorable lease intangibles, net

          (1,714

)

          (3,265

)

          (8,740

)

$         (1,092

)

$         (1,673

)

$         (6,886

)

=========

=========

=========

F-20


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

     Total estimated amortization (credit) expense for our intangible assets for the next five years is as follows (in thousands):

Expense

Credit

 

   Net   

 

           

2006

$      857

$     (1,786

)

$       (929

)

2007

924

(1,609

)

(685

)

2008

905

(1,488

)

(583

)

2009

867

(1,431

)

(564

)

2010

769

(1,431

)

(662

)

     The weighted-average amortization period for lease intangibles is approximately five years at December 31, 2005.

(b)  Impairment of Intangible Assets

Goodwill

     Pursuant to SFAS No. 142, we performed our annual goodwill impairment analysis during the fourth quarter of 2005 for each reporting unit that constitutes a business for which discrete financial information is produced and reviewed by operating segment management and, with the exception of the long-term care facilities, provides services that are distinct from the other components of the operating segment. We determine impairment by comparing the net assets of each reporting unit to their respective fair values. We determine the estimated fair value of each reporting unit using a discounted cash flow analysis. In the event a unit's net assets exceed its fair value, an implied fair value of goodwill must be determined by assigning the unit's fair value to each asset and liability of the unit. The excess of the fair value of the reporting unit over the amounts assigned to its assets and liabilities is the implied fair value of goodwill. An impairment loss is measured by the difference between the goodwill carrying value and the implied fair value.  Based on the analysis performed, we recorded no goodwill impairment for the years ended December 31, 2005, 2004 or 2003.

     During 2004, we determined that tax losses generated in 2004 were available to offset a liability that originated upon our emergence from bankruptcy. Accordingly, we reduced the remaining goodwill balance created through fresh-start accounting by $3.8 million (See "Note 12 - Income Taxes"). We also recorded $0.4 million in goodwill through a small home health acquisition in November 2004 (See "Note 7 - Acquisitions"). During 2005, we recognized $4.9 million and $75.9 million in goodwill in connection with acquisitions in our Medical Staffing and Inpatient Services segments, respectively.

Indefinite Life Intangibles

     We internally prepared an impairment analysis using discounted cash flows in order to estimate the fair value of Indefinite Life Intangibles, which principally consists of trademarks. The analysis resulted in no impairment charge for the years ended December 31, 2005, 2004 and 2003.

F-21


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

Finite Life Intangibles

     We internally prepared an impairment analysis using discounted cash flows in order to estimate the fair value of Finite Life Intangibles, which principally consists of lease intangibles, customer contracts and a management contract. The analysis resulted in no impairment charge for the year ended December 31, 2005 or 2004 and an impairment charge of $0.5 million for the year ended December 31, 2003.

(c)  Impairment of Long-Lived Assets

     SFAS No. 144 requires impairment losses to be recognized for long-lived assets used in operations when indicators of impairment are present and the estimated undiscounted cash flows are not sufficient to recover the assets' carrying amounts.  In estimating the undiscounted cash flows for our impairment assessment, we primarily used our internally prepared budgets and forecast information including adjustments for the following items: Medicare and Medicaid funding; overhead costs; capital expenditures; and patient care liability costs.  In accordance with SFAS No. 144, we assess the need for an impairment write-down when such indicators of impairment are present.

     2005.  During the fourth quarter of 2005, we did not recognize any impairments.

     2004.  During the fourth quarter of 2004, we recorded pretax charges totaling $1.0 million for asset impairments.  The asset impairment charges consist of a write-down of property and equipment in our Inpatient Services segment for certain nursing facilities whose book value exceeded estimated fair value when tested for impairment.

     2003.  During the fourth quarter of 2003, we recorded pretax charges totaling $2.3 million for asset impairments. The asset impairment charges consist of a write-down of property and equipment in our Inpatient Services segment for certain nursing facilities whose book value exceeded estimated fair value when tested for impairment.

(d)  Long Lived Assets to be Disposed Of

      SFAS No. 144 requires that long-lived assets to be disposed of be measured at the lower of carrying amount or fair value less cost to sell, whether reported in continuing operations or in discontinued operations.  Therefore, discontinued operations will no longer be measured at net realizable value or include amounts for operating losses that have not yet occurred.  SFAS No. 144 also broadens the reporting of discontinued operations to include all components of an entity with operations that can be distinguished from the rest of the entity and that will be eliminated from the ongoing operations of the entity in a disposal transaction. Depreciation is discontinued once an asset is classified as held for sale.

(9)  Discontinued Operations and Assets Held for Sale

(a)  Loss (Gain) on Sale of Assets, net

     2005.  During the year ended December 31, 2005, we recorded a $0.4 million charge primarily related to the write-down of a property held for sale.

     2004.  During the year ended December 31, 2004, we recorded a $1.5 million charge primarily related to the write-down of a property held for sale.

 

F-22


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

     2003.  During the year ended December 31, 2003, we recorded a gain on sale of assets of $4.2 million primarily related to the sale of land and buildings previously reported in the Other Operations segment.

(b)  Discontinued Operations

      In accordance with the provisions of SFAS No. 144, the results of operations of the disposed assets and the gains (losses) related to these divestitures have been classified as discontinued operations for all periods presented in the accompanying consolidated statements of operations. 

     Inpatient Services: During the first quarter of 2005, we divested one skilled nursing facility in accordance with our restructuring plan.  During the second quarter of 2005, we sold a skilled nursing facility for $1.0 million.  The facility was held for sale with a carrying amount of $0.1 million and we recorded a net gain of $0.8 million as a deferred gain to current liabilities.  Although the sale of the facility was final, we continued to operate the facility until the new owner obtained licensure on August 1, 2005, at which time the new owner took over operations of the facility and the gain was recognized.

     Laboratory and Radiology Services: On November 1, 2004, one of our subsidiaries sold its clinical laboratory and radiology operations located in California. We received $1.6 million in cash in connection with this sale, of which $0.9 million was received in the first quarter of 2005. In the fourth quarter of 2005, our mobile radiology services operations located in Arizona and Colorado were sold.

     Pharmaceutical Services: In July 2003, we sold the assets of our pharmaceutical services operations to Omnicare, Inc. for $90.0 million. Of the $90.0 million, we received cash proceeds of $75.0 million at closing while $15.0 million was not scheduled to be paid until 2005. Of the $15.0 million, $7.7 million of the hold back was received during September 2005. Payment of the remainder of the hold back is pending the completion of a net asset adjustment reconciliation satisfactory to both parties to the transaction. The reconciliation, which is not directly related to the hold back consideration, and for which provision has previously been made, is expected to be completed during the first quarter of 2006.

     Other Operations: On December 31, 2004, we closed our comprehensive outpatient rehabilitation facilities in Colorado. On November 7, 2003, a majority owned subsidiary sold substantially all of its software development assets to a subsidiary of Omnicare, Inc., for approximately $5.0 million in proceeds at closing and $0.5 million in cash in December 2004.

     A summary of the discontinued operations for the periods presented is as follows (in thousands):

F-23


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

 DECEMBER 31, 2005

 

For the Year

 

Ended

 

                                          December 31, 2005                                       

 

Inpatient

 

Pharmaceutical

 

Laboratory/

 

 

 

 

 

 

Services

 

Services

 

Radiology

 

Other

 

Total

 

                     

Total net revenues

$         2,599

$                -

$         2,477

$              -

$         5,076

=========

=========

=========

========

=========

Pretax income (loss)

$       14,686

$             22

$        (1,618

)

$          (55

)

$      13,035

Gain (loss) on disposal of

 

 

 

 

 

   discontinued operations

             725

          7,614

             674

        (124

)

         8,889

Income (loss) on discontinued

   operations

$       15,411

$         7,636

$          (944

)

$       (179

)

$     21,924

=========

=========

 

=========

=======

========

 

For the Year

 

Ended

 

                                                 December 31, 2004                                              

 

Inpatient

 

Pharmaceutical

 

Laboratory/

 

 

 

 

 

 

Services

 

Services

 

Radiology

 

Other

 

Total

 

Total net revenues

$       14,685

$               -

$       16,416

$     1,904

$       33,005

 

=========

========

=========

=======

========

 

Pretax (loss) income

$      (10,264

)

$           696

$      (13,182

)

$       (464

)

$     (23,214

)

Gain (loss) on disposal of

 

 

 

 

 

   discontinued operations

         4,967

       (5,008

)

       (5,550

)

         270

       (5,321

)

Loss on discontinued

   operations

$       (5,297

)

$       (4,312

)

$     (18,732

)

$       (194

)

$    (28,535

)

=========

=========

 

========

=======

========

   

 

For the Year

 

Ended

 

                                                 December 31, 2003                                              

 

Inpatient

 

Pharmaceutical

 

Laboratory/

 

 

 

 

 

Services

 

Services

 

Radiology

 

Other

 

Total

                     

Total net revenues

$      465,277

$     116,542

$     27,495

$     3,200

$    612,514

 

=========

=========

 

========

=======

========

 

Pretax (loss) income (1)

$      (28,117

)

$         5,595

$     (1,267

)

$    (1,360

)

$    (25,149

)

Gain on disposal of

 

 

 

 

 

   discontinued operations (2)

          6,210

       43,937

           111

      5,391

     55,649

(Loss) income on discontinued

   operations

$      (21,907

)

$      49,532

$     (1,156

)

$     4,031

$   30,500

=========

=========

 

========

=======

========

   

(1)

Net of restructuring costs of $405

(2)

Net of related tax expense of $650

F-24


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

 DECEMBER 31, 2005

(c)  Assets Held for Sale

     As of December 31, 2005, assets held for sale consisted of two undeveloped parcels of land valued at $1.9 million, within our consolidated financial statements in our Corporate segment, which we expect to sell during 2006.

(10)  Variable Interest Entities

     In December 2003, the FASB issued a revision to Interpretation No. 46, "Consolidation of Variable Interest Entities" ("FIN No. 46R"), which was originally issued in January 2003.  FIN No. 46R provides guidance on the consolidation of certain entities when control exists through means other than ownership of voting (or similar) interests and was effective for public entities that have interests in variable interest entities commonly referred to as special purpose entities for the first reporting period that ends after March 15, 2004.  FIN No. 46R requires consolidation by the majority holder of expected residual gains and losses of the activities of a variable interest entity ("VIE").

     We currently own less than 8% of the voting interest in three partnerships, five limited liability companies and one sole proprietorship, each of which own one facility that we operate in New Hampshire (collectively known as "Clipper"). Clipper's objective is to achieve rental income from the leasing of skilled nursing and assisted living facilities owned by Clipper. In April 2004, we entered into an agreement with the owners of the remaining interests in those nine entities.  That agreement granted us options, exercisable sequentially over a period of seven years, pursuant to which we can acquire 100% of the ownership of those nine entities for an aggregate amount of up to $10.3 million.  The agreement also provides the owners the right to require us to purchase those ownership interests at the above described option prices.  These put rights can be exercised for any options that have come due but which were not exercised up to that point in time, but no later than December 31, 2010. On June 30, 2005, we gave notice of our intent to exercise the second option to acquire an additional 4% interest in the nine entities for an aggregate purchase price of $0.4 million. The consummation of the second option exercise should occur on or around March 31, 2006.

     We have concluded that Clipper, as identified above, meets the definition of a VIE because we have agreements with the majority owners granting us the option to acquire, and the right of the owners to put to us, 100% ownership of Clipper. We have recognized $9.7 million of the option value in other long-term liabilities in our consolidated balance sheet.  The remaining $0.4 million is recorded as current in other accrued liabilities in our consolidated balance sheet.  We have not recorded any minority interest associated with the 92.5% interest in which we do not own since the partnerships' net equity was a deficit and as the primary beneficiary, we would be responsible for all of their losses. Pursuant to FIN No. 46(R), we have eliminated facility rent expense of $3.5 million for the year ended December 31, 2005, and included $50.2 million of mortgage debt of Clipper in our consolidated balance sheet as of December 31, 2005, although we own less than eight percent of the voting interest in the Clipper properties and are not directly obligated on the debt. The debt is collateralized by the fixed assets of the respective partnerships, limited liability companies and sole proprietorship that own the Clipper properties and none of our assets.  Creditors do not have any general recourse against us for the mortgage debt.

     As the primary beneficiary of the VIE, we consolidated Clipper beginning in the third quarter of 2004.  This change had no affect on previously reported net earnings.  We applied Statement of Financial Accounting Standards No. 141, Business Combinations ("SFAS No. 141") to consolidate Clipper. The following table summarizes the estimated fair values of the assets and liabilities assumed at the date of consolidation (in thousands):

F-25


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

Current assets

$         3,397

     

Current liabilities (includes $0.9 million of current debt)

2,702

Long-term debt

50,949

Other long-term liabilities (option value)

        10,658

    Total liabilities assumed

        64,309

     

Net assets

$       60,912

=========

     Upon consolidation in third quarter of 2004, a $12.5 million unfavorable lease intangible related to the nine entities and recorded on our books prior to consolidation was allocated against the $60.9 million basis of property, plant and equipment, and provided a consolidation value of $48.4 million. During the fourth quarter of 2004, we refined the allocation of the fair value and recorded a $2.8 million adjustment to property, plant and equipment due to the refinancing of two mortgages and the $3.5 million write off of a note payable no longer due, leaving a remaining consolidation value of $45.6 million.

     Our consolidated assets and liabilities increased approximately $62.4 million and $65.6 million, respectively, based upon the fair value of the assets and liabilities of Clipper.  Upon consolidation, we eliminated our investment in Clipper. The following provides a summary of the balance sheet impact of Clipper upon consolidation as of December 31, 2005 and 2004 (in thousands):

F-26


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

December 31, 2005

 

December 31, 2004

 

 

 

Current assets:

 

 

 

  Cash and cash equivalents

$                 708

$                 718

  Other receivables

250

289

  Restricted cash, current

1,021

1,461

  Prepaids and other assets

                 131

                 176

      Total current assets

2,110

2,644

         

Property and equipment, net:

  Land

6,171

6,171

  Land improvements

38

  Buildings

36,335

37,173

  Building improvements

2,223

2,143

  Equipment

89

  Construction-in-process

                 165

                      

 

      Total property and equipment, net

45,021

 

45,625

 

         

Favorable lease intangibles, net

9,982

11,979

Intercompany

              5,240

              5,358

         

      Total assets

$           62,353

$           65,606

==========

==========

Current liabilities:

 

 

 

 

  Mortgages, current

$           34,415

$             1,113

  Other accrued liabilities

                 551

                 223

      Total current liabilities

34,966

1,336

         

Mortgages, net of current

15,829

49,903

Other long-term liabilities

           16,421

           16,677

      Total long-term liabilities

           32,250

           66,580

         

      Total liabilities

67,216

67,916

         

Stockholders' deficit:

 

 

  Accumulated deficit

            (4,863

)

            (2,310

)

         

      Total liabilities and stockholders' deficit

$          62,353

$          65,606

==========

==========

     For the year ended December 31, 2005, the consolidation of Clipper included a net loss of $2.2 million comprised of a $4.0 million charge to interest expense, a $1.2 million charge to depreciation expense, a $0.4 million loss on extinguishment of debt and $0.1 million in administrative and tax expenses, partially offset by a $3.5 million credit to rent expense. For the year ended December 31, 2004, the consolidation of Clipper included a net loss of $1.5 million comprised of a $2.2 million charge to interest expense, a $0.6 million charge to depreciation expense, a $0.4 million loss on extinguishment of debt and $0.3 million in administrative and tax expenses, partially offset by a $2.0 million credit to rent expense.

