EX-99.1 2 ex991.htm EXHIBIT 99.1 ex991.htm
 
EXHIBIT 99.1
      Investor Relations Roadshow 
      Investor Relations Roadshow 
AUGUST 2007
AUGUST 2007
UBS Investment Bank
 
 

 
Statements made in this presentation may contain “forward-looking” information, such as forecasts of future
financial performance. Such statements involve risks and uncertainties and are subject to change at any
time. Factors that could cause actual results to differ materially include, but are not limited to, the
following: potential liability for losses not covered by, or in excess of, our insurance; continued compliance
by the Company under its debt agreements; changes in Medicare and Medicaid reimbursements; the impact
of federal and state regulations and investigations; changes in payor mix and payment methodologies; our
ability to integrate the operations of Harborside Healthcare Corporation; our ability to generate sufficient
cash flow to operate our business; our ability to receive increases in reimbursement rates from government
payors to cover increased costs; and competition for qualified staff in the healthcare industry. More
information on these and other factors that could affect our business and financial results are included in our
Annual Report on Form 10-K/A for the year ended December 31, 2006 and other public filings made with the
Securities and Exchange Commission.
The forward-looking statements involve known and unknown risks, uncertainties and other factors that are,
in some cases, beyond our control. We caution that any forward-looking statements made by us are not
guarantees of future performance. We disclaim any obligation to update any such factors or to announce
publicly the results of any revisions to any of the forward-looking statements to reflect future events or
developments.
Furthermore, references to non-GAAP financial information and pro forma, normalized data contained herein
are reconciled to comparable GAAP financial information in our earnings release dated August 1, 2007 which
is available on our website at
www.sunh.com and has been filed with the SEC in an 8K. Any documents filed
by Sun with the SEC may be obtained free of charge at the SEC’s web site at www.sec.gov. In addition,
investors and stockholders of Sun may obtain free copies of the documents filed with the SEC by contacting
the Investor Relations Department of Sun at (505) 468-2341 (TDD users, please call (505) 468-4458) or by
sending a written request to Investor Relations, Sun Healthcare Group, Inc., 101 Sun Avenue NW,
Albuquerque, NM 87109. You may also read and copy any reports, statements, and other information filed
by Sun with the SEC at the SEC public reference room at 450 Fifth Street, NW, Room 1200, Washington, D.C.
20549. Please call the SEC at (800) SEC-0330 or visit the SEC’s web site for further information on its public
reference room.
Forward-Looking Statements
 
 

 
Investment Highlights
Attractive industry fundamentals and reimbursement
outlook
Nationally diversified portfolio of facilities
Focus on high-acuity patients
Harborside acquisition creates one of the largest U.S.
operators
Demonstrated integration track record
Strong financial performance and underlying asset
coverage
Proven and experienced management team
 
 

 
Source: CMS.
(in thousands)
SNFs- Lowest Cost Setting for Rehab and Recovery
85+ Population Growth
Declining Number of Nursing Facilities
Source: US Census Bureau.
(in millions)
7
4
6
10
15
21
1.5%
2.0%
2.2%
2.6%
3.9%
5.0%
0
5
10
15
20
2000A
2010E
2020E
2030E
2040E
2050E
0%
2%
4%
6%
8%
10%
85+ Population
% of Total Population
Comparison of per Case Rates
 
SNF
 
IRF
 
LTAC
 
Tracheotomy with Vent
 
$10,051
 
$26,051
 
$115,463
 
Respiratory with Vent
 
7,897
 
26,051
 
74,689
 
Joint Replacement
 
6,165
 
17,135
 
67,104
 
Hip Fracture
 
10,618
 
18,487
 
44,633
 
Stroke
 
8,905
 
34,196
 
31,496
 
Average
 
$8,727
 
$24,384
 
$66,677
 
Source
:  
Medpac
15.9
16.0
16.1
16.3
16.5
16.7
16.9
17.0
17.3
17.1
16.7
16.4
15.0
15.5
16.0
16.5
17.0
17.5
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
The long-term healthcare industry continues to grow due to demographic
demand with limited construction of new inpatient facilities.
Attractive Industry Fundamentals
 
 

 
(1)
Includes revolving credit, synthetic L/C and delayed draw term loan facilities, all of which were undrawn at close.
(2)
Sun standalone.
2001
2001
2002
2002
2003
2003
2004
2004
2005
2005
2006
2006
November 2001
Rick Matros joined Sun as
Chairman & CEO
February 2002
Exited bankruptcy
December 2004
Completed restructuring
February 2003
Commenced second
restructuring
May 2005
Announced acquisition of Peak
December 2005
Closed Peak acquisition and
completed equity offering for
net proceeds of $38 million
October 2006
Announced acquisition of
Harborside
December 2006
Completed equity offering for
net proceeds of $121 million
and completed sale of SunPlus
February 2004
Completed PIPE for net
proceeds of $52 million
March 2004
Listed on NASDAQ
FYE December 31,
2002
2006 (2)
Inpatient Facilities                  233 
141
Adj. EBITDAR                       $40.3
$107.2
% Margin                                5.9%
10.3%
% Margin                            (0.4%)
Adj. EBITDA
($2.6)
$50.5
4.8%
($ in millions)
2007
2007
March 2007
Completed $200 million
senior subordinated notes
offering
April 2007
Closed Harborside
acquisition and completed
$455 million(1) senior
secured debt offering
The Sun Story
 
 

 
Harborside Healthcare
Overview
 
 

 
t
73 SNFs and 2 ALFs/ILFs located in
10 states
t
73 SNFs and 2 ALFs/ILFs located in
10 states
§
53(1) owned and 22 leased
§
53(1) owned and 22 leased
§
8,979 licensed beds
§
8,979 licensed beds
§
2006 pro forma revenues and
Adjusted EBITDA of $653.2
million and $71.6 million,
respectively
§
2006 pro forma revenues and
Adjusted EBITDA of $653.2
million and $71.6 million,
respectively
t
FY 2006 occupancy of 91%
t
FY 2006 occupancy of 91%
t
FY 2006 Medicare revenue of 31%
t
FY 2006 Medicare revenue of 31%
t
Strong Quality Results
t
Strong Quality Results
($ in millions)
(1)
Includes the to be acquired Moffie portfolio of five facilities and 688
beds and the NHP portfolio of four facilities and 401 beds.
Total:  $562.2 million
FY 2006 Inpatient Revenue by Payor
 31%
 50%
 19%
Medicare 
$172.4
Medicaid $281.8
Private Pay 
and Other 
$108.0
Harborside’s High Quality Portfolio
 
 

 
($ in millions)
Adjusted EBITDAR and EBITDA 
Revenues
($ in millions)
Adj. EBITDAR % Margin
9.6%
11.5%
12.2%
13.5%
Adj. EBITDA % Margin
2.4%
4.7%
6.6%
11.0%
Represents the full year impact of acquisitions completed during 2006 and the exercise of the Moffie and NHP purchase options. 
2003
2004
2005
2006
$421.2
$447.4
$495.7
$653.2
$71.6
$32.8
$20.9
$9.9
 $88.0
 $60.3
$51.2
$40.6
Adj. EBITDA
Adj. EBITDAR
2003
2004
2005
2006
Harborside’s Strong Financial Performance
 
 

 
Combined Company Overview
 
 

 
Acquisition creates one of the largest
long-term care operators in the U.S.
Strong asset base of 216 inpatient facilities
across 25 states
High CON concentration provides barriers
to entry
17 of 25 states
Significant facility ownership
81 Facilities (1) - 38%
Leverages existing Sun infrastructure to
realize significant cost savings
(1) Includes exercise of Moffie and NHP purchase options.
Total:  $788.8 million
2007
2007
Pro Forma Six Months
Pro Forma Six Months
Impatient Payor Mix
Impatient Payor Mix
($ in millions)
Medicare 
$247.6
Medicaid 
$364.8
Private Pay
and Other
 $176.5
 32%
 46%
 22%
Sun Pro Forma for Harborside Acquisition
 
 

 
.
.
.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
6
5
10
17
3
1
9
1
12
12
4
20
3
19
10
1
15
2
17
7
9
9
8
9
7
Existing Sun State
Harborside State
Overlapping State
#
Number of Facilities
     
24,426 Licensed Beds in 25 States
(1)
Includes the exercise of Harborside’s purchase options on the Moffie portfolio (five facilities) and the NHP
portfolio (four facilities).
 
 

 
Consolidated Company Financials
Consolidated Company Financials
Adjusted Pro Forma for the Six Months ended June 30, 2007
$884.1
million
Consolidated
$104.3
million
$60.7 million
Note: Adjusted Pro Forma combines Sun and Harborside results for 2006 annualizing transactions that took place
during the year, giving effect to the Moffie and NHP purchase options and normalizing Sun’s results.
 
% Margin 
 
Sun Standalone 
 
Six Months
June-2007
 
Pro Forma Sun 
 
 
Adjusted 
EBITDAR
 
10
.
0
%
11.8%
.
 
Adjusted 
EBITDA
 
4.8%
6.9%
 
Occupancy
 
87.7%
 
88.9%
 
 
 
Adj. EBITDA
Adj. EBITDAR
Revenue
Sun
Harborside
Synergies
44.0%
53.3%
63.0%
54.4%
45.7%
37.0%
1.6%
1.0%
Six Months
June-2007
Improved Scale, Margins and Occupancy
 
 

 
Medicare as a % of Revenue (2)
Inpatient Revenue Quality Mix (3)
Inpatient Revenue Per Patient Day
Occupancy (1)
(1) Quality mix includes all non-Medicaid inpatient revenues. 
Commercial Insurance
Medicare [Part A]
Q2 2006
Q2 2007
31.6%
31.0%
Q2 2006
Q2 2007
88.6%
89.0%
Q2 2006
Q2 2007
$378
$354
$408
$154  
52.8%
54.0%
Q2 2006
Q2 2007
(1) Occupancy includes LTC and Hospitals.
(2) Medicare as a % of Revenue includes Americare and Hospice.
Medicaid
Private and Other
$160
$158
$166
$356
Improving Inpatient Performance Metrics
Pro Forma Sun with Harborside
 $408
 
 

 
Note:
REX defined as Rehab with Extensive Days.
The inpatient business has a continued opportunity to improve
acuity and increase margins.
REX Days as a % of Medicare Days
Rehab Days as a % of Total Medicare Days
37.2%
35.0%
Q2 2006
Q2 2007
82.4%
79.0%
Q2 2006
Q2 2007
Sun’s High Acuity Strategy Drives Margins
Sun’s rehabilitation therapy segment
helps drive Medicare inpatient days
Attracts high-acuity patients who require
more intensive and medically complex
care
Sun has adapted its business model to
increasingly provide care for high-acuity
patients
Captures the benefit of the January 2006
RUGs refinement
Added nine high-acuity categories with
higher reimbursement rates
Previously these patients had been
admitted to higher cost, post-acute care
settings
 
 

 
Rehab Recovery Suites - Opportunity for
Growth
32 Centers currently have RRS
RRS Centers have demonstrated:
Higher Medicare occupancy
18.6% vs. 15% in non RRS Centers
Higher Managed Care/Comm Ins occupancy
3.5% vs. 2.6% in non RRS Centers
Higher Rehab RUGS
89.8% vs. 79.8%
Higher REX Day
47.5% vs. 33.6%
Additional 7 RRS units are in development as well as 1 current unit
being expanded
   
 
 

 
Harborside Integration Plan
Sun management has the experience and skill necessary to
integrate large multi-facility acquisitions without
disrupting existing operations
Acquisition of Harborside resulted in the establishment of a
third reporting division with its own dedicated
management
Identifiable cost saving opportunities of $12-15 million
Sun expects to realize approximately
two-thirds of these net synergies over
the first twelve months
 
 

 
One of the largest contract
rehab companies, providing
physical, occupational and
speech rehab therapy services
Specializes in temporary
therapy, pharmacy, physician,
and nursing staffing
Geography
39 States
21 States
2Q-07 Gross
Revenue
$31.1
$29.2
% of Revenue
7.0%
6.5%
2Q-07 EBITDA 
Margin
Description
$2.4
$2.3
7.8%
7.7%
Sun’s ancillary businesses are complementary to its core business
Ancillary Businesses
 
 

 
Financial Performance
 
 

 
                                                                                           Low                                    High        

Revenue
Sun
$1,100.0
$1,110.0
Harborside
505.0 509.0
Total $1,605.0 $1,619.0
EBITDAR
Sun
110.0 114.0
Harborside
71.0 73.0
Synergies
6.0 6.0
Total
187.0 193.0
EBITDA
Sun 54.0
58.0
Harborside 51.0
53.0
Synergies 6.0 6.0
Total
111.0 117.0

Depreciation and amortization
33.0
34.0
Interest expense, net
44.0
45.0
Pre-tax
34.0 38.0
Income taxes @ 35%
11.9 13.3
Net income
$ 22.1 $ 24.7


EBITDAR Margin
11.7% 11.9%
EBITDA Margin
5.9%
7.2%
Diluted weighted-average shares 44.0
44.0
Diluted earnings per share
$ 0.50
$ 0.56

Sun’s 2007 full-year guidance includes only nine months of impact from the
Harborside acquisition. As such, Sun anticipates annual 12 month run rates
for depreciation and amortization to be approximately $39 to $41 million and annual 12
month run rates for net interest expense to be approximately $56 to $59 million.
2007 Guidance
 
 

 
Sun Pro Forma 6 Months Results
Actual Results
Pro Forma

Six Months ended June 30
Six Months ended June 30

2007
2006 2007 2006
Revenue
$720,233
$515,215
$884,077
$833,626
Depreciation and amortization 13,708
6,628
18,484
15,425
Interest expense, net
14,058
9,446
18,703 16,205
Income from continuing
operations
$15,678 $6,655
$14,367 $14,146
EBITDAR normalized
$ 83,720
$47,539
$104,314
$86,900
Margin -EBITDAR normalized 11.6%
9.2%
11.8%
10.4%

EBITDA normalized
$ 47,043
20,180
60,661
43,781
Margin -EBITDA normalized 6.5%
3.9%
6.9% 5.3%

Income from continuing
Operations - normalized
$12,866 $1,553
$15,668
$9,282
Diluted earnings per share
 - normalized
$0.29
$0.05
$0.36
$0.21
 
 

 


($ in millions)
6/30/07 Pro Forma


Cash
$ 84.5(1) $ 25.0(1)

Debt:
Revolver
15.0
0.0
Mortgage Debt
83.0
83.0
Assumed Mortgage Debt
31.7
52.7
Clipper Debt
49.8
49.6
Senior Secured Debt
306.4
306.4
Senior Secured Delayed Draw 35.0
35.0
Subordinated Debt
200.0
200.0
Other Long Term Debt
1.3 1.3
Total Debt
722.2
728.0



Net Debt
662.7 728.0













Adjusted EBITDA
$
113.8(2) $ 143.1(3)
Credit Ratios
Debt/EBITDA
5.8/1 5.1/1





Note: (1) Assumes cash over $25 million used to pay off debt.(2) Based on Normalized Pro Forma EBITDA for last twelve months ending 6/30/07. Excludes impact of Moffie and NHP. Includes $1 million in synergies. (3) Includes impact of Moffie $6 million and NHP $2.2 million and full impact of first synergies of $10 million.

 
 


Pro Forma Capitalization Table