-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BNrrLZTaLssx3uYG2TuN0b2b6AGrlMc82gxMkREqnxM+WXHzvKOMeVLRWUEKkEYx pRfo/nEhfHHAASg0Ub5tMw== 0000904978-08-000082.txt : 20081030 0000904978-08-000082.hdr.sgml : 20081030 20081030171816 ACCESSION NUMBER: 0000904978-08-000082 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 5 CONFORMED PERIOD OF REPORT: 20080930 FILED AS OF DATE: 20081030 DATE AS OF CHANGE: 20081030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SUN HEALTHCARE GROUP INC CENTRAL INDEX KEY: 0000904978 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 850410612 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-12040 FILM NUMBER: 081151899 BUSINESS ADDRESS: STREET 1: 101 SUN AVENUE N E CITY: ALBUQUERQUE STATE: NM ZIP: 87109 BUSINESS PHONE: 5058213355 MAIL ADDRESS: STREET 1: 101 SUN LANE N E CITY: ALBUQERQUE STATE: NM ZIP: 87109 10-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 September 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 October 27, 2008, there were 43,519,629 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 September 30, 2008
 
 
          As of December 31, 2007
 
     
 
Consolidated Income Statements (unaudited)
5-6
 
          For the three months ended September 30, 2008 and 2007
 
 
          For the nine months ended September 30, 2008 and 2007
 
     
 
Consolidated Statements of Cash Flows (unaudited)
7
 
          For the three months ended September 30, 2008 and 2007
 
 
          For the nine months ended September 30, 2008 and 2007
 
     
 
Notes to Consolidated Financial Statements (unaudited)
8-31
     
Item 2.
Management's Discussion and Analysis of Financial Condition and Results of Operations
32-46
     
Item 3.
Quantitative and Qualitative Disclosures About Market Risk
47
     
Item 4.
Controls and Procedures
47
     
   
PART II.  OTHER INFORMATION
 
     
Item 6.
Exhibits
48
     
Signature
 
48

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 statements” 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, indebtedness, lease obligations, 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, our liquidity and words such as “anticipate,” “believe,” “plan,” “estimate,” “expect,” "intend,” ”should,” “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)

   
September 30, 2008
   
December 31, 2007
 
         
(Note 1)
 
Current assets:
           
Cash and cash equivalents
  $ 80,433     $ 55,832  
Restricted cash
    33,464       37,365  
Accounts receivable, net of allowance for doubtful accounts
               
of $43,673 and $42,144 at September 30, 2008 and
               
December 31, 2007, respectively
    197,221       188,882  
Prepaid expenses and other assets
    22,195       13,290  
Assets held for sale
    3,651       9,924  
Deferred tax assets
    31,387       35,354  
                 
Total current assets
    368,351       340,647  
                 
Property and equipment, net
    597,373       585,972  
Intangible assets, net
    52,899       57,044  
Goodwill
    331,112       324,277  
Restricted cash, non-current
    3,288       3,829  
Deferred tax assets
    42,312       51,892  
Other assets
    6,119       10,165  
                 
Total assets
  $ 1,401,454     $ 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)

   
September 30, 2008
   
December 31, 2007
 
         
(Note 1)
 
Current liabilities:
           
Accounts payable
  $ 48,457     $ 52,836  
Accrued compensation and benefits
    61,832       61,956  
Accrued self-insurance obligations, current portion
    42,862       48,646  
Income taxes payable
    2,782       3,000  
Liabilities held for sale
    -       3,181  
Other accrued liabilities
    65,979       58,002  
Current portion of long-term debt and capital lease obligations:
               
Company obligations
    11,215       28,480  
Clipper partnerships
    873       825  
                 
Total current liabilities
    234,000       256,926  
                 
Accrued self-insurance obligations, net of current portion
    108,809       106,534  
Long-term debt and capital lease obligations, net of current portion:
               
Company obligations
    668,022       651,403  
Clipper partnerships
    47,901       48,560  
Unfavorable lease obligations, net
    16,372       18,960  
Other long-term liabilities
    46,498       44,717  
                 
Total liabilities
    1,121,602       1,127,100  
                 
Commitments and contingencies (Note 6)
               
                 
Minority interest
    1,289       470  
                 
Stockholders’ equity:
               
Preferred stock of $.01 par value, authorized 10,000,000
               
shares, no shares were issued or outstanding as of
               
September 30, 2008 and December 31, 2007
    -       -  
Common stock of $.01 par value, authorized 125,000,000 
               
shares; 43,509,223 and 43,016,042 shares issued and
               
outstanding as of September 30, 2008 and December 31, 2007,
               
respectively
    435       430  
Additional paid-in capital
    605,966       600,199  
Accumulated deficit
    (325,104 )     (351,970 )
Accumulated other comprehensive loss, net
    (2,734 )     (2,403 )
      278,563       246,256  
                 
Total liabilities and stockholders’ equity
  $ 1,401,454     $ 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
 
   
September 30, 2008
   
September 30, 2007
 
             
Total net revenues
  $ 456,722     $ 432,573  
Costs and expenses:
               
Operating salaries and benefits
    259,809       246,632  
Self-insurance for workers’ compensation and general and
               
professional liability insurance
    14,580       15,646  
Operating administrative expenses
    12,792       10,208  
Other operating costs
    94,893       89,009  
Center rent expense
    18,551       18,552  
General and administrative expenses
    13,832       16,877  
Depreciation and amortization
    10,174       9,961  
Provision for losses on accounts receivable
    3,306       3,328  
Interest, net of interest income of $340 and $604, respectively
    13,070       14,841  
Loss on sale of assets
    -       12  
Total costs and expenses
    441,007       425,066  
                 
Income before income taxes and discontinued operations
    15,715       7,507  
Income tax expense
    6,286       2,627  
Income from continuing operations
    9,429       4,880  
                 
Discontinued operations:
               
Loss from discontinued operations, net of related taxes
    (171 )     (313 )
(Loss) gain on disposal of discontinued operations, net of
               
related taxes
    (654 )     629  
(Loss) income from discontinued operations, net
    (825 )     316  
                 
Net income
  $ 8,604     $ 5,196  
                 
Basic earnings per common and common equivalent share:
               
Income from continuing operations
  $ 0.22     $ 0.11  
(Loss) income from discontinued operations, net
    (0.02 )     0.01  
Net income
  $ 0.20     $ 0.12  
                 
Diluted earnings per common and common equivalent share:
               
Income from continuing operations
  $ 0.21     $ 0.11  
(Loss) income from discontinued operations, net
    (0.02 )     0.01  
Net income
  $ 0.19     $ 0.12  
                 
Weighted average number of common and common
               
equivalent shares outstanding:
               
Basic
    43,468       43,114  
Diluted
    44,478       44,266  

See accompanying notes.