F-27


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

(11)  Commitments and Contingencies

 (a)  Lease Commitments

      We lease real estate and equipment under cancelable and noncancelable agreements. Most of our operating leases have original terms from seven to twelve years and contain at least one renewal option, (which could extend the terms of the leases by five to ten years), purchase options, escalation clauses (primarily related to inflation) and provisions for payments by us of real estate taxes, insurance and maintenance costs. Leases with a fixed escalation are accounted for on a straight-line basis. Future minimum lease payments under real estate leases and equipment leases, are as follows (in thousands):

Operating

 
 

       Leases       

 

          2006

$               66,160

          2007

62,622

          2008

56,940

          2009

54,344

 

          2010

50,921

 

          Thereafter

              126,991

 

Total minimum lease payments

$            417,978

============

     Facility rent expense for continuing operations, totaled $41.0 million, $39.1 million and $38.8 million for the years ended December 31, 2005, 2004 and 2003, respectively. Facility rent expense for discontinued operations for the years ended December 31, 2005, 2004 and 2003 was $0.1 million, $1.0 million and $40.3 million, respectively. As of March 1, 2006, we have one remaining skilled nursing facility identified for divestiture, which is under an operating lease.

     Sun acquired a capital lease of $11.2 million in connection with the Peak acquisition. This amount, which is presented as a current liability, is expected to be converted to an operating lease during 2006 and no principal payment is anticipated. The net book value of the assets associated with this capital lease is $9.1 million, net of $2.6 million of accumulated amortization.

(b)  Purchase Commitments

     Our purchase obligations have been estimated assuming that we continue to operate the same number of facilities in future periods.  The prices that we pay under our purchase commitments are subject to market risk.

     We have an agreement establishing Medline Industries, Inc. ("Medline") as the primary medical supply vendor through January 12, 2010 for all of the long-term care facilities that we operate.  The agreement provides that the long-term care division shall purchase at least 90% of its medical supply products from Medline.  Additionally, if we choose to terminate the agreement without cause or if Medline chooses to terminate the agreement with cause, we may be required to pay Medline liquidated damages of $2.0 million if the agreement is terminated prior to January 11, 2007.

F-28


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

     We have an agreement establishing SYSCO Corporation ("SYSCO") as our primary foodservice supply vendor through February 29, 2008 for all of our long-term care facilities.  The agreement provides that the long-term care division shall purchase at least 80% of its foodservice supply products from SYSCO. 

     We have an agreement establishing Omnicare Pharmacy Services as the primary pharmacy services vendor through December 31, 2008 for all of the long-term care facilities that we operated as of July 15, 2003.

(c)  Insurance

     We self-insure for certain insurable risks, including general and professional liability, workers' compensation liability and employee health insurance liability, through the use of self-insurance or retrospective and self-funded insurance policies and other hybrid policies, which vary by the states in which we operate. There is a risk that amounts funded to our self-insurance programs may not be sufficient to respond to all claims asserted under those programs. Provisions for estimated reserves, including incurred but not reported losses, are provided in the period of the related coverage. These provisions are based on actuarial analyses, internal evaluations of the merits of individual claims, and industry loss development factors or lag analyses. The methods of making such estimates and establishing the resulting reserves are reviewed periodically and are based on historical paid claims information and nationwide nursing home trends. Any resulting adjustments are reflected in current earnings. Claims are paid over varying periods, and future payments may be different than the estimated reserves.

     Prior to January 1, 2000, the maximum loss exposure with respect to the third-party insurance policies was $100,000 per claim for general and professional liability.  Since January 2000, we have relied upon self-funded insurance programs for general and professional liability claims up to a base amount per claim and an aggregate per location, and have obtained excess insurance policies for claims above those amounts.  The programs had the following self-insured retentions:  (i) for events occurring from January 1, 2000 to December 31, 2002, $1.0 million per claim, and $3.0 million aggregate per location, (ii) for claims made in 2003, $10.0 million per claim with excess coverage above this level, and (iii) for claims made in 2004, 2005 and 2006, $10.0 million per claim with a single $5.0 million excess layer that attaches at $5.0 million of liability, available for claims made in 2004, 2005 and 2006.  An independent actuarial analysis is prepared twice a year to determine the expected losses and reserves for estimated settlements for general and professional liability under the per claim retention level, including incurred but not reported losses.

     The most recent actuarial analysis completed in December 2005 by our independent actuaries reflected an improvement in patient care liability cost trends for the 2002 and 2003 policy years. Based on the results of the actuarial analyses completed in June and December 2005, we reduced our reserves by $23.2 million, of which $7.7 million related to continuing operations for incidents in prior years, and $15.5 million related to discontinued operations for incidents in prior years. We have recorded reserves of $86.5 million and $104.7 million, as of December 31, 2005 and 2004, respectively. Provisions or adjustments for such risks were a credit of $2.2 million for the year ended December 31, 2005, and provisions of $9.4 million and $31.5 million for the years ended December 31, 2004 and 2003, respectively, of which a credit of $15.4 million was recorded for the year ended December 31, 2005 and $1.2 million and $20.3 million for the years ended December 31, 2004 and 2003, respectively, were related to divested skilled nursing facilities and were included in discontinued operations.  At December 31, 2005 and 2004, we had $3.6 million and $3.1 million, respectively, in pre-funded amounts, classified in current assets, restricted for payment of general and professional liability claims in a revocable trust account. The paid claims for the years ended December 31, 2005 and 2004 were $19.4 million and $22.2 million, respectively.

F-29


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

     The majority of our workers' compensation risks are insured through insurance policies with third parties. Our reserves are estimated by independent actuaries beginning with the 2000 policy year and by company analysis using industry development factors for prior years.  Based on the results of the actuarial analyses completed in June and December 2005, we adjusted our reserves between continuing operations and discontinued operations, recording increases of $0.9 million related to continuing operations for incidents in prior years, and of $1.0 million related to discontinued operations for incidents in prior years. Effective with the policy period beginning January 1, 2002, we discount our workers' compensation reserves based on a 4% discount rate. At December 31, 2005, the discounting of these policy periods resulted in a reduction to our reserves of approximately $11.6 million. The provision for such risks, which includes accruals for insurance premiums and claims costs, for the years ended December 31, 2005, 2004 and 2003 was $17.9 million, $22.3 million and $35.9 million, respectively, of which $1.0 million, $5.1 million and $15.0 million, for the years ended December 31, 2005, 2004 and 2003, respectively, were related to divested skilled nursing facilities and included in discontinued operations. We have recorded reserves of $56.1 million and $62.8 million, as of December 31, 2005 and 2004, respectively. At December 31, 2004, we had $48.4 million in pre-funded amounts in a revocable trust account restricted for payment of workers' compensation claims, of which $17.4 million was classified in current assets and $31.0 million was held in non-current assets. At December 31, 2005, we had $45.5 million in pre-funded amounts in a revocable trust account restricted for payment of workers' compensation claims, of which $13.4 million was classified in current assets and $32.1 million was held in non-current assets. The paid claims for the years ended December 31, 2005 and 2004 were $14.3 million and $19.7 million, respectively.

     The provision for loss for insurance risks was as indicated (in thousands):

For the

 

For the

 

For the

Year Ended

 

Year Ended

 

Year Ended

December 31, 2005

 

December 31, 2004

 

December 31, 2003

 

 

 

 

 

Professional Liability:

   Continuing operations

$             13,160

$               8,187

$               11,201

   Discontinued operations

             (15,407

)

                1,190

 

                20,282

$             (2,247

)

$               9,377

$               31,483

===========

===========

============

Workers' Compensation:

   Continuing operations

$            16,842

$             17,173

$               20,957

   Discontinued operations

               1,026

                5,083

                14,988

$            17,868

$             22,256

$               35,945

===========

============

============

     A summary of the assets and liabilities related to insurance risks at December 31, 2005 and December 31, 2004 were as indicated (in thousands):

F-30


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

 

December 31, 2005

|

December 31, 2004

 

Professional

Workers'

 

|

Professional

Workers'

 

 

Liability

Compensation

Total

|

Liability

Compensation

Total

Assets (1):

|

Restricted cash

|

   Current

$             3,626

$          13,427

$          17,053

|

$             3,103

$           17,348

$           20,451

   Non-current

                      -

 

            32,076

 

           32,076

|

                      -

 

            31,003

 

            31,003

          Total

$             3,626

$          45,503

$          49,129

|

$             3,103

$           48,351

$           51,454

==========

==========

==========

|

==========

===========

==========

Liabilities (2):

|

Self-insurance

|

liabilities

|

   Current

$           19,180

$          13,427

$           32,607

|

$           17,967

$           18,849

$           36,816

   Non-current

            67,274

 

            42,679

 

          109,953

|

            86,736

 

            43,950

 

          130,686

          Total

$           86,454

$          56,106

$         142,560

|

$         104,703

$           62,799

$         167,502

==========

===========

==========

|

===========

===========

==========

 

(1)

Total restricted cash excluded $11,530 and $9,306 at December 31, 2005 and December 31, 2004, respectively, held for bank collateral, various mortgages, bond payments and capital expenditures on HUD buildings.

(2)

Total self-insurance liabilities excluded $4,631 and $3,420 at December 31, 2005 and December 31, 2004, respectively, related to our health insurance liabilities.

(d)  Construction Commitments

     As of December 31, 2005, we had construction commitments under various contracts of approximately $3.3 million. These items consisted primarily of contractual commitments to improve existing facilities.

(12)  Income Taxes

     The provision for income taxes was based upon management's estimate of taxable income or loss for each respective accounting period.  We recognized an asset or liability for the deferred tax consequences of temporary differences between the tax bases of assets and liabilities and their reported amounts in the financial statements.  These temporary differences would result in taxable or deductible amounts in future years when the reported amounts of the assets are recovered or liabilities are settled.  We also recognized as deferred tax assets the future tax benefits from net operating loss, capital loss, and tax credit carryforwards.  A valuation allowance was provided for deferred tax assets as it is more likely than not that some portion or all of the net deferred tax assets will not be realized.

     Income tax expense (benefit) on income (losses) before discontinued operations consisted of the following (in thousands):

F-31


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

 DECEMBER 31, 2005

For The Year Ended

December 31, 2005

 

December 31, 2004

December 31, 2003

Current:

 

   Federal

$                  (1,037

)

$                   (1,585

)

$                             -

   State

                        251

 

                        427

 

                          665

                       (786

)

                    (1,158

)

                          665

Deferred:

 

 

   Federal

-

 

-

 

-

   State

                             -

 

                             -

 

                              -

                             -

 

                             -

 

                              -

   Total

$                         (786

)

$                    (1,158

)

$                        665

===============

 

==============

 

==============

     Actual tax expense (benefit) differed from the expected tax expense (benefit) on income (losses) before discontinued operations which was computed by applying the U.S. Federal corporate income tax rate of 35% to our profit or loss before income taxes as follows (in thousands):

 

For The Year Ended

 

 

December 31, 2005

 

December 31, 2004

December 31, 2003

 

Computed expected tax expense

  (benefit)

$                          718

$                          3,063

$                      (10,271

)

Adjustments in income taxes            
  resulting from:            

  Change in valuation allowance

(2,364

)

(5,936

)

12,333

 

  State income tax expense

 

     (benefit), net of  Federal

 

     Income tax effect

175

529

(1,169

)

  Other

                           685

                           1,186

                            (228

)

          Total

$                         (786

)

$                         (1,158

)

$                            665

===============

================

================

 

     The change in the valuation allowance in 2005 and 2004 related principally to the carryback of Federal net operating losses which generate income tax refunds. Deferred tax assets (liabilities) at December 31 consisted of the following (in thousands):

F-32


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

 DECEMBER 31, 2005

 

    2005    

 

    2004    

 

Deferred tax assets:

   Accounts and notes receivable

$           13,265

$        16,496

   Accrued liabilities

74,257

81,380

   Property and equipment

28,963

28,634

   Intangible assets

27,768

31,504

   Write-down of assets held for sale

3,512

13,029

   Partnership investments

-

433

   Alternative minimum tax credit

-

3,568

   Jobs and other credit carryforwards

107

7,201

   Capital loss carryforwards

-

92,026

   State net operating loss carryforwards

1,614

39,625

   Federal net operating loss carryforwards

25,917

385,703

   Other

                 293

 

              344

 

          175,696

 

       699,943

 

Less valuation allowance:

   Federal

(146,818

)

(581,693

)

   State

          (28,878

)

      (118,250

)

        (175,696

)

      (699,943

)

Total deferred tax assets

                    -

 

                   -

 

Total deferred tax liabilities

                    -

                  -

Deferred taxes, net

$                    -

$                 -

==========

=========

     In connection with the fresh-start accounting adopted in 2002, our assets and liabilities were recorded at their respective fair values.  Deferred tax assets and liabilities were then recognized for the tax effects of the differences between fair values and tax bases.  In addition, deferred tax assets were recognized for future tax benefits of net operating loss ("NOL"), capital loss and tax credit carryforwards, and a valuation allowance was recorded for the overall net increase in deferred tax assets recognized in connection with fresh-start accounting.

     To the extent management believes the pre-emergence net deferred tax assets will more likely than not be realized, a reduction in the valuation allowance established in fresh-start accounting will be recorded.  The reduction in this valuation allowance will first reduce any remaining intangible assets recorded in fresh-start accounting, with any excess being treated as an increase to capital in excess of par value.

     During 2004, we determined that a portion of the income tax payable balance established in fresh-start could be offset by NOL carrybacks.  The payable was reduced by an amount equal to the $3.8 million of goodwill remaining from fresh-start accounting.

     In connection with our emergence from bankruptcy on February 28, 2002, we realized a gain on the extinguishment of debt of approximately $1.5 billion.  This gain was not taxable since the gain resulted from our reorganization under the Bankruptcy Code.  However, pursuant to Section 108 of the Internal Revenue Code, we were required as of the beginning of our 2003 taxable year to reduce certain tax attributes, including (a) NOL and capital loss carryforwards, (b) certain tax credits, and (c) tax bases in assets, in an amount equal to such gain on extinguishment.

