10-Q 1 form10q.htm FORM 10-Q form10q.htm

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

FORM 10-Q

[ X ]     Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

For the quarterly period ended June 30, 2008

or

[    ]     Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Commission File Number: 1-12040

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

Delaware
85-0410612
(State of Incorporation)
(I.R.S. Employer Identification No.)

18831 Von Karman, Suite 400
Irvine, CA  92612
(949) 255-7100
(Address, zip code and telephone number of Registrant)


Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x  No 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definition of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer   o
Accelerated filer    x
   
Non-accelerated filer   o
(Do not check if a smaller reporting company)
Smaller reporting company   o

Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o  No x

As of August 5, 2008, there were 43,351,649 shares of the Registrant’s $.01 par value Common Stock outstanding.


 
1

 

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Index
   
Page
Numbers
PART I.  FINANCIAL INFORMATION
 
     
Item 1.
Financial Statements:
 
     
 
Consolidated Balance Sheets (unaudited)
3-4
 
          As of June 30, 2008
 
 
          As of December 31, 2007
 
     
 
Consolidated Income Statements (unaudited)
5-6
 
          For the three months ended June 30, 2008 and 2007
 
 
          For the six months ended June 30, 2008 and 2007
 
     
 
Consolidated Statements of Cash Flows (unaudited)
7
 
          For the three months ended June 30, 2008 and 2007
 
 
          For the six months ended June 30, 2008 and 2007
 
     
 
Notes to Consolidated Financial Statements (unaudited)
8-30
     
Item 2.
Management's Discussion and Analysis of Financial Condition and Results of Operations
31-44
     
Item 3.
Quantitative and Qualitative Disclosures About Market Risk
45
     
Item 4.
Controls and Procedures
45
     
   
PART II.  OTHER INFORMATION
 
     
Item 4.
Submission of Matters to a Vote of Security Holders
46
     
Item 5.
Other Information
46
     
Item 6.
Exhibits
47
     
Signature
 
47

References throughout this document to the “Company,” “Sun,” “we,” “our,” “ours” and “us” refer to Sun Healthcare Group, Inc. and its subsidiaries.

STATEMENT REGARDING FORWARD LOOKING STATEMENTS

Information provided in this Quarterly Report on Form 10-Q (this “10-Q”) 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, integration of the operations of Harborside Healthcare Corporation, indebtedness, lease obligations and liquidity, financing plans, business strategies, budgets, projected costs and capital expenditures, the occupancy and payor mix at our skilled nursing centers, the anticipated impact of changes in Medicare, Medicaid and other governmental reimbursement programs,  the impact of regulatory initiatives and government investigations and audits that may affect our business, our ability to defend lawsuits, the ability of our self-insurance programs to satisfy claims, plans of management for future operations, interest rate risk exposure and words such as “anticipate,” “believe,” “plan,” “estimate,” “expect,” "intend,” “may” and other similar expressions are forward-looking statements.

We caution investors that any forward-looking statements made by us are not guarantees of future performance.  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. Such material differences may result from the factors described in our 2007 Annual Report on Form 10-K (see Item 1A – “Risk Factors”) and other factors that are unknown to us or may be beyond our control.  Such risks should be carefully considered before any investment is made in our securities.  Given these risks and other uncertainties, we can give no assurances that any of the events or circumstances described in our forward-looking statements will in fact transpire, or that the impact of such events or circumstances will be material to our business and financial condition.  Therefore undue reliance should not be placed on such forward-looking statements. We do not intend, and undertake no obligation, to update our forward-looking statements to reflect future events or circumstances.
___________________

 
2

 

PART I.     FINANCIAL INFORMATION

ITEM 1.     FINANCIAL STATEMENTS

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS (unaudited)

ASSETS
(in thousands)

   
June 30, 2008
   
December 31, 2007
 
         
(Note 1)
 
Current assets:
           
Cash and cash equivalents
$
68,369
 
$
55,832
 
Restricted cash
 
34,850
   
37,365
 
Accounts receivable, net of allowance for doubtful accounts
           
of $43,525 and $42,144 at June 30, 2008 and
           
December 31, 2007, respectively
 
201,587
   
188,882
 
Prepaid expenses and other assets
 
28,902
   
13,290
 
Assets held for sale
 
4,218
   
9,924
 
Deferred tax assets
 
33,268
   
35,354
 
             
Total current assets
 
371,194
   
340,647
 
             
Property and equipment, net
 
587,432
   
585,972
 
Intangible assets, net
 
54,640
   
57,044
 
Goodwill
 
324,277
   
324,277
 
Restricted cash, non-current
 
3,281
   
3,829
 
Deferred tax assets
 
45,707
   
51,892
 
Other assets
 
6,317
   
10,165
 
             
Total assets
$
1,392,848
 
$
1,373,826
 





See accompanying notes.


 
3

 

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS (unaudited) (CONTINUED)

LIABILITIES AND STOCKHOLDERS’ EQUITY
(in thousands, except share data)

   
June 30, 2008
   
December 31, 2007
 
         
(Note 1)
 
Current liabilities:
           
Accounts payable
$
51,379
 
$
52,836
 
Accrued compensation and benefits
 
59,118
   
61,956
 
Accrued self-insurance obligations, current portion
 
46,423
   
48,646
 
Income taxes payable
 
3,397
   
3,000
 
Liabilities held for sale
 
78
   
3,181
 
Other accrued liabilities
 
60,822
   
58,002
 
Current portion of long-term debt and capital lease obligations:
           
Company obligations
 
11,325
   
28,480
 
Clipper partnerships
 
859
   
825
 
             
Total current liabilities
 
233,401
   
256,926
 
             
Accrued self-insurance obligations, net of current portion
 
108,578
   
106,534
 
Long-term debt and capital lease obligations, net of current portion:
           
Company obligations
 
669,843
   
651,403
 
Clipper partnerships
 
48,120
   
48,560
 
Unfavorable lease obligations, net
 
17,282
   
18,960
 
Other long-term liabilities
 
47,820
   
44,717
 
             
Total liabilities
 
1,125,044
   
1,127,100
 
             
Commitments and contingencies (Note 6)
           
             
Minority interest
 
1,167
   
470
 
             
Stockholders’ equity:
           
Preferred stock of $.01 par value, authorized 10,000,000
           
shares, no shares were issued or outstanding as of
           
June 30, 2008 and December 31, 2007
 
-
   
-
 
Common stock of $.01 par value, authorized 125,000,000 
           
shares; 43,197,359 and 43,016,042 shares issued and
           
outstanding as of June 30, 2008 and December 31, 2007,
           
respectively
 
432
   
430
 
Additional paid-in capital
 
602,457
   
600,199
 
Accumulated deficit
 
(333,708
)
 
(351,970
)
Accumulated other comprehensive loss, net
 
(2,544
)
 
(2,403
)
   
266,637
   
246,256
 
             
Total liabilities and stockholders’ equity
$
1,392,848
 
$
1,373,826
 





See accompanying notes.

 
4

 

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED INCOME STATEMENTS (unaudited)
(in thousands, except per share data)


   
For the
 
   
Three Months Ended
 
   
June 30, 2008
   
June 30, 2007
 
             
Total net revenues
$
454,192
 
$
429,979
 
Costs and expenses:
           
Operating salaries and benefits
 
253,498
   
242,021
 
Self-insurance for workers’ compensation and general and
           
professional liability insurance
 
11,892
   
7,959
 
Operating administrative expenses
 
12,944
   
10,497
 
Other operating costs
 
93,354
   
89,922
 
Center rent expense
 
18,757
   
20,862
 
General and administrative expenses
 
16,111
   
17,297
 
Depreciation and amortization
 
9,818
   
9,659
 
Provision for losses on accounts receivable
 
2,963
   
3,401
 
Interest, net of interest income of $569 and $1,136, respectively
 
13,643
   
11,999
 
Loss on sale of assets
 
-
   
3
 
Total costs and expenses
 
432,980
   
413,620
 
             
Income before income taxes and discontinued operations
 
21,212
   
16,359
 
Income tax expense
 
8,485
   
5,725
 
Income from continuing operations
 
12,727
   
10,634
 
             
Discontinued operations:
           
(Loss) income from discontinued operations, net of related taxes
 
(1,235
)
 
2,059
 
(Loss) gain on disposal of discontinued operations, net of
           
related taxes
 
(1,807
)
 
347
 
(Loss) income from discontinued operations, net
 
(3,042
)
 
2,406
 
             
Net income
$
9,685
 
$
13,040
 
             
Basic earnings per common and common equivalent share:
           
Income from continuing operations
$
0.29
 
$
0.25
 
(Loss) income from discontinued operations, net
 
(0.07
)
 
0.05
 
Net income
$
0.22
 
$
0.30
 
             
Diluted earnings per common and common equivalent share:
           
Income from continuing operations
$
0.29
 
$
0.24
 
(Loss) income from discontinued operations, net
 
(0.07
)
 
0.06
 
Net income
$
0.22
 
$
0.30
 
             
Weighted average number of common and common
           
equivalent shares outstanding:
           
Basic
 
43,188
   
42,993
 
Diluted
 
43,928
   
43,735
 

See accompanying notes.

 
5

 

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED INCOME STATEMENTS (unaudited)
(in thousands, except per share data)


   
For the
 
   
Six Months Ended
 
   
June 30, 2008
   
June 30, 2007
 
             
Total net revenues
$
907,757
 
$
689,701
 
Costs and expenses:
           
Operating salaries and benefits
 
509,913
   
392,985
 
Self-insurance for workers’ compensation and general and
           
professional liability insurance
 
26,862
   
18,059
 
Operating administrative expenses
 
24,883
   
18,086
 
Other operating costs
 
187,453
   
141,272
 
Center rent expense
 
37,412
   
34,136
 
General and administrative expenses
 
32,696
   
30,131
 
Depreciation and amortization
 
19,462
   
13,530
 
Provision for losses on accounts receivable
 
6,312
   
5,488
 
Interest, net of interest income of $1,114 and $2,325, respectively
 
28,074
   
14,061
 
(Gain) loss on sale of assets
 
(76
)
 
10
 
Total costs and expenses
 
872,991
   
667,758
 
             
Income before income taxes and discontinued operations
 
34,766
   
21,943
 
Income tax expense
 
13,906
   
7,680
 
Income from continuing operations
 
20,860
   
14,263
 
             
Discontinued operations:
           
(Loss) income from discontinued operations, net of related taxes
 
(729
)
 
2,703
 
Loss on disposal of discontinued operations, net of related
           
taxes
 
(1,869
)
 
(3
)
(Loss) income from discontinued operations, net
 
(2,598
)
 
2,700
 
             
Net income
$
18,262
 
$
16,963
 
             
Basic earnings per common and common equivalent share:
           
Income from continuing operations
$
0.48
 
$
0.33
 
(Loss) income from discontinued operations, net
 
(0.06
)
 
0.06
 
Net income
$
0.42
 
$
0.39
 
             
Diluted earnings per common and common equivalent share:
           
Income from continuing operations
$
0.47
 
$
0.33
 
(Loss) income from discontinued operations, net
 
(0.06
)
 
0.06
 
Net income
$
0.41
 
$
0.39
 
             
Weighted average number of common and common
           
equivalent shares outstanding:
 
43,122
   
42,951
 
Basic
 
44,034
   
43,761
 
Diluted
           

See accompanying notes.

 
6

 

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited)
(in thousands)

   
For the
     
For the
 
   
Three Months Ended
     
Six Months Ended
 
   
June 30, 2008
   
June 30, 2007
     
June 30, 2008
   
June 30, 2007
 
Cash flows from operating activities:
                         
Net income
$
9,685
 
$
13,040
   
$
18,262
 
$
16,963
 
Adjustments to reconcile net income to net cash provided by
                         
operating activities, including discontinued operations:
                         
Depreciation and amortization
 
9,883
   
9,809
     
19,600
   
13,765
 
Amortization of favorable and unfavorable lease intangibles
 
(488
)
 
(196
)
   
(991
)
 
(409
)
Provision for losses on accounts receivable
 
3,210
   
3,737
     
6,511
   
6,260
 
Loss (gain) on sale of assets, including discontinued
                         
operations, net
 
1,807
   
(347
)
   
1,792
   
13
 
Impairment charge for discontinued operation
 
1,800
   
-
     
1,800
   
-
 
Stock-based compensation expense
 
1,368
   
943
     
2,333
   
1,694
 
Deferred taxes
 
6,442
   
-
     
8,271
   
-
 
Minority interest
 
590
   
50
     
697
   
50
 
Other
 
79
   
(111
)
   
79
   
(112
)
Changes in operating assets and liabilities, net of acquisitions:
                         
Accounts receivable
 
(3,951
)
 
(7,187
)
   
(19,452
)
 
(9,237
)
Restricted cash
 
3,058
   
896
     
3,063
   
1,617
 
Prepaid expenses and other assets
 
(1,856
)
 
15,312
     
(7,190
)
 
9,291
 
Assets and liabilities held for sale
 
(516
)
 
-
     
(1,044
)
 
-
 
Accounts payable
 
(1,528
)
 
(2,918
)
   
(3,126
)
 
(6,843
)
Accrued compensation and benefits
 
(4,020
)
 
7,875
     
(2,906
)
 
6,209
 
Accrued self-insurance obligations
 
(2,130
)
 
(5,982
)
   
(179
)
 
(6,828
)
Income taxes payable
 
1,121
   
4,961
     
1,591
   
7,387
 
Other accrued liabilities
 
(10,173
)
 
14,452
     
(3,645
)
 
15,681
 
Other long-term liabilities
 
3,676
   
(3,571
)
   
5,355
   
(3,167
)
Net cash provided by operating activities
 
18,057
   
50,763
     
30,821
   
52,334
 
                           
Cash flows from investing activities:
                         
Capital expenditures
 
(10,223
)
 
(7,705
)
   
(16,139
)
 
(14,955
)
Purchase of leased real estate
 
(727
)
 
(30,236
)
   
(727
)
 
(30,236
)
Proceeds from sale of assets held for sale
 
180
   
2,251
     
3,957
   
5,489
 
Acquisitions
 
(6
)
 
(368,515
)
   
(313
)
 
(368,515
)
Accrued acquisition costs, net
 
-
   
3,585
     
-
   
3,585
 
Net cash used for investing activities
 
(10,776
)
 
(400,620
)
   
(13,222
)
 
(404,632
)
                           
Cash flows from financing activities:
                         
Net borrowings under Credit Agreement
 
-
   
5,000
     
-
   
5,006
 
Principal repayments of long-term debt and capital lease obligations
 
(22,115
)
 
(4,651
)
   
(25,199
)
 
(34,798
)
Borrowings under long-term debt and capital lease obligations
 
20,290
   
327,000
     
20,290
   
327,000
 
Proceeds from issuance of common stock
 
31
   
92
     
70
   
665
 
Distribution of partnership equity
 
-
   
(255
)
   
(223
)
 
(511
)
Release of third-party collateral
 
-
   
25,640
     
-
   
25,640
 
Distribution of minority interest
 
-
   
(57
)
   
-
   
(57
)
Deferred financing costs
 
-
   
(18,045
)
   
-
   
(18,045
)
Net cash (used for) provided by financing activities
 
(1,794
)
 
334,724
     
(5,062
)
 
304,900
 
                           
Net increase (decrease) in cash and cash equivalents
 
5,487
   
(15,133
)
   
12,537
   
(47,398
)
Cash and cash equivalents at beginning of period
 
62,882
   
99,670
     
55,832
   
131,935
 
Cash and cash equivalents at end of period
$
68,369
 
$
84,537
   
$
68,369
 
$
84,537
 
                           



See accompanying notes.