 
5

 

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

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


   
For the
 
   
Nine Months Ended
 
   
September 30, 2008
   
September 30, 2007
 
             
Total net revenues
  $ 1,359,629     $ 1,118,006  
Costs and expenses:
               
Operating salaries and benefits
    767,583       637,691  
Self-insurance for workers’ compensation and general and
               
professional liability insurance
    41,146       33,414  
Operating administrative expenses
    37,672       28,351  
Other operating costs
    280,513       228,436  
Center rent expense
    55,721       52,446  
General and administrative expenses
    46,528       47,009  
Depreciation and amortization
    29,576       23,439  
Provision for losses on accounts receivable
    9,523       8,792  
Interest, net of interest income of $1,454 and $2,926, respectively
    41,144       28,869  
(Gain) loss on sale of assets
    (77 )     22  
Total costs and expenses
    1,309,329       1,088,469  
                 
Income before income taxes and discontinued operations
    50,300       29,537  
Income tax expense
    20,119       10,339  
Income from continuing operations
    30,181       19,198  
                 
Discontinued operations:
               
(Loss) income from discontinued operations, net of related taxes
    (792 )     2,334  
(Loss) gain on disposal of discontinued operations, net of related
               
taxes
    (2,523 )     626  
(Loss) income from discontinued operations, net
    (3,315 )     2,960  
                 
Net income
  $ 26,866     $ 22,158  
                 
Basic earnings per common and common equivalent share:
               
Income from continuing operations
  $ 0.70     $ 0.46  
(Loss) income from discontinued operations, net
    (0.08 )     0.07  
Net income
  $ 0.62     $ 0.53  
                 
Diluted earnings per common and common equivalent share:
               
Income from continuing operations
  $ 0.68     $ 0.45  
(Loss) income from discontinued operations, net
    (0.07 )     0.06  
Net income
  $ 0.61     $ 0.51  
                 
Weighted average number of common and common
               
equivalent shares outstanding:
               
Basic
    43,240       42,072  
Diluted
    44,086       43,068  

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
 
Nine Months Ended
   
September 30, 2008
 
September 30, 2007
 
September 30, 2008
 
September 30, 2007
Cash flows from operating activities:
                       
Net income
  $ 8,604     $ 5,196     $ 26,866     $ 22,158  
Adjustments to reconcile net income to net cash provided by
                           
operating activities, including discontinued operations:
                               
Depreciation and amortization
    10,202       10,136       29,802       23,901  
Amortization of favorable and unfavorable lease intangibles
(452 )     (193 )     (1,443 )     (602 )
Provision for losses on accounts receivable
    3,460       3,520       9,971       9,780  
Loss (gain) on sale of assets, including discontinued
                               
operations, net
    1,091       (617 )     2,883       (603 )
Impairment charge for discontinued operation
    -       -       1,800       -  
Stock-based compensation expense
    1,405       990       3,738       2,684  
Deferred taxes
    5,276       -       13,547       -  
Minority interest
    122       -       819       50  
Other
    (4 )     (479 )     76       (590 )
Changes in operating assets and liabilities, net of acquisitions:
                           
Accounts receivable
    1,751       5,647       (17,701 )     (3,590 )
Restricted cash
    1,379       (343 )     4,442       1,274  
Prepaid expenses and other assets
    (459 )     2,469       (7,649 )     11,760  
Assets and liabilities held for sale
    (486 )     -       (1,530 )     -  
Accounts payable
    (3,382 )     (10,378 )     (6,508 )     (17,221 )
Accrued compensation and benefits
    2,576       8,701       (330 )     14,910  
Accrued self-insurance obligations
    (3,330 )     (1,082 )     (3,509 )     (7,910 )
Income taxes payable
    (615 )     930       976       8,317  
Other accrued liabilities
    4,302       1,386       656       17,066  
Other long-term liabilities
    (1,526 )     (220 )     3,829       (3,387 )
Net cash provided by operating activities
    29,914       25,663       60,735       77,997  
                                 
Cash flows from investing activities:
                               
Capital expenditures
    (12,393 )     (11,356 )     (28,532 )     (23,327 )
Purchase of leased real estate
    (8,229 )     -       (8,956 )     (33,220 )
Proceeds from sale of assets held for sale
    9,840       500       13,797       5,989  
Acquisitions, net of cash acquired
    (7,060 )     7,432       (7,373 )     (361,083 )
Accrued acquisition costs, net
    -       -       -       3,585  
Net cash used for investing activities
    (17,842 )     (3,424 )     (31,064 )     (408,056 )
                                 
Cash flows from financing activities:
                               
Net repayments under revolving credit facility
    -       (15,000 )     -       (9,994 )
Principal repayments of long-term debt and capital lease
                               
obligations
    (2,221 )     (6,839 )     (27,420 )     (41,637 )
Borrowings under long-term debt and capital lease obligations
-       -       20,290       327,000  
Proceeds from issuance of common stock
    2,278       116       2,348       781  
Distribution of partnership equity
    (65 )     -       (288 )     (511 )
Release of third-party collateral
    -       -       -       25,640  
Distribution of minority interest
    -       -       -       (57 )
Deferred financing costs
    -       -       -       (18,045 )
Net cash (used for) provided by financing activities
    (8 )     (21,723 )     (5,070 )     283,177  
                                 
Net increase (decrease) in cash and cash equivalents
    12,064       516       24,601       (46,882 )
Cash and cash equivalents at beginning of period
    68,369       84,537       55,832       131,935  
Cash and cash equivalents at end of period
  $ 80,433     $ 85,053     $ 80,433     $ 85,053  
                                 



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 208 long-term care centers in 25 states as of September 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 September 30, 2008, and the consolidated results of our operations and cash flows for the three-month and nine-month periods ended September 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 of the Securities and Exchange Commission. 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.

On October 10, 2008, the FASB issued FASB Staff Position FAS No. 157-3, Fair Value Measurements (“FSP FAS 157-3”), which clarifies the application of Statement of Financial Accounting Standards No. 157, Fair Value Measurements (“SFAS No. 157”), in an inactive market and provides an example to demonstrate how the fair value of a financial asset is determined when the market for that financial asset is inactive. FSP FAS 157-3 was effective upon issuance, including prior periods for which financial statements had not been issued. The adoption of this standard as of September 30, 2008 did not have a material impact on our results of operations, cash flows or financial positions.

In April 2008, the FASB issued FASB Staff Position FAS No. 142-3, Determination of the Useful Life of Intangible Assets (“FSP FAS 142-3”). This pronouncement amends Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets (“SFAS No. 142”), regarding the factors that should be considered in developing the useful
8

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
 
 
 
lives for intangible assets with renewal or extension provisions. FSP FAS 142-3 requires an entity to consider its own historical experience in renewing or extending similar arrangements, regardless of whether those arrangements have explicit renewal or extension provisions, when determining the useful life of an intangible asset. In the absence of such experience, an entity shall consider the assumptions that market participants would use about renewal or extension, adjusted for entity-specific factors. FSP FAS 142-3 also requires an entity to disclose information regarding the extent to which the expected future cash flows associated with an intangible asset are affected by the entity’s intent and/or ability to renew or extend the arrangement. FSP FAS 142-3 will be effective for qualifying intangible assets acquired on or after January 1, 2009. The application of FSP FAS 142-3 is not expected to have a material impact on our results of operations, cash flows or financial positions; however, it could impact future transactions.  
 
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 five centers divested of or 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.


(2)  Long-Term Debt and Capital Lease Obligations

   In June 2008 we entered into a $25.6 million mortgage note payable.  We used the proceeds to refinance an existing $20.0 mortgage note payable and to finance the purchase of two previously leased centers for $5.6 million.
 
Long-term debt and capital lease obligations consisted of the following as of the periods indicated (in thousands):

   
September 30, 2008
   
December 31, 2007
 
             
Revolving credit facility
$
-
 
$
-
 
Mortgage notes payable due at various dates through 2037, interest at rates
           
from 5.7% to 11.1%, collateralized by various centers (1)(2)
 
179,249
   
177,712
 
Term loan agreement
 
347,233
   
349,857
 
Senior subordinated notes
 
200,000
   
200,000
 
Capital leases
 
1,529
   
1,699
 
Total long-term obligations
 
728,011
   
729,268
 
Less amounts due within one year
 
(12,088
)
 
(29,305
)
Long-term obligations, net of current portion
$
715,923
 
$
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 $48.8 million and $49.4 million related to the consolidation of nine entities (collectively known as “Clipper”), of which we own 34% of the voting interest, as of September 30, 2008 and December 31, 2007, respectively (see Note 5 – “Variable Interest Entities”).


 
9

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


The scheduled or expected maturities of long-term obligations, excluding premiums, as of September 30, 2008, were as follows (in thousands):
 
For the twelve months ending September 30:
     
2009   
$
12,088
2010
 
16,324
2011
 
43,306
2012
 
25,699
2013
 
7,841
Thereafter
 
622,052
 
$
727,310

Included in the expected maturities of long-term debt are the following amounts related to the consolidation of Clipper (in thousands):  $873, $932, $994, $1,054, $1,131, and $43,791 for 2009, 2010, 2011, 2012, 2013 and thereafter, respectively (see Note 5 – “Variable Interest Entities”).