     Internal Revenue Code Section 382 imposes a limitation on the use of a company's NOL carryforwards and other losses when the company has an ownership change.  In general, an ownership change occurs when

F-33


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

 DECEMBER 31, 2005

shareholders owning 5% or more of a "loss corporation" (a corporation entitled to use NOL or other loss carryovers) have increased their ownership of stock in such corporation by more than 50 percentage points during any 3-year testing period beginning on the first day following the change date for an earlier ownership change.  The annual base Section 382 limitation is calculated by multiplying the loss corporation's value at the time of the ownership change times the greater of the long-term tax-exempt rate determined by the IRS in the month of the ownership change or the two preceding months.

     Our reorganization under the Bankruptcy Code effective February 28, 2002 constituted an ownership change under Section 382 of the Internal Revenue Code.  Our acquisition of Peak on December 9, 2005 resulted in a second ownership change under Section 382.  The annual base Section 382 limitation to be applied to our tax attribute carryforwards as a result of this second ownership change is more restrictive than the Section 382 limitation resulting from our ownership change upon emergence from bankruptcy.  Accordingly, our NOL, capital loss, and tax credit carryforwards have been reduced to take into account this new limitation and the respective carryforward periods for these tax attributes.

     The acquisition resulted in an ownership change for Peak as well.  Peak's NOL and tax credit carryforwards are subject to a separate Section 382 limitation based on its value on the date of the merger.  However, no reduction in Peak's NOL or tax credit carryforwards was required.

     During the year ended December 31, 2005, our net deferred tax assets decreased by approximately $524.2 million.  This change resulted from an increase of approximately $19.0 million from the preliminary purchase accounting for the acquisition of Peak, offset by a decrease of approximately $543.2 million related primarily to the reduction in our NOL, capital loss, and tax credit carryforwards as a result of the Section 382 ownership change from the acquisition.  We also decreased our valuation allowance by approximately $524.2 million to match the reduction in our net deferred tax assets.  Our valuation allowance fully offsets our net deferred tax assets because we have no net operating loss carryback potential, and there is insufficient evidence regarding the generation of future taxable income to allow for the recognition of deferred tax assets under FAS 109.

     After considering the reduction in tax attributes resulting from the exclusion of the gain on the extinguishment of debt as well as the preliminary calculation of the Section 382 limitation resulting from the second ownership change, we have Federal NOL carryforwards of approximately $74.0 million with expiration dates from 2006 through 2025.  Various subsidiaries have state NOL carryforwards totaling approximately $37.0 million with expiration dates through the year 2025.  Our $0.1 million of other tax credit carryforwards will expire in years 2020 and 2021.  We expect to finalize the calculation of the Section 382 limitation during 2006.

     Our application of the rules under Section 382 and Section 108 is subject to challenge upon IRS review.  A successful challenge could significantly impact our ability to utilize deductions, losses and tax credits generated prior to the acquisition date.

F-34


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

 (13)  Fair Value of Financial Instruments

      The estimated fair values of our financial instruments as of December 31 were as follows (in thousands):

 

                    2005                     

                   2004                     

 

Carrying

 

Carrying

 

 

   Amount   

  Fair Value  

   Amount   

  Fair Value  

Cash and cash equivalents

$      16,641

$        16,641

$     19,834

$      19,834

Long-term debt, including current portion

   and capital lease obligation

$    197,779

$      182,968

$   107,182

$      67,487

     The cash and cash equivalents carrying amount approximates fair value because of the short maturity of these instruments.  At December 31, 2005 and 2004, the fair value of our long-term debt, including current maturities, was based on estimates using present value techniques that are significantly affected by the assumptions used concerning the amount and timing of estimated future cash flows and discount rates that reflect varying degrees of risk. The increase in the carrying amount of debt in 2005 is related to the $95.7 million of debt assumed in connection with the Peak acquisition.

(14)  Capital Stock

(a)  Common Stock

     As of December 31, 2005, we had issued 31,143,728 shares, inclusive of 10,182 treasury shares.  The shares issued included (i) 9,931,613 shares pursuant to our Plan of Reorganization as discussed below, (ii) 4,425,232 shares issued in a private placement of our common stock in February 2004, (iii) 760,000 shares in payment of deferred rent as part of our restructuring plan initiated in 2003, (iv) 8,871,890 shares in connection with the acquisition of Peak, (v) 6,900,000 shares issued in a public offering in December 2005, and (vi) 254,993 in stock awards to our employees and directors. 

     As of December 31, 2005, Sun had issued 9,931,613 shares of common stock in connection with the extinguishment of liabilities subject to compromise pursuant to our Plan of Reorganization in 2002. As of December 31, 2005, we expected to issue up to an additional 68,387 shares of our common stock to general unsecured creditors with claims of more than $50,000 in accordance with the provisions of the Plan of Reorganization. The fair value of the additional common stock expected to be issued is approximately $1.8 million valued at $27 per share by our reorganization plan and was recorded in other long-term liabilities in the December 31, 2005 consolidated balance sheet.

(b)  Warrants

      In February 2004, in conjunction with our private equity offering, we issued warrants to purchase 2,017,897 shares of our common stock, of which 1,707,924 shares have a strike price of $12.65, 62,160 shares have a strike price of $12.82, and 247,813 shares have a strike price of $15.87.  The warrants have an exercise period of five years.

(c)  Equity Incentive Plan

     Our 2004 Equity Incentive Plan (the "2004 Plan") allows for the issuance of up to 2.1 million shares of our common stock. Pursuant to the 2004 Plan, as of December 31, 2005, our employees and directors held options to

F-35


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

purchase 1,362,750 shares of common stock, 64,261 shares of restricted common stock, and 300,914 restricted stock units. Through December 31, 2005, we have issued 180,550 shares of common stock upon the vesting of restricted stock shares, restricted stock units and the exercise of stock options. As of December 31, 2005, 30,000 unvested shares of restricted common stock valued at $27.00 per share and 34,261 shares of restricted common stock valued at $11.25 per share were held by our executive officers and key employees. The restricted common stock vests over a four-year period. Restricted stock awards are outright stock grants.  The issuance of restricted stock and other stock awards requires the recognition of compensation expense measured by the fair value of the stock on the date of grant. As of December 31, 2005, we had 232,589 shares of nonvested stock granted in 2005 with a weighted-average grant date fair value of $7.29 and 102,587 shares of nonvested stock granted in 2004 with a weighted-average grant date fair value of $8.34. We recognized expense related to the issuance of these stock awards of $1.3 million, $1.6 million, and $0.9 million, respectively, for the years ended December 31, 2005, 2004 and 2003.

     Our 2002 Non-employee Director Equity Incentive Plan (the "Director Plan") allows for the issuance of up to 40,000 options to purchase shares of our common stock. Upon the adoption of the 2004 Plan, the grant of further awards under the Director Plan was suspended so that no additional awards could be made under the Director Plan. As of December 31, 2005, our directors held options to purchase 20,000 shares under the Director Plan.

     As of December 31, 2005, we had outstanding options covering an aggregate of 1,382,750 shares of our common stock to our employees and directors, of which 345,000 options were granted with an average strike price of $7.71 per share and expire in 2009, 360,998 options were granted with an average strike price of $7.19 per share and expire in 2011, and 676,752 options were granted with an average strike price of $6.60 per share and expire in 2012. The strike prices were equal to the estimated market value at date of issuance. The options vest over a two- to four-year period.

     The following is a summary of the status of our Stock Option Plans and changes during the periods ended (shares in thousands):

F-36


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

 

For the Year Ended

 

December 31, 2005 

December 31, 2004 

December 31, 2003

 

 

 

Weighted

 

 

 

Weighted

 

 

 

Weighted

 

 

 

 

Average

 

 

 

Average

 

 

 

Average

 

 

Shares

 

Exercise Price

 

Shares

 

Exercise Price

 

Shares

 

Exercise Price

 

                         

Outstanding at beginning of period

905

$       8.03

 

720

$       27.00

 

800

$      27.00

Granted:

 

 

   Price equals fair value

706

$       6.61

 

922

7.45

 

-

-

Exercised/Issued

(30

)

$       6.85

 

 

 

 

Cancelled

(198

)

$     10.43

 

(660

)

27.00

 

-

 

-

 

Forfeited

            - 

 

         (77

)

15.83

 

        (80

)

27.00

 

Outstanding at period-end

1,383

$       7.03

 

905

8.03

 

720

27.00

======

 

======

 

======

Options exercisable at period-end

530

$       6.69

 

278

8.66

 

248

27.00

======

 

======

 

======

Options available for future grant

330

 

908

 

190

======

 

======

 

======

Weighted average fair value of
  options granted during the period


$     3.37

 


$      4.20

 


$     N/A

======

 

======

 

======

     We account for stock-based compensation using the intrinsic value method prescribed in Accounting Principles Board Opinion No. 25, Accounting for Stock Issued to Employees ("APB No. 25"), and related interpretations. Accordingly, compensation cost for stock options is measured as the excess, if any, of the quoted market price of our stock at the date of grant over the amount an employee must pay to acquire the stock.  We currently do not recognize compensation expense for most of our stock option grants, which are issued at fair market value on the date of grant. However, in 2004, we cancelled options with an exercise price of $27.00 per share to eliminate significantly out-of-the money options for our employees. New options totaling 262,700 with an exercise price of $6.85 were granted within six months of this cancellation and are accounted for as variable options.

     Statement of Financial Accounting Standards No. 148, Accounting for Stock-Based Compensation - Transition and Disclosure ("SFAS No. 148"), issued on December 31, 2002, provides companies alternative methods to transitioning to Statement of Financial Accounting Standards No. 123, Stock-Based Compensation ("SFAS No. 123"), fair value method of accounting for stock-based employee compensation and amends certain disclosure requirements. SFAS No. 148 did not mandate fair value accounting for stock-based employee compensation but required all companies to meet disclosure provisions.

     For purposes of pro forma disclosures, the estimated fair market value of the stock options is amortized to expense over their respective vesting periods. The fair value of stock options granted in 2005 and 2004 was estimated at the date of grant using a Black-Scholes option pricing model with the following assumptions: volatility (32.5%), expected life (7 years), risk free rate of return (3.86%), dividend yield (0.0%) and weighted average fair value ($3.37 for 2005 and $4.20 for 2004). There were no stock options granted in 2003. The following table summarizes our pro forma basic and diluted net income (loss) per share assuming we accounted for our stock option grants in accordance with SFAS No. 123, for the periods indicated (in thousands, except per share amounts):

F-37


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

 DECEMBER 31, 2005

For The Year Ended

December 31, 2005

December 31, 2004

December 31, 2003

             

Net income (loss) as reported(1)

$                    24,761

$                   (18,627

)

$                          354

Compensation expense

                      (1,469

)

                       (1,568

)

                          (511

)

   Net income (loss) (pro forma)

$                    23,292

$                   (20,195

)

$                         (157

)

==============

==============

==============

Net income (loss) per share:

Basic:

   Net income (loss) as reported

$                       1.55 

$                       (1.29

)

$                         0.04

   Compensation expense

                        (0.09

)

                        (0.11

)

                         (0.05

)

   Net income (loss) pro forma

$                        1.46

$                       (1.40

)

$                        (0.01

)

==============

==============

==============

Diluted:

   Net income (loss) as reported

$                       1.55 

$                       (1.28

)

$                        0.04

   Compensation expense

                        (0.09

)

                        (0.11

)

                        (0.05

)

   Net income (loss) pro forma

$                        1.45

$                       (1.39

)

$                       (0.01

)

==============

==============

==============

(1)

Includes total charges to our consolidated statements of income related to stock-based employee compensation cost of $1.3 million, $1.6 million, and $0.9 million for the years ended December 31, 2005, 2004 and 2003, respectively.

     The effects of applying SFAS No. 123 in this pro forma disclosure are not indicative of future amounts. SFAS No. 123 does not apply to options granted prior to 1995, and additional option grants in future years are anticipated.

     The following table summarizes information about stock options outstanding as of December 31, 2005 (shares in thousands):

 

Options Outstanding

       Options Exercisable        

 

 

Weighted

 

 

 

 

Number

average

 

Number

Weighted

 

outstanding

remaining

Weighted

exercisable

average

Range of

at December 31,

contractual

average

at December 31,

exercise

exercise prices

         2005        

        life      

      price    

           2005        

     price    

$3.18

104

7 years

$             3.18

104

$        3.18

$6.04 - $6.84

13

7 years

6.52

-

-

$6.85

301

5 years

6.85

83

6.85

$7.05 - $7.08

368

6 years

7.05

9

7.05

$7.41 - 7.71

538

5 years

7.62

326

7.68

$7.85 - $8.44

39

6 years

8.27

3

7.85

$11.25

                  20

5 years

11.25

                       5

11.25

1,383

6 years

$             7.03

530

$        6.69

==========

 

 

===========

 

     On December 16, 2004, the Financial Accounting Standards Board ("FASB") issued Statement of Financial Accounting Standard No. 123 (revised 2004), Share-Based Payment ("SFAS No. 123(R)"), which is a revision of SFAS No. 123. SFAS No. 123(R) supersedes APB No. 25 and amends Statement of Financial Accounting Standard No. 95, Statement of Cash Flows ("SFAS No. 95"). Generally, the approach in SFAS No. 123(R) is similar to the approach described in SFAS No. 123. However, SFAS No. 123(R) requires all share-based payments to employees, including grants of employee stock options, to be recognized in the statement of operations based on their fair values. Pro forma disclosure is no longer an alternative.

F-38


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

     We adopted SFAS No. 123(R) using the modified-prospective method on January 1, 2006, in which compensation cost is recognized beginning with the effective date (a) based on the requirements of SFAS No. 123(R) for all share-based payments granted after the effective date and (b) based on the requirements of SFAS No. 123 for all awards granted to employees prior to the effective date of SFAS No. 123(R) that remain unvested on the effective date. Based on the estimated value of current unvested stock options, we expect wages and related expenses to increase $0.9 million for the year ending December 31, 2006, beginning January 1, 2006.

(15)  Other Events

 (a)  Litigation

     We are a party to various other legal actions and administrative proceedings and are subject to various claims arising in the ordinary course of our business, including claims that our services have resulted in injury or death to the residents of our facilities, claims relating to employment and commercial matters. Although we intend to vigorously defend ourselves in these matters, there can be no assurance that the outcomes of these matters will not have a material adverse effect on our results of operations and financial condition. In certain states in which we have or have had operations, insurance coverage for the risk of punitive damages arising from general and professional liability litigation may not be available due to state law public policy prohibitions. There can be no assurance that we will not be liable for punitive damages awarded in litigation arising in states for which punitive damage insurance coverage is not available.

     We operate in industries that are extensively regulated. As such, in the ordinary course of business, we are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. In addition to being subject to direct regulatory oversight of state and federal regulatory agencies, these industries are frequently subject to the regulatory supervision of fiscal intermediaries. If a provider is found by a court of competent jurisdiction to have engaged in improper practices, it could be subject to civil, administrative or criminal fines, penalties or restitutionary relief, and reimbursement authorities could also seek the suspension or exclusion of the provider or individual from participation in their program. We believe that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations, whether currently asserted or arising in the future, could have a material adverse effect on our financial position, results of operations and cash flows.