 
7

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)


(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 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

Our subsidiaries provide long-term, post-acute and related specialty healthcare in the United States.  We operate through three principal business segments: (i) inpatient services, (ii) rehabilitation therapy services, and (iii) medical staffing services.  Inpatient services represent the most significant portion of our business.  We operated 211 long-term care centers in 25 states as of June 30, 2008.

Other Information

The accompanying unaudited consolidated financial statements have been prepared in accordance with our customary accounting practices and accounting principles generally accepted in the United States for interim financial statements.  In our opinion, the accompanying interim consolidated financial statements are a fair statement of our financial position at June 30, 2008, and the consolidated results of our operations and cash flows for the three-month periods ended June 30, 2008 and 2007, respectively.  These statements are unaudited, and certain information and footnote disclosures normally included in our annual consolidated financial statements have been condensed or omitted, as permitted under the applicable rules and regulations. Readers of these statements should refer to our audited consolidated financial statements and notes thereto for the year ended December 31, 2007, which are included in our Annual Report on Form 10-K for the year ended December 31, 2007 (the “2007 Form 10-K”).

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 significant contingent assets and liabilities at the date of the 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, self-insurance obligations, loss accruals, and income taxes. Actual results could differ from those estimates.

Recent Accounting Pronouncements

In March 2008, the Financial Accounting Standards Board (“FASB”) issued Statement of Financial Accounting Standards No. 161, Disclosures About Derivative Instruments and Hedging Activities – an amendment of FASB Statement No. 133 (“SFAS No. 161”), which expands quarterly disclosure requirements in Statement of Financial Accounting Standards No. 133, Accounting for Derivative Instruments and Hedging Activity (“SFAS No. 133”), about an entity’s derivative instruments and hedging activities. SFAS No. 161 is effective for fiscal years beginning after November 15, 2008.  We are currently assessing the impact of SFAS No. 161 on our consolidated financial position and results of operations.

Reclassifications and Adjustments

Certain reclassifications have been made to the prior period financial statements to conform to the 2008 financial statement presentation.  Specifically, we have reclassified the results of operations of two centers held for sale (see Note 4 – “Discontinued Operations and Assets and Liabilities Held for Sale”) for all periods presented to discontinued operations within the income statement, in accordance with accounting principles generally accepted in the United States.


 
8

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


(2)  Long-Term Debt and Capital Lease Obligations

In June 2008 we entered into a $25.6 million mortgage note payable for purposes of refinancing an existing mortgage note payable of approximately $20.0 million.  The additional $5.6 million was used in connection with our purchase of two previously leased centers.

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

   
June 30, 2008
   
December 31, 2007
 
             
Revolving credit agreement
$
-
 
$
-
 
Mortgage notes payable due at various dates through 2037, interest at rates
           
from 5.7% to 11.1%, collateralized by various centers (1)(2)(3)
 
180,329
   
177,712
 
Term loan agreement
 
348,108
   
349,857
 
Senior subordinated notes
 
200,000
   
200,000
 
Capital leases (3)
 
1,710
   
1,699
 
Total long-term obligations
 
730,147
   
729,268
 
Less amounts due within one year
 
(12,184
)
 
(29,305
)
Long-term obligations, net of current portion
$
717,963
 
$
699,963
 

(1)
Includes fair value premium of $0.1 million related to the acquisition of Peak Medical Corporation (“Peak”) in December 2005 and $0.6 million related to our acquisition of Harborside Healthcare Corporation (“Harborside”) in April 2007.
   
(2)
Includes $49.0 million and $49.4 million related to the consolidation of Clipper as of June 30, 2008 and December 31, 2007, respectively (see Note 5 – “Variable Interest Entities”).
   
(3)
Excludes $0.8 million, at December 31, 2007, reclassified to liabilities held for sale (see Note 4 – “Discontinued Operations and Assets and Liabilities Held for Sale”).

The scheduled or expected maturities of long-term obligations, excluding premiums, as of June 30, 2008, were as follows (in thousands):
 
 For the twelve months ended June 30:
       
2009    
$
12,184
 
2010
 
8,362
 
2011
 
51,395
 
2012
 
25,701
 
2013
 
7,769
 
Thereafter
 
624,029
 
 
$
729,440
 

Included in the expected maturities of long-term debt are the following amounts related to the consolidation of Clipper (in thousands):  $859, $916, $978, $1,037, $1,113, and $44,076 for 2009, 2010, 2011, 2012, 2013 and thereafter, respectively (see Note 5 – “Variable Interest Entities”).

(3)  Fair Value of Financial Instruments

Statement of Financial Accounting Standards No. 157, Fair Value Measurements (“SFAS No. 157”), establishes a common definition for fair value to be applied to U.S. generally accepted accounting principles requiring use of fair value, establishes a framework for measuring fair value, and expands disclosures about such fair value measurements.  Issued in February 2008, FASB Staff Position No. 157-1, Application of FASB Statement No. 157 to FASB Statement No. 13 and Other Accounting Pronouncements That Address Fair Value Measurements for Purposes of Lease Classification or Measurement under Statement 13, removed leasing transactions accounted for under Statement No. 13 and related guidance

 
9

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 
from the scope of SFAS No. 157.  FASB Staff Position No. 157-2, Partial Deferral of the Effective Date of Statement 157, deferred the effective date of SFAS No. 157 for all nonfinancial assets and nonfinancial liabilities to fiscal years beginning after November 15, 2008.

We adopted SFAS No. 157 as of January 1, 2008 for financial assets and financial liabilities. There was no material impact on our consolidated financial position and results of operations for the three months ended June 30, 2008.  We are currently assessing the impact of SFAS No. 157 for nonfinancial assets and nonfinancial liabilities on our consolidated financial position and results of operations.

SFAS No. 157 establishes a hierarchy for ranking the quality and reliability of the information used to determine fair values.  The statement requires that assets and liabilities carried at fair value be classified and disclosed in one of the following three categories:

 
Level 1:
Unadjusted quoted market prices in active markets for identical assets or liabilities.
     
 
Level 2:
Unadjusted quoted prices in active markets for similar assets or liabilities, unadjusted quoted prices for identical or similar assets or liabilities in markets that are not active, or inputs other than quoted prices that are observable for the asset or liability.
     
 
Level 3:
Unobservable inputs for the asset or liability.

We endeavor to utilize the best available information in measuring fair value.  Financial assets and liabilities are classified based on the lowest level of input that is significant to the fair value measurement.  We have determined that the $4.2 million long-term liability for our interest rate swap agreement is Level 2 in the fair value hierarchy above.  At June 30, 2008, a portion of our restricted cash, $1.3 million, is in money market funds, which qualifies for Level 1 in the fair value hierarchy above.  We also had $10.0 million of cash and cash equivalents in money market funds and a certificate of deposit, which qualifies for Level 1 in the fair value hierarchy above.  We currently have no other financial instruments subject to fair value measurement on a recurring basis.

Our interest rate swap agreement qualifies for hedge accounting treatment under SFAS No. 133 and has been designated as a cash flow hedge.  Hedge effectiveness testing indicates that the swap is a fully effective hedge and as such, the derivative mark-to-market adjustment increased our other comprehensive income by $1.6 million, net of tax, for the three months ended June 30, 2008 and increased our other comprehensive loss by $0.1 million, net of tax, for the six months ended June 30, 2008.  The full balance of accumulated other comprehensive loss is due to accounting for our interest rate swap.  We do not anticipate any of this balance to be reclassified into earnings within the next year.  Also, since the swap is a fully effective hedging arrangement, there is no amount related to hedging ineffectiveness to expense.

(4) Discontinued Operations and Assets and Liabilities Held for Sale

(a) Discontinued Operations

In accordance with the provisions of Statement of Financial Accounting Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets (“SFAS No. 144”), the results of operations of assets to be disposed of, disposed assets and the gains (losses) related to these divestitures have been classified as discontinued operations for all periods presented in the accompanying consolidated income statements.

Inpatient Services:  We transferred operations of a leased skilled nursing center in June 2008 to an outside party, and the center has been reclassified into discontinued operations.  As a result of June 2008 flooding in the Midwest, our center in Terre Haute, Indiana was severely damaged and the operation discontinued.  The operating results for the Terre Haute center have been reclassified to discontinued operations and we have recorded a $1.8 million fixed assets impairment charge for the three ended June 30, 2008, due to the damage to the building and contents.

During the third quarter of 2007, we reclassified two hospitals to discontinued operations in accordance with SFAS No. 144.  On June 30, 2008, we sold the operations of these two hospitals for $10.1 million (subject to a final working

 
10

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 
capital reconciliation), which was recorded in other current assets as of June 30, 2008 and received $9.5 million in cash proceeds on July 1, 2008.  The remaining $0.6 million of sales price is expected to be received by the end of the third quarter of 2008 in conjunction with the final working capital adjustment.  A $2.7 million loss on disposal of these operations was recognized in the three months ended June 30, 2008.  The lessor of the two hospitals did not fully release us from our rent obligation subsequent to the sale.  Therefore, in accordance with Statement of Financial Accounting Standards No. 146, Accounting for Costs Associated with Exit or Disposal Activities, the $2.7 million loss includes an accrued liability of $6.3 million for continuing costs incurred without economic benefit as of the date of disposal of the operations (i.e., the “cease-use” date).

We sold our remaining laboratory and radiology services operations in the second quarter of 2007 for $2.5 million plus the value of the working capital.  We received $2.25 million at closing and recognized a gain of $0.6 million. In the third quarter of 2007, following adjustment of the working capital amount, the buyer paid us $0.9 million in full satisfaction of the purchase price and we recognized an additional $1.0 million gain on disposal.

In the first quarter of 2007, we sold a skilled nursing center that was classified as held for sale since 2006 for $4.9 million and recorded a net loss of $0.5 million.

Other discontinued operations are principally comprised of the operations of a regional provider of adolescent rehabilitation and special education services.

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

   
For the Three Months Ended
 
   
June 30, 2008
 
   
Inpatient
     
Laboratory/
   
Home
             
   
Services
     
Radiology
   
Health
   
Other
   
Total
 
                                 
Net operating revenues
$
14,260
   
$
-
 
$
-
 
$
5,271
 
$
19,531
 
                                 
(Loss) income from discontinued
                               
operations, net (1)
$
(1,450
)
 
$
3
 
$
5
 
$
207
 
$
(1,235
)
Loss on disposal of
                               
discontinued operations, net (2)
 
(1,807
)
   
-
   
-
   
-
   
(1,807
)
Loss from discontinued
                               
operations, net
$
(3,257
)
 
$
3
 
$
5
 
$
207
 
$
(3,042
)

(1)  Net of related tax benefit of $823
(2)  Net of related tax benefit of $1,204

   
For the Three Months Ended
 
   
June 30, 2007
 
   
Inpatient
   
Laboratory/
   
Home
             
   
Services
   
Radiology
   
Health
   
Other
   
Total
 
                               
Net operating revenues
$
16,789
 
$
1,240
 
$
1,643
 
$
5,108
 
$
24,780
 
                               
Income (loss) from discontinued
                             
operations, net (1)
$
2,412
 
$
(85
)
$
(420
)
$
152
 
$
2,059
 
(Loss) gain on disposal of
                             
discontinued operations, net (2)
 
(267
)
 
605
   
-
   
9
   
347
 
Income (loss) from discontinued
                             
operations, net
$
2,145
 
$
520
 
$
(420
)
$
161
 
$
2,406
 

(1)  Net of related tax expense of $1,180
(2)  Net of related tax expense of $189


 
11

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)



   
For the Six Months Ended
 
   
June 30, 2008
 
   
Inpatient
     
Laboratory/
   
Home
             
   
Services
     
Radiology
   
Health
   
Other
   
Total
 
                                 
Net operating revenues
$
31,072
   
$
-
 
$
-
 
$
9,590
 
$
40,662
 
                                 
(Loss) income from discontinued
                               
operations, net (1)
$
(565
)
 
$
(39
)
$
41
 
$
(166
)
$
(729
)
Loss on disposal of
                               
discontinued operations, net (2)
 
(1,823
)
   
-
   
(46
)
 
-
   
(1,869
)
Loss from discontinued
                               
operations, net
$
(2,388
)
 
$
(39
)
$
(5
)
$
(166
)
$
(2,598
)

(1)  Net of related tax benefit of $463
(2)  Net of related tax benefit of $1,195

   
For the Six Months Ended
 
   
June 30, 2007
 
   
Inpatient
   
Laboratory/
   
Home
             
   
Services
   
Radiology
   
Health
   
Other
   
Total
 
                               
Net operating revenues
$
33,450
 
$
5,360
 
$
1,643
 
$
9,248
 
$
49,701
 
                               
Income (loss) from discontinued
                             
operations, net (1)
$
2,711
 
$
152
 
$
(415
)
$
255
 
$
2,703
 
(Loss) gain on disposal of
                             
discontinued operations, net (2)
 
(643
)
 
605
   
41
   
(6
)
 
(3
)
Income (loss) from discontinued
                             
operations, net
$
2,068
 
$
757
 
$
(374
)
$
249
 
$
2,700
 

(1)  Net of related tax expense of $1,552
(2)  Net of related tax benefit of $1

(b) Assets and Liabilities Held for Sale

As of June 30, 2008, assets held for sale consisted of (i) two skilled nursing centers with a net carrying amount of $3.3 million, primarily consisting of property and equipment and (ii) an undeveloped parcel of land valued at $0.9 million, which is classified in our Corporate segment in our consolidated financial statements.

(5)  Variable Interest Entities

As of June 30, 2008, we owned 34% of the voting interest (15.5% at June 30, 2007) in the nine Clipper entities, each of which owns one center that we operate in New Hampshire. Clipper’s objective is to achieve rental income from the leasing of its centers. 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, of which we have paid an aggregate of $3.0 million through June 30, 2008.  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.

FASB’s revised Interpretation No. 46, Consolidation of Variable Interest Entities (“FIN No. 46(R)”) provides guidance on the consolidation of certain entities when control exists through means other than ownership of voting (or similar) interests and requires consolidation by the majority holder of expected residual gains and losses of the activities of a variable interest entity (“VIE”).

 
12

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 
      We have concluded that Clipper meets the definition of a VIE because we have agreements with the majority owners granting to us the option to acquire, and to the owners, the right to put to us, 100% ownership of Clipper. We have recognized $5.3 million of the option value in other long-term liabilities in our consolidated balance sheets.  The remaining $2.0 million is recorded as current in other accrued liabilities in our consolidated balance sheets.  We have not recorded any minority interest associated with the 66% interest 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 center rent expense of $0.7 million for each of the three months ended June 30, 2008 and 2007, and included $49.0 million and $49.4 million of mortgage debt of Clipper in our consolidated balance sheets as of June 30, 2008 and December 31, 2007, respectively, although we own 34% 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 and limited liability companies that own the Clipper properties and none of our assets.  Creditors do not have any general recourse against us for the mortgage debt.