On July 24, 2008, we entered into an interest rate swap agreement for interest rate risk management purposes.  The interest rate swap agreement effectively modifies our exposure to interest by converting a portion of our floating rate debt to a fixed rate.  This agreement involves the receipt of floating rate amounts in exchange for fixed rate interest payments over the life of the agreement without an exchange of the underlying principal amount.  The agreement is based on a notional amount of $50.0 million and has a term of two years.  Settlement occurs on a quarterly basis, which is based upon a floating rate of LIBOR and an annual fixed rate of 3.65%.
 
(3)  Fair Value of Financial Instruments

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 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 and nine months ended September 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.

 
10

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 
We endeavor to utilize the best available information in measuring fair value.  The following table summarizes the valuation of our financial instruments by the above SFAS No. 157 pricing levels as of September 30, 2008 (in thousands):

   
Total
 
Unadjusted Quoted
Market Prices
(Level 1)
 
Significant Other
Observable Inputs
(Level 2)
             
Cash and cash equivalents – money
           
  market funds/certificate of deposit
$
10,044
$
5,016
$
5,028
Restricted cash – money market funds
$
1,270
$
1,270
$
-
Interest rate swap agreement – liability
$
4,557
$
-
$
4,557

We currently have no other financial instruments subject to fair value measurement on a recurring basis.

Our interest rate swap agreements qualify for hedge accounting treatment under SFAS No. 133 and have been designated as cash flow hedges.  Hedge effectiveness testing indicates that the swaps are fully effective hedges and as such, the derivative mark-to-market adjustment increased our other comprehensive loss by $0.2 million and $1.4 million, net of tax, for the three months ended September 30, 2008 and 2007, respectively, and increased our other comprehensive loss by $0.3 million and $1.4 million, net of tax, for the nine months ended September 30, 2008 and 2007, respectively.  The full balance of accumulated other comprehensive loss is due to accounting for our interest rate swaps.  We do not anticipate any of this balance to be reclassified into earnings within the next year.  Also, since the swaps are fully effective hedging arrangements, 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.

We reclassified the results of three skilled nursing centers (two of which were leased) to discontinued operations during the three months ended September 30, 2008.  We exercised options to purchase the two centers and simultaneously sold them in conjunction with the owned location for a net amount to us of $1.1 million (subject to resolution of certain contingencies), which was recorded in other current assets as of September 30, 2008.  We received $0.9 million of cash proceeds on October 1, 2008 and expect to receive the remaining $0.2 million of the sales price by the end of 2008.  A $0.9 million loss on disposal of these centers was recognized in the three months ended September 30, 2008.

During July 2008, we transferred operations of a leased skilled nursing center in Indiana to an outside party.  This center has been classified as a discontinued operation since the third quarter of 2007 and was originally acquired in the second quarter of 2007 with the Harborside acquisition.

We transferred operations of a leased skilled nursing center in Tennessee 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 permanently 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 nine months ended September 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 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 during the fourth quarter of 2008 in conjunction with the final working capital adjustment.  A $2.7 million loss on disposal of these operations was
 
11

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 
 
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 $2.3 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
 
   
September 30, 2008
 
   
Inpatient
     
Laboratory/
   
Home
             
   
Services
     
Radiology
   
Health
   
Other
   
Total
 
                                 
Net operating revenues
$
2,726
   
$
-
 
$
-
 
$
4,525
 
$
7,251
 
                                 
(Loss) income from discontinued
                               
operations, net (1)
$
(196
)
 
$
(7
)
$
(2
)
$
34
 
$
(171
)
Loss on disposal of
                               
discontinued operations, net (2)
 
(654
)
   
-
   
-
   
-
   
(654
)
(Loss) income from discontinued
                               
operations, net
$
(850
)
 
$
(7
)
$
(2
)
$
34
 
$
(825
)

(1)  Net of related tax benefit of $114
(2)  Net of related tax benefit of $436


   
For the Three Months Ended
 
   
September 30, 2007
 
   
Inpatient
   
Laboratory/
   
Home
             
   
Services
   
Radiology
   
Health
   
Other
   
Total
 
                               
Net operating revenues
$
17,416
 
$
-
 
$
1,298
 
$
4,478
 
$
23,192
 
                               
(Loss) income from discontinued
                             
operations, net (1)
$
(162
)
$
(42
)
$
(412
)
$
303
 
$
(313
)
(Loss) gain on disposal of
                             
discontinued operations, net (2)
 
(358
)
 
992
   
-
   
(5
)
 
629
 
(Loss) income from discontinued
                             
operations, net
$
(520
)
$
950
 
$
(412
)
$
298
 
$
316
 

(1)  Net of related tax benefit of $141
(2)  Net of related tax expense of $0


 
12

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)



   
For the Nine Months Ended
 
   
September 30, 2008
 
   
Inpatient
     
Laboratory/
   
Home
             
   
Services
     
Radiology
   
Health
   
Other
   
Total
 
                                 
Net operating revenues
$
38,647
   
$
-
 
$
-
 
$
14,115
 
$
52,762
 
                                 
(Loss) income from discontinued
                               
operations, net (1)
$
(654
)
 
$
(45
)
$
39
 
$
(132
)
$
(792
)
(Loss) gain on disposal of
                               
discontinued operations, net (2)
 
(2,477
)
   
-
   
(47
)
 
1
   
(2,523
)
Loss from discontinued
                               
operations, net
$
(3,131
)
 
$
(45
)
$
(8
)
$
(131
)
$
(3,315
)

(1)  Net of related tax benefit of $503
(2)  Net of related tax benefit of $1,631


   
For the Nine Months Ended
 
   
September 30, 2007
 
   
Inpatient
   
Laboratory/
   
Home
             
   
Services
   
Radiology
   
Health
   
Other
   
Total
 
                               
Net operating revenues
$
55,134
 
$
5,360
 
$
2,941
 
$
13,726
 
$
77,161
 
                               
Income (loss) from discontinued
                             
operations, net (1)
$
2,491
 
$
109
 
$
(827
)
$
561
 
$
2,334
 
(Loss) gain on disposal of
                             
discontinued operations, net (2)
 
(1,001
)
 
1,597
   
41
   
(11
)
 
626
 
Income (loss) from discontinued
                             
operations, net
$
1,490
 
$
1,706
 
$
(786
)
$
550
 
$
2,960
 

(1)  Net of related tax expense of $1,380
(2)  Net of related tax expense of $0
 
(b) Assets and Liabilities Held for Sale

As of September 30, 2008, assets held for sale consisted of (i) a skilled nursing center with a net carrying amount of $2.7 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 September 30, 2008, we owned 34% of the voting interest (15.5% at September 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 September 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)
 
13

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 interests and requires consolidation by the majority holder of expected residual gains and losses of the activities of a variable interest entity (“VIE”).