(b)  Other Inquiries

     From time to time, fiscal intermediaries and Medicaid agencies examine cost reports filed by predecessor operators of our skilled nursing facilities. If, as a result of any such examination, it is concluded that overpayments to a predecessor operator were made, we, as the current operator of such facilities, may be held financially responsible for such overpayments. At this time we are unable to predict the outcome of any existing or future examinations.

(c)  Legislation, Regulations and Market Conditions

      We are subject to extensive federal, state and local government regulation relating to licensure, conduct of operations, ownership of facilities, expansion of facilities and services and reimbursement for services. As such, in the ordinary course of business, our operations are continuously subject to state and federal regulatory

F-39


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which may be non-routine. We believe that we are in substantial compliance with the applicable laws and regulations. However, if we are ever found to have engaged in improper practices, we could be subjected to civil, administrative or criminal fines, penalties or restitutionary relief, which may have a material adverse impact on our financial position, results of operations and cash flows.

     We entered into a Corporate Integrity Agreement (the "CIA") with the HHS/OIG in July 2001 and it became effective on February 28, 2002.  We implemented further internal controls with respect to our quality of care standards and Medicare and Medicaid billing, reporting and claims submission processes and engaged an independent third party to act as quality monitor and Independent Review Organization under the CIA.   A breach of the CIA could subject us to substantial monetary penalties and exclusion from participation in Medicare and Medicaid programs.  We believe that we are in compliance with the terms and provisions of the CIA.  Any such sanctions could have a material adverse effect on our financial position, results of operations, and cash flows.

 (16)  Segment Information

     We operate predominantly in the long-term care segment of the healthcare industry. We are a provider of long-term, sub-acute and related ancillary care services to nursing home patients.

     The following summarizes the services provided by our reportable and other segments:

 Inpatient Services:  This segment provides, among other services, inpatient skilled nursing and custodial services as well as rehabilitative, restorative and transitional medical services. We provide 24-hour nursing care in these facilities by registered nurses, licensed practical nurses and certified nursing aids.  At December 31, 2005, we operated 158 long-term care facilities (consisting of 134 skilled nursing facilities (10 of which are managed), 14 assisted living and independent living facilities, seven mental health facilities, and three specialty acute care hospitals, which includes 56 facilities acquired in the Peak business combination) with 16,063 licensed beds as compared with 104 facilities with 10,659 licensed beds at December 31, 2004.

Rehabilitation Therapy Services:  This segment provides, among other services, physical, occupational, speech and respiratory therapy supplies and services to affiliated and nonaffiliated skilled nursing facilities.  At December 31, 2005, this segment provided services to 424 facilities, 328 nonaffiliated and 96 affiliated, as compared to 397 facilities at December 31, 2004, of which 309 were nonaffiliated and 88 were affiliated. At December 31, 2004, we closed our certified outpatient rehabilitation clinics in Colorado.  In March 2002, we sold substantially all of the assets of our respiratory therapy operation. We also provide rehabilitative and special education services to pediatric clients as well as rehabilitation therapy services for adult home healthcare clients in the greater New York City metropolitan area through HTA of New York, Inc.

Medical Staffing Services:  For the year ended December 31, 2005, this segment derived 66% of its revenues from hospitals and other providers, 21% from skilled nursing facilities, 9% from schools and 4% from prisons. We provide (i) licensed therapists skilled in the areas of physical, occupational and speech therapy, (ii) nurses, (iii) pharmacists, pharmacist technicians and medical imaging technicians, (iv) physicians, and (v) related medical personnel.  As of December 31, 2005, this segment had 25 division offices, which provided temporary therapy and nursing staffing services in major metropolitan areas and two division offices, which specialize in the placement of temporary traveling therapists and two division offices specializing in permanent placement of healthcare professionals.

F-40


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

Home Health Services:  As of December 31, 2005, this segment provided skilled nursing care, rehabilitation therapy and home infusion services to adult and pediatric patients in California and Ohio, and also operated two licensed home infusion pharmacies in California.

Laboratory and Radiology Services: This segment provides medical laboratory and radiology services to skilled nursing facilities in Massachusetts, New Hampshire and Rhode Island.

Other Operations: We previously provided pharmaceutical products primarily to nonaffiliated and affiliated long-term and sub-acute care facilities through a subsidiary.  In July 2003, we sold substantially all of its assets to Omnicare, Inc.

     Corporate assets primarily consist of cash and cash equivalents, receivables from subsidiary segments, notes receivable, property and equipment and unallocated intangible assets. Although corporate assets include unallocated intangible assets, the amortization, if applicable, is reflected in the results of operations of the associated segment.

     The accounting policies of the segments are the same as those described in the Note 3 - "Summary of Significant Accounting Policies." We primarily evaluate segment performance based on profit or loss from operations after allocated expenses and before reorganization and restructuring items, income taxes and extraordinary items. Gains or losses on sales of assets and certain items including impairment of assets recorded in connection with SFAS No. 144 and No. 142 and restructuring costs are not considered in the evaluation of segment performance. Allocated expenses include intersegment charges assessed to segments for management services and asset use based on segment operating results and average asset balances, respectively. We account for intersegment sales and provision of services at estimated market prices.

     Our reportable segments are strategic business units that provide different products and services. They are managed separately because each business has different marketing strategies due to differences in types of customers, distribution channels and capital resource needs.

F-41


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

As of and for the

 

 

 

 

Year Ended

 

 

 

 

December 31, 2005

Segment Information (in thousands):

 

 

 

 

 

Rehabilitation

Medical

Home

Laboratory and

 

 

 

 

 

Inpatient

Therapy

Staffing

Health

Radiology

 

Intersegment

 

 

Discontinued

 

 Services 

  Services  

Services

Services

  Services  

Corporate

Eliminations

Consolidated

 

Operations

Revenues from external customers

$

635,630

$

100,338

$

70,534

$

60,778

$

14,168

$

661

$

-

$

882,109

$

5,076

Intersegment revenues

                 -

           36,951

             613

                  -

              180

                 -

          (37,744

)

                   -

                    -

     Total revenues

635,630

 

 

137,289

 

 

71,147

 

 

60,778

 

 

14,348

 

 

661

 

 

(37,744

)

 

882,109

 

 

5,076

Operating salaries and benefits

320,819

98,071

56,791

45,143

9,004

-

-

529,828

3,527

Self insurance for workers'

  compensation and general and

  professional liability insurance

24,881

1,759

946

1,557

487

372

-

30,002

(14,381

)

Other operating costs(1)

179,246

22,568

4,371

7,046

4,509

9

(37,744

)

180,005

1,890

General and administrative expenses

13,455

7,351

2,748

1,184

193

47,193

-

72,124

12

Provision (adjustment) for losses on

 

 

 

 

 

 

 

 

 

  accounts receivable

          3,726

              (509

)

             221

              582

               336

                 -

                    -

            4.356

               652

 

 

 

 

 

 

 

 

 

   Segment operating income (loss)

$

93,503

 

$

8,049

 

$

6,070

 

$

5,266

 

$

(181

)

$

(46,913

)

$

-

 

$

65,794

 

$

13,376

 

Facility rent expense

37,521

513

738

1,866

315

-

-

40,953

128

Depreciation and amortization

6,999

262

376

901

371

965

-

9,874

102

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest, net

 

          7,546

 

 

                (17

)

 

               49

 

                10

 

                   -

 

          4,461

 

 

                   -

 

 

          12,049

 

 

               111

   Net segment income (loss)

$

41,437

 

$

7,291

 

$

4,907

 

$

2,489

 

$

(867

)

$

(52,339

)

$

-

 

$

2,918

 

$

13,035

 

=========

==========

=========

==========

==========

=========

==========

==========

==========

Identifiable segment assets

$

371,151

$

19,751

$

33,773

$

12,220

$

2,508

$

591,002

$

(520,985

)

$

509,420

$

2,886

Segment capital expenditures

$

11,045

$

334

$

367

$

520

$

209

$

4,913

$

-

$

17,388

$

28

     

 

 

 

 

 

 

 

 

 

 

 

General and administrative expenses include operating administrative expenses.

     The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, net, loss on asset impairment, restructuring costs, net, loss (gain) on sale of assets, net, income tax benefit and discontinued operations.

     The term "net segment income (loss)" is defined as earnings before loss on asset impairment, restructuring costs, net, loss (gain) on sale of assets, net, income tax benefit and discontinued operations.

(1) Includes $408 for loss on extinguishment of debt in Inpatient Services.

F-42


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

As of and for the

 

 

 

 

Year Ended

 

 

 

 

December 31, 2004

Segment Information (in thousands):

 

 

 

 

 

 

                                                       

 

Rehabilitation

Medical

Home

Laboratory and

 

 

 

 

Inpatient

Therapy

Staffing

Health

Radiology

 

Intersegment

 

 

Discontinued

 Services 

  Services  

Services

Services

  Services  

Corporate

Eliminations

Consolidated

 

Operations

Revenues from external customers

$

586,413

$

99,890

$

54,713

$

56,702

$

15,525

$

47

$

-

$

813,290

$

33,005

Intersegment revenues

         (600

)

           33,228

          2,103

                 -

            184

              -

       (34,915

)

                 -

                  -

Total net revenues

 

585,813

 

 

133,118

 

 

56,816

 

 

56,702

 

 

15,709

 

 

47

 

 

(34,915

)

 

813,290

 

 

33,005

Operating salaries and benefits

296,271

91,693

43,918

40,469

8,926

(13

)

-

481,264

26,252

Self insurance for workers'

  compensation and general and

  professional liability insurance

20,894

693

885

2,097

607

184

-

25,360

6,273

Other operating costs(1)

161,504

21,779

4,329

6,730

4,590

20

(34,915

)

164,037

15,278

General and administrative expenses

11,895

6,398

3,140

911

298

44,104

-

66,746

477

Provision for losses on accounts

 

 

 

 

 

 

 

 

 

  receivable

        2,612

            1,508

              340

             516

             347

               -

                 -

         5,323

          6,578

 

 

 

 

 

 

 

 

 

   Segment operating income (loss)

$

92,637

 

$

11,047

 

$

4,204

 

$

5,979

 

$

941

 

$

(44,248

)

$

-

 

$

70,560

 

$

(21,853

)

Facility rent expense

35,579

551

826

1,852

290

9

-

39,107

950

Depreciation and amortization

7,320

248

183

592

251

612

-

9,206

404

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest, net

 

        5,285

 

 

                 15

 

 

              (10

)

 

              36

 

 

                 -

 

        3,527

 

 

                 -

 

 

          8,853

 

 

                 7

   Net segment income (loss)

$

44,453

 

$

10,233

 

$

3,205

 

$

3,499

 

$

400

 

$

(48,396

)

$

-

 

$

13,394

 

$

(23,214

)

========

==========

=========

=========

=========

========

=========

=========

=========

Identifiable segment assets

$

181,598

$

25,352

$

10,726

$

12,674

$

3,203

$

446,875

$

(366,759

)

$

313,669

$

(516

)

Segment capital expenditures

$

8,667

$

231

$

74

$

322

$

162

$

2,710

$

-

$

12,166

$

724

     

 

 

 

 

 

 

 

 

 

 

 

 



General and administrative expenses include operating administrative expenses.

     The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, loss on asset impairment, restructuring costs, net, loss on lease termination, loss (gain) on sale of assets, net, income taxes and discontinued operations.

     The term "net segment income (loss)" is defined as earnings before loss on asset impairment, restructuring costs, net, loss on lease termination, loss (gain) on sale of assets, net, income taxes and discontinued operations.

(1)  Includes $3.4 million of gain on extinguishment of debt, net, in Inpatient Services.

F-43


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

As of and for the

 

 

 

 

Year Ended

 

 

 

 

December 31, 2003

Segment Information (in thousands):

 

 

 

 

 

 

                                                       

 

Rehabilitation

Medical

Home

Laboratory and

 

 

 

 

 

Inpatient

Therapy

Staffing

Health

Radiology

 

Intersegment

 

 

Discontinued

 

 Services 

  Services  

Services

Services

   Services   

Corporate

Eliminations

Consolidated

 

Operations

                                                       

Revenues from external customers

$

547,221

$

105,769

$

54,608

$

55,533

$

15,234

$

73

$

-

$

778,438

$

612,514

Intersegment revenues

           (600

)

           38,541

           7,216

                 -

             789

                 -

         (45,946

)

                  -

                  -

                                                       

Total net revenues

 

546,621

 

 

144,310

 

 

61,824

 

 

55,533

 

 

16,023

 

 

73

 

 

(45,946

)

 

778,438

 

 

612,514

                                                       

Operating salaries and benefits

283,360

98,900

45,625

40,255

8,837

203

-

477,180

322,505

Self insurance for workers'

  compensation and general and

  professional liability insurance

26,536

1,767

1,092

1,677

468

618

-

32,158

35,270

Other operating costs

153,203

21,780

10,069

6,529

4,258

(196

)

(45,946

)

149,697

219,029

General and administrative expenses

13,393

3,627

2,174

962

-

43,394

-

63,550

7,363

Provision for losses on accounts

 

 

 

 

 

 

 

 

 

  receivable

          6,389

            1,756

              516

              167

             477

             (27

)

                -

          9,278

           9,795

 

 

 

 

 

 

 

 

 

   Segment operating income (loss)

$

63,740

 

$

16,480

 

$

2,348

 

$

5,943

 

$

1,983

 

$

(43,919

)

$

-

 

$

46,575

 

$

18,552

 

Facility rent expense

35,100

664

998

1,699

282

26

-

38,769

40,342

Depreciation and amortization

5,185

1,125

65

477

231

40

-

7,123

2,272

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest, net

 

          3,062

 

 

               (29

)

 

                   -

 

 

                 2

 

 

                 -

 

 

       13,857

 

 

                -

 

 

        16,892

 

 

              682

   Net segment income (loss)

$

20,393

 

$

14,720

 

$

1,285

 

$

3,765

 

$

1,470

 

$

(57,842

)

$

-

 

$

(16,209

)

$

(24,744

)

=========

==========

==========

=========

=========

========

=========

=========

=========

Identifiable segment assets

$

131,614

$

26,877

$

10,412

$

11,396

$

4,242

$

458,714

$

(360,447

)

$

282,808

$

17,590

Segment capital expenditures

$

5,809

$

195

$

140

$

520

$

602

$

4,691

$

-

$

11,957

$

4,607

     

 

 

 

 

 

 

 

 

 

 

 

 

 




General and administrative expenses include operating administrative expenses.

     The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, loss on asset impairment, restructuring costs, net, loss (gain) on sale of assets, net, income taxes and discontinued operations.

     The term "net segment income (loss)" is defined as earnings before loss on asset impairment, restructuring costs, net, loss (gain) on sale of assets, net, income taxes and discontinued operations.

F-44


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

DECEMBER 31, 2005

Measurement of Segment Income or Loss

     The accounting policies of the operating segments are the same as those described in the summary of significant accounting policies (See "Note 3 - Summary of Significant Accounting Policies.")  We evaluate financial performance and allocate resources primarily based on income or loss from operations before income taxes, excluding any unusual items.