The following provides the balance sheet impact of Clipper upon consolidation as of June 30, 2008 and December 31, 2007 (in thousands):

   
June 30, 2008
   
December 31, 2007
 
             
Current assets:
           
Cash and cash equivalents
$
524
 
$
592
 
Restricted cash, current
 
1,449
   
1,588
 
Prepaid expenses and other assets
 
131
   
130
 
Total current assets
 
2,104
   
2,310
 
             
Property and equipment, net:
           
Land
 
6,171
   
6,171
 
Land improvements
 
26
   
29
 
Buildings
 
33,696
   
34,133
 
Building improvements
 
2,691
   
2,835
 
Equipment
 
158
   
153
 
Construction in progress
 
-
   
-
 
Total property and equipment, net
 
42,742
   
43,321
 
             
Intangible assets, net
 
 5,960
   
7,014
 
Intercompany
 
5,557
   
4,836
 
             
Total assets
$
56,363
 
$
57,481
 
             
Current liabilities:
           
Mortgages, current
$
859
 
$
825
 
Other accrued liabilities
 
2,278
   
2,224
 
Total current liabilities
 
3,137
   
3,049
 
             
Mortgages, net of current
 
48,120
   
48,560
 
Other long-term liabilities
 
14,707
   
15,163
 
Total long-term liabilities
 
62,827
   
63,723
 
             
Total liabilities
 
65,964
   
66,772
 
             
Stockholders’ deficit:
           
Accumulated deficit
 
(9,601
)
 
(9,291
)
             
Total liabilities and stockholders’ deficit
$
56,363
 
$
57,481
 

For the three months ended June 30, 2008, the consolidation of Clipper included a net loss of $0.3 million comprised of a $0.8 million charge to interest expense, and a $0.3 million charge to depreciation expense, partially offset by a $0.7 million credit to rent expense and a $0.1 million credit to taxes and other expense. For the three months ended June 30, 2007, the consolidation of Clipper included a net loss of $0.4 million comprised of a $0.8 million charge to interest expense,

 
13

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 
and a $0.4 million charge to depreciation expense, partially offset by a $0.7 million credit to rent expense and a $0.1 million credit to taxes and other expense.

For the six months ended June 30, 2008, the consolidation of Clipper included a net loss of $0.6 million comprised of a $1.6 million charge to interest expense, and a $0.6 million charge to depreciation expense, partially offset by a $1.4 million credit to rent expense and a $0.2 million credit to taxes and other expense. For the six months ended June 30, 2007, the consolidation of Clipper included a net loss of $0.9 million comprised of a $1.5 million charge to interest expense, and a $0.8 million charge to depreciation expense, partially offset by a $1.2 million credit to rent expense and a $0.2 million credit to taxes and other expense.


(6)  Commitments and Contingencies

Insurance

Since January 2000, we have relied upon self-funded insurance programs for general and professional liability claims ($5.0 million per claim since January 1, 2004), which amounts we are responsible for funding, and we have maintained excess insurance policies for claims above those amounts. The Harborside operations, which we acquired in April 2007, and the Peak operations, which we acquired in December 2005, utilized several different general and professional insurance programs.  We have added the Harborside and Peak operations to our general and professional liability programs.  Insurance coverage for punitive damages arising from general and professional liability litigation may not be available due to state law public policy prohibitions and our insurance coverages. There can be no assurance that we will not be liable for punitive damages awarded in litigation in which insurance coverage is not available.

With the exception of state-controlled workers’ compensation plans, our workers’ compensation risks are insured through high-retention insurance policies with third parties.

We evaluate the adequacy of our self-insurance reserves on a quarterly basis and perform actuarial analyses semi-annually in the second and fourth quarters. The analyses use generally accepted actuarial methods in evaluating the workers’ compensation reserves and general and professional liability reserves.  For both the workers’ compensation reserves and the general and professional liability reserves, those methods include reported and paid loss development methods, expected loss method and the reported and paid Bornhuetter-Ferguson methods.  The foundation for each of these methods is our actual historical reported and/or paid loss data.  In cases where our historical data is not statistically credible, stable, or mature, we supplement our experience with industry benchmark reporting and payment patterns. The use of multiple methods tends to eliminate any biases that one particular method might have. The results of each of the methods is an estimate of ultimate losses which includes the case reserves plus an estimate for future development of these reserves based on past trends, and an estimate for losses incurred but not reported. These results are compared by accident year and an estimated unpaid loss and allocated loss adjustment expense is determined for the open accident years based on judgment reflecting the range of estimates produced by the methods.


 
14

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)




Activity in our insurance reserves as of and for the six months ended June 30, 2008 and 2007 is as follows (in thousands):

   
Professional
   
Workers’
       
   
Liability
   
Compensation
   
Total
 
                   
Balance as of January 1, 2007
$
75,078
 
$
51,521
 
$
126,599
 
Current year provision, continuing operations
 
6,305
   
3,981
   
10,286
 
Current year provision, discontinued operations
 
234
   
313
   
547
 
Claims paid, continuing operations
 
(1,849
)
 
(2,276
)
 
(4,125
)
Claims paid, discontinued operations
 
(2,938
)
 
(1,172
)
 
(4,110
)
Amounts paid for administrative services and other
 
(1,963
)
 
(1,060
)
 
(3,023
)
Balance as of March 31, 2007
 
74,867
   
51,307
   
126,174
 
                   
Current year provision, continuing operations
 
7,986
   
6,157
   
14,143
 
Current year provision, discontinued operations
 
153
   
268
   
421
 
Prior year reserve adjustments, continuing operations
 
(3,962
)
 
(1,994
)
 
(5,956
)
Prior year reserve adjustments, discontinued operations
 
(1,538
)
 
(1,506
)
 
(3,044
)
Claims paid, continuing operations
 
(3,277
)
 
(4,405
)
 
(7,682
)
Claims paid, discontinued operations
 
(1,430
)
 
(926
)
 
(2,356
)
Amounts paid for administrative services and other
 
(1,472
)
 
(1,290
)
 
(2,762
)
Reserve established through purchase accounting
 
17,796
   
14,352
   
32,148
 
Balance as of June 30, 2007
$
89,123
 
$
61,963
 
$
151,086
 
                   
Balance as of January 1, 2008
$
86,291
 
$
61,439
 
$
147,730
 
Current year provision, continuing operations
 
8,647
   
6,555
   
15,202
 
Current year provision, discontinued operations
 
139
   
172
   
311
 
Claims paid, continuing operations
 
(4,308
)
 
(4,673
)
 
(8,981
)
Claims paid, discontinued operations
 
(1,066
)
 
(693
)
 
(1,759
)
Amounts paid for administrative services and other
 
(1,052
)
 
(2,026
)
 
(3,078
)
Balance as of March 31, 2008
 
88,651
   
60,774
   
149,425
 
                   
Current year provision, continuing operations
 
6,713
   
7,829
   
14,542
 
Current year provision, discontinued operations
 
(9
)
 
417
   
408
 
Prior year reserve adjustments, continuing operations
 
(5,250
)
 
2,600
   
(2,650
)
Prior year reserve adjustments, discontinued operations
 
(770
)
 
400
   
(370
)
Claims paid, continuing operations
 
(4,475
)
 
(5,822
)
 
(10,297
)
Claims paid, discontinued operations
 
(691
)
 
(268
)
 
(959
)
Amounts paid for administrative services and other
 
(1,044
)
 
(1,156
)
 
(2,200
)
Balance as of June 30, 2008
$
83,125
 
$
64,774
 
$
147,899
 
                   


 
15

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


A summary of the assets and liabilities related to insurance risks at June 30, 2008 and December 31, 2007 is as indicated (in thousands):
   
June 30, 2008
     
December 31, 2007
 
   
Professional
   
Workers’
       
|
 
Professional
   
Workers’
       
   
Liability
   
Compensation
   
Total
 
|
 
Liability
   
Compensation
   
Total
 
Assets (1):
                 
|
                 
Restricted cash
                 
|
                 
Current
$
3,466
 
$
19,973
 
$
23,439
 
|
$
3,717
 
$
20,933
 
$
24,650
 
Non-current
 
-
   
-
   
-
 
|
 
-
   
566
   
566
 
Total
$
3,466
 
$
19,973
 
$
23,439
 
|
$
3,717
 
$
21,499
 
$
25,216
 
                   
|
                 
Liabilities (2)(3):
                 
|
                 
Self-insurance
                 
|
                 
Liabilities
                 
|
                 
Current
$
20,418
 
$
18,903
 
$
39,321
 
|
$
20,263
 
$
20,933
 
$
41,196
 
Non-current
 
62,707
   
45,871
   
108,578
 
|
 
66,028
   
40,506
   
106,534
 
Total
$
83,125
 
$
64,774
 
$
147,899
 
|
$
86,291
 
$
61,439
 
$
147,730
 

(1)
 
Total restricted cash above excludes $14,692 and $15,978 at June 30, 2008 and December 31, 2007, respectively, held for bank collateral, various mortgages, bond payments and capital expenditures on HUD insured buildings.
     
(2)
 
Total self-insurance liabilities in the table exclude $7,102 and $7,450 at June 30, 2008 and December 31, 2007, respectively, related to our employee health insurance liabilities.
     
(3)
 
Total self-insurance liabilities are collateralized, in addition to the restricted cash, by letters of credit of $750 and $49,980 for general and professional liability insurance and workers’ compensation, respectively, as of June 30, 2008 and $750 and $50,619 for general and professional liability insurance and workers’ compensation, respectively, as of December 31, 2007.

(7)  Income Taxes

The provision for income taxes of $8.5 million and $13.9 million for the three and six months, respectively, ended June 30, 2008 is based on a combined federal and state income tax rate of approximately 40%.  The provision for income taxes of $5.7 million and $7.7 million for the three and six months ended June 30, 2007, respectively, was based on a combined income tax rate of approximately 35%.  The lower tax rate in 2007 resulted from a partial reversal of our valuation allowance on net deferred tax assets that were generated after our emergence from bankruptcy in February 2002.

We have established a valuation allowance of $132.9 million for deferred tax assets.  The realization of deferred tax assets is dependent upon generation of taxable income during periods in which deductions and/or credits can be utilized.  As a result, we consider the level of historical taxable income, historical non-recurring credits and charges, the scheduled reversal of deferred tax liabilities, tax-planning strategies and projected future taxable income in determining the amount of the valuation allowance.  Based on these considerations, we believe that a reversal of some or all of the valuation allowance may occur in 2008 if appropriate levels of profitability are attained.

The Internal Revenue Code (“IRC”) Section 382 annual base limitation to be applied to our tax attribute carryforwards is approximately $24.9 million, which includes approximately $14.6 million due to our acquisition of Harborside in 2007. Accordingly, our net operating loss (“NOL”), capital loss, and tax credit carryforwards have been reduced to take into account this limitation and the respective carryforward periods for these tax attributes.  In addition, a separate annual base IRC Section 382 limitation of approximately $14.6 million is to be applied to the tax attribute carryforwards of Harborside due to our acquisition of Harborside.  As a result of unused IRC Section 382 limitations from prior years and post-ownership change NOLs, there is approximately $107.0 million of NOLs which can be used to offset U.S. taxable income in 2008.


 
16

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


(8)  Other Events

(a)  Litigation

We are a party to various 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 centers, 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, financial condition and cash flows. 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 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.

In December 2006, Harborside was notified by the United States Department of Justice (“DOJ”) that one of its subsidiaries is one of a significant number of unrelated defendants in a qui tam lawsuit filed under the Federal False Claims Act. It is our understanding that Harborside’s involvement relates to its Medicare billings for durable medical equipment. Although the complaint remains under seal pending completion of the DOJ’s investigation, it is our understanding that neither Sun Healthcare Group, Inc. nor any of its other subsidiaries is a defendant in this litigation.  We have met with a representative of the DOJ to discuss the litigation and intend to continue to cooperate with the investigation and respond to the litigation in a timely fashion.  Based on our understanding of the allegations as described by the DOJ, we do not believe that the litigation will have a material impact on our operations, financial condition and cash flows.

The Kentucky Attorney General’s office has commenced an investigation that relates to our centers in Kentucky, which we acquired in April 2007 in the Harborside acquisition.  We became aware of this investigation after receipt of subpoenas by many of our centers for records of certain of our current and former residents for specified periods of time between 2005 and 2008.  At present, the investigation appears to be focused on one center, but it has not been concluded.  We have not been informed of the precise nature of the investigation, although we are cooperating with the Attorney General’s office.

(b)  Other Inquiries

From time to time, fiscal intermediaries and Medicaid agencies examine cost reports filed by predecessor operators of our skilled nursing centers. 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 centers, may be held financially responsible for such overpayments. At this time we are unable to predict the outcome of any existing or future examinations.



 
17

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


(9)  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 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 centers by registered nurses, licensed practical nurses and certified nursing aids.  At June 30, 2008, we operated 211 long-term care centers (consisting of 188 skilled nursing centers, 15 assisted living and independent living centers and eight mental health centers) in 25 states with 23,678 licensed beds as compared with 216 long-term care centers (consisting of 191 skilled nursing centers, 15 assisted living and independent living centers, two specialty acute care hospitals and eight mental health centers) with 24,414 licensed beds at June 30, 2007.

Rehabilitation Therapy Services:  This segment provides primarily physical, occupational and speech and respiratory therapy supplies and services to affiliated and nonaffiliated skilled nursing centers.  At June 30, 2008, this segment provided services in 32 states to 425 centers, of which 317 were nonaffiliated and 108 were affiliated, as compared to 379 centers, of which 293 were nonaffiliated and 86 were affiliated at June 30, 2007.

Medical Staffing Services: As of June 30, 2008, this segment provided services in 34 states and derived 23.9% of its revenues from hospitals and other providers, 60.0% from skilled nursing centers, 11.7% from schools and 4.4% 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 June 30, 2008, this segment had 29 branch offices which provided temporary therapy, nursing and physician staffing services in major metropolitan areas, one branch office which specialized in the placement of temporary traveling therapists, and one branch office which specialized in temporary pharmaceutical staffing.

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 Note 3 – “Summary of Significant Accounting Policies” of our 2007 Form 10-K.  We primarily evaluate segment performance based on profit or loss from operations 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 Statement of Financial Accounting Standard No. 142, Goodwill and Other Intangible Assets, and restructuring costs are not considered in the evaluation of segment performance.  Interest expense is recorded in the segment carrying the obligation to which the interest relates.

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.


 
18

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


The following tables summarize, for the periods indicated, operating results and other financial information, by business segment (in thousands):

As of and for the
                                   
Three Months Ended
                                   
June 30, 2008
                       
         
Rehabilitation
   
Medical
                   
   
Inpatient
   
Therapy
   
Staffing
         
Intersegment
       
   
Services
   
Services
   
Services
   
Corporate
   
Eliminations
   
Consolidated
 
                                     
Revenues from external customers
$
402,945
 
$
21,142
 
$
30,096
 
$
9
 
$
-
 
$
454,192
 
                                     
Intersegment revenues
 
-
   
14,462
   
794
   
-
   
(15,256
)
 
-
 
                                     
Total revenues
 
402,945
   
35,604
   
30,890
   
9
   
(15,256
)
 
454,192
 
                                     
Operating salaries and benefits
 
202,420
   
28,847
   
22,231
   
-
   
-
   
253,498
 
                                     
Self-insurance for workers’
                                   
compensation and general and
                                   
professional liability insurance
 
10,849
   
527
   
401
   
115
   
-
   
11,892
 
                                     
Other operating costs
 
102,590
   
1,758
   
4,262
   
-
   
(15,256
)
 
93,354
 
                                     
General and administrative expenses
 
10,382
   
1,515
   
1,047
   
16,111
   
-
   
29,055
 
                                     
Provision for losses on
accounts receivable
 
2,738
   
164
   
61
   
-
   
-
   
2,963
 
                                     
Segment operating income (loss)
$
73,966
 
$
2,793
 
$
2,888
 
$
(16,217
)
$
-
 
$
63,430
 
                                     
Center rent expense
 
18,418
   
99
   
240
   
-
   
-
   
18,757
 
                                     
Depreciation and amortization
 
8,769
   
132
   
200
   
717
   
-
   
9,818
 
                                     
Interest, net
 
3,263
   
-
   
(8
)
 
10,388
   
-
   
13,643
 
                                     
Net segment income (loss)
$
43,516
 
$
2,562
 
$
2,456
 
$
(27,322
)
$
-
 
$
21,212
 
                                     
                                     
Identifiable segment assets
$
1,118,499
 
$
13,462
 
$
37,133
 
$
731,213
 
$
(521,050
)
$
1,379,257
 
                                     
Goodwill
$
319,744
 
$
-
 
$
4,533
 
$
-
 
$
-
 
$
324,277
 
                                     
Segment capital expenditures
$
9,201
 
$
48
 
$
76
 
$
893
 
$
-
 
$
10,218
 

______________________________________

General and administrative expenses include operating administrative expenses.
 