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 September 30, 2008 and 2007, and included $48.8 million and $49.4 million of mortgage debt of Clipper in our consolidated balance sheets as of September 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 September 30, 2008 and December 31, 2007 (in thousands):

   
September 30, 2008
   
December 31, 2007
 
             
Current assets:
           
Cash and cash equivalents
$
615
 
$
592
 
Restricted cash, current
 
1,622
   
1,588
 
Prepaid expenses and other assets
 
42
   
130
 
Total current assets
 
2,279
   
2,310
 
             
Property and equipment, net:
           
Land
 
6,171
   
6,171
 
Land improvements
 
25
   
29
 
Buildings
 
33,477
   
34,133
 
Building improvements
 
2,671
   
2,835
 
Equipment
 
151
   
153
 
Construction in progress
 
36
   
-
 
Total property and equipment, net
 
42,531
   
43,321
 
             
Intangible assets, net
 
5,445
   
7,014
 
Intercompany
 
5,657
   
4,836
 
             
Total assets
$
55,912
 
$
57,481
 
             
Current liabilities:
           
Mortgages, current
$
873
 
$
825
 
Other accrued liabilities
 
2,514
   
2,224
 
Total current liabilities
 
3,387
   
3,049
 
             
Mortgages, net of current
 
47,901
   
48,560
 
Other long-term liabilities
 
14,759
   
15,163
 
Total long-term liabilities
 
62,660
   
63,723
 
             
Total liabilities
 
66,047
   
66,772
 
             
Stockholders’ deficit:
           
Accumulated deficit
 
(10,135
)
 
(9,291
)
             
Total liabilities and stockholders’ deficit
$
55,912
 
$
57,481
 

 
14

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

       For the three months ended September 30, 2008, the consolidation of Clipper included a net loss of $0.4 million comprised of a $0.9 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 September 30, 2007, the consolidation of Clipper included a net loss of $0.4 million comprised of a $0.8 million charge to interest expense, 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 nine months ended September 30, 2008, the consolidation of Clipper included a net loss of $1.0 million comprised of a $2.5 million charge to interest expense, and a $1.0 million charge to depreciation expense, partially offset by a $2.2 million credit to rent expense and a $0.3 million credit to taxes and other expense. For the nine months ended September 30, 2007, the consolidation of Clipper included a net loss of $1.2 million comprised of a $2.3 million charge to interest expense, and a $1.2 million charge to depreciation expense, partially offset by a $1.9 million credit to rent expense and a $0.4 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.  In certain states, we are unable to obtain insurance coverage for punitive damages arising from general and professional liability litigation due to state law, and therefore we would be responsible for the payment of any punitive damages awarded against us in those states.

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.

 
15

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


Activity in our insurance reserves as of and for the nine months ended September 30, 2008 and 2007 is as follows (in thousands):
   
Professional
   
Workers’
       
   
Liability
   
Compensation
   
Total
 
                   
Balance as of January 1, 2008
$
86,291
 
$
61,439
 
$
147,730
 
Current year provision, continuing operations
 
8,353
   
6,468
   
14,821
 
Current year provision, discontinued operations
 
433
   
258
   
691
 
Claims paid, continuing operations
 
(4,167
)
 
(4,351
)
 
(8,518
)
Claims paid, discontinued operations
 
(1,207
)
 
(1,014
)
 
(2,221
)
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
 
6,609
   
7,786
   
14,395
 
Current year provision, discontinued operations
 
95
   
461
   
556
 
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
 
(4,379
)
 
(5,421
)
 
(9,800
)
Claims paid, discontinued operations
 
(787
)
 
(669
)
 
(1,456
)
Amounts paid for administrative services and other
 
(1,044
)
 
(1,157
)
 
(2,201
)
Balance as of June 30, 2008
$
83,125
 
$
64,774
 
$
147,899
 
                   
Current year provision, continuing operations
 
6,986
   
7,594
   
14,580
 
Current year provision, discontinued operations
 
115
   
52
   
167
 
Claims paid, continuing operations
 
(5,981
)
 
(5,532
)
 
(11,513
)
Claims paid, discontinued operations
 
(1,101
)
 
(1,041
)
 
(2,142
)
Amounts paid for administrative services and other
 
(1,164
)
 
(2,084
)
 
(3,248
)
Balance as of September 30, 2008
$
81,980
 
$
63,763
 
$
145,743
 
                   
Balance as of January 1, 2007
$
75,078
 
$
51,521
 
$
126,599
 
Current year provision, continuing operations
 
6,033
   
3,923
   
9,956
 
Current year provision, discontinued operations
 
506
   
372
   
878
 
Claims paid, continuing operations
 
(2,623
)
 
(2,042
)
 
(4,665
)
Claims paid, discontinued operations
 
(2,164
)
 
(1,406
)
 
(3,570
)
Amounts paid for administrative services and other
 
(1,963
)
 
(1,061
)
 
(3,024
)
Balance as of March 31, 2007
$
74,867
 
 $
51,307
 
$
126,174
 
                   
Current year provision, continuing operations
 
7,698
   
6,070
   
13,768
 
Current year provision, discontinued operations
 
441
   
355
   
796
 
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
 
(2,881
)
 
(4,236
)
 
(7,117
)
Claims paid, discontinued operations
 
(1,826
)
 
(1,094
)
 
(2,920
)
Amounts paid for administrative services and other
 
(1,472
)
 
(1,291
)
 
(2,763
)
Reserve established through purchase accounting
 
17,796
   
14,352
   
32,148
 
Balance as of June 30, 2007
$
89,123
 
$
61,963
 
$
151,086
 
                   
Current year provision, continuing operations
 
8,301
   
7,345
   
15,646
 
Current year provision, discontinued operations
 
441
   
305
   
746
 
Claims paid, continuing operations
 
(4,720
)
 
(4,166
)
 
(8,886
)
Claims paid, discontinued operations
 
(2,244
)
 
(1,250
)
 
(3,494
)
Amounts paid for administrative services and other
 
(1,267
)
 
(2,508
)
 
(3,775
)
Balance as of September 30, 2007
$
89,634
 
$
61,689
 
$
151,323
 

 
16

 
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 September 30, 2008 and December 31, 2007 is as indicated (in thousands):
 
   
September 30, 2008
     
December 31, 2007
 
   
Professional
   
Workers’
       
|
 
Professional
   
Workers’
       
   
Liability
   
Compensation
   
Total
 
|
 
Liability
   
Compensation
   
Total
 
Assets (1):
                 
|
                 
Restricted cash
                 
|
                 
Current
$
3,236
 
$
18,704
 
$
21,940
 
|
$
3,717
 
$
20,933
 
$
24,650
 
Non-current
 
-
   
-
   
-
 
|
 
-
   
566
   
566
 
Total
$
3,236
 
$
18,704
 
$
21,940
 
|
$
3,717
 
$
21,499
 
$
25,216
 
                   
|
                 
Liabilities (2)(3):
                 
|
                 
Self-insurance
                 
|
                 
Liabilities
                 
|
                 
Current
$
19,342
 
$
17,592
 
$
36,934
 
|
$
20,263
 
$
20,933
 
$
41,196
 
Non-current
 
62,638
   
46,171
   
108,809
 
|
 
66,028
   
40,506
   
106,534
 
Total
$
81,980
 
$
63,763
 
$
145,743
 
|
$
86,291
 
$
61,439
 
$
147,730
 
 
(1)
 
Total restricted cash above excludes $14,812 and $15,978 at September 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 $5,928 and $7,450 at September 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 September 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 $6.3 million and $20.1 million for the three and nine months ended September 30, 2008, respectively, is based on a combined federal and state income tax rate of approximately 40%.  The provision for income taxes of $2.6 million and $10.3 million for the three and nine months ended September 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.  As a result of unused IRC Section 382 limitations from prior years and post-ownership change NOLs, there is approximately $121.6 million of NOLs which can be used to offset U.S. taxable income in 2008.
 
17

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


(8)  Other Events

(a)  Acquisition

During the three months ended September 30, 2008, we acquired all membership interests in a limited liability company that conducts hospice operations in the State of New Jersey.  Its results of operations are included in the accompanying consolidated income statements as of September 1, 2008.  Pro forma information, as required by Statement of Financial Accounting Standards No. 141, Business Combinations, related to this acquisition is not provided because the impact on our consolidated results of operations is not significant.  The $7.7 million purchase price was funded through cash on-hand at the time of acquisition and allocated preliminarily to the following fair values of assets acquired and liabilities assumed at the date of acquisition (in thousands):

Net working capital
695
 
Property and equipment
 
7
 
Identifiable intangible assets
 
228
 
Goodwill
 
6,835
 
Other long-term assets
 
7
 
Total assets acquired
 
7,772
 
       
Debt assumed
 
(92
)
       
Net assets acquired
7,680
 

(b)  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 and 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.