     The following table reconciles net segment income (loss) to consolidated income (loss) before income taxes and discontinued operations:

 

2005

 

2004

 

2003

 

Net segment income (loss)

$          2,918

$        13,394

$      (16,209

)

   Loss on asset impairment

(361

)

(1,028

)

(2,774

)

   Restructuring costs, net

(122

)

(1,972

)

(14,676

)

   Loss on lease termination

-

(150

)

-

   (Loss) gain on sale of assets, net

             (384

)

          (1,494

)

          4,178

Income (loss) before income taxes and

   discontinued operations

$          2,051

$          8,750

$     (29,481

)

=========

=========

========

(17)  Restructuring Costs

     We commenced our restructuring in January 2003, substantially completed it by December 31, 2004 and finalized it by December 31, 2005. We adopted Accounting for Costs Associated with Exit or Disposal Activities ("SFAS No. 146") for all divestiture activities initiated after December 31, 2002.  Under SFAS No. 146, there are four major types of costs associated with our restructuring: (i) one-time termination benefits, (ii) contract termination, (iii) facility consolidation and (iv) professional fees.  We have recognized these expenses in the income statement line "restructuring costs" as they were incurred. All of the costs were under the Corporate reportable segment.  We had no liability account associated with this restructuring activity because all of the related expenses were paid when incurred.  The following table sets forth the costs related to the restructuring activity in detail (in millions).

 

 

Total

For the Year

Cumulative

Expected

Major Type of

Ended

Amount Incurred

Restructuring

           Restructuring Cost          

December 31, 2005

        to Date (1)        

           Costs (2)           

One-Time Termination Benefits

$                             -

$                         1.2

$                         1.2

Contract Terminations (3)

-

5.1

5.1

Facility Consolidation

-

0.1

0.1

Professional Fees

                          0.1

                        10.3

                        10.3

     Total

$                         0.1

$                       16.7

$                       16.7

 

=============

=============

=============

(1)  Cumulative amount incurred for restructuring period to-date (36 months).

(2)  Aggregate amount expected to be incurred during entire restructuring.

(3)  Included costs related to the termination of bank loans.

F-45


(18)  401(K) Plan

      We have a defined contribution plan (the "401(k) plan"). Employees who have completed three months of service are eligible to participate. Effective January 1, 2004, the 401(k) plan allows for a discretionary employer match of contributions made by participants for any participants employed on the last day of the year. We may make matching contributions under this plan of 25 cents on the dollar up to 3% of the participant's compensation. Employer contributions for the 2004 plan were approximately $0.6 million in 2005.

 

F-46


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

SUPPLEMENTARY DATA (UNAUDITED)
QUARTERLY FINANCIAL DATA

     The following tables reflect unaudited quarterly financial data for fiscal years 2005 and 2004 (in thousands, except per share data):

 

For the Year

 

 

Ended

 

 

December 31, 2005 (1)

 

 

Fourth

 

Third

 

Second

 

First

 

 

 

 

  Quarte   

 

  Quarter  

 

   Quarter   

 

   Quarter   

 

      Total   

 

Total net revenues

$     245,944

$     216,267

$       213,631

$       206,267

$        882,109

========

========

=========

=========

==========

Income (loss) from continuing

  operations (2)

$         3,579

$           (937

)

$           1,785

$         (1,590

)

$            2,837

Gain on discontinued

  operations

$         8,087

$         8,271

$           5,145

$             421

$          21,924

Net income (loss)

$       11,666

$         7,334

$           6,930

$         (1,169

)

$          24,761

========

========

=========

=========

==========

Basic and diluted earnings per

  common and common equivalent

  share:

  Income (loss) from continuing

    operations

$           0.20

$         (0.06

)

$            0.12

$           (0.10

)

$              0.18

  Gain on discontinued

 

 

 

 

 

    operations

            0.45

            0.54

             0.33

              0.02

                1.37

  Net income (loss)

$           0.65

$           0.48

$            0.45

$           (0.08

)

$              1.55

========

========

=========

=========

==========

Weighted average number of

  common and common equivalent

  shares outstanding:

  Basic and diluted

17,957

15,365

15,351

15,320

16,003

  Diluted

18,054

15,365

15,352

15,320

16,019

========

========

=========

=========

==========

1


For the Year

 

 

Ended

 

 

December 31, 2004 (1)

 

 

Fourth

 

Third

 

Second

 

First

 

 

 

 

  Quarter  

 

  Quarter  

 

  Quarter  

 

  Quarter  

 

     Total  

 

Total net revenues

$      204,633

$       200,897

$       203,965

$      203,795

$    813,290

=========

=========

=========

=========

========

Income (loss) from continuing

  operations (3)

$          5,480

$          (3,248

)

$         11,245

$         (3,569

)

$        9,908

Loss on discontinued

  operations

$         (9,891

)

$          (7,843

)

$          (3,945

)

$         (6,856

)

$     (28,535

)

Net (loss) income

$         (4,411

)

$        (11,091

)

$           7,300

$       (10,425

)

$     (18,627

)

=========

=========

=========

=========

========

Basic earnings per common and

  common equivalent share:

  Income (loss) from continuing

    operations

$            0.36

$           (0.21

)

$            0.74

$           (0.29

)

$          0.69

  Loss on discontinued operations

            (0.65

)

            (0.52

)

            (0.26

)

            (0.57

)

          (1.98

)

  Net (loss) income

$           (0.29

)

$           (0.73

)

$            0.48

$           (0.86

)

$         (1.29

)

=========

=========

=========

=========

========

Diluted earnings per common and

  common equivalent share:

  Income (loss) before discontinued

      operations

$            0.36

$           (0.21

)

$            0.74

$           (0.29

)

$          0.68

  Loss on discontinued operations

            (0.65

)

            (0.52

)

            (0.26

)

             (0.57

)

          (1.96

)

  Net (loss) income

$           (0.29

)

$           (0.73

)

$            0.48

$           (0.86

)

$         (1.28

)

=========

=========

=========

=========

========

Weighted average number of

  common and common equivalent

  shares outstanding:

  Basic

15,275

15,275

15,142

12,113

14,456

  Diluted

15,335

15,275

15,206

12,113

14,548

=========

=========

=========

=========

========

   

(1)

In accordance with SFAS No. 144, we have reclassified all activity related to the operations of divested entities for the years ended December 31, 2005, 2004 and 2003 to discontinued operations.  Therefore, the quarterly financial data presented above including revenues, income (loss) before income taxes and discontinued operations and (loss) gain on discontinued operations will not reflect the amounts filed previously in our Forms 10-Q with the SEC.  However, net income remains the same.

   

(2)

We recorded a loss on asset impairment of $0.4 million, restructuring costs of $0.1 million, loss on sale of assets of $0.4 million and loss on extinguishment of debt of $0.4 million.

   

(3)

We recorded a loss on asset impairment of $1.0 million, restructuring costs of $2.0 million, loss on sale of assets of $1.5 million and gain on extinguishment of debt of $3.4 million.

2


                                                                                                                             SCHEDULE II

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

 VALUATION AND QUALIFYING ACCOUNTS
(in thousands)

 

Column A

 

Column B

 

Column C

 

Column D

 

Column E

 

Balance at

 

Charged to

 

Additions

 

 

 

Balance at

 

Beginning

 

Costs and

 

Charged to

 

Deductions

 

End of

 

Description

of Period

 

Expenses(1)

 

Other Accounts

 

  Other  (3)

 

   Period   

 

Year ended December 31, 2005:

   Allowance for doubtful accounts

$         40,293

$         5,009

 

$                       -

$     (15,918

)

$         29,384

 

=========

========

===========

========

=========

   Other receivable reserve

$           5,739

$                 -

$                       -

 

$       (2,830

)

$           2,909

 

=========

========

===========

========

=========

 

Year ended December 31, 2004:

   Allowance for doubtful accounts

$         67,108

$       11,901

 

$                       -

$     (38,716

)

$         40,293

 

=========

========

===========

========

=========

   Other receivable reserve (4)

$           7,245

$                 -

$                4,685

$       (6,191

)

$           5,739

 

=========

========

===========

========

=========

 

Year ended December 31, 2003:

   Allowance for doubtful accounts

$         45,905

$       18,114

 

$               23,675

(2)

$    (20,586

)

$         67,108

=========

========

===========

========

=========

   Other receivable reserve (4)

$           6,419

$            959

 

$                        -

$         (133

)

$           7,245

(2)

=========

========

===========

========

=========

   
(1)

Charges included in provision for losses on accounts receivable, of which $652, $6,578 and $9,795, respectively, for the years ended December 31, 2005, 2004 and 2003, relate to discontinued operations.

 
(2)

Provision for facilities included in discontinued operations recorded in loss on disposal of discontinued operations.

 
(3)

Column D primarily represents write offs and recoveries on divested receivables that have been fully reserved.

   
(4) Includes reserves on long-term notes receivable of $148 and $6,509 as of December 31, 2004 and 2003.

3


EX-10 2 exhibit103.htm

EXHIBIT 10.15.3

THIRD AMENDMENT
TO
AMENDED AND RESTATED MASTER LEASE AGREEMENT,
AMENDED AND RESTATED SECURITY AGREEMENT
AND
AMENDED AND RESTATED GUARANTY

          This THIRD AMENDMENT TO AMENDED AND RESTATED MASTER LEASE AGREEMENT, AMENDED AND RESTATED SECURITY AGREEMENT AND AMENDED AND RESTATED GUARANTY (this "Third Amendment") is executed and delivered as of this __ day of December, 2005, among the lessor entities identified on the signature page hereof (collectively, "Lessor"), the lessee entities identified on the signature page hereof (collectively, "Lessee"), OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation ("Omega"), and SUN HEALTHCARE GROUP, INC., a Delaware corporation, as guarantor ("Guarantor").  Capitalized terms used but not otherwise defined herein shall have the respective meanings ascribed thereto in the Master Lease (as defined below).

RECITALS:

     A.     The parties hereto entered into a certain Amended and Restated Master Lease Agreement, dated as of March 1, 2004 but effective as of December 1, 2003 (the "Original Master Lease"), pursuant to which (i) four (4) former master leases between Lessor (and certain of its affiliates) and Lessee (and certain of its affiliates) were combined, amended and restated and (ii) among other things, Lessor continued to lease to Lessee thirty-five (35) licensed nursing homes, rehabilitation hospitals and other healthcare facilities, all as described in the Master Lease.

     B.     Simultaneously with the execution and delivery of the Original Master Lease, Lessee and Lessor also entered into a certain Amended and Restated Security Agreement, dated as of March 1, 2004 but effective as of December 1, 2003 (the "Security Agreement"), pursuant to which Lessee granted to Lessor certain collateral as security for Lessee's obligations under the Original Master Lease.

     C.     Simultaneously with the execution and delivery of the Original Master Lease, Guarantor executed and delivered to Lessor and Omega a certain Amended and Restated Guaranty, dated as of March 1, 2004 but effective as of December 1, 2003 (the "Guaranty"), guarantying all obligations of Lessee under the Original Master Lease.

     D.     The parties hereto amended the Original Master Lease, the Security Agreement and the Guaranty pursuant to the terms of that certain First Amendment To Amended And Restated Master Lease Agreement, Amended And Restated Security Agreement And Amended And Restated Guaranty dated as of December 1, 2004 (the "First Amendment to Master Lease"), whereby the parties, among other things, completed the outstanding exhibits to the Master Lease and the Security Agreement and further amended the Master Lease, Security Agreement and Guaranty by that certain Second Amendment To Amended And Restated Master Lease Agreement, Amended And Restated Security Agreement And Amended And Restated Guaranty dated as of March ___, 2005 (the "Second Amendment to Master Lease"), whereby the parties amended the Master Lease to provide the parameters by which Lessee will complete certain repairs and renovations to the

1


Whittier Facility as originally set forth in one of the leases described in Recital A above which was combined into the Original Master Lease.  The Original Master Lease as amended by the First Amendment to Master Lease and by the Second Amendment to Master Lease will hereinafter be referred to as the "Master Lease."

     E.     Peak Medical Corporation ("Peak") and Guarantor have now requested that Lessor consent to the merger of Peak into a wholly owned subsidiary of Guarantor and Lessor has agreed to consent thereto subject to the further amendment of the Master Lease, Security Agreement and Guaranty to include thereunder the two facilities currently leased by a subsidiary of Peak from Lessor under the terms of that Master Lease dated as of March 26, 1999 between Omega, as Lessor, and Peak Medical of Idaho, Inc., a Delaware corporation, as Lessee (the "Peak Lease") and commonly known as Idaho Falls Care Center in Idaho Falls, Idaho (the "Idaho Falls Facility") and Twin Falls Care Center in Twin Falls, Idaho (the "Twin Falls Facility" and together with the Idaho Falls Facility, the "Peak Idaho Facilities").

     F.     The parties are interested in documenting the terms and conditions on which the Master Lease, Security Agreement and Guaranty will be so amended.

     G.     Capitalized terms used herein and not otherwise defined shall have the meaning ascribed to them in the Master Lease.

AGREEMENT:

          NOW THEREFORE, in consideration of the premises and mutual covenants herein contained, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows:

               1.     Global Amendments. From and after the Effective Date (as defined below), the Master Lease, the Security Agreement and the Guaranty are amended as follows:

               (a)     Any and all references to the Lessee in the Master Lease, the Security Agreement and the Guaranty shall be deemed to include Peak Medical of Idaho, Inc., a Delaware corporation (the "Peak Lessee").

               (b)     Exhibit A (Facility List) to the Master Lease and Exhibit D (Trade Names) to the Security Agreement are hereby deleted in their entirety and Exhibit A attached to this Third Amendment is inserted in lieu thereof and accordingly any and all references in the Master Lease to the Facilities or to the Leased Properties and any and all references in the Security Agreement to the Facilities shall be deemed to be references to the thirty three (33) facilities listed on Exhibit A attached to this Third Amendment.

               (c)     Exhibit B (Legal Descriptions) to the Master Lease and Exhibits A-1 through A-35 ("Legal Descriptions") to the Security Agreement are hereby deleted in their entirety and Exhibit B attached to this Third Amendment is inserted in lieu thereof and accordingly any and all references in the Master Lease to Exhibit B or in the Security Agreement to Exhibits A-1 through A-35 shall be deemed to be references to Exhibit B hereto.

2


     2.     Amendments to Master Lease.  From and after the Effective Date, the Master Lease is hereby amended as follows:

               (a)     Schedule II to the Master Lease, which was inadvertently not included in the First Amendment to the Master Lease, is attached as Schedule II hereto.

               (b)     Exhibit C (Minimum Purchase Price) to the Master Lease is hereby deleted in its entirety and Exhibit C attached to this Third Amendment is inserted in lieu thereof.

               (c)     Exhibit D (Permitted Encumbrances) to the Master Lease is hereby deleted in its entirety and Exhibit D attached to this Third Amendment is inserted in lieu thereof.