The term “segment operating income (loss)” is defined as earnings before center rent expense, depreciation and amortization, interest, net gain (loss) on sale of assets, income tax expense and discontinued operations.
 
The term “net segment income (loss)” is defined as earnings, net gain (loss) on sale of assets, net, income tax expense and discontinued operations.


 
19

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)




As of and for the
                                   
Three Months Ended
                                   
June 30, 2007
                       
         
Rehabilitation
   
Medical
                   
   
Inpatient
   
Therapy
   
Staffing
         
Intersegment
       
   
Services
   
Services
   
Services
   
Corporate
   
Eliminations
   
Consolidated
 
                                     
Revenues from external customers
$
381,145
 
$
20,789
 
$
28,018
 
$
27
 
$
-
 
$
429,979
 
                                     
Intersegment revenues
 
-
   
10,332
   
1,201
   
-
   
(11,533
)
 
-
 
                                     
Total revenues
 
381,145
   
31,121
   
29,219
   
27
   
(11,533
)
 
429,979
 
                                     
Operating salaries and benefits
 
193,880
   
25,374
   
22,767
   
-
   
-
   
242,021
 
                                     
Self-insurance for workers’
                                   
compensation and general and
                                   
professional liability insurance
 
6,925
   
444
   
461
   
129
   
-
   
7,959
 
                                     
Other operating costs
 
97,153
   
1,684
   
2,618
   
-
   
(11,533
)
 
89,922
 
                                     
General and administrative expenses
 
8,457
   
1,245
   
794
   
17,298
   
-
   
27,794
 
                                     
Provision (adjustment) for losses on
   accounts receivable
 
3,397
   
(95
)
 
99
   
-
   
-
   
3,401
 
                                     
Segment operating income (loss)
$
71,333
 
$
2,469
 
$
2,480
 
$
(17,400
)
$
-
 
$
58,882
 
                                     
Center rent expense
 
20,579
   
53
   
230
   
-
   
-
   
20,862
 
                                     
Depreciation and amortization
 
8,598
   
135
   
194
   
732
   
-
   
9,659
 
                                     
Interest, net
 
2,493
   
-
   
(1
)
 
9,507
   
-
   
11,999
 
                                     
Net segment income (loss)
$
39,663
 
$
2,281
 
$
2,057
 
$
(27,639
)
$
-
 
$
16,362
 
                                     
                                     
Identifiable segment assets
$
832,483
 
$
13,382
 
$
36,528
 
$
965,592
 
$
(570,799
)
$
1,277,186
 
                                     
Goodwill
$
227,002
 
$
-
 
$
5,011
 
$
-
 
$
-
 
$
232,013
 
                                     
Segment capital expenditures
$
5,357
 
$
351
 
$
64
 
$
1,818
 
$
-
 
$
7,590
 

______________________________________

General and administrative expenses include operating administrative expenses.
 
The term “segment operating income (loss)” is defined as earnings before center rent expense, depreciation and amortization, interest, net gain (loss) on sale of assets, income tax expense and discontinued operations.
 
The term “net segment income (loss)” is defined as earnings, net gain (loss) on sale of assets, net, income tax expense and discontinued operations.


 
20

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 
As of and for the
                                   
Six Months Ended
                                   
June 30, 2008
                       
         
Rehabilitation
   
Medical
                   
   
Inpatient
   
Therapy
   
Staffing
         
Intersegment
       
   
Services
   
Services
   
Services
   
Corporate
   
Eliminations
   
Consolidated
 
                                     
Revenues from external customers
$
805,121
 
$
42,851
 
$
59,764
 
$
21
 
$
-
 
$
907,757
 
                                     
Intersegment revenues
 
-
   
28,752
   
1,328
   
-
   
(30,080
)
 
-
 
                                     
Total revenues
 
805,121
   
71,603
   
61,092
   
21
   
(30,080
)
 
907,757
 
                                     
Operating salaries and benefits
 
406,436
   
58,772
   
44,705
   
-
   
-
   
509,913
 
                                     
Self-insurance for workers’
                                   
compensation and general and
                                   
professional liability insurance
 
24,835
   
1,054
   
743
   
230
   
-
   
26,862
 
                                     
Other operating costs
 
206,142
   
3,260
   
8,131
   
-
   
(30,080
)
 
187,453
 
                                     
General and administrative expenses
 
19,891
   
3,132
   
1,858
   
32,698
   
-
   
57,579
 
                                     
Provision for losses on
   accounts receivable
 
5,666
   
253
   
393
   
-
   
-
   
6,312
 
                                     
Segment operating income (loss)
$
142,151
 
$
5,132
 
$
5,262
 
$
(32,907
)
$
-
 
$
119,638
 
                                     
Center rent expense
 
36,739
   
185
   
488
   
-
   
-
   
37,412
 
                                     
Depreciation and amortization
 
17,405
   
258
   
395
   
1,404
   
-
   
19,462
 
                                     
Interest, net
 
6,582
   
(1
)
 
(9
)
 
21,502
   
-
   
28,074
 
                                     
Net segment income (loss)
$
81,425
 
$
4,690
 
$
4,388
 
$
(55,813
)
$
-
 
$
34,690
 
                                     
                                     
Identifiable segment assets
$
1,118,499
 
$
13,462
 
$
37,133
 
$
731,213
 
$
(521,050
)
$
1,379,257
 
                                     
Goodwill
$
319,744
 
$
-
 
$
4,533
 
$
-
 
$
-
 
$
324,277
 
                                     
Segment capital expenditures
$
14,478
 
$
99
 
$
110
 
$
1,375
 
$
-
 
$
16,062
 

______________________________________

General and administrative expenses include operating administrative expenses.
 
The term “segment operating income (loss)” is defined as earnings before center rent expense, depreciation and amortization, interest, net gain (loss) on sale of assets, income tax expense and discontinued operations.
 
The term “net segment income (loss)” is defined as earnings, net gain (loss) on sale of assets, net, income tax expense and discontinued operations.


 
21

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


As of and for the
                                   
Six Months Ended
                                   
June 30, 2007
                       
         
Rehabilitation
   
Medical
                   
   
Inpatient
   
Therapy
   
Staffing
         
Intersegment
       
   
Services
   
Services
   
Services
   
Corporate
   
Eliminations
   
Consolidated
 
                                     
Revenues from external customers
$
596,433
 
$
41,469
 
$
51,765
 
$
34
 
$
-
 
$
689,701
 
                                     
Intersegment revenues
 
-
   
20,594
   
1,388
   
-
   
(21,982
)
 
-
 
                                     
Total revenues
 
596,433
   
62,063
   
53,153
   
34
   
(21,982
)
 
689,701
 
                                     
Operating salaries and benefits
 
299,899
   
51,421
   
41,665
   
-
   
-
   
392,985
 
                                     
Self-insurance for workers’
                                   
compensation and general and
                                   
professional liability insurance
 
16,247
   
841
   
756
   
215
   
-
   
18,059
 
                                     
Other operating costs
 
155,411
   
3,401
   
4,424
   
18
   
(21,982
)
 
141,272
 
                                     
General and administrative expenses
 
13,763
   
2,502
   
1,820
   
30,132
   
-
   
48,217
 
                                     
Provision (adjustment) for losses on                                    
   accounts receivable  
 5,451
   
(174
)
 
 211
   
 -
   
 -
   
 5,488
 
                                     
Segment operating income (loss)
$
105,662
 
$
4,072
 
$
4,277
 
$
(30,331
)
$
-
 
$
83,680
 
                                     
Center rent expense
 
33,604
   
103
   
429
   
-
   
-
   
34,136
 
                                     
Depreciation and amortization
 
11,747
   
251
   
364
   
1,168
   
-
   
13,530
 
                                     
Interest, net
 
4,976
   
10
   
14
   
9,061
   
-
   
14,061
 
                                     
Net segment income (loss)
$
55,335
 
$
3,708
 
$
3,470
 
$
(40,560
)
$
-
 
$
21,953
 
                                     
                                     
Identifiable segment assets
$
832,483
 
$
13,382
 
$
36,528
 
$
965,592
 
$
(570,799
)
$
1,277,186
 
                                     
Goodwill
$
227,002
 
$
-
 
$
5,011
 
$
-
 
$
-
 
$
232,013
 
                                     
Segment capital expenditures
$
11,170
 
$
1,144
 
$
162
 
$
2,216
 
$
-
 
$
14,692
 

______________________________________

General and administrative expenses include operating administrative expenses.
 
The term “segment operating income (loss)” is defined as earnings before center rent expense, depreciation and amortization, interest, net gain (loss) on sale of assets, income tax expense and discontinued operations.
 
The term “net segment income (loss)” is defined as earnings, net gain (loss) on sale of assets, net, income tax expense and discontinued operations.


 
22

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


Measurement of Segment Income

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 to consolidated income before income taxes and discontinued operations (in thousands):

   
For the Three Months Ended
 
   
June 30,
 
   
2008
   
2007
 
             
Net segment income
$
21,212
 
$
16,362
 
Loss on sale of assets
 
-
   
(3
)
Consolidated income before income taxes and
           
discontinued operations
$
21,212
 
$
16,359
 

   
For the Six Months Ended
 
   
June 30,
 
   
2008
   
2007
 
             
Net segment income
$
34,690
 
$
21,953
 
Gain (loss) on sale of assets
 
76
   
(10
)
Consolidated income before income taxes and
           
discontinued operations
$
34,766
 
$
21,943
 
 
(10) Summarized Consolidating Information

In connection with the Company’s offering of 9-1/8% Senior Subordinated Notes due 2015 (the “Notes”) in April 2007, certain of our subsidiaries (the “Guarantors”) have, jointly and severally and fully, unconditionally guaranteed the Notes. The proceeds of the Notes from time to time have been and will be used to benefit the operations of the Guarantors.  These guarantees are subordinated to all existing and future senior debt and guarantees of the Guarantors and are unsecured.

We conduct all of our business through and derive virtually all of our income from our subsidiaries. Therefore, our ability to make required payments with respect to indebtedness (including the Notes) and other obligations depends on the financial results and condition of our subsidiaries and their ability to fund such payments.

Pursuant to Rule 3-10 of Regulation S-X, the following summarized consolidating information is for the Company (the “Parent”), the 100% owned Guarantors, and the Parent’s non-Guarantor subsidiaries with respect to the Notes. This summarized financial information has been prepared from the books and records maintained by the Parent, the Guarantors and the non-Guarantor subsidiaries. The summarized financial information may not necessarily be indicative of the results of operations or financial position had the Guarantors or non-Guarantor subsidiaries operated as independent entities. The separate financial statements of the Guarantors are not presented because management has determined they would not be material to investors. In addition, intercompany activities between subsidiaries and the Parent are presented within operating activities on the condensed consolidating statement of cash flows.

Condensed consolidating financial statements for the Company and its subsidiaries, including the Parent only, the combined Guarantor Subsidiaries and the combined Non-Guarantor Subsidiaries are as follows:

 
23

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING BALANCE SHEETS

As of June 30, 2008
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Current assets:
                             
Cash and cash equivalents
$
43,523
 
$
23,304
 
$
1,542
 
$
-
 
$
68,369
 
Restricted cash
 
26,099
   
5,098
   
3,653
   
-
   
34,850
 
Accounts receivable, net
 
-
   
199,373
   
2,223
   
(9
)
 
201,587
 
Prepaid expenses and other assets
 
7,138
   
21,928
   
876
   
(1,040
)
 
28,902
 
Assets held for sale
 
938
   
3,270
   
10
   
-
   
4,218
 
Deferred tax assets
 
-
   
38,537
   
1,341
   
(6,610
)
 
33,268
 
Total current assets
 
77,698
   
291,510
   
9,645
   
(7,659
)
 
371,194
 
Property and equipment, net
 
8,894
   
509,501
   
69,037
   
-
   
587,432
 
Intangible assets, net
 
39,467
   
13,960
   
1,213
   
-
   
54,640
 
Goodwill
 
-
   
324,277
   
-
   
-
   
324,277
 
Restricted cash, non-current
 
-
   
3,281
   
-
   
-
   
3,281
 
Deferred tax assets
 
9,411
   
49,842
   
-
   
(13,546
)
 
45,707
 
Other assets
 
1,485
   
4,796
   
36
   
-
   
6,317
 
Intercompany balances
 
483,510
   
-
   
12,777
   
(496,287
)
 
-
 
Investment in subsidiaries
 
301,606
   
-
   
-
   
(301,606
)
 
-
 
Total assets
$
922,071
 
$
1,197,167
 
$
92,708
 
$
(819,098
)
$
1,392,848
 
                               
Current liabilities:
                             
Accounts payable
$
15,250
 
$
35,751
 
$
387
 
$
(9
)
$
51,379
 
Accrued compensation and benefits        
 
7,903
   
50,613
   
602
   
-
   
59,118
 
Accrued self-insurance obligations, current portion
 
3,855
   
40,799
   
1,769
   
-
   
46,423
 
Income taxes payable
 
3,397
   
-
   
-
   
-
   
3,397
 
Liabilities held for sale
 
-
   
78
   
-
   
-
   
78
 
Other accrued liabilities
 
7,407
   
50,828
   
3,627
   
(1,040
)
 
60,822
 
Current portion of long-term debt and capital lease obligations
 
3,657
   
7,342
   
1,185
   
-
   
12,184
 
Deferred tax liabilities
 
6,610
   
-
   
-
   
(6,610
)
 
-
 
Total current liabilities
 
48,079
   
185,411
   
7,570
   
(7,659
)
 
233,401
 
Accrued self-insurance obligations, net of current portion
 
41,479
   
66,670
   
429
   
-
   
108,578
 
Long-term debt and capital lease obligations, net of current portion
 
545,163
   
107,785
   
65,015
   
-
   
717,963
 
Unfavorable lease obligations, net
 
-
   
17,282
   
-
   
-
   
17,282
 
Deferred tax liabilities
 
-
   
-
   
13,546
   
(13,546
)
 
-
 
Intercompany balances
 
-
   
496,287
   
-
   
(496,287
)
 
-
 
Other long-term liabilities
 
20,713
   
27,107
   
-
   
-
   
47,820
 
Total liabilities
 
655,434
   
900,542
   
86,560
   
(517,492
)
 
1,125,044
 
                               
Minority interest
 
-
   
1,167
   
-
   
-
   
1,167
 
                               
Stockholders’ equity:
                             