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.  At present, the investigation appears to be focused on care
 
18

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)


provided at one center, but it has not been concluded.  We continue to cooperate with the Attorney General’s office.  At this time we are unable to predict the outcome of the investigation.
 
(c)  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.

(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 September 30, 2008, we operated 208 long-term care centers (consisting of 185 skilled nursing centers, 15 assisted living and independent living centers and eight mental health centers) in 25 states with 23,429 licensed beds as compared with 213 long-term care centers (consisting of 190 skilled nursing centers, 15 assisted living and independent living centers, and eight mental health centers) with 24,002 licensed beds at September 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 September 30, 2008, this segment provided services in 33 states to 441 centers, of which 325 were nonaffiliated and 116 were affiliated, as compared to 412 centers, of which 309 were nonaffiliated and 103 were affiliated at September 30, 2007.

Medical Staffing Services: As of September 30, 2008, this segment provided services in 36 states and derived 63.0% of its revenues from hospitals and other providers, 24.4% from skilled nursing centers, 8.0% from schools and 4.6% 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 September 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 (net segment income). 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.
 
19

 
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
                                   
September 30, 2008
                                   
         
Rehabilitation
   
Medical
                   
   
Inpatient
   
Therapy
   
Staffing
         
Intersegment
       
   
Services
   
Services
   
Services
   
Corporate
   
Eliminations
   
Consolidated
 
                                     
Revenues from external customers
$
404,701
 
$
22,756
 
$
29,256
 
$
9
 
$
-
 
$
456,722
 
                                     
Intersegment revenues
 
-
   
15,562
   
827
   
-
   
(16,389
)
 
-
 
                                     
Total revenues
 
404,701
   
38,318
   
30,083
   
9
   
(16,389
)
 
456,722
 
                                     
Operating salaries and benefits
 
206,772
   
31,953
   
21,084
   
-
   
-
   
259,809
 
                                     
Self-insurance for workers’
                                   
compensation and general and
                                   
professional liability insurance
 
13,455
   
528
   
389
   
208
   
-
   
14,580
 
                                     
Other operating costs
 
104,354
   
2,067
   
4,864
   
(3
)
 
(16,389
)
 
94,893
 
                                     
General and administrative expenses
 
10,231
   
1,747
   
814
   
13,832
   
-
   
26,624
 
                                     
Provision (adjustment) for losses on
                                   
accounts receivable
 
3,316
   
(8
)
 
(2
)
 
-
   
-
   
3,306
 
                                     
Segment operating income (loss)
$
66,573
 
$
2,031
 
$
2,934
 
$
(14,028
)
$
-
 
$
57,510
 
                                     
Center rent expense
 
18,207
   
100
   
244
   
-
   
-
   
18,551
 
                                     
Depreciation and amortization
 
8,989
   
138
   
216
   
831
   
-
   
10,174
 
                                     
Interest, net
 
3,548
   
-
   
(5
)
 
9,527
   
-
   
13,070
 
                                     
Net segment income (loss)
$
35,829
 
$
1,793
 
$
2,479
 
$
(24,386
)
$
-
 
$
15,715
 
                                     
                                     
Identifiable segment assets
$
1,130,973
 
$
12,952
 
$
29,237
 
$
748,739
 
$
(528,457
)
$
1,393,444
 
                                     
Goodwill
$
326,579
 
$
-
 
$
4,533
 
$
-
 
$
-
 
$
331,112
 
                                     
Segment capital expenditures
$
11,877
 
$
72
 
$
51
 
  $
381
 
$
-
 
$
12,381
 
______________________________________

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 before 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
                                   
Three Months Ended
                                   
September 30, 2007
                                   
         
Rehabilitation
   
Medical
                   
   
Inpatient
   
Therapy
   
Staffing
         
Intersegment
       
   
Services
   
Services
   
Services
   
Corporate
   
Eliminations
   
Consolidated
 
                                     
Revenues from external customers
$
384,763
 
$
20,579
 
$
27,197
 
$
34
 
$
-
 
$
432,573
 
                                     
Intersegment revenues
 
-
   
11,300
   
1,084
   
-
   
(12,384
)
 
-
 
                                     
Total revenues
 
384,763
   
31,879
   
28,281
   
34
   
(12,384
)
 
432,573
 
                                     
Operating salaries and benefits
 
198,102
   
26,801
   
21,729
   
-
   
-
   
246,632
 
                                     
Self-insurance for workers’
                                   
compensation and general and
                                   
professional liability insurance
 
14,635
   
461
   
417
   
133
   
-
   
15,646
 
                                     
Other operating costs
 
97,002
   
1,435
   
2,955
   
1
   
(12,384
)
 
89,009
 
                                     
General and administrative expenses
 
8,603
   
1,172
   
432
   
16,878
   
-
   
27,085
 
                                     
Provision for losses on
accounts receivable
 
3,181
   
130
   
17
   
-
   
-
   
3,328
 
                                     
Segment operating income (loss)
$
63,240
 
$
1,880
 
$
2,731
 
$
(16,978
)
$
-
 
$
50,873
 
                                     
Center rent expense
 
18,277
   
51
   
224
   
-
   
-
   
18,552
 
                                     
Depreciation and amortization
 
8,839
   
132
   
189
   
801
   
-
   
9,961
 
                                     
Interest, net
 
3,144
   
-
   
(1
)
 
11,698
   
-
   
14,841
 
                                     
Net segment income (loss)
$
32,980
 
$
1,697
 
$
2,319
 
$
(29,477
)
$
-
 
$
7,519
 
                                     
                                     
Identifiable segment assets
$
841,986
 
$
13,168
 
$
37,104
 
$
958,928
 
$
(570,773
)
$
1,280,413
 
                                     
Goodwill
$
220,753
 
$
-
 
$
5,011
 
$
-
 
$
-
 
$
225,764
 
                                     
Segment capital expenditures
$
10,232
 
$
116
 
$
143
 
$
671
 
$
-
 
$
11,162
 

______________________________________

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 before 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
                                   
Nine Months Ended
                                   
September 30, 2008
                                   
         
Rehabilitation
   
Medical
                   
   
Inpatient
   
Therapy
   
Staffing
         
Intersegment
       
   
Services
   
Services
   
Services
   
Corporate
   
Eliminations
   
Consolidated
 
                                     
Revenues from external customers
$
1,204,973
 
$
65,607
 
$
89,020
 
$
29
 
$
-
 
$
1,359,629
 
                                     
Intersegment revenues
 
-
   
44,314
   
2,155
   
-
   
(46,469
)
 
-
 
                                     
Total revenues
 
1,204,973
   
109,921
   
91,175
   
29
   
(46,469
)
 
1,359,629
 
                                     
Operating salaries and benefits
 
611,068
   
90,726
   
65,789
   
-
   
-
   
767,583
 
                                     
Self-insurance for workers’
                                   
compensation and general and
                                   
professional liability insurance
 
37,995
   
1,582
   
1,132
   
437
   
-
   
41,146
 
                                     
Other operating costs
 
308,662
   
5,326
   
12,996
   
(2
)
 
(46,469
)
 
280,513
 
                                     
General and administrative expenses
 
30,120
   
4,879
   
2,672
   
46,529
   
-
   
84,200
 
                                     
Provision for losses on
                                   
accounts receivable
 
8,887
   
245
   
391
   
-
   
-
   
9,523
 
                                     
Segment operating income (loss)
$
208,241
 
$
7,163
 
$
8,195
 
$
(46,935
)
$
-
 
$
176,664
 
                                     
Center rent expense
 
54,704
   
285
   
732
   
-
   
-
   
55,721
 
                                     
Depreciation and amortization
 
26,334
   
396
   
611
   
2,235
   
-
   
29,576
 
                                     
Interest, net
 
10,130
   
(1
)
 
(14
)
 