               (d)     The definition of Base Rent is amended by inserting the following as new subsection (C):

   (C)     Solely as to the Peak Idaho Facilities, the Base Rent during the remainder of the Initial Continued Term shall be:

     (1)     For the period from the Effective Date through December, 2005, $1,237,319.76 multiplied by a fraction, the numerator of which is the number of days in the period from the Effective Date through December 31, 2005 and the denominator of which is 365; provided, however, in the event the Effective Date is subsequent to December 31, 2005, then the Base Rent for the Peak Idaho Facilities as of the Effective Date shall be determined in accordance with clause (2) below; and

     (2)     For each Lease Year following 2005, the Base Rent for the previous Lease Year, increased by the lesser of (x) 235 basis points over the ten year treasury securities constant maturity rate in effect for the month of December immediately prior to each such increase and (y) two and one-half percent (2.5%), it being understood and agreed that such increase shall be calculated in the same manner and using the same formula as applies to the balance of the Facilities which are subject to the Master Lease.

     (e)     The following definitions are added to the Master Lease in the appropriate alphabetical order:

Letter of Credit Agreement: An agreement between Lessor, Lessee and Guarantor, as the same may be amended, modified, replaced or restated from time to time, providing for a letter of credit to be delivered to Lessor as the Security Deposit.

Security Deposit: Two Hundred Sixty Two Thousand Five Hundred and no/100 Dollars ($262,500.00), delivered and held in accordance with Article XL hereof.

     (f)     The following is added to the Master Lease as a new Article XL:

3


               40.1     Security Deposit.  The Peak Lessee previously delivered the Security Deposit to Lessor in the form of a Letter of Credit, which Lessor had been holding as security for the full and faithful performance by the Peak Lessee of each and every term, provision, covenant and condition of the Peak Lease (the "Peak Lessee L/C").  Lessor and Lessee acknowledge and agree that Lessor returned the Peak Lessee L/C to the Peak Lessee on the Effective Date in consideration for the delivery to Lessor by Guarantor on the Effective Date of a replacement Letter of Credit in the amount of the Security Deposit which shall be subject to the terms and conditions of the Letter of Credit Agreement, and which shall be held by Lessor as security for the full and faithful performance by the Lessee of each and every term, provision, covenant and condition of this Lease. If at any time the Security Deposit is in the form of cash, it shall be deposited by Lessor into an account which shall earn interest, which interest shall be added to, and become part of, the Security Deposit.  The Security Deposit shall not be considered an advance payment of Rent (or of any other sum payable to Lessor under this Lease) or a measure of Lessor's damages in case of a default by Lessee.  The Security Deposit shall not be considered a trust fund, and Lessee expressly acknowledges and agrees that Lessor is not acting as a trustee or in any fiduciary capacity in controlling or using the Security Deposit.  Lessor shall have no obligation to maintain the Security Deposit separate and apart from Lessor's general and/or other funds.  The Security Deposit, less any portion thereof applied as provided in the Letter of Credit Agreement or in Section 40.2 shall be returned to Lessee within sixty (60) days following the expiration of the Term.

               40.2     Application of Security Deposit.  If Lessee defaults in respect of any of the terms, provisions, covenants and conditions of this Lease, including, but not limited to, payment of any Rent and other sums of money payable by Lessee, Lessor may, but shall not be required to, in addition to and not in lieu of any of the rights and remedies available to Lessor, use and apply all or any part of the Security Deposit to the payment of any sum in default, or any other sum, including, but not limited to, any damages or deficiency in reletting the Leased Properties, which lessor may expend or be required to expend by reason of Lessee's default.  Whenever, and as often as, Lessor has applied any portion of the Security Deposit to cure Lessee's default hereunder, Lessee shall, within ten (10) days after Notice from Lessor, deliver a new letter of credit to Lessor (or, at Lessor's option, deposit additional money with Lessor) sufficient to restore the Security Deposit to the full amount originally provided or paid, and Lessee's failure to do so shall constitute an Event of Default hereunder without any further Notice. 

               40.3     Transfer of Security Deposit.  If Lessor transfers its interest under this Lease, Lessor shall assign the Security Deposit to the new lessor and thereafter Lessor shall have no further liability for the return of the Security Deposit, and Lessee agrees to look solely to the new lessor for the return of the Security Deposit.  The provisions of the preceding sentence shall apply to every transfer of assignment of Lessor's interest under this Lease.  Lessee agrees that it will not assign or encumber or attempt to assign or encumber the Security Deposit and that Lessor, its successors  and assigns,  may  return the  Security Deposit  to   the   least   Lessee  in   

4


possession at the last address for Notice given by such Lessee and that Lessor shall thereafter be relieved of any liability therefor, regardless of one or more assignments of this Lease or any such actual or attempted assignment or encumbrances of the Security Deposit.

3.     Amendment to Security Agreement.  In addition to the Amendments set forth in Section 1 hereof, from and after the Effective Date the Security Agreement shall be amended as follows:

(a)     The last paragraph of Section 2 is hereby deleted in its entirety and the following inserted in lieu thereof:

"The description of the Collateral to be included on any financing statements executed in connection herewith shall be as follows: "All personal property of Lessee, as described in that certain Amended and Restated Security Agreement, dated as of March 1, 2004 and effective as of December 1, 2003, between Lessee and Lessor, as the same may be modified, amended or restated from time to time (the "Security Agreement"), and that is located at, arises in connection with and/or is related to the real property described on Exhibits "A-1 through A-35" attached hereto and incorporated herein, provided, however, that Accounts, Cash, the Excluded Lessee's Personal Property (as those terms are defined in the Security Agreement) and the names "Sun", "SunBridge" and any variation thereof shall be excluded."

                        (b)     Exhibit B (Permitted Liens) to the Security Agreement is hereby deleted in its entirety and Exhibit E attached to this Third Amendment is inserted in lieu thereof

                        (c)     The phrase "except as set forth on Exhibit E"  in Section 4(j) is hereby deleted.

                        (d)     Exhibit C (Other Permitted Collateral Locations) to the Security Agreement is hereby deleted in its entirety and Exhibit F attached to this Third Amendment is interested in lieu thereof.

                        (e)     Exhibit E as referenced in Section 4(m) of the Security Agreement is hereby deleted in its entirety and replaced with Exhibit G attached hereto and accordingly any and all references in Section 4(m) of the Security Agreement to Exhibit E shall be deemed to be references to Exhibit G attached hereto.

        4.     Confirmation of Exhibits.  For the avoidance of doubt, the final version of the schedules and exhibits to each of the Master Lease and the Security Agreement can be found attached to the following documents:

Schedule and Exhibit

Location

Master Lease Schedule I

Schedule I to Original Master Lease

5



Master Lease Schedule II

Schedule II to Third Amendment to Master Lease

Master Lease Schedule III

Exhibit A First Amendment to Master Lease

Master Lease Exhibit A

Exhibit A to Third Amendment to Master Lease

Master Lease Exhibit B

Exhibit B to Third Amendment to Master Lease

Master Lease Exhibit C

Exhibit C to Third Amendment to Master Lease

Master Lease Exhibit D

Exhibit D to Third Amendment to Master Lease

Master Lease Exhibit E

Exhibit E to First Amendment to Master Lease

Master Lease Exhibit F

Omitted

Master Lease Exhibit G

Exhibit G to Original Master Lease

Master Lease Exhibit H

Exhibit H to Original Master Lease

Security Agreement Exhibit A

Exhibit B to Third Amendment to Master Lease

Security Agreement Exhibit B

Exhibit E to Third Amendment to Master Lease

Security Agreement Exhibit C

Exhibit C to Original Security Agreement

Security Agreement Exhibit D

Exhibit F to Third Amendment to Master Lease

Security Agreement Exhibit E

Exhibit G to Third Amendment to Master Lease

        5.     Name Change. In accordance with Section 4(e) of the Security Agreement, Lessor does hereby acknowledge that Lessee has advised Lessor of the proposed change in the name of the Whittier Facility (as defined in the Second Amendment) to Ballard Care & Rehabilitation and Lessor and Lessee acknowledge and agree that Exhibit D to the Security Agreement is and shall be deemed to be amended to reflect such name effective upon the filing by Lessee of the documentation with the Washington Secretary of State necessary to reflect the commencement of the operation of the Facility by Lessee under such name. 

        6.     Miscellaneous.

       (a)     Ratification.  Except as herein specifically amended or otherwise provided, each of the Documents and the Escrow Instructions shall remain in full force and effect, and all of the terms and conditions thereof, as herein modified, are hereby ratified and reaffirmed.  In the event of any inconsistency between the provisions of this Amendment and any of the Documents (as defined in the Maser Lease), the terms of this Amendment shall control and

6


govern and such Document is deemed amended to conform hereto. In furtherance and not in limitation of the foregoing, Lessee does hereby ratify and affirm the provisions of Section 1.2 of the Master Lease as the same applies to the Leased Properties as hereby amended to include the Peak Idaho Facilities.

       (b)     Execution and Counterparts.  This Amendment may be executed in any number of counterparts, each of which, when so executed and delivered, shall be deemed to be an original, but when taken together shall constitute one and the same Amendment.  To facilitate execution of this Amendment, the parties may execute and exchange by facsimile counterparts of the signature pages.

       (c)     Headings.  Section headings used in this Amendment are for convenience of reference only and shall not affect the construction of the Amendment.

       (d)     Effective Date. This Third Amendment shall be effective concurrently with the consummation of the merger of Peak into a wholly owned subsidiary of Guarantor, pursuant to which merger Peak shall be the surviving corporation and shall, upon consummation thereof, be a wholly owned subsidiary of Guarantor (the "Merger"); provided, however, in the event the Merger has not been consummated by February 1, 2006 then this Third Amendment shall be null and void and of no further force and effect.

[SIGNATURES APPEAR ON FOLLOWING PAGE]

7


          IN WITNESS WHEREOF, the parties have executed this Amendment as of the day and year first written above.

LESSOR:

 

DELTA INVESTORS I, LLC, a Maryland limited liability company,

DELTA INVESTORS II, LLC, a Maryland limited liability company,

OHI ASSET, LLC, a Delaware limited liability company,

OHI ASSET (CA), LLC, a Delaware limited liability company, and

OHI ASSET (II), LLC, a Delaware limited liability company

 

By:     OMEGA HEALTHCARE INVESTORS, INC., a
           Maryland corporation, Its Member

 

           By:     /s/  Daniel J. Booth                             
                      Daniel J. Booth
                      Chief Operating Officer

 

OMEGA:

 

OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation,

 

           By:     /s/  Daniel J. Booth                             
                      Daniel J. Booth
                      Chief Operating Officer

 

LESSEE:

 

CARE ENTERPRISES, INC., a Delaware corporation,

CIRCLEVILLE HEALTH CARE CORP., an Ohio corporation,

BECKLEY HEALTH CARE CORP., a West Virginia corporation,

PUTNAM HEALTH CARE CORP., a West Virginia corporation,

CARE ENTERPRISES WEST, a Utah corporation,

BRASWELL ENTERPRISES, INC., a California corporation,

MEADOWBROOK REHABILITATION CENTER, a California corporation,

REGENCY REHAB HOSPITALS, INC., a California corporation,

DUNBAR HEALTH CARE CORP., a West Virginia corporation,

MARION HEALTH CARE CORP., an Ohio corporation,

SALEM HEALTH CARE CORP., a West Virginia corporation

REGENCY-NORTH CAROLINA, INC., a North Carolina corporation,

SAN BERNARDINO REHABILITATION HOSPITAL, INC., a California corporation,

SHANDIN HILLS REHABILITATION CENTER, a California corporation,

SUNBRIDGE HEALTHCARE CORPORATION, a New Mexico corporation,

REGENCY-TENNESSEE, INC., a Tennessee corporation,

PEAK MEDICAL OF IDAHO, INC., a Delaware corporation, and

 

By:     /s/ Michael Newman                                
           Michael Newman, Vice President

8


GUARANTOR:

 

SUN HEALTHCARE GROUP, INC. a Delaware corporation

 

                         By:  /s/ Michael Newman                                      
                                 Michael Newman, Executive Vice President

(Exhibits available upon request)

9


EX-10 3 exhibit101.htm

EXHIBIT 10.15.1

FIRST AMENDMENT
TO
AMENDED AND RESTATED MASTER LEASE AGREEMENT,
AMENDED AND RESTATED SECURITY AGREEMENT
AND
AMENDED AND RESTATED GUARANTY

     This FIRST AMENDMENT TO AMENDED AND RESTATED MASTER LEASE AGREEMENT, AMENDED AND RESTATED SECURITY AGREEMENT AND AMENDED AND RESTATED GUARANTY (this "Amendment") is executed and delivered as of this 1st day of December, 2004, among the lessor entities identified on the signature page hereof (collectively, "Lessor"), the lessee entities identified on the signature page hereof (collectively, "Lessee"), OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation ("Omega"), and SUN HEALTHCARE GROUP, INC., a Delaware corporation, as guarantor ("Guarantor").  Capitalized terms used but not otherwise defined herein shall have the respective meanings ascribed thereto in the Master Lease (as defined below).

RECITALS:

     A.     The parties hereto entered into a certain Amended and Restated Master Lease Agreement, dated as of March 1, 2004 but effective as of December 1, 2003 (the Master Lease"), pursuant to which (i) four (4) former master leases between Lessor (and certain of its affiliates) and Lessee (and certain of its affiliates) were combined, amended and restated and (ii) among other things, Lessor continued to lease to Lessee thirty-five (35) licensed nursing homes, rehabilitation hospitals and other healthcare facilities, all as described in the Master Lease.

     B.     Simultaneously with the execution and delivery of the Master Lease, Lessee and Lessor also entered into a certain Amended and Restated Security Agreement, dated as of March 1, 2004 but effective as of December 1, 2003 (the "Security Agreement"), pursuant to which Lessee granted to Lessor certain collateral as security for Lessee's obligations under the Master Lease.

     C.     Simultaneously with the execution and delivery of the Master Lease, Guarantor executed and delivered to Lessor and Omega a certain Amended and Restated Guaranty, dated as of March 1, 2004 but effective as of December 1, 2003 (the "Guaranty"), guarantying all obligations of Lessee under the Master Lease.

     D.     Since the date of the Master Lease, (i) three of the five Remaining Transition Facilities, SunBridge Care & Rehab for Coalinga ("Coalinga"), SunBridge Care & Rehab for Escondido East ("Escondido"), and SunBridge Care & Rehab for Fullerton ("Fullerton"), have been transitioned to various New Operators in accordance with the terms of the Transition Agreement and (ii) Lessor had transferred title to the other two Remaining Transition Facilities to an affiliate of Lessor, OHI Asset (II), LLC, a Delaware limited liability company ("OHI II").

     E.     Since the original execution of the Master Lease and the Security Agreement, the parties have finalized various exhibits to both the Master Lease and the Security Agreement, which the parties intend to incorporate into those documents as set forth below.