Common stock
 
432
   
-
   
-
   
-
   
432
 
Additional paid-in capital
 
602,457
   
-
   
-
   
-
   
602,457
 
Accumulated deficit
 
(333,708
)
 
295,458
   
6,148
   
(301,606
)
 
(333,708
)
Accumulated other comprehensive loss, net
 
(2,544
)
 
-
   
-
   
-
   
(2,544
)
Total stockholders’ equity
 
266,637
   
295,458
   
6,148
   
(301,606
)
 
266,637
 
Total liabilities and stockholders’ equity
$
922,071
 
$
1,197,167
 
$
92,708
 
$
(819,098
)
$
1,392,848
 


 
24

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING BALANCE SHEETS

As of  December 31, 2007
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Current assets:
                             
Cash and cash equivalents
$
30,221
 
$
23,547
 
$
2,064
 
$
-
 
$
55,832
 
Restricted cash
 
27,441
   
6,370
   
3,554
   
-
   
37,365
 
Accounts receivable, net
 
-
   
187,144
   
1,747
   
(9
)
 
188,882
 
Prepaid expenses and other assets
 
2,060
   
11,130
   
100
   
-
   
13,290
 
Assets held for sale
 
912
   
9,015
   
(3
)
 
-
   
9,924
 
Deferred tax assets
 
35,344
   
-
   
10
   
-
   
35,354
 
Total current assets
 
95,978
   
237,206
   
7,472
   
(9
)
 
340,647
 
Property and equipment, net
 
8,924
   
507,022
   
70,026
   
-
   
585,972
 
Intangible assets, net
 
41,612
   
14,142
   
1,290
   
-
   
57,044
 
Goodwill
 
-
   
324,277
   
-
   
-
   
324,277
 
Restricted cash, non-current
 
566
   
3,263
   
-
   
-
   
3,829
 
Deferred tax assets
 
51,993
   
-
   
(101
)
 
-
   
51,892
 
Other assets
 
5,190
   
4,939
   
36
   
-
   
10,165
 
Investment in subsidiaries
 
249,903
   
-
   
-
   
(249,903
)
 
-
 
Total assets
$
454,166
 
$
1,090,849
 
$
78,723
 
$
(249,912
)
$
1,373,826
 
                               
Current liabilities:
                             
Accounts payable
$
14,203
 
$
38,095
 
$
547
 
$
(9
)
$
52,836
 
Accrued compensation and benefits
 
8,100
   
53,270
   
586
   
-
   
61,956
 
Accrued self-insurance obligations, current portion
 
5,509
   
39,822
   
3,315
   
-
   
48,646
 
Income taxes payable
 
3,000
   
-
   
-
   
-
   
3,000
 
Liabilities held for sale
 
-
   
3,181
   
-
   
-
   
3,181
 
Other accrued liabilities
 
15,063
   
36,667
   
6,272
   
-
   
58,002
 
Current portion of long-term debt and capital lease obligations
 
3,760
   
24,397
   
1,148
   
-
   
29,305
 
Total current liabilities
 
49,635
   
195,432
   
11,868
   
(9
)
 
256,926
 
Accrued self-insurance obligations, net of current portion
 
36,415
   
69,690
   
429
   
-
   
106,534
 
Long-term debt and capital lease obligations, net of current portion
 
546,739
   
87,606
   
65,618
   
-
   
699,963
 
Unfavorable lease obligations, net
 
-
   
24,949
   
(5,989
)
 
-
   
18,960
 
Intercompany balances
 
(444,757
)
 
448,544
   
(3,787
)
 
-
   
-
 
Other long-term liabilities
 
18,986
   
18,064
   
7,667
   
-
   
44,717
 
Total liabilities
 
207,018
   
844,285
   
75,806
   
(9
)
 
1,127,100
 
                               
Minority interest
 
892
   
100
   
(522
)
 
-
   
470
 
                               
Stockholders’ equity:
                             
Common stock
 
430
   
-
   
-
   
-
   
430
 
Additional paid-in capital
 
600,199
   
-
   
-
   
-
   
600,199
 
Accumulated deficit
 
(351,970
)
 
246,464
   
3,439
   
(249,903
)
 
(351,970
)
Accumulated other comprehensive loss, net
 
(2,403
)
 
-
   
-
   
-
   
(2,403
)
Total stockholders’ equity
 
246,256
   
246,464
   
3,439
   
(249,903
)
 
246,256
 
Total liabilities and stockholders’ equity
$
454,166
 
$
1,090,849
 
$
78,723
 
$
(249,912
)
$
1,373,826
 


 
25

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING INCOME STATEMENTS

For the Three Months Ended June 30, 2008
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Total net revenues
$
8
 
$
462,578
 
$
6,862
 
$
(15,256
)
$
454,192
 
Costs and expenses:
                             
Operating salaries and benefits
 
-
   
250,586
   
2,912
   
-
   
253,498
 
Self-insurance for workers’ compensation and
                             
general and professional liability insurance
 
114
   
11,616
   
162
   
-
   
11,892
 
General and administrative expenses (1)
 
16,112
   
12,943
   
-
   
-
   
29,055
 
Other operating costs
 
-
   
107,091
   
1,519
   
(15,256
)
 
93,354
 
Center rent expense
 
-
   
18,589
   
168
   
-
   
18,757
 
Depreciation and amortization
 
716
   
8,539
   
563
   
-
   
9,818
 
Provision for losses on accounts receivable
 
-
   
2,918
   
45
   
-
   
2,963
 
Interest, net
 
10,389
   
2,108
   
1,146
   
-
   
13,643
 
Gain on sale of assets
 
-
   
-
   
-
   
-
   
-
 
Income from investment in subsidiaries
 
(26,079
)
 
-
   
-
   
26,079
   
-
 
Total costs and expenses
 
1,252
   
414,390
   
6,515
   
10,823
   
432,980
 
                               
(Loss) income before income taxes and
                             
discontinued operations
 
(1,244
)
 
48,188
   
347
   
(26,079
)
 
21,212
 
Income tax (benefit) expense
 
(10,929
)
 
19,275
   
139
   
-
   
8,485
 
Income from continuing operations
 
9,685
   
28,913
   
208
   
(26,079
)
 
12,727
 
                               
Discontinued operations:
                             
(Loss) income from discontinued operations, net
 
-
   
(2,551
)
 
1,316
   
-
   
(1,235
)
(Loss) gain on disposal of discontinued
                             
operations, net
 
-
   
(3,011
)
 
1,204
   
-
   
(1,807
)
(Loss) income on discontinued operations, net
 
-
   
(5,562
)
 
2,520
   
-
   
(3,042
)
                               
Net income
$
9,685
 
$
23,351
 
$
2,728
 
$
(26,079
)
$
9,685
 

(1) Includes operating administrative expenses

 
26

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING INCOME STATEMENTS

For the Three Months Ended June 30, 2007
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Total net revenues
$
26
 
$
434,896
 
$
6,590
 
$
(11,533
)
$
429,979
 
Costs and expenses:
                             
Operating salaries and benefits
 
-
   
239,316
   
2,705
   
-
   
242,021
 
Self-insurance for workers’ compensation and
                             
general and professional liability insurance
 
128
   
7,674
   
157
   
-
   
7,959
 
General and administrative expenses (1)
 
17,600
   
10,189
   
5
   
-
   
27,794
 
Other operating costs
 
-
   
100,232
   
1,223
   
(11,533
)
 
89,922
 
Center rent expense
 
-
   
20,664
   
198
   
-
   
20,862
 
Depreciation and amortization
 
732
   
8,564
   
363
   
-
   
9,659
 
Provision for losses on accounts receivable
 
-
   
3,345
   
56
   
-
   
3,401
 
Interest, net
 
9,339
   
1,436
   
1,224
   
-
   
11,999
 
Loss on sale of assets
 
-
   
3
   
-
   
-
   
3
 
Income from investment in subsidiaries
 
(46,538
)
 
-
   
-
   
46,538
   
-
 
Total costs and expenses
 
(18,739
)
 
391,423
   
5,931
   
35,005
   
413,620
 
                               
Income before income taxes and
                             
discontinued operations
 
18,765
   
43,473
   
659
   
(46,538
)
 
16,359
 
Income tax expense
 
5,725
   
-
   
-
   
-
   
5,725
 
Income from continuing operations
 
13,040
   
43,473
   
659
   
(46,538
)
 
10,634
 
                               
Discontinued operations:
                             
Income (loss) from discontinued operations, net
 
-
   
2,493
   
(434
)
 
-
   
2,059
 
(Loss) gain on disposal of discontinued
                             
operations, net
 
-
   
(69
)
 
416
   
-
   
347
 
Income (loss) on discontinued operations, net
 
-
   
2,424
   
(18
)
 
-
   
2,406
 
                               
Net income
$
13,040
 
$
45,897
 
$
641
 
$
(46,538
)
$
13,040
 

(1)   Includes operating administrative expenses

 
27

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING INCOME STATEMENTS

For the Six Months Ended June 30, 2008
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Total net revenues
$
21
 
$
923,818
 
$
13,998
 
$
(30,080
)
$
907,757
 
Costs and expenses:
                             
Operating salaries and benefits
 
-
   
503,943
   
5,970
   
-
   
509,913
 
Self-insurance for workers’ compensation and
                             
general and professional liability insurance
 
229
   
26,312
   
321
   
-
   
26,862
 
General and administrative expenses (1)
 
32,697
   
24,882
   
-
   
-
   
57,579
 
Other operating costs
 
-
   
214,550
   
2,983
   
(30,080
)
 
187,453
 
Center rent expense
 
-
   
37,082
   
330
   
-
   
37,412
 
Depreciation and amortization
 
1,405
   
16,934
   
1,123
   
-
   
19,462
 
Provision for losses on accounts receivable
 
-
   
6,148
   
164
   
-
   
6,312
 
Interest, net
 
21,502
   
4,262
   
2,310
   
-
   
28,074
 
Gain on sale of assets
 
(76
)
 
-
   
-
   
-
   
(76
)
Income from investment in subsidiaries
 
(51,703
)
 
-
   
-
   
51,703
   
-
 
Total costs and expenses
 
4,054
   
834,113
   
13,201
   
21,623
   
872,991
 
                               
(Loss) income before income taxes and
                             
discontinued operations
 
(4,033
)
 
89,705
   
797
   
(51,703
)
 
34,766
 
Income tax (benefit) expense
 
(22,295
)
 
35,882
   
319
   
-
   
13,906
 
Income from continuing operations
 
18,262
   
53,823
   
478
   
(51,703
)
 
20,860
 
                               
Discontinued operations:
                             
(Loss) income from discontinued operations, net
 
-
   
(1,814
)
 
1,085
   
-
   
(729
)
(Loss) gain on disposal of discontinued
                             
operations, net
 
-
   
(3,015
)
 
1,146
   
-
   
(1,869
)
(Loss) income on discontinued operations, net
 
-
   
(4,829
)
 
2,231
   
-
   
(2,598
)
                               
Net income
$
18,262
 
$
48,994
 
$
2,709
 
$
(51,703
)
$
18,262
 

     (1) Includes operating administrative expenses

 
28

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING INCOME STATEMENTS

For the Six Months Ended June 30, 2007
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Total net revenues
$
34
 
$
701,811
 
$
9,838
 
$
(21,982
)
$
689,701
 
Costs and expenses:
                             
Operating salaries and benefits
 
-
   
389,161
   
3,824
   
-
   
392,985
 
Self-insurance for workers’ compensation and
                             
general and professional liability insurance
 
215
   
17,591
   
253
   
-
   
18,059
 
General and administrative expenses (1)
 
30,696
   
17,512
   
9
   
-
   
48,217
 
Other operating costs
 
-
   
161,402
   
1,852
   
(21,982
)
 
141,272
 
Center rent expense
 
-
   
33,939
   
197
   
-
   
34,136
 
Depreciation and amortization
 
1,168
   
11,887
   
475
   
-
   
13,530
 
Provision for losses on accounts receivable
 
-
   
5,428
   
60
   
-
   
5,488
 
Interest, net
 
8,722
   
3,342
   
1,997
   
-
   
14,061
 
Loss on sale of assets
 
-
   
10
   
-
   
-
   
10
 
Income from investment in subsidiaries
 
(65,410
)
 
-
   
-
   
65,410
   
-
 
Total costs and expenses
 
(24,609
)
 
640,272
   
8,667
   
43,428
   
667,758
 
                               
Income before income taxes and
                             
discontinued operations
 
24,643
   
61,539
   
1,171
   
(65,410
)
 
21,943
 
Income tax expense
 
7,680
   
-
   
-
   
-
   
7,680
 
Income from continuing operations
 
16,963
   
61,539
   
1,171
   
(65,410
)
 
14,263
 
                               
Discontinued operations:
                             
Income (loss) from discontinued operations, net
 
-
   
3,528
   
(825
)
 
-
   
2,703
 
(Loss) gain on disposal of discontinued
                             
operations, net
 
-
   
(625
)
 
622
   
-
   
(3
)
Income (loss) on discontinued operations, net
 
-
   
2,903
   
(203
)
 
-
   
2,700
 
                               
Net income
$
16,963
 
$
64,442
 
$
968
 
$
(65,410
)
$
16,963
 

(1)   Includes operating administrative expenses


 
29

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

For the Six Months Ended June 30, 2008
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Net cash provided by operating activities
$
12,684
 
$
17,824
 
$
313
 
$
-
 
$
30,821
 
                               
Cash flows from investing activities:
                             
Capital expenditures
 
(1,375
)
 
(14,719
)
 
(45
)
 
-
   
(16,139
)
Purchase of leased real estate
 
-
   
(727
)
 
-
   
-
   
(727
)
Proceeds from sale of assets held for sale
 
3,777
   
180
   
-
   
-
   
3,957
 
Acquisitions
 
-
   
(313
)
 
-
   
-
   
(313
)
Net cash provided by (used for) investing activities
 
2,402
   
(15,579
)
 
(45
)
 
-
   
(13,222
)
                               
Cash flows from financing activities:
                             
Long-term debt borrowings
 
-
   
20,290
   
-
   
-
   
20,290
 
Long-term debt repayments
 
(1,854
)
 
(22,778
)
 
(567
)
 
-
   
(25,199
)
Proceeds from issuance of common stock
 
70
   
-
   
-
   
-
   
70
 
Distribution of partnership equity
 
-
   
-
   
(223
)
 
-
   
(223
)
Net cash used for financing activities
 
(1,784
)
 
(2,488
)
 
(790
)
 
-
   
(5,062
)
Net increase (decrease) in cash and cash equivalents
 
13,302
   
(243
)
 
(522
)
 
-
   
12,537
 
Cash and cash equivalents at beginning of period
 
30,221
   
23,547
   
2,064
   
-
   
55,832
 
Cash and cash equivalents at end of period
$
43,523
 
$
23,304
 
$
1,542
 
$
-
 
$
68,369
 

 
For the Six Months Ended June 30, 2007
(in thousands)

   
Parent
Company
   
Combined
Guarantor
Subsidiaries
   
Combined
Non-Guarantor
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Net cash (used for) provided by operating activities
$
(9,481
)
$
72,291
 
$
(10,476
)
$
-
 
$
52,334
 
                               
Cash flows from investing activities:
                             
      Capital expenditures
 
(2,250
)
 
(12,311
)
 
(394
)
 
-
   
(14,955
)
      Purchase of leased real estate
 
-
   
(30,236
)
 
-
   
-
   
(30,236
)
      Proceeds from sale of assets held for sale
 
2,251
   
3,238
   
-
   
-
   
5,489
 
      Acquisitions, net
 
(368,515
)
 
-
   
-
   
-
   
(368,515
)
      Accrued acquisition costs, net
 
3,585
   
-
   
-
   
-
   
3,585
 
Net cash used for investing activities
 
(364,929
)
 
(39,309
)
 
(394
)
 
-
   
(404,632
)
                               
Cash flows from financing activities:
                             
      Net borrowings under Revolving Credit Facility
 
5,006
   
-
   
-
   
-
   
5,006
 
      Long-term debt borrowings
 
304,142
   
10,404
   
12,454
   
-
   
327,000
 
      Long-term debt repayments
 
(6,488
)
 
(27,793
)
 
(517
)
 
-
   
(34,798
)
      Proceeds from issuance of common stock
 
665
   
-
   
-
   
-
   
665
 
      Distribution of partnership equity
 
-
   
-
   
(511
)
 
-
   
(511
)
      Distribution of minority interest
 
-
   
-
   
(57
)
 
-
   
(57
)
      Release of third party collateral
 
25,640
   
-
   
-
   
-
   
25,640
 
      Deferred financing costs
 
(18,045
)
 
-
   
-
   
-
   
(18,045
)
Net cash provided by (used for) financing activities
 
310,920
   
(17,389
)
 
11,369
   
-
   
304,900
 
Net (decrease) increase in cash and cash equivalents
 
(63,490
)
 
15,593
   
499
   
-
   
(47,398
)
Cash and cash equivalents at beginning of period
 
119,810
   
11,337
   
788
   
-
   
131,935
 
Cash and cash equivalents at end of period
$
56,320
 
$
26,930
 
$
1,287
 
$
-
 
$
84,537
 


 
30

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

ITEM 2.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Overview

Sun Healthcare Group, Inc.’s subsidiaries are providers 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 188 skilled nursing centers, 15 assisted and independent living centers and eight mental health centers with 23,678 licensed beds located in 25 states as of June 30, 2008. Our subsidiaries also provide hospice services, rehabilitation therapy services and temporary medical staffing services to skilled nursing centers.