31,029
   
-
   
41,144
 
                                     
Net segment income (loss)
$
117,073
 
$
6,483
 
$
6,866
 
$
(80,199
)
$
-
 
$
50,223
 
                                     
                                     
Identifiable segment assets
$
1,130,973
 
$
12,952
 
$
29,237
 
$
748,739
 
$
(528,457
)
$
1,393,444
 
                                     
Goodwill
$
326,579
 
$
-
 
$
4,533
 
$
-
 
$
-
 
$
331,112
 
                                     
Segment capital expenditures
$
26,355
 
$
171
 
$
161
 
$
1,756
 
$
-
 
$
28,443
 
______________________________________

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 before 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)


As of and for the
                                   
Nine Months Ended
                                   
September 30, 2007
                                   
         
Rehabilitation
   
Medical
                   
   
Inpatient
   
Therapy
   
Staffing
         
Intersegment
       
   
Services
   
Services
   
Services
   
Corporate
   
Eliminations
   
Consolidated
 
                                     
Revenues from external customers
$
976,928
 
$
62,048
 
$
78,962
 
$
68
 
$
-
 
$
1,118,006
 
                                     
Intersegment revenues
 
-
   
31,894
   
2,472
   
-
   
(34,366
)
 
-
 
                                     
Total revenues
 
976,928
   
93,942
   
81,434
   
68
   
(34,366
)
 
1,118,006
 
                                     
Operating salaries and benefits
 
496,075
   
78,222
   
63,394
   
-
   
-
   
637,691
 
                                     
Self-insurance for workers’
                                   
compensation and general and
                                   
professional liability insurance
 
30,589
   
1,303
   
1,173
   
349
   
-
   
33,414
 
                                     
Other operating costs
 
250,567
   
4,837
   
7,379
   
19
   
(34,366
)
 
228,436
 
                                     
General and administrative expenses
 
22,423
   
3,674
   
2,252
   
47,011
   
-
   
75,360
 
                                     
Provision (adjustment) for losses on
                                   
accounts receivable
 
8,609
   
(45
)
 
228
   
-
   
-
   
8,792
 
                                     
Segment operating income (loss)
$
168,665
 
$
5,951
 
$
7,008
 
$
(47,311
)
$
-
 
$
134,313
 
                                     
Center rent expense
 
51,639
   
154
   
653
   
-
   
-
   
52,446
 
                                     
Depreciation and amortization
 
20,535
   
382
   
553
   
1,969
   
-
   
23,439
 
                                     
Interest, net
 
8,088
   
10
   
13
   
20,758
   
-
   
28,869
 
                                     
Net segment income (loss)
$
88,403
 
$
5,405
 
$
5,789
 
$
(70,038
)
$
-
 
$
29,559
 
                                     
                                     
Identifiable segment assets
$
841,986
 
$
13,168
 
$
37,104
 
$
958,928
 
$
(570,773
)
$
1,280,413
 
                                     
Goodwill
$
220,753
 
$
-
 
$
5,011
 
$
-
 
$
-
 
$
225,764
 
                                     
Segment capital expenditures
$
18,267
 
$
1,260
 
$
305
 
$
2,999
 
$
-
 
$
22,831
 
______________________________________

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 before gain (loss) on sale of assets, net, income tax expense and discontinued operations.


 
23

 
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
 
   
September 30,
 
   
2008
   
2007
 
             
Net segment income
$
15,715
 
$
7,519
 
Loss on sale of assets
 
-
   
(12
)
Consolidated income before income taxes and
           
discontinued operations
$
15,715
 
$
7,507
 

   
For the Nine Months Ended
 
   
September 30,
 
   
2008
   
2007
 
             
Net segment income
$
50,223
 
$
29,559
 
Gain (loss) on sale of assets
 
77
   
(22
)
Consolidated income before income taxes and
           
discontinued operations
$
50,300
 
$
29,537
 


(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:



 
24

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING BALANCE SHEETS

As of September 30, 2008
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Current assets:
                             
Cash and cash equivalents
$
58,529
 
$
19,574
 
$
2,330
 
$
-
 
$
80,433
 
Restricted cash
 
24,601
   
5,136
   
3,727
   
-
   
33,464
 
Accounts receivable, net
 
-
   
194,308
   
2,942
   
(29
)
 
197,221
 
Prepaid expenses and other assets
 
7,740
   
14,973
   
658
   
(1,176
)
 
22,195
 
Assets held for sale
 
943
   
2,698
   
10
   
-
   
3,651
 
Deferred tax assets
 
-
   
37,474
   
1,302
   
(7,389
)
 
31,387
 
Total current assets
 
91,813
   
274,163
   
10,969
   
(8,594
)
 
368,351
 
Property and equipment, net
 
8,474
   
520,181
   
68,718
   
-
   
597,373
 
Intangible assets, net
 
38,327
   
13,159
   
1,413
   
-
   
52,899
 
Goodwill
 
-
   
324,277
   
6,835
   
-
   
331,112
 
Restricted cash, non-current
 
2,953
   
335
   
-
   
-
   
3,288
 
Deferred tax assets
 
9,919
   
45,928
   
-
   
(13,535
)
 
42,312
 
Other assets
 
1,420
   
4,707
   
-
   
(8
)
 
6,119
 
Intercompany balances
 
484,641
   
-
   
4,789
   
(489,430
)
 
-
 
Investment in subsidiaries
 
301,291
   
-
   
-
   
(301,291
)
 
-
 
Total assets
$
938,838
 
$
1,182,750
 
$
92,724
 
$
(812,858
)
$
1,401,454
 
                               
Current liabilities:
                             
Accounts payable
$
9,485
 
$
38,150
 
$
851
 
$
(29
)
$
48,457
 
Accrued compensation and benefits                             
 
7,890
   
53,028
   
914
   
-
   
61,832
 
Accrued self-insurance obligations, current portion
 
3,838
   
37,884
   
1,140
   
-
   
42,862
 
Income taxes payable
 
2,782
   
-
   
-
   
-
   
2,782
 
Other accrued liabilities
 
11,538
   
51,750
   
3,867
   
(1,176
)
 
65,979
 
Current portion of long-term debt and capital lease obligations
4,402
   
6,486
   
1,200
   
-
   
12,088
 
Deferred tax liabilities               
 
7,389
   
-
   
-
   
(7,389
)
 
-
 
Total current liabilities
 
47,324
   
187,298
   
7,972
   
(8,594
)
 
234,000
 
Accrued self-insurance obligations, net of current portion
 
41,711
   
66,669
   
429
   
-
   
108,809
 
Long-term debt and capital lease obligations, net of current portion
 
550,192
   
101,017
   
64,714
   
-
   
715,923
 
Unfavorable lease obligations, net
 
-
   
16,372
   
-
   
-
   
16,372
 
Deferred tax liabilities
 
-
   
-
   
13,535
   
(13,535
)
 
-
 
Intercompany balances
 
-
   
489,438
   
-
   
(489,438
)
 
-
 
Other long-term liabilities
 
21,048
   
25,450
   
-
   
-
   
46,498
 
Total liabilities                                  
 
660,275
   
886,244
   
86,650
   
(511,567
)
 
1,121,602
 
                               
Minority interest
 
-
   
1,289
   
-
   
-
   
1,289
 
                               
Stockholders’ equity:
                             
Common stock
 
435
   
-
   
-
   
-
   
435
 
Additional paid-in capital
 
605,966
   
-
   
-
   
-
   
605,966
 
Accumulated deficit
 
(325,104
)
 
295,217
   
6,074
   
(301,291
)
 
(325,104
)
Accumulated other comprehensive loss, net
 
(2,734
)
 
-
   
-
   
-
   
(2,734
)
Total stockholders’ equity
 
278,563
   
295,217
   
6,074
   
(301,291
)
 