     F.     The parties hereto hereby desire to amend the Master Lease, the Security Agreement and


the Guaranty (collectively, the "Documents") to provide that (i) the Master Lease has been terminated with respect to Coalinga and its respective lessee, Coalinga Rehabilitation Center, Fullerton and its respective lessee, Fullerton Rehab Center, and Escondido, (ii) OHI II shall be added as a "lessor" under each of the Documents, and (iii) various exhibits to the Master Lease and the Security Agreement have been finalized and updated through the date of this Amendment and are to be included within the Master Lease and the Security Agreement as set forth below.

AGREEMENT:

     NOW THEREFORE, in consideration of the premises and mutual covenants herein contained, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows:

     1.     Amendment to Master Lease.  The Master Lease shall be amended as follows:

          (a)     Effective as of March 1, 2004, (i) the Master Lease is terminated with respect to Coalinga, which shall no longer be a "Facility" under the Master Lease, and (ii) its respective lessee, Coalinga Rehabilitation Center, a California corporation, is no longer a "Lessee" under the Master Lease.

          (b)     Effective as of November 1, 2004, (i) the Master Lease is terminated with respect to Escondido and Fullerton, which shall no longer be "Facilities" under the Master Lease, and (ii) Fullerton's respective lessee, Fullerton Rehab Center, a California corporation, is no longer a "Lessee" under the Master Lease.

          (c)     Effective as of March 1, 2004, the Master Lease is hereby amended to include OHI II to the list of "Lessor" identified on the signature pages thereof, and all references to the term "Lessor" in the Master Lease shall be deemed to include OHI II.

          (d)     Schedule III to the Master Lease is hereby completed by the incorporation of the Future Transition Facilities and Allocated Rent Amounts set forth on Exhibit A attached hereto.

          (e)     Exhibit A to the Master Lease is hereby completed by the incorporation of the listing of Facilities set forth on Exhibit B attached hereto.

          (f)     Exhibit B to the Master Lease is hereby completed by the incorporation of the legal descriptions for the Leased Properties set forth on Exhibit C attached hereto.  The parties specifically acknowledge that the Leased Property for the Facility located in Marion, Ohio and known as SunBridge Care & Rehab for Marion has been reduced to exclude approximately fifty (50) acres of vacant land.

          (g)     Exhibit C to the Master Lease is hereby completed by the incorporation of the Minimum Purchase Prices set forth on Exhibit D attached hereto.

          (h)     Exhibit D to the Master Lease is hereby completed by incorporation of the following definition of Permitted Encumbrances:

2


"All covenants, easements, restrictions, conditions and other matters of record with respect to the Leased Properties as of December 1, 2003, except the following:  (a) liens for past due real estate taxes and assessments; (b) mechanic's liens (other than resulting from the actions of Omega and its Affiliates); (c) judgment liens (other than against Omega and its Affiliates); and (d) monetary liens, mortgages or financing statements for the benefit of any third-party creditor of Lessee, other than Omega and its Affiliates."

          (i)     Exhibit E to the Master Lease is hereby completed by the incorporation of the Operations Transfer Agreement attached hereto as Exhibit E.

     2.     Amendment to Security Agreement.  The Security Agreement shall be amended as follows:

          (a)     Effective as of March 1, 2004, (i) the Security Agreement is terminated with respect to Coalinga, which shall no longer be "Facilities" under the Security Agreement, and (ii) Coalinga's respective lessee, Coalinga Rehabilitation Center, a California corporation, is no longer a "Lessee" under the Security Agreement.

          (b)     Effective as of November 1, 2004, (i) the Security Agreement is terminated with respect to Escondido and Fullerton, which shall no longer be "Facilities" under the Security Agreement, and (ii) Fullerton's respective lessee, Fullerton Rehab Center, a California corporation, is no longer a "Lessee" under the Security Agreement.

          (c)     The Security Agreement is hereby amended to include OHI II to the list of "Lessor" identified on the signature page thereof, and all references to the term "Lessor" in the Security Agreement shall be deemed to include OHI II.

          (d)     Exhibits A-1 through A-32 of the Security Agreement are hereby completed by incorporation of the legal descriptions set forth on Exhibit C attached hereto.

          (e)     Exhibit B of the Security Agreement is hereby completed by incorporation of the security interests identified on Exhibit F attached hereto.

          (f)     Exhibit E of the Security Agreement is hereby completed by incorporation of the UCC Information set forth on Exhibit G attached hereto.

          (g)     The last paragraph of Section 2 shall provide that the description of the Collateral to be included on any financing statements executed in connection with the Security Agreement shall be as follows:  "All personal property of Lessee, as described in that certain Amended and Restated Security Agreement dated as of March 1, 2004 and effective as of December 1, 2003, between Lessee and Lessor (the "Security Agreement") as specifically set forth on Schedule 1 [which shall be the description of Collateral set forth above], and that is located at, arises in connection with and/or is related to the real property described on Exhibits "A-1 through A-33" attached hereto and incorporated herein, provided, however, that Accounts, Cash, the Excluded Lessee's Personal Property (as those terms are defined in the Security Agreement) and the names "Sun", "SunBridge" and any variation thereof shall be excluded."

3


     3.     Amendment to Guaranty.  Effective as of March 1, 2004, OHI II is hereby added to the first paragraph on the first page of the Guaranty and is included in the definition of "Omega and Affiliates."

     4.     Miscellaneous.

          (a)     Ratification.  Except as herein specifically amended or otherwise provided, each of the Documents shall remain in full force and effect, and all of the terms and conditions thereof, as herein modified, are hereby ratified and reaffirmed.  In the event of any inconsistency between the provisions of this Amendment and any of the Documents, the terms of this Amendment shall control and govern and such Document is deemed amended to conform hereto.

          (b)     Execution and Counterparts.  This Amendment may be executed in any number of counterparts, each of which, when so executed and delivered, shall be deemed to be an original, but when taken together shall constitute one and the same Amendment.  To facilitate execution of this Amendment, the parties may execute and exchange by facsimile counterparts of the signature pages.

          (c)     Headings.  Section headings used in this Amendment are for convenience of reference only and shall not affect the construction of the Amendment.

[SIGNATURES APPEAR ON FOLLOWING PAGE]

4


     IN WITNESS WHEREOF, the parties have executed this Amendment as of the day and year first above written.

LESSOR:

DELTA INVESTORS I, LLC, a Maryland limited liability company,

DELTA INVESTORS II, LLC, a Maryland limited liability company,

OHI ASSET, LLC, a Delaware limited liability company,

OHI ASSET (CA), LLC, a Delaware limited liability company, and

OHI ASSET (II), LLC, a Delaware limited liability company

 

By:     OMEGA HEALTHCARE INVESTORS, INC., a
           Maryland corporation, Its Member

By:       /s/ C. Taylor Pickett                                   
           C. Taylor Pickett
           Chief Executive Officer,

 

OMEGA:

 

OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation,

By:       /s/ C. Taylor Pickett                                   
           C. Taylor Pickett
           Chief Executive Officer

 

LESSEE:

 

CARE ENTERPRISES, INC., a Delaware corporation,

CIRCLEVILLE HEALTH CARE CORP., an Ohio corporation,

BECKLEY HEALTH CARE CORP., a West Virginia corporation,

PUTNAM HEALTH CARE CORP., a West Virginia corporation,

CARE ENTERPRISES WEST, a Utah corporation,

BRASWELL ENTERPRISES, INC., a California corporation,

MEADOWBROOK REHABILITATION CENTER, a California corporation,

REGENCY REHAB HOSPITALS, INC., a California corporation,

DUNBAR HEALTH CARE CORP., a West Virginia corporation,

MARION HEALTH CARE CORP., an Ohio corporation,

SALEM HEALTH CARE CORP., a West Virginia corporation

REGENCY-NORTH CAROLINA, INC., a North Carolina corporation,

FULLERTON REHABILITATION CENTER, a California corporation,

SAN BERNARDINO REHABILITATION HOSPITAL, INC., a California corporation,

SHANDIN HILLS REHABILITATION CENTER, a California corporation,

SUNBRIDGE HEALTHCARE CORPORATION, a New Mexico corporation,

REGENCY-TENNESSEE, INC., a Tennessee corporation, and


By:       /s/ Steven A. Roseman                                   

5



                     Steven A. Roseman
                     Vice President

 

GUARANTOR:

 

SUN HEALTHCARE GROUP, INC. a Delaware corporation

 

By:       /s/ Steven A. Roseman                                     
            Steven A. Roseman, Executive Vice President

 

(Exhibits available upon request)

 

6


EX-10 4 exhibit102.htm

EXHIBIT 10.15.2

SECOND AMENDMENT
TO
AMENDED AND RESTATED MASTER LEASE AGREEMENT,
AMENDED AND RESTATED SECURITY AGREEMENT
AND
AMENDED AND RESTATED GUARANTY

          This SECOND AMENDMENT TO AMENDED AND RESTATED MASTER LEASE AGREEMENT, AMENDED AND RESTATED SECURITY AGREEMENT AND AMENDED AND RESTATED GUARANTY (this "Amendment") is executed and delivered as of this 16th day of March, 2005, among the lessor entities identified on the signature page hereof (collectively, "Lessor"), the lessee entities identified on the signature page hereof (collectively, "Lessee"), OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation ("Omega"), and SUN HEALTHCARE GROUP, INC., a Delaware corporation, as guarantor ("Guarantor").  Capitalized terms used but not otherwise defined herein shall have the respective meanings ascribed thereto in the Master Lease (as defined below).

RECITALS:

     A.     The parties hereto entered into a certain Amended and Restated Master Lease Agreement, dated as of March 1, 2004 but effective as of December 1, 2003 (the "Master Lease"), pursuant to which (i) four (4) former master leases between Lessor (and certain of its affiliates) and Lessee (and certain of its affiliates) were combined, amended and restated and (ii) among other things, Lessor continued to lease to Lessee thirty-five (35) licensed nursing homes, rehabilitation hospitals and other healthcare facilities, all as described in the Master Lease.

     B.     Simultaneously with the execution and delivery of the Master Lease, Lessee and Lessor also entered into a certain Amended and Restated Security Agreement, dated as of March 1, 2004 but effective as of December 1, 2003 (the "Security Agreement"), pursuant to which Lessee granted to Lessor certain collateral as security for Lessee's obligations under the Master Lease.

     C.     Simultaneously with the execution and delivery of the Master Lease, Guarantor executed and delivered to Lessor and Omega a certain Amended and Restated Guaranty, dated as of March 1, 2004 but effective as of December 1, 2003 (the "Guaranty"), guarantying all obligations of Lessee under the Master Lease.

     D.     The parties hereto amended the Master Lease, Security Agreement, and Guaranty pursuant to the terms of that certain First Amendment To Amended And Restated Master Lease Agreement, Amended And Restated Security Agreement And Amended And Restated Guaranty dated as of December 1, 2004, whereby the parties, among other things, completed the outstanding exhibits to the Master Lease and the Security Agreement.

     E.     The parties hereto hereby desire to amend the Master Lease to provide the parameters by which Lessee will complete certain repairs and renovations to the Facility located at 1760 West 16th Street, Seattle, WA and commonly known as Whittier Care & Rehab (the "Whittier Facility") as originally set forth in one of the leases described in Recital A above which was combined into the Master Lease.

1


AGREEMENT:

          NOW THEREFORE, in consideration of the premises and mutual covenants herein contained, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows:

           1.     Certain Repairs and Replacements.

                   (a)     In connection with the original leasing of the Whittier Facility from Lessor to Lessee on March 1, 2003 (the "Original Lease Date"), Lessee agreed to complete, or cause to be completed, the repairs and/or replacements described on attached Exhibit A to the Lease for the Whittier Facility (the "Work Exhibit"), in each case in good and workmanlike manner and free of any mechanic's or materialman's lien.

                   (b)     Lessor acknowledges and agrees that subsequent to the Original Lease Date Lessee has obtained a bid from RBI Construction, Inc. (the "Contractor") for the work required with respect to the Pump System and the HVAC System described on the Work Exhibit (the "Pump/HVAC Systems Work"), a true and correct copy of which bid has been provided to, and approved by, Lessor. Lessee agrees to enter into a contract, on terms acceptable to Omega, with the Contractor with respect to the Pump/HVAC Systems Work on or before March 31, 2005 (the "Pump/HVAC Systems Contract") and thereafter to cause the Contactor to proceed with all due diligence to complete the Pump/HVAC Systems Work in accordance with the schedule set forth in the Pump/HVAC Systems Contract and for the price set forth in the Pump/HVAC Systems Contract (subject to approved change orders as described more fully below).  

                   (c)     Lessor further acknowledges and agrees that, except as otherwise provided herein, Lessee does not intend to commence the work required with respect to the Roof (the "Roof Work" and together with the Pump/HVAC Systems Work, the "Work") until such time as the Pump/HVAC Systems Work has been completed and Lessee acknowledges and agrees that in no event shall the Roof Work be commenced until (A) Lessee shall have submitted to Lessor bids for such work from at least three (3) qualified, licensed contractors (unless Lessor agrees to accept a lesser number of bids), (B) Lessor shall have approved the bid (the "Approved Roofing Bid") and the winning bidder selected by Lessee to undertake the Roof Work (the "Approved Roofing Contractor"), and (C) Lessee shall have entered into a contract, on terms acceptable to Omega, with the Approved Roofing Contractor for performance of the Roof Work at a cost not to exceed the Approved Roofing Bid (subject to approved changes orders as described more fully below) (the "Roofing Contract"). Notwithstanding the foregoing, Lessee shall have the right prior to the completion of the Pump/HVAC Systems Work and subject to complying the requirements of this Section 1(c), to replace the shingles on the mansard of the Whittier Facility and that such replacement work, once approved by Lessor, shall, for purposes of this Section 1, be deemed to be a part of the Roof Work.

                   (d)     On the Original Lease Date, Lessor deposited into escrow ("Escrow") with Dykema Gossett PLLC ("Escrow Agent") pursuant to escrow instructions dated as of March 1, 2003, a  copy of which  is attached  hereto as Exhibit B  (the  "Escrow Instructions"), the

2


Estimated Cost to complete the items set forth on Exhibit A (as the same may be modified pursuant to paragraphs (i) and (ii) above).  To date, Escrow Agent has disbursed fund in the amount of $133,064.38 from the Escrow, and $1,141,235.62 remain in the Escrow.  Lessee may deliver from time to time to Lessor and the Escrow Agent an application for payment (the "Draw Request") pursuant to which Lessee (i) certifies that Lessee either (A) has completed or has caused to be completed all or any portion of the Work or (B) is required to deposit with the applicable contractor or supplier amounts to ensure payment for the Work  to the applicable contractor or supplier and (ii) delivers to Escrow Agent (A) invoices with respect to the portion of the Work to be paid or secured with the proceeds of such Draw Request and (B) as applicable, partial or full unconditional lien waivers with respect to any completed work or furnished materials to be paid for with the proceeds of such Draw Request (collectively, the "Completion Certification").  If Escrow Agent has not received, within five (5) business days after receipt of the Draw Request and Completion Certification, written notice from Lessor objecting thereto, Escrow Agent shall release from escrow and disburse as directed by Lessee to the Contractor or applicable supplier the amount set forth in Lessee's Draw Request. 

                   (e)     Notwithstanding the foregoing, Lessor acknowledges and agrees that the cost of the Work may exceed the amount set forth in the Pump/HVAC Systems Contract and/or the Roofing Contract as a result of, among other things, conditions which cannot be identified by the applicable contractor until after commencement of the Work.  Lessee shall submit any change orders to the Work for Lessor's review and approval.  Once approved by Lessor, Lessor agrees that if the amount deposited into the Escrow by Lessor is insufficient to pay the aggregate actual, out-of-pocket costs incurred by Lessee in completing the Work, Lessor shall, within ten (10) days after demand by Lessee, deposit into the Escrow or pay to Lessee the amount of the insufficiency.

                   (f)     Whenever Lessor's approval is required pursuant to this Section 1, Lessor agrees that it will not unreasonably withhold or delay the giving of its approval; provided, however, that all approvals must be given and received in writing.  If Lessor has not replied to a request for approval from Lessee within ten (10) days following Lessor's receipt of such request for approval, then Lessor shall be deemed to have approved such request.  Further, Lessor agrees that it shall be a party to the contract(s) with respect to the Pump/HVAC Systems Work and/or the Roof Work, if and to the extent either the Contractor or the Approved Roofing Contractor requires Lessor to join such contract as a condition to undertaking such work

                   (g)     During the Term, Lessee shall have the benefit of any and all warranties given by third parties in connection with the Work.

                   (h)     Lessee acknowledges that, subject to the obligations of Lessor pursuant to this Section 1 or as otherwise provided in the Master Lease, Lessor made no representation or warranty concerning the Whittier Facility at or prior to the time of the Original Lease Date or its operations or profitability, and that Lessee has been leasing the Whittier Facility since the Original Lease Date and will continue to lease the Whittier Facility for the balance of the term of the Master Lease on an "as is, where is" basis, with all faults (subject to this Section 1) then existing.

3


           2.     Miscellaneous.

                   (a)     Ratification.  Except as herein specifically amended or otherwise provided, each of the Documents and the Escrow Instructions shall remain in full force and effect, and all of the terms and conditions thereof, as herein modified, are hereby ratified and reaffirmed.  In the event of any inconsistency between the provisions of this Amendment and any of the Documents (as defined in the Maser Lease), the terms of this Amendment shall control and govern and such Document is deemed amended to conform hereto.

                   (b)     Execution and Counterparts.  This Amendment may be executed in any number of counterparts, each of which, when so executed and delivered, shall be deemed to be an original, but when taken together shall constitute one and the same Amendment.  To facilitate execution of this Amendment, the parties may execute and exchange by facsimile counterparts of the signature pages.

                   (c)     Headings.  Section headings used in this Amendment are for convenience of reference only and shall not affect the construction of the Amendment.

[SIGNATURES APPEAR ON FOLLOWING PAGE]

4


          IN WITNESS WHEREOF, the parties have executed this Amendment as of the day and year first above written.

LESSOR:

 

DELTA INVESTORS I, LLC, a Maryland limited liability company,

DELTA INVESTORS II, LLC, a Maryland limited liability company,

OHI ASSET, LLC, a Delaware limited liability company,

OHI ASSET (CA), LLC, a Delaware limited liability company, and

OHI ASSET (II), LLC, a Delaware limited liability company

 

By:     OMEGA HEALTHCARE INVESTORS, INC., a
           Maryland corporation, Its Member

 

By:      /s/ C. Taylor Pickett                              
                C. Taylor Pickett
                Chief Executive Officer,

 

OMEGA:

OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation,

 

By:      /s/ C. Taylor Pickett                              
                C. Taylor Pickett
                Chief Executive Officer

 

LESSEE:

 

CARE ENTERPRISES, INC., a Delaware corporation,

CIRCLEVILLE HEALTH CARE CORP., an Ohio corporation,

BECKLEY HEALTH CARE CORP., a West Virginia corporation,

PUTNAM HEALTH CARE CORP., a West Virginia corporation,

CARE ENTERPRISES WEST, a Utah corporation,

BRASWELL ENTERPRISES, INC., a California corporation,

MEADOWBROOK REHABILITATION CENTER, a California corporation,

REGENCY REHAB HOSPITALS, INC., a California corporation,

DUNBAR HEALTH CARE CORP., a West Virginia corporation,

MARION HEALTH CARE CORP., an Ohio corporation,

SALEM HEALTH CARE CORP., a West Virginia corporation

REGENCY-NORTH CAROLINA, INC., a North Carolina corporation,

FULLERTON REHABILITATION CENTER, a California corporation,

SAN BERNARDINO REHABILITATION HOSPITAL, INC., a California corporation,

SHANDIN HILLS REHABILITATION CENTER, a California corporation,

SUNBRIDGE HEALTHCARE CORPORATION, a New Mexico corporation,

REGENCY-TENNESSEE, INC., a Tennessee corporation, and

 

By:  /s/ Steven A. Roseman

        Steven A. Roseman
        Vice President

5


GUARANTOR:

 

SUN HEALTHCARE GROUP, INC. a Delaware corporation

 

By:  /s/ Steven A. Roseman
        Steven A. Roseman
        Executive Vice President

 

(Exhibits available upon request)

6


EX-23 5 exhibit231.htm

EXHIBIT 23.1

 

 

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in the following Registration Statements and amendments thereto:

Form S-3 No. 333-115288
Form S-8 No. 333-115851
Form S-3 No. 333-113710
Form S-3 No. 333-123335
Form S-8 No. 333-130916

of Sun Healthcare Group, Inc. of our reports dated March 6, 2006, with respect to the consolidated financial statements and schedule of Sun Healthcare Group, Inc., Sun Healthcare Group, Inc. management's assessment of the effectiveness of internal control over financial reporting, and the effectiveness of internal control over financial reporting of Sun Healthcare Group, Inc., included in the Annual Report (Form 10-K) for the year ended December 31, 2005.

Ernst & Young LLP

 

Dallas, Texas
March 6, 2006

EX-21 6 exhibit211.htm

 

 

EXHIBIT 21.1

 

SUN HEALTHCARE GROUP, INC. SUBSIDIARIES
as of February 8, 2006

Jurisdiction of
Incorporation

Sun Healthcare Group, Inc.

Delaware

     Masthead Corporation

New Mexico

     SHG Services, Inc.

Delaware

          CareerStaff Unlimited, Inc.

Delaware

               ProCare One Nurses, LLC

Delaware

          SunDance Rehabilitation Corporation

Connecticut

               HTA of New York, Inc.

New York

               SRT, Inc.

New Mexico

               SunAlliance Healthcare Services, Inc.

Delaware

                    Pacific Health Care, Inc.

Arizona

                    U.S. Laboratory Corp.

Delaware

               SunDance Rehabilitation Agency, Inc.

Delaware

          SunPlus Home Health Services, Inc.

California

     Sun Anacortes, Inc.

Delaware

            Sun Lane Purchase Corporation

New Mexico

     SunBridge Healthcare Corporation

New Mexico

          Peak Medical Corporation

Delaware

               Peak Medical Ancillary Services, Inc.

Delaware

                    PMC Hospice Services, Inc.

Oklahoma

               Peak Medical Assisted Living, Inc.

Delaware

               Peak Medical Colorado No. 2, Inc.

Delaware

               Peak Medical Colorado No. 3, Inc.

Delaware

               Peak Medical Farmington, Inc.

Delaware

               Peak Medical FHAPT, Inc.

Delaware

               Peak Medical Forest Hills, Inc.

Delaware

               Peak Medical Idaho Operations, Inc.

Delaware

               Peak Medical Las Cruces No. 2, Inc.

Delaware

               Peak Medical Las Cruces, Inc.

Delaware

               Peak Medical Mayfair, Inc.

Delaware

               Peak Medical Montana Operations, Inc.

Delaware

                    Great Falls Health Care Company, L.L.C.

Montana

               Peak Medical New Mexico No. 3, Inc.

Delaware

               Peak Medical NM Management Services, Inc.

Delaware

               Peak Medical of Boise, Inc.

Delaware

               Peak Medical of Colorado, Inc.

Delaware

               Peak Medical of Idaho, Inc.

Delaware

               Peak Medical of Montana, Inc.

Delaware

               Peak Medical of Utah, Inc.

Delaware

               Peak Medical Oklahoma Holdings--Lake Drive, Inc.

Delaware

               Peak Medical Oklahoma Holdings--McLoud, Inc.

Delaware

               Peak Medical Oklahoma No. 1, Inc.

Delaware

               Peak Medical Oklahoma No. 10, Inc.

Delaware

               Peak Medical Oklahoma No. 11, Inc.

Delaware

               Peak Medical Oklahoma No. 12, Inc.

Delaware


               Peak Medical Oklahoma No. 13, Inc.

Delaware

               Peak Medical Oklahoma No. 3, Inc.

Delaware

               Peak Medical Oklahoma No. 4, Inc.

Delaware

               Peak Medical Oklahoma No. 5, Inc.

Delaware

               Peak Medical Oklahoma No. 7, Inc.

Delaware

               Peak Medical Oklahoma No. 8, Inc.

Delaware

               Peak Medical Oklahoma No. 9, Inc.

Delaware

               Peak Medical PeachTree, Inc.

Delaware

               Peak Medical Roswell, Inc.

Delaware

               Peak Medical Utah No. 2, Inc.

Delaware

               PM Henryetta Holdings, Inc.

Delaware

               PM Oxygen Services, Inc.

Delaware

          Regency Health Services, Inc.

Delaware

               SunBridge Braswell Enterprises, Inc.

California

               SunBridge Brittany Rehabilitation Center, Inc.

California

               SunBridge Care Enterprises, Inc.

Delaware

                    SunBridge Beckley Health Care Corp.

West Virginia

                    SunBridge Care Enterprises West

Utah

                    SunBridge Circleville Health Care Corp.

Ohio

                    SunBridge Dunbar Health Care Corp.

West Virginia

                    SunBridge Glenville Health Care, Inc.

West Virginia

                    SunBridge Marion Health Care Corp.

Ohio

                    SunBridge Putnam Health Care Corp.

West Virginia

                    SunBridge Salem Health Care Corp.

West Virginia

               SunBridge Carmichael Rehabilitation Center

California

               SunBridge Hallmark Health Services, Inc.

Delaware

               SunBridge Harbor View Rehabilitation Center

California

               SunBridge Meadowbrook Rehabilitation Center

California

               SunBridge Paradise Rehabilitation Center, Inc.

California

               SunBridge Regency Rehab Hospitals, Inc.

California

                    SunBridge San Bernardino Rehabilitation Hospital, Inc.

Delaware

               SunBridge Regency-North Carolina, Inc.

North Carolina

               SunBridge Regency-Tennessee, Inc.

Tennessee

               SunBridge Shandin Hills Rehabilitation Center

California

               SunBridge Stockton Rehabilitation Center, Inc.

California

          SB Fountain City, Inc.

Georgia

          SB New Martinsville, Inc.

West Virginia

          SB West Toledo, Inc.

Ohio

          SunBridge Clipper Home of North Conway, Inc.

New Hampshire

          SunBridge Clipper Home of Portsmouth, Inc.

New Hampshire

          SunBridge Clipper Home of Rochester, Inc.

New Hampshire

          SunBridge Clipper Home of Wolfeboro, Inc.

New Hampshire

          SunBridge G. P. Corporation

New Mexico

          SunBridge Goodwin Nursing Home, Inc.

New Hampshire

          SunBridge Mountain Care Management, Inc.

West Virginia

          SunBridge Nursing Home, Inc.

Washington

          SunBridge Retirement Care Associates, Inc.

Colorado

                    Americare Health Services Corp.

Delaware

               SunBridge Charlton Healthcare, Inc.

Georgia

               SunBridge Gardendale Health Care Center, Inc.

Georgia


               SunBridge Jeff Davis Healthcare, Inc.

Georgia

               SunBridge Maplewood Healthcare Center of Jackson, Tennessee, Inc.

Tennessee

               SunBridge Statesboro Health Care Center, Inc.

Georgia

               SunBridge Summers Landing, Inc.

Georgia

               SunBridge West Tennessee, Inc.

Georgia

          SunHealth Specialty Services, Inc.

New Mexico

     Sunmark of New Mexico, Inc.

New Mexico

     The Mediplex Group, Inc.

New Mexico

          CareerStaff Services Corporation

Colorado

          SunDance Services Corporation

Tennessee


EX-32 7 matrosexhibit3211.htm

EXHIBIT 32.1

 

WRITTEN STATEMENT
 PURSUANT TO
18 U.S.C. SECTION 1350

 

   The undersigned, Richard K. Matros, the Chief Executive Officer, of Sun Healthcare Group, Inc. (the "Company"), pursuant to 18 U.S.C. Section 1350, hereby certifies that:|
 

(i)   the Annual Report on Form 10-K for the year ended December 31, 2005 of the Company (the "Report") fully complies with the requirements of section 13(a) and 15(d) of the Securities Exchange Act of 1934; and
 

(ii)   the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Date: March 9, 2006

/s/ Richard K. Matros                                     

Richard K. Matros



 


EX-31 8 matrosexhibit3111.htm

EXHIBIT 31.1

CERTIFICATION PURSUANT TO
SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002

I, Richard K. Matros, certify that:

1. I have reviewed this annual report on Form 10-K of Sun Healthcare Group, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal controls and procedures (as defined in Exchange Act Rules 13a - 13(f) and 15d - 15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.
 

Date: March 9, 2006

/s/ Richard K. Matros

Richard K. Matros
Chief Executive Officer (Principal Executive Officer)


EX-32 9 shaulexhibit3221.htm

EXHIBIT 32.2


WRITTEN STATEMENT
 PURSUANT TO
18 U.S.C. SECTION 1350
 

   The undersigned, Bryan Shaul, the Executive Vice President and Chief Financial Officer (Principal Financial Officer), of Sun Healthcare Group, Inc. (the "Company"), pursuant to 18 U.S.C. Section 1350, hereby certifies that:
 

(i)   the Annual Report on Form 10-K for the year ended December 31, 2005 of the Company (the "Report") fully complies with the requirements of section 13(a) and 15(d) of the Securities Exchange Act of 1934; and
 

(ii)   the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Date: March 9, 2006

/s/ Bryan Shaul                                        

Bryan Shaul



 


EX-31 10 shaulexhibit3121.htm

EXHIBIT 31.2

CERTIFICATION PURSUANT TO
SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002

I, Bryan Shaul, certify that:

1. I have reviewed this annual report on Form 10-K of Sun Healthcare Group, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal controls and procedures (as defined in Exchange Act Rules 13a - 13(f) and 15d - 15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.
 

Date: March 9, 2006

/s/ Bryan Shaul

Bryan Shaul
Executive Vice President and Chief Financial Officer
  (Principal Financial Officer)
 


 

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