Revenues from Medicare, Medicaid and Other Sources

We receive revenues from Medicare, Medicaid, commercial insurance, self-pay residents, other third party payors and long-term care centers 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 centers, 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 centers, but includes other services provided by us, such as skilled therapy services. We cannot at this time predict the extent to which proposals limiting federal or state expenditures 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 (data includes revenues for acquired centers following the date of acquisition only):

   
For the
   
For the
 
   
Three Months Ended
   
Six Months Ended
 
Sources of Revenues
 
June 30, 2008
   
June 30, 2007
   
June 30, 2008
   
June 30, 2007
 
                                         
Consolidated:
                                       
Medicaid
$
180,606
 
39.8
%
$
179,051
 
41.6
%
$
360,927
 
39.8
%
$
279,161
 
40.5
%
Medicare
 
130,313
 
28.7
   
118,382
 
27.5
   
260,518
 
28.7
   
184,701
 
26.8
 
Private pay and other
 
143,273
 
31.5
   
132,546
 
30.9
   
286,312
 
31.5
   
225,839
 
32.7
 
Total
$
454,192
 
100.0
%
$
429,979
 
100.0
%
$
907,757
 
100.0
%
$
689,701
 
100.0
%
                                         
Inpatient Only:
                                       
Medicaid
$
180,563
 
44.8
%
$
179,004
 
47.0
%
$
360,865
 
44.8
%
$
279,088
 
46.8
%
Medicare
 
127,534
 
31.7
   
116,388
 
30.5
   
254,994
 
31.7
   
180,930
 
30.3
 
Private pay and other
 
94,848
 
23.5
   
85,753
 
22.5
   
189,262
 
23.5
   
136,415
 
22.9
 
Total
$
402,945
 
100.0
%
$
381,145
 
100.0
%
$
805,121
 
100.0
%
$
596,433
 
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 or those having end-stage renal disease. Medicare is comprised of four related health insurance programs.  Medicare Part A provides for inpatient services including hospital, skilled long-term care, and home healthcare.  Medicare Part B provides for outpatient services including physicians’ services, diagnostic service, durable medical equipment, skilled therapy services and medical supplies.  Medicare Part C is a managed care option (“Medicare Advantage”) for beneficiaries who are entitled to Part A and enrolled in Part B.  Medicare Part D is a benefit that provides prescription drug benefits for both Medicare and Medicare/Medicaid dually eligible patients.

 
31

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Medicare reimburses our skilled nursing centers for Medicare Part A services under the Prospective Payment System (“PPS”) as defined by the Balanced Budget Act of 1997 and subsequently refined in 1999, 2000 and 2005.  PPS regulations predetermine a payment amount per patient, per day, based on the 1995 costs of treating patients indexed forward. 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 following table sets forth the average amounts of inpatient Medicare Part A revenues per patient, per day, recorded by our long-term care (“LTC”) centers for the periods indicated (data includes revenues for acquired centers following the date of acquisition only):

 
For the
   
For the
 
 
Three Months Ended
   
Six Months Ended
 
 
June 30, 2008
   
June 30, 2007
   
June 30, 2008
   
June 30, 2007
 
$
415.37
 
$
383.97
 
$
413.92
 
$
377.58
 

In 2007, the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (“CMS”) issued a final rule which included a 3.3% market basket increase effective for the 2008 federal fiscal year which commenced on October 1, 2007.  We estimate that the implementation of this market basket increase has increased our revenues by approximately $3.5 million per quarter.

On July 31, 2008, CMS issued a final rule to implement a 3.4% market basket increase for the 2009 federal fiscal year which will commence on October 1, 2008. The rule also contained an update of the wage indices.   We estimate that the net impact of these changes will be a 3.3% increase in our reimbursement rates, which should result in increased revenues of approximately $3.8 million per quarter. 

The Balanced Budget Act of 1997 established limits on reimbursement provided under Medicare Part B for therapy services.  An automatic exception is currently in place for LTC patients until at least December 31, 2009.

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 centers has its own unique Medicaid reimbursement program.  State Medicaid programs include systems that will reimburse a nursing center 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 LTC centers for the periods indicated (data includes revenues for acquired centers following the date of acquisition only):

 
For the
   
For the
 
 
Three Months Ended
   
Six Months Ended
 
 
June 30, 2008
   
June 30, 2007
   
June 30, 2008
   
June 30, 2007
 
$
166.69
 
$
159.87
 
$
166.61
 
$
155.72
 

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.

Eighteen of the states in which we operate impose a provider tax on nursing homes as a method of increasing federal matching funds paid to those states for Medicaid.  Those states that have imposed the provider tax have used some or all of the matching funds to fund Medicaid reimbursement to nursing homes.

 
32

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Private Payors

During the three months ended June 30, 2008, we received 31.5% of our revenues from commercial insurance, long-term care centers that utilize our specialty medical services, self-pay center 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.

Critical Accounting Policies Update

In October 2006, the Financial Accounting Standards Board (“FASB”) issued Statement of Financial Accounting Standards No. 157, Fair Value Measurements (“SFAS No. 157”), which effectively defines fair value for purposes of accounting principles generally accepted in the United States and expands disclosures of fair value measurements.  SFAS No. 157 changes the underlying methodology of establishing fair value for our financial instruments, including our interest rate swap agreement (see Note 3 – “Fair Value of Financial Instruments”).  There was no material impact on our financial condition upon adoption of SFAS No. 157 for our financial assets and financial liabilities.

We believe there have been no significant changes, other than the adoption of SFAS No. 157, during the three and six months ended June 30, 2008 to the items that we disclosed as our critical accounting policies and estimates in our discussion and analysis of financial condition and results of operations in our Annual Report on Form 10-K for the year ended December 31, 2007.

In March 2008, the FASB issued Statement of Financial Accounting Standards No. 161, Disclosures About Derivative Instruments and Hedging Activities – an amendment of FASB Statement No. 133 (“SFAS No. 161”), which expands quarterly disclosure requirements in Statement of Financial Accounting Standards No. 133, Accounting for Derivative Instruments and Hedging Activity, about an entity’s derivative instruments and hedging activities. SFAS No. 161 is effective for fiscal years beginning after November 15, 2008.  We are currently assessing the impact of SFAS No. 161 on our consolidated financial position and results of operations.


 
33

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Results of Operations

The following unaudited table sets forth our historical consolidated income statements and certain percentage relationships for the periods presented (dollars in thousands):

   
For the Three
   
For the Three
 
As a Percentage of Net Revenues
 
   
Months Ended
   
Months Ended
           
   
June 30, 2008
   
June 30, 2007
 
June 30, 2008
   
June 30, 2007
 
                       
Total net revenues
$
454,192
 
$
429,979
 
100.0
%
 
100.0
%
Costs and expenses:
                     
Operating salaries and benefits
 
253,498
   
242,021
 
55.8
   
56.3
 
Self-insurance for workers’ compensation and general
                     
and professional liabilities
 
11,892
   
7,959
 
2.6
   
1.9
 
Other operating costs
 
106,298
   
100,419
 
23.4
   
23.4
 
Center rent expense
 
18,757
   
20,862
 
4.1
   
4.9
 
General and administrative expenses
 
16,111
   
17,297
 
3.5
   
4.0
 
Depreciation and amortization
 
9,818
   
9,659
 
2.2
   
2.2
 
Provision for losses on accounts receivable
 
2,963
   
3,401
 
0.7
   
0.8
 
Interest, net
 
13,643
   
11,999
 
3.0
   
2.8
 
Other (income) expenses
 
-
   
3
 
-
   
-
 
Income before income taxes and discontinued
                     
operations
 
21,212
   
16,359
 
4.7
   
3.8
 
Income tax expense
 
8,485
   
5,725
 
1.9
   
1.3
 
Income from continuing operations
 
12,727
   
10,634
 
2.8
   
2.5
 
Income from discontinued operations, net
 
(3,042
)
 
2,406
 
(0.7
)
 
0.5
 
Net income
$
9,685
 
$
13,040
 
2.1
%
 
3.0
%
 
   
For the Six
   
For the Six
 
As a Percentage of Net Revenues
 
   
Months Ended
   
Months Ended
           
   
June 30, 2008
   
June 30, 2007
 
June 30, 2008
   
June 30, 2007
 
                       
Total net revenues
$
907,757
 
$
689,701
 
100.0
%
 
100.0
%
Costs and expenses:
                     
Operating salaries and benefits
 
509,913
   
392,985
 
56.2
   
57.0
 
Self-insurance for workers’ compensation and general
                     
and professional liabilities
 
26,862
   
18,059
 
3.0
   
2.6
 
Other operating costs
 
212,336
   
159,358
 
23.4
   
23.1
 
Center rent expense
 
37,412
   
34,136
 
4.1
   
4.9
 
General and administrative expenses
 
32,696
   
30,131
 
3.6
   
4.4
 
Depreciation and amortization
 
19,462
   
13,530
 
2.1
   
2.0
 
Provision for losses on accounts receivable
 
6,312
   
5,488
 
0.7
   
0.8
 
Interest, net
 
28,074
   
14,061
 
3.1
   
2.0
 
Other (income) expenses
 
(76
)
 
10
 
-
   
-
 
Income before income taxes and discontinued
                     
operations
 
34,766
   
21,943
 
3.8
   
3.2
 
Income tax expense
 
13,906
   
7,680
 
1.5
   
1.1
 
Income from continuing operations
 
20,860
   
14,263
 
2.3
   
2.1
 
Income from discontinued operations, net
 
(2,598
)
 
2,700
 
(0.3
)
 
0.4
 
Net income
$
18,262
 
$
16,963
 
2.0
%
 
2.5
%

The following discussion of the “Three Months Ended June 30, 2008 Compared to Three Months Ended June 30, 2007” and the “Six Months Ended June 30, 2008 Compared to Six Months Ended June 30, 2007” is based, in part, on the financial information presented in Note 9 – “Segment Information” in our consolidated financial statements.


 
34

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Three Months Ended June 30, 2008 Compared to Three Months Ended June 30, 2007

The following summarizes our results of operations on a consolidated basis.  A more detailed discussion and analysis of the results of operations of each of our segments (Inpatient Services, Rehabilitation Therapy Services, Medical Staffing Services and Corporate) is provided below under “Segment Information.”

Net revenue increased $24.2 million, or 5.6%, to $454.2 million for the three months ended June 30, 2008 from $430.0 million for the three months ended June 30, 2007. We reported net income for the three months ended June 30, 2008 of $9.7 million compared to net income of $13.0 million for the three months ended June 30, 2007.

The increase in net revenue for the 2008 period included $21.8 million of additional revenue in our Inpatient Services segment due to increases in Medicare Part A, Medicaid, private payor rates, and commercial insurance revenues, offset by decreases due to a lower Medicaid and private pay customer base.  The remainder of the increase primarily resulted from $1.7 million of revenue from our Medical Staffing segment mainly due to an increase in billable hours, increases in temporary placement of physicians and increases in average bill rates and $4.5 million of revenue from our Rehabilitation Therapy segment due to increases in billable minutes and billing rates.

Operating salaries and benefits, excluding workers’ compensation insurance costs, increased $11.5 million, or 4.8%, to $253.5 million (55.8% of net revenues) for the three months ended June 30, 2008 from $242.0 million (56.3% of net revenues) for the three months ended June 30, 2007.  The increase resulted primarily from $8.3 million of wage increases in our Inpatient Services segment and a $3.4 million increase from our Rehabilitation Therapy segment attributable to wage rate increases and business growth.

Self-insurance for workers’ compensation and general and professional liability insurance increased $3.9 million, or 48.8%, to $11.9 million (2.6% of net revenues) for the three months ended June 30, 2008 from $8.0 million (1.9% of net revenues) for the three months ended June 30, 2007 primarily due to increased medical, legal and administrative costs associated with claims.

Other operating costs increased $­­­5.9 million, or 5.9%, to $106.3 million (23.4% of net revenues) for the three months ended June 30, 2008 from $100.4 million (23.4% of net revenues) for the three months ended June 30, 2007.  The increase was primarily due to a $5.4 million increase in our Inpatient Services segment driven by increased therapy costs due to an increase in higher acuity patients requiring more rehabilitation therapy, utilities expense and expenses for education and training, as well as a $1.7 million increase in our Medical Staffing segment, primarily for travel and lodging expenses.

Center rent expense decreased $2.1 million, or 10.0%, to $18.8 million (4.1% of net revenues) for the three months ended June 30, 2008 from $20.9 million (4.9% of net revenues) for the three months ended June 30, 2007, primarily due to the conversion of leased centers to owned.

General and administrative expenses decreased $1.2 million, or 6.9%, to $16.1 million (3.5% of net revenues) for the three months ended June 30, 2008 from $17.3 million (4.0% of net revenues) for the three months ended June 30, 2007.  The decrease was primarily due to cost reductions in our Corporate segment from reduced consultant fees, health insurance and office leases.

Depreciation and amortization increased $0.1 million, or 1.0%, to $9.8 million (2.2% of net revenues) for the three months ended June 30, 2008 from $9.7 million (2.2% of net revenues) for the three months ended June 30, 2007.  The increase was attributable to new property and equipment acquired during the period.

The provision for losses on accounts receivable decreased $0.4 million, or 11.8%, to $3.0 million (0.7% of net revenues) for the three months ended June 30, 2008 from $3.4 million (0.8% of net revenues) for the three months ended June 30, 2007.  The decrease was primarily due to improved collection in our Inpatient Services segment.

Net interest expense increased $1.6 million, or 13.3%, to $13.6 million (3.0% of net revenues) for the three months ended June 30, 2008 from $12.0 million (2.8% of net revenues) for the three months ended June 30, 2007.  The increase was attributable to the debt incurred and assumed in our acquisition of Harborside Healthcare Corporation (“Harborside”) and new obligations related to the conversion of leased centers to owned.

 
35

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

     As a result of flooding in the Midwest, our center in Terre Haute, IN was severely damaged and the operation discontinued.  As a result, all operating results for the Terre Haute center have been reclassified to discontinued operations for all periods presented, and we have recorded a $1.8 million fixed assets impairment charge in the quarter related to the damaged Terre Haute building and its contents.  During the quarter we also elected not to renew an operating lease on a Tennessee nursing center.  All operating results for this center have also been reclassified to discontinued operations for all periods presented.  The combined impact of the reclassification of both the Terre Haute center and the Tennessee center on the previously reported 2007 quarter’s revenue was $4.6 million.  Near the end of the quarter, we completed the sale of two stand-alone hospitals and in conjunction with the completion of the sale recorded a loss on disposal of $2.7 million to discontinued operations.

Segment Information

The following table sets forth the amount and percentage of certain elements of total net revenues for the three months ended June 30 (dollars in thousands):

   
2008
   
2007
 
                         
Inpatient Services
$
402,945
   
88.8
%
$
381,145
   
88.7
%
Rehabilitation Therapy Services
 
35,604
   
7.8
   
31,121
   
7.2
 
Medical Staffing Services
 
30,890
   
6.8
   
29,219
   
6.8
 
Corporate
 
9
   
-
   
27
   
-
 
Intersegment Eliminations
 
(15,256
)
 
(2.7
)
 
(11,533
)
 
(2.7
)
                         
Total net revenues
$
454,192
   
100.0
%
$
429,979
   
100.0
%


Inpatient services revenues for long-term care, subacute care and assisted living services include revenues billed to patients for therapy and medical staffing provided by our affiliated operations.  The following table sets forth a summary of the intersegment revenues for the three months ended June 30 (in thousands):

   
2008
   
2007
 
             
Inpatient Services
$
-
 
$
-
 
Rehabilitation Therapy Services
 
14,462
   
10,332
 
Medical Staffing Services
 
794
   
1,201
 
Total intersegment revenue
$
15,256
 
$
11,533
 


The following table sets forth the amount of net segment income (loss) for the three months ended June 30 (in thousands):

   
2008
   
2007
 
             
Inpatient Services
$
43,516
 
$
39,663
 
Rehabilitation Therapy Services
 
2,562
   
2,281
 
Medical Staffing Services
 
2,456
   
2,057
 
Net segment income before Corporate
 
48,534
   
44,001
 
Corporate
 
(27,322
)
 
(27,639
)
Net segment income
$
21,212
 
$
16,362
 


 
36

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Inpatient Service

Net revenues increased $21.8 million, or 5.7%, to $402.9 million for the three months ended June 30, 2008 from $381.1 million for the three months ended June 30, 2007.  The increase was primarily the result of:

-
an increase of $11.2 million in Medicare revenues comprised of a $9.8 million increase in Medicare Part A rates (including $1.1 million of rate increases in our hospice program), a $0.9 million increase from a higher customer base, a $0.3 million increase in Medicare Part B revenues and $0.2 million in enteral nutrition revenues;
   
-
an $8.4 million increase in managed care and commercial insurance revenues driven by a higher customer base, which contributed $6.5 million of the increase, and higher rates, which drove the remaining $1.9 million of the increase;
   
-
an increase of $7.5 million in Medicaid revenues due to improved rates; and
   
-
a $2.0 million increase in private pay revenues due to higher rates;
   
 
Offset in part by:
   
-
a $6.2 million decrease in Medicaid revenues due to lower customer base; and
   
-
a $1.1 million decrease in private pay revenues due to lower customer base.

Operating salaries and benefits expenses increased $8.5 million, or 4.4%, to $202.4 million for the three months ended June 30, 2008 from $193.9 million for the three months ended June 30, 2007.  The increase was attributable to the following:

-
wage increases and related benefits and taxes of $8.3 million; and
   
-
an increase of $1.0 million in health insurance expense;
   
 
Offset in part by:
   
-
a decrease of $0.5 million in paid time-off, including sick, vacation and holiday; and
   
-
a decrease of $0.3 million in bonus expense.

Self-insurance for workers’ compensation and general and professional liability insurance increased $3.9 million, or 56.5%, to $10.8 million for the three months ended June 30, 2008 as compared to $6.9 million for the three months ended June 30, 2007, primarily due to increased medical, legal and administrative costs associated with claims.

Other operating costs increased $5.4 million, or 5.6%, to $102.6 million for the three months ended June 30, 2008 from $97.2 million for the three months ended June 30, 2007.  The increase was attributable to the following:

-
a $4.0 million increase in therapy and equipment rental costs due to an increase in higher acuity patients requiring more rehabilitation therapy;
   
-
a $1.5 million increase in utilities expense, principally due to increases in natural gas and electricity rates;
   
-
a $1.2 million increase in education and training, primarily related to increased clinical training;
   
-
a $0.5 million increase in supplies, due to higher costs for medical, incontinency and food supplies; and
   
-
a $0.2 million increase in professional and consultant fees;
   
 
37

 
 
Offset in part by:
   
-
a $1.5 million decrease in nursing contract labor;
   
-
a $0.4 million decrease in taxes, primarily related to gross receipts and real estate taxes; and
   
-
a $0.1 million decrease in civil monetary penalties.

General and administrative expenses increased $1.9 million, or 22.4%, to $10.4 million for the three months ended June 30, 2008 from $8.5 million for the three months ended June 30, 2007. The increase is primarily due to the filling of open positions, travel and utility costs.

The provision for losses on accounts receivable decreased $0.7 million, or 20.6%, to approximately $2.7 million for the three months ended June 30, 2008 from $3.4 million for the three months ended June 30, 2007. The decrease was primarily attributable to the improvement of cash collections at the Harborside centers.

Center rent expense of $18.4 million for the three months ended June 30, 2008 decreased $2.2 million, or 10.7%, compared to $20.6 million for the three months ended June 30, 2007, due to the conversion of various leased centers to owned.

Depreciation and amortization increased $0.2 million, or 2.3%, to $8.8 million for the three months ended June 30, 2008 from $8.6 million for the three months ended June 30, 2007. The increase was attributable to additional depreciation expense for new property and equipment acquired during the period.

Net interest expense for the three months ended June 30, 2008 was $3.3 million as compared to $2.5 million for the three months ended June 30, 2007.  The increase of $0.8 million, or 32.0%, was primarily due to interest on new debt obligations related to the conversion of leased centers to owned.

Rehabilitation Therapy Services

Total revenues from the Rehabilitation Therapy Services segment increased $4.5 million, or 14.5%, to $35.6 million for the three months ended June 30, 2008 from $31.1 million for the three months ended June 30, 2007. The revenue increase was the result of:

-
an increase of $3.2 million attributable to a 10.0% increase in billable minutes; the volume increase being due to an increase in contract count and an overall increase in service volume, mainly in the affiliated LTC center segment and non-affiliated rehabilitation agencies; and
   
-
an increase of $1.3 million attributable to a 4.0% increase in our revenue per minute rate due to our renegotiation of certain customer contract rates, an increase in assisted and community living business and operating efficiencies.
   
Operating salaries and benefits expenses increased $3.4 million, or 13.4%, to $28.8 million for the three months ended June 30, 2008 from $25.4 million for the three months ended June 30, 2007. The increase was primarily driven by wage rate increases coupled with the aforementioned increase in service volume.

Medical Staffing Services

Total revenues from the Medical Staffing Services segment increased $1.7 million, or 5.8%, to $30.9 million for the three months ended June 30, 2008 from $29.2 million for the three months ended June 30, 2007.  The increase was primarily the result of:

-
an increase of $1.1 million attributable to a 4.6% increase in billable hours;
   
-
an increase of $1.1 million due to an increase in temporary placement of physicians; and
   
-
an increase of $0.4 million due principally to an average bill rate per hour increase;
 
38

 
Offset in part by:
   
-
a decrease of $0.3 million related to a shift from affiliated revenue to non-affiliated in Harborside’s medical staffing business, and
   
-
a decrease of $0.6 million related to disposed offices.
 
Operating salaries and benefits expenses were $22.2 million for the three months ended June 30, 2008 as compared to $22.8 million for the three months ended June 30, 2007, a decrease of $0.6 million, or 2.6%. The decrease in operating salaries and benefits resulted from changing compensation packages for nurses and therapists.

Other operating costs increased $1.7 million, or 65.4%, to $4.3 million for the three months ended June 30, 2008 from $2.6 million for the three months ended June 30, 2007. The increase was primarily attributable to costs paid for travel and lodging for nurses and therapists.

Corporate

General and administrative expenses not directly attributed to segments decreased $1.2 million, or 6.9%, to $16.1 million for the three months ended June 30, 2008 from $17.3 million for the three months ended June 30, 2007. The decrease was primarily due to cost reductions in consultant fees, health insurance and office leases.  As a percent of consolidated revenues, general and administrative expenses were 3.5% for the three months ended June 30, 2008 compared to 4.0% for the three months ended June 30, 2007.

Interest expense

Interest expense not directly attributed to operating segments increased $0.9 million, or 9.5%, to $10.4 million for the three months ended June 30, 2008 from $9.5 million for the three months ended June 30, 2007. The increase in expense was due to the debt incurred and assumed in the Harborside acquisition.

Six Months Ended June 30, 2008 Compared to Six Months Ended June 30, 2007

The following summarizes our results of operations on a consolidated basis.  A more detailed discussion and analysis of the results of operations of each of our segments (Inpatient Services, Rehabilitation Therapy Services, Medical Staffing Services and Corporate) is provided below under “Segment Information.”

Net revenue increased $218.1 million, or 31.6%, to $907.8 million for the six months ended June 30, 2008 from $689.7 million for the six months ended June 30, 2007. We reported net income for the six months ended June 30, 2008 of $18.3 million compared to net income of $17.0 million for the six months ended June 30, 2007.

The increase in net revenue for the 2008 period included $208.7 million of additional revenue in our Inpatient Services segment, of which $167.1 million is attributable to our acquisition of Harborside in April 2007, with the remainder primarily due to increases in Medicare Part A, Medicaid, private pay rates, and commercial insurance revenues, offset by decreases due to a lower private pay customer base.  The remainder of the increase primarily resulted from $7.9 million of revenue from our Medical Staffing segment mainly due to an increase in billable hours, increases in average bill rates, increases in temporary placement of physicians and the addition of a medical staffing business in the Harborside acquisition, and $9.5 million of revenue from our Rehabilitation Therapy segment due to an increase in service volume and the renegotiation of customer contracts.

Operating salaries and benefits, excluding workers’ compensation insurance costs, increased $116.9 million, or 29.7%, to $509.9 million (56.2% of net revenues) for the six months ended June 30, 2008 from $393.0 million (57.0% of net revenues) for the six months ended June 30, 2007.  The addition of Harborside contributed $90.7 million to the increases while the remaining increase resulted primarily from $14.9 million of wage increases in our Inpatient Services segment, a $3.0 million increase from our Medical Staffing segment, and a $7.4 million increase from our Rehabilitation Therapy segment, the latter two segments’ increases being directly attributable to wage rates increases and business growth.

 
39

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

       Self-insurance for workers’ compensation and general and professional liability insurance increased $8.8 million, or 48.6%, to $26.9 million (3.0% of net revenues) for the six months ended June 30, 2008 from $18.1 million (2.6% of net revenues) for the six months ended June 30, 2007.  The addition of Harborside contributed $4.7 million to the increase.  The remainder of the increase is primarily due to increased medical, legal and administrative costs associated with claims.

Other operating costs increased $­­­52.9 million, or 33.2%, to $212.3 million (23.4% of net revenues) for the six months ended June 30, 2008 from $159.4 million (23.1% of net revenues) for the six months ended June 30, 2007.  The increase was primarily due to $39.3 million in additional costs due to the addition of Harborside’s operations and a $11.4 million increase in our Inpatient Services segment driven by increased therapy costs due to an increase in higher acuity patients requiring more rehabilitation therapy, increased supplies costs, increased education and training, and increased utilities expense, as well as a $3.7 million increase in our Medical Staffing segment primarily for travel and lodging expenses.

Center rent expense increased $3.3 million, or 9.7%, to $37.4 million (4.1% of net revenues) for the six months ended June 30, 2008 from $34.1 million (4.9% of net revenues) for the six months ended June 30, 2007, of which $4.7 million was due to the additional rent expense resulting from the Harborside acquisition offset by rent decreases related to conversions of leased centers to owned.

General and administrative expenses increased $2.6 million, or 8.6%, to $32.7 million (3.6% of net revenues) for the six months ended June 30, 2008 from $30.1 million (4.4% of net revenues) for the six months ended June 30, 2007.  The increase was primarily due to incremental costs associated with supporting Harborside’s operations for a full six months in 2008 versus only three months during the corresponding 2007 period.

Depreciation and amortization increased $6.0 million, or 44.4%, to $19.5 million (2.1% of net revenues) for the six months ended June 30, 2008 from $13.5 million (2.0% of net revenues) for the six months ended March 31, 2007.  The increase was primarily attributable to the addition of the Harborside centers and additional depreciation expense for new property and equipment acquired during the period.

The provision for losses on accounts receivable increased $0.8 million, or 14.5%, to $6.3 million (0.7% of net revenues) for the six months ended June 30, 2008 from $5.5 million (0.8% of net revenues) for the six months ended June 30, 2007.  The increase was due to the addition of Harborside’s operations offset by improved collections at existing centers.

Net interest expense increased $14.0 million, or 99.3%, to $28.1 million (3.1% of net revenues) for the six months ended June 30, 2008 from $14.1 million (2.0% of net revenues) for the six months ended June 30, 2007. The increase was attributable to the debt incurred and assumed in the Harborside acquisition.

Segment Information

The following table sets forth the amount and percentage of certain elements of total net revenues for the six months ended June 30 (dollars in thousands):

   
2008
   
2007
 
                         
Inpatient Services
$
805,121
   
88.7
%
$
596,433
   
86.5
%
Rehabilitation Therapy Services
 
71,603
   
7.9
   
62,063
   
9.0
 
Medical Staffing Services
 
61,092
   
6.7
   
53,153
   
7.7
 
Corporate
 
21
   
-
   
34
   
-
 
Intersegment Eliminations
 
(30,080
)
 
(3.3
)
 
(21,982
)
 
(3.2
)
                         
Total net revenues
$
907,757
   
100.0
%
$
689,701
   
100.0
%


 
40

 
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 and medical staffing provided by our affiliated operations.  The following table sets forth a summary of the intersegment revenues for the six months ended June 30 (in thousands):

   
2008
   
2007
 
             
Inpatient Services
$
-
 
$
-
 
Rehabilitation Therapy Services
 
28,752
   
20,594
 
Medical Staffing Services
 
1,328
   
1,388
 
Total intersegment revenue
$
30,080
 
$
21,982
 

The following table sets forth the amount of net segment income (loss) for the six months ended June 30 (in thousands):

   
2008
   
2007
 
             
Inpatient Services
$
81,425
 
$
55,335
 
Rehabilitation Therapy Services
 
4,690
   
3,708
 
Medical Staffing Services
 
4,388
   
3,470
 
Net segment income before Corporate
 
90,503
   
62,513
 
Corporate
 
(55,813
)
 
(40,560
)
Net segment income
$
34,690
 
$
21,953
 

Inpatient Services

Net revenues increased $208.7 million, or 35.0%, to $805.1 million for the six months ended June 30, 2008 from $596.4 million for the six months ended June 30, 2007. The addition of Harborside contributed $167.1 million of the increase.  The remaining increase of $41.6 million, or 6.9%, was primarily the result of:

-
an increase of $21.3 million in Medicare revenues comprised of a $16.8 million increase in Medicare Part A rates (including $2.0 million of rate increases in our hospice program), a $3.2 million increase from a higher customer base, a $0.9 million increase in Medicare Part B revenues and $0.4 million in enteral nutrition revenues;
   
-
a $12.5 million increase in Medicaid revenues due to higher rates;
   
-
a $13.1 million increase in managed care and commercial insurance revenues driven by a higher customer base, which contributed $10.5 million of the increase, and higher rates, which drove the remaining $2.6 million of the increase; and
   
-
a $4.6 million increase in private pay revenues driven by a higher customer base, which contributed $4.4 million, and higher rates, which drove the remaining increase of $0.2 million;
   
 
Offset in part by:
   
-
a $9.9 million decrease in Medicaid revenues due to lower customer base.

Operating salaries and benefits expenses increased $106.5 million, or 35.5%, to $406.4 million for the six months ended June 30, 2008 from $299.9 million for the six months ended June 30, 2007.  The accretive impact of the Harborside operations contributed $90.7 million of the increase, with the remaining increase of $15.8 million attributable to the following:

-
wage increases and related benefits and taxes of $14.9 million;
   
-
an increase of $1.5 million in health insurance expense; and
   
-
a $0.7 million increase in overtime expenses;
   
 
41

 
Offset in part by:
   
-
a decrease of $0.8 million in paid time-off, including sick, vacation and holiday; and
   
-
a decrease of $0.5 million in bonus expense.
 
Self-insurance for workers’ compensation and general and professional liability insurance increased $8.6 million, or 53.1%, to $24.8 million for the six months ended June 30, 2008 as compared to $16.2 million for the six months ended June 30, 2007.  The addition of Harborside accounted for $4.7 million of the net increase for the six months ended June 30, 2008.  The remainder of the increase is primarily due to increased medical, legal and administrative costs associated with claims.

Other operating costs increased $50.7 million, or 32.6%, to $206.1 million for the six months ended June 30, 2008 from $155.4 million for the six months ended June 30, 2007.  Approximately $39.3 million of this amount was due to the addition of Harborside.  The remaining increase of $11.4 million was primarily due to:

-
a $7.6 million increase in therapy and equipment rental costs due to an increase in higher acuity patients requiring more rehabilitation therapy;
   
-
a $2.0 million increase in supplies, due to higher costs for medical, incontinency and food supplies;
   
-
a $2.0 million increase in education and training related to increased clinical training;
   
-
a $2.0 million increase in utilities expense, principally due to increases in natural gas and electricity rates; and
   
-
a $0.6 million increase in legal fees;
   
 
Offset in part by:
   
-
a $1.9 million decrease in contract labor;
   
-
a $0.8 million decrease in taxes primarily related to gross receipts and real estate taxes; and
   
-
a $0.1 million decrease in professional and consultant fees.

General and administrative expenses increased $6.1 million, or 44.2%, to $19.9 million for the six months ended June 30, 2008 from $13.8 million for the six months ended June 30, 2007. The addition of the Harborside operations accounted for $3.2 million of the increase with the remaining $2.9 million due primarily to the filling of open positions, travel and utilities.

The provision for losses on accounts receivable increased $0.2 million, or 3.6%, to approximately $5.7 million for the six months ended June 30, 2008 from $5.5 million for the six months ended June 30, 2007. The increase was primarily attributable to the addition of the Harborside operations offset by improved collections at existing centers.

Center rent expense of $36.7 million for the six months ended June 30, 2008 increased $3.1 million, or 9.2%, compared to $33.6 million for the six months ended June 30, 2007, due to $4.7 million of rent expense associated with the acquired Harborside operations offset by a $1.6 million of rent decreases related to conversions of leased centers to owned.

Depreciation and amortization increased $5.7 million, or 48.7%, to $17.4 million for the six months ended June 30, 2008 from $11.7 million for the six months ended June 30, 2007. The increase was primarily attributable to the addition of the Harborside centers and additional depreciation expense on Sun centers for new property and equipment acquired during the period.

Net interest expense for the six months ended June 30, 2008 was $6.6 million as compared to $5.0 million for the six months ended June 30, 2007.  The increase of $1.6 million, or 32.0%, was primarily due to debt incurred and assumed in the Harborside acquisition.

 
42

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Rehabilitation Therapy Services

Total revenues from the Rehabilitation Therapy Services segment increased $9.5 million, or 15.3%, to $71.6 million for the six months ended June 30, 2008 from $62.1 million for the six months ended June 30, 2007. The revenue increase was the result of:

-
an increase of $6.4 million attributable to a 9.7% increase in billable minutes; the volume increase being due to an increase in contract count and an overall increase in service volume, mainly in the affiliated LTC center segment and non-affiliated rehabilitation agencies; and
   
-
an increase of $3.1 million attributable to a 5.0% increase in our billing rate due to our renegotiation of certain customer contract rates, an increase in assisted and community living business and operating efficiencies.
   
Operating salaries and benefits expenses increased $7.4 million, or 14.4%, to $58.8 million for the six months ended June 30, 2008 from $51.4 million for the six months ended June 30, 2007. The increase was primarily driven by wage rate increases coupled with the aforementioned increase in service volume.

Medical Staffing Services

Total revenues from the Medical Staffing Services segment increased $7.9 million, or 14.8%, to $61.1 million for the six months ended June 30, 2008 from $53.2 million for the six months ended June 30, 2007.  The increase was primarily the result of:

-
an increase of $5.0 million attributable to a 10.7% increase in billable hours;
   
-
an increase of $0.4 million due to an average bill rate per hour increase;
   
-
an increase of $1.9 million due to an increase in temporary placement of physicians; and
   
-
an increase of $1.8 million due to the addition of Harborside’s medical staffing business;
   
 
Offset in part by:
   
-
a decrease of $1.2 million related to disposed offices.

Operating salaries and benefits expenses were $44.7 million for the six months ended June 30, 2008 as compared to $41.7 million for the six months ended June 30, 2007, an increase of $3.0 million, or 7.2%. The increase in operating salaries and benefits resulted from the increase in business.

Other operating costs increased $3.7 million, or 84.1%, to $8.1 million for the six months ended June 30, 2008 from $4.4 million for the six months ended June 30, 2007. The increase was primarily attributable to costs paid for travel and lodging for nurses and therapists.

Corporate

General and administrative expenses not directly attributed to segments increased $2.6 million, or 8.6%, to $32.7 million for the six months ended June 30, 2008 from $30.1 million for the six months ended June 30, 2007. The increase was primarily due to incremental costs associated with supporting Harborside’s operations for a full six months in 2008 versus only three months during the corresponding 2007 period.  As a percent of consolidated revenues, general and administrative expenses were 3.6% for the six months ended June 30, 2008 compared to 4.4% for the six months ended June 30, 2007.


 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Interest expense

Interest expense not directly attributed to operating segments increased $12.4 million, or 136.3%, to $21.5 million for the six months ended June 30, 2008 from $9.1 million for the six months ended June 30, 2007. The increase in expense was due to the debt incurred and assumed in the Harborside acquisition.

Liquidity and Capital Resources

For the three and six months ended June 30, 2008, our net income was $9.7 million and $18.3 million, respectively.  As of June 30, 2008, our working capital was $137.8 million. As of June 30, 2008, we had cash and cash equivalents of $68.4 million, $730.1 million in borrowings and $50.0 million available under our revolving credit facility.

We believe that our operating cash flows, existing cash reserves and availability for borrowing under our revolving credit facility will provide sufficient funds for our operations, capital expenditures and regularly scheduled debt service payments at least through the next twelve months. We do not depend on cash flows from discontinued operations to provide for future liquidity.

Cash Flows

During the three months ended June 30, 2008, net cash provided by operating activities decreased by $32.7 million as compared to the same period last year. This decrease was the result of (i) our quarter-over-quarter decrease in net income of $3.4 million, (ii) our quarter-over-quarter decrease in working capital changes of $40.1 million, driven by the acquisition of Harborside and a change in accrued compensation and benefits and other accrued liabilities and (iii) a $10.8 million increase in non-cash adjustments to net income, principally related to deferred taxes and losses in discontinued operations.

Debt

In June 2008 we entered into a $25.6 million mortgage note payable for purposes of refinancing an existing mortgage note payable of approximately $20.0 million.  The additional $5.6 million was used in connection with our purchase of two previously leased centers.  See Note 2 – “Long-Term Debt and Capital Lease Obligations.”

Capital Expenditures

We incurred capital expenditures, related primarily to improvements in continuing operations, as reflected in our consolidated statements of cash flows, of $10.2 million and $7.7 million for the three months ended June 30, 2008 and 2007, respectively, and of $16.1 million and $15.0 million for the six months ended June 30, 2008 and 2007, respectively.

 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We are exposed to market risk because we have issued 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 of interest on our 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
   
June 30,
   
December 31,
 
   
2009
   
2010
   
2011
   
2012
   
2013
   
Thereafter
   
Total
   
2008 (1)
   
2007 (1)
 
   
(Dollars in thousands)
 
Long-term debt:
                                                     
Fixed rate debt (2)
$
6,307
 
$
5,444
 
$
24,108
 
$
23,202
 
$
5,270
 
$
387,914
 
$
452,245
 
$
418,040
 
$
428,428
 
Rate
 
7.5
%
 
8.3
%
 
8.2
%
 
6.5
%
 
8.5
%
 
8.3
%
                 
                                                       
Variable rate debt
$
6,583
 
$
2,919
 
$
27,287
 
$
2,499
 
$
2,499
 
$
236,115
 
$
277,902
 
$
265,028
 
$
248,128
 
Rate
 
5.4
%
 
4.9
%
 
5.6
%
 
4.8
%
 
4.8
%
 
4.8
%
                 
                                                       
Interest rate swap:
                                                     
Variable to fixed
$
100,000
 
$
100,000
   
-
   
-
   
-
   
-
       
$
(4,240
)
 $
(4,005
)
Average pay rate
 
5.39
%
 
5.39
%
 
-
   
-
   
-
   
-
                   
Average receive rate
 
2.92
%
 
2.92
%
 
-
   
-
   
-
   
-
                   

(1)
The fair value of fixed and variable rate debt was determined based on the current rates offered for debt with similar risks and maturities.
   
(2)
Fixed rate long-term debt includes $49.0 million related to the consolidation of Clipper as of June 30, 2008 and $49.4 million as of December 31, 2007 (see Note 5 – “Variable Interest Entities”).

ITEM 4.  CONTROLS AND PROCEDURES

As of the end of the period covered by this report, our management, including our principal executive officer (Richard Matros) and our principal financial officer (L. Bryan Shaul), conducted an evaluation of the effectiveness of our disclosure controls and procedures.  Disclosure controls  and procedures are defined as controls and procedures designed to ensure that information required to be disclosed by an issuer in the reports that it files or submits under the Securities Exchange Act of 1934 is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms, and include, without limitation, controls and procedures designed to ensure that information is accumulated  and communicated to the issuer's management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding  required disclosure.  Based on that evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective as of June 30, 2008.  No change in our internal control over financial reporting occurred during the period covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

PART II. OTHER INFORMATION

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

(a)   The annual meeting of our stockholders was held on June 6, 2008.

(b)   Gregory S. Anderson, Tony M. Astorga, Christian K. Bement, Michael J. Foster, Barbara B. Kennelly, Steven M. Looney, Richard K. Matros, and Milton J. Walters were each elected to a one-year term on the Board of Directors that will expire at the Annual Meeting of Stockholders in 2009. The following table sets forth the number of votes cast for, the number of votes cast against and the number of abstentions with respect to each director nominee:

   
For
 
Against
 
Abstain
Anderson
 
39,763,561
 
307,121
 
63,700
Astorga
 
39,477,198
 
593,378
 
63,806
Bement
 
36,725,684
 
3,346,067
 
62,631
Foster
 
39,638,938
 
432,632
 
62,811
Kennelly
 
39,416,456
 
655,151
 
62,775
Looney
 
39,835,369
 
236,206
 
62,807
Matros
 
39,599,946
 
470,738
 
63,698
Walters
 
39,766,148
 
305,492
 
62,742

 (c)   The other matter voted on at the meeting was the ratification of the appointment of PricewaterhouseCoopers LLP as our independent public accountants for the fiscal year ending December 31, 2008 and the results were as follows:

For
 
Against
 
Abstain    
40,051,557
 
23,260
 
59,566

 (d)   Not applicable.


ITEM 5.  OTHER INFORMATION

On June 6, 2008, the Board of Directors of the Company approved the Non-Employee Directors Stock-for-Fees Program (the “Program”).  Pursuant to the Program, non-employee directors can elect to receive their annual retainers in the form of stock units rather than in cash.  The number of stock units to be issued to the non-employee directors would be determined by dividing the cash retainer that would otherwise be payable to the director by the value of a share of the Company’s common stock on the last business day of each quarter.  The stock units would vest immediately but would not be issued in shares of common stock until the earlier of the directors’ discontinuation of service on the Board of Directors or five years from the date the units were granted.


 
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

ITEM 6. EXHIBITS

10.1
Non-Employee Directors Stock-for-Fees Program and Payment Election Form
 
   
10.2(1)
Executive Bonus Plan
   
10.3(1)
Amendment No. 2 to Employment Agreement effective as of March 31, 2008 by and between Sun Healthcare Group, Inc. and Richard Matros
   
10.4(1)
Amendment No. 3 to Employment Agreement effective as of March 31, 2008 by and between Sun Healthcare Group, Inc. and L. Bryan Shaul
   
10.5(1)
Amendment No. 3 to Employment Agreement effective as of March 31, 2008 by and between Sun Health Specialty Services, Inc. and William A. Mathies
   
10.6(1)
Amendment No. 3 to Employment Agreement effective as of March 31, 2008 by and between Sun Healthcare Group, Inc. and Michael Newman
   
10.7(1)
Amendment No. 2 to Employment Agreement effective as of March 31, 2008 by and between Sun Healthcare Group, Inc. and Chauncey J. Hunker
   
10.8(1)
Non-Employee Director Compensation Policy
   
10.9(1)
Form of Restricted Stock Unit Grant for Non-Employee Directors
     
31.1
Section 302 Sarbanes-Oxley Certification by Chief Executive Officer
 
     
31.2
Section 302 Sarbanes-Oxley Certification by Chief Financial Officer
 
     
32.1
Section 906 Sarbanes-Oxley Certification by Chief Executive Officer
 
     
32.2
Section 906 Sarbanes-Oxley Certification by Chief Financial Officer
 
_________
(1)           Incorporated by reference from exhibits to our Form 8-K filed on April 3, 2008.



SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

SUN HEALTHCARE GROUP, INC.
 
 
 
 By:
  /s/ L. Bryan Shaul                                        
L. Bryan Shaul
Executive Vice President and Chief Financial Officer
(Principal Financial and Accounting Officer)

August 7, 2008

 
47