278,563
 
Total liabilities and stockholders’ equity
$
938,838
 
$
1,182,750
 
$
92,724
 
$
(812,858
)
$
1,401,454
 


 
25

 
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
 


 
26

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING INCOME STATEMENTS

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

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Total net revenues
$
9
 
$
465,622
 
$
7,480
 
$
(16,389
)
$
456,722
 
Costs and expenses:
                             
Operating salaries and benefits
 
-
   
256,463
   
3,346
   
-
   
259,809
 
Self-insurance for workers’ compensation and
                             
general and professional liability insurance
 
208
   
14,199
   
173
   
-
   
14,580
 
General and administrative expenses (1)
 
13,832
   
12,792
   
-
   
-
   
26,624
 
Other operating costs
 
2
   
109,731
   
1,549
   
(16,389
)
 
94,893
 
Center rent expense
 
-
   
18,376
   
175
   
-
   
18,551
 
Depreciation and amortization
 
831
   
8,778
   
565
   
-
   
10,174
 
Provision for losses on accounts receivable
 
-
   
3,146
   
160
   
-
   
3,306
 
Interest, net
 
9,527
   
2,315
   
1,228
   
-
   
13,070
 
Gain on sale of assets
 
-
   
-
   
-
   
-
   
-
 
Income from investment in subsidiaries
 
(23,238
)
 
-
   
-
   
23,238
   
-
 
Total costs and expenses
 
1,162
   
425,800
   
7,196
   
6,849
   
441,007
 
                               
(Loss) income before income taxes and
                             
discontinued operations
 
(1,153
)
 
39,822
   
284
   
(23,238
)
 
15,715
 
Income tax (benefit) expense
 
(9,757
)
 
15,929
   
114
   
-
   
6,286
 
Income from continuing operations
 
8,604
   
23,893
   
170
   
(23,238
)
 
9,429
 
                               
Discontinued operations:
                             
(Loss) income from discontinued operations, net
 
-
   
(273
)
 
102
   
-
   
(171
)
(Loss) gain on disposal of discontinued
                             
operations, net
 
-
   
(1,085
)
 
431
   
-
   
(654
)
(Loss) income on discontinued operations, net
 
-
   
(1,358
)
 
533
   
-
   
(825
)
                               
Net income
$
8,604
 
$
22,535
 
$
703
 
$
(23,238
)
$
8,604
 

    (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 Three Months Ended September 30, 2007
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Total net revenues
$
35
 
$
437,974
 
$
6,948
 
$
(12,384
)
$
432,573
 
Costs and expenses:
                             
Operating salaries and benefits
 
-
   
243,857
   
2,775
   
-
   
246,632
 
Self-insurance for workers’ compensation and
                             
general and professional liability insurance
 
134
   
15,347
   
165
   
-
   
15,646
 
General and administrative expenses (1)
 
15,172
   
11,908
   
5
   
-
   
27,085
 
Other operating costs
 
-
   
100,182
   
1,211
   
(12,384
)
 
89,009
 
Center rent expense
 
-
   
18,390
   
162
   
-
   
18,552
 
Depreciation and amortization
 
801
   
8,798
   
362
   
-
   
9,961
 
Provision for losses on accounts receivable
 
-
   
3,152
   
176
   
-
   
3,328
 
Interest, net
 
11,698
   
1,890
   
1,253
   
-
   
14,841
 
Loss on sale of assets
 
-
   
12
   
-
   
-
   
12
 
Income from investment in subsidiaries
 
(35,591
)
 
-
   
-
   
35,591
   
-
 
Total costs and expenses
 
(7,786
)
 
403,536
   
6,109
   
23,207
   
425,066
 
                               
Income before income taxes and
                             
discontinued operations
 
7,821
   
34,438
   
839
   
(35,591
)
 
7,507
 
Income tax expense
 
2,627
   
-
   
-
   
-
   
2,627
 
Income from continuing operations
 
5,194
   
34,438
   
839
   
(35,591
)
 
4,880
 
                               
Discontinued operations:
                             
(Loss) income from discontinued operations, net
 
-
   
(4
)
 
(309
)
 
-
   
(313
)
Gain (loss) on disposal of discontinued
                             
operations, net
 
2
   
(4
)
 
631
   
-
   
629
 
Income (loss) on discontinued operations, net
 
2
   
(8
)
 
322
   
-
   
316
 
                               
Net income
$
5,196
 
$
34,430
 
$
1,161
 
$
(35,591
)
$
5,196
 

(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 Nine Months Ended September 30, 2008
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Total net revenues
$
29
 
$
1,384,590
 
$
21,479
 
$
(46,469
)
$
1,359,629
 
Costs and expenses:
                             
Operating salaries and benefits
 
-
   
758,266
   
9,317
   
-
   
767,583
 
Self-insurance for workers’ compensation and
                             
general and professional liability insurance
 
437
   
40,215
   
494
   
-
   
41,146
 
General and administrative expenses (1)
 
46,006
   
38,194
   
-
   
-
   
84,200
 
Other operating costs
 
2
   
322,448
   
4,532
   
(46,469
)
 
280,513
 
Center rent expense
 
-
   
55,217
   
504
   
-
   
55,721
 
Depreciation and amortization
 
2,235
   
25,653
   
1,688
   
-
   
29,576
 
Provision for losses on accounts receivable
 
-
   
9,199
   
324
   
-
   
9,523
 
Interest, net
 
31,029
   
6,576
   
3,539
   
-
   
41,144
 
Gain on sale of assets
 
(77
)
       
-
   
-
   
(77
)
Income from investment in subsidiaries
 
(74,628
)
 
-
   
-
   
74,628
   
-
 
Total costs and expenses
 
5,004
   
1,255,768
   
20,398
   
28,159
   
1,309,329
 
                               
(Loss) income before income taxes and
                             
discontinued operations
 
(4,975
)
 
128,822
   
1,081
   
(74,628
)
 
50,300
 
Income tax (benefit) expense
 
(31,842
)
 
51,529
   
432
   
-
   
20,119
 
Income from continuing operations
 
26,867
   
77,293
   
649
   
(74,628
)
 
30,181
 
                               
Discontinued operations:
                             
(Loss) income from discontinued operations, net
 
(1
)
 
(1,905
)
 
1,114
   
-
   
(792
)
(Loss) gain on disposal of discontinued
                             
operations, net
 
-
   
(4,100
)
 
1,577
   
-
   
(2,523
)
(Loss) income on discontinued operations, net
 
(1
)
 
(6,005
)
 
2,691
   
-
   
(3,315
)
                               
Net income
$
26,866
 
$
71,288
 
$
3,340
 
$
(74,628
)
$
26,866
 

    (1) Includes operating administrative expenses

 
29

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)


CONDENSED CONSOLIDATING INCOME STATEMENTS

For the Nine Months Ended September 30, 2007
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Total net revenues
$
68
 
$
1,135,518
 
$
16,786
 
$
(34,366
)
$
1,118,006
 
Costs and expenses:
                             
Operating salaries and benefits
 
-
   
631,094
   
6,597
   
-
   
637,691
 
Self-insurance for workers’ compensation and
                             
general and professional liability insurance
 
348
   
32,647
   
419
   
-
   
33,414
 
General and administrative expenses (1)
 
44,126
   
31,220
   
14
   
-
   
75,360
 
Other operating costs
 
16
   
259,723
   
3,063
   
(34,366
)
 
228,436
 
Center rent expense
 
-
   
52,087
   
359
   
-
   
52,446
 
Depreciation and amortization
 
1,969
   
20,633
   
837
   
-
   
23,439
 
Provision for losses on accounts receivable
 
-
   
8,555
   
237
   
-
   
8,792
 
Interest, net
 
20,766
   
4,853
   
3,250
   
-
   
28,869
 
Loss on sale of assets
 
-
   
22
   
-
   
-
   
22
 
Income from investment in subsidiaries
 
(99,651
)
 
-
   
-
   
99,651
   
-
 
Total costs and expenses
 
(32,426
)
 
1,040,834
   
14,776
   
65,285
   
1,088,469
 
                               
Income before income taxes and
                             
discontinued operations
 
32,494
   
94,684
   
2,010
   
(99,651
)
 
29,537
 
Income tax expense
 
10,339
   
-
   
-
   
-
   
10,339
 
Income from continuing operations
 
22,155
   
94,684
   
2,010
   
(99,651
)
 
19,198
 
                               
Discontinued operations:
                             
Income (loss) from discontinued operations, net
 
1
   
3,436
   
(1,103
)
 
-
   
2,334
 
(Loss) gain on disposal of discontinued
                             
operations, net
 
2
   
(629
)
 
1,253
   
-
   
626
 
Income (loss) on discontinued operations, net
 
3
   
2,808
   
150
   
-
   
2,960
 
                               
Net income
$
22,158
 
$
97,491
 
$
2,160
 
$
(99,651
)
$
22,158
 

(1)   Includes operating administrative expenses


 
30

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

(UNAUDITED)



CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

For the Nine Months Ended September 30, 2008
(in thousands)

         
Combined
   
Combined
             
   
Parent
   
Guarantor
   
Non-Guarantor
             
   
Company
   
Subsidiaries
   
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Net cash provided by operating activities
$
17,009
 
$
42,166
 
$
1,560
 
$
-
 
$
60,735
 
                               
Cash flows from investing activities:
                             
Capital expenditures
 
(1,755
)
 
(26,624
)
 
(153
)
 
-
   
(28,532
)
Purchase of leased real estate
 
-
   
(8,956
)
 
-
   
-
   
(8,956
)
Proceeds from sale of assets held for sale
 
13,617
   
180
   
-
   
-
   
13,797
 
Acquisitions
 
-
   
(7,373
)
 
-
   
-
   
(7,373
)
Net cash provided by (used for) investing activities
 
11,862
   
(42,773
)
 
(153
)
 
-
   
(31,064
)
                               
Cash flows from financing activities:
                             
Long-term debt borrowings
 
-
   
20,290
   
-
   
-
   
20,290
 
Long-term debt repayments
 
(2,911
)
 
(23,656
)
 
(853
)
 
-
   
(27,420
)
Proceeds from issuance of common stock
 
2,348
   
-
   
-
   
-
   
2,348
 
Distribution of partnership equity
 
-
   
-
   
(288
)
 
-
   
(288
)
Net cash used for financing activities
 
(563
)
 
(3,366
)
 
(1,141
)
 
-
   
(5,070
)
Net increase (decrease) in cash and cash equivalents
 
28,308
   
(3,973
)
 
266
   
-
   
24,601
 
Cash and cash equivalents at beginning of period
 
30,221
   
23,547
   
2,064
   
-
   
55,832
 
Cash and cash equivalents at end of period
$
58,529
 
$
19,574
 
$
2,330
 
$
-
 
$
80,433
 




For the Nine Months Ended September 30, 2007
(in thousands)

   
Parent
Company
   
Combined
Guarantor
Subsidiaries
   
Combined
Non-Guarantor
Subsidiaries
   
Elimination
   
Consolidated
 
                               
Net cash provided by (used for) operating activities
$
2,233
 
$
80,695
 
$
(4,931
)
$
-
 
$
77,997
 
                               
Cash flows from investing activities:
                             
      Capital expenditures
 
(2,862
)
 
(20,061
)
 
(404
)
 
-
   
(23,327
)
      Purchase of leased real estate
 
-
   
(33,220
)
 
-
   
-
   
(33,220
)
      Proceeds from sale of assets held for sale
 
2,251
   
3,238
   
500
   
-
   
5,989
 
      Acquisitions, net
 
(361,083
)
 
-
   
-
   
-
   
(361,083
)
      Accrued acquisition costs, net
 
3,585
   
-
   
-
   
-
   
3,585
 
Net cash (used for) provided by investing activities
 
(358,109
)
 
(50,043
)
 
96
   
-
   
(408,056
)
                               
Cash flows from financing activities:
                             
      Net borrowings under Revolving Credit Facility
 
(9,994
)
 
-
   
-
   
-
   
(9,994
)
      Long-term debt borrowings
 
304,142
   
10,404
   
12,454
   
-
   
327,000
 
      Long-term debt repayments
 
(6,719
)
 
(28,587
)
 
(6,331
)
 
-
   
(41,637
)
      Proceeds from issuance of common stock
 
781
   
-
         
-
   
781
 
      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
 
295,805
   
(18,183
)
 
5,555
   
-
   
283,177
 
Net (decrease) increase in cash and cash equivalents
 
(60,071
)
 
12,469
   
720
   
-
   
(46,882
)
Cash and cash equivalents at beginning of period
 
119,810
   
11,337
   
788
   
-
   
131,935
 
Cash and cash equivalents at end of period
$
59,739
 
$
23,806
 
$
1,508
 
$
-
 
$
85,053
 


 
31

 
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 185 skilled nursing centers, 15 assisted and independent living centers and eight mental health centers with 23,429 licensed beds located in 25 states as of September 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, and pressures on state budgets resulting from the worsening economic conditions in the United States may intensify these efforts. 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 is in thousands and includes revenues for acquired centers following the date of acquisition only):

   
For the
   
For the
 
   
Three Months Ended
   
Nine Months Ended
 
Sources of Revenues
 
September 30, 2008
   
September 30, 2007
   
September 30, 2008
   
September 30, 2007
 
                                         
Consolidated:
                                       
Medicaid
$
184,771
 
40.5
%
$
184,545
 
42.7
%
$
543,464
 
40.0
%
$
461,385
 
41.3
%
Medicare
 
128,154
 
28.1
   
113,013
 
26.1
   
386,893
 
28.5
   
296,363
 
26.5
 
Managed care and
commercial insurance
22,173
 
4.9
   
16,898
 
3.9
   
68,037
 
5.0
   
41,318
 
3.7
 
Private pay and other
 
121,624
 
26.5
   
118,117
 
27.3
   
361,235
 
26.5
   
318,940
 
28.5
 
Total
$
456,722
 
100.0
%
$
432,573
 
100.0
%
$
1,359,629
 
100.0
%
$
1,118,006
 
100.0
%
                                         
Inpatient Only:
                                       
Medicaid
$
184,715
 
45.6
%
$
184,523
 
48.0
%
$
543,347
 
45.1
%
$
461,289
 
47.2
%
Medicare
 
124,976
 
30.9
   
110,757
 
28.8
   
378,191
 
31.4
   
290,336
 
29.7
 
Managed care and
commercial insurance
22,044
 
5.4
   
16,743
 
4.4
   
67,611
 
5.6
   
40,983
 
4.2
 
Private pay and other
 
72,966
 
18.1
   
72,740
 
18.8
   
215,824
 
17.9
   
184,320
 
18.9
 
Total
$
404,701
 
100.0
%
$
384,763
 
100.0
%
$
1,204,973
 
100.0
%
$
976,928
 
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 who have end-stage renal disease. Medicare is comprised of four related health insurance programs.  Medicare Part A provides for inpatient services including
 
32

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
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.
 
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
   
Nine Months Ended
 
 
September 30, 2008
   
September 30, 2007
   
September 30, 2008
   
September 30, 2007
 
$
423.30
 
$
392.47
 
$
417.14
 
$
383.31
 

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
   
Nine Months Ended
 
 
September 30, 2008
   
September 30, 2007
   
September 30, 2008
   
September 30, 2007
 
$
168.64
 
$
164.28
 
$
167.51
 
$
159.29
 

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.

 
 
33

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

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.

Managed Care, Commercial Insurance and Private Payors

During the three months ended September 30, 2008, we received 31.4% 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”).  We adopted SFAS No. 157 as of January 1, 2008.  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 nine months ended September 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.

On October 10, 2008, the FASB issued FASB Staff Position FAS No. 157-3, Fair Value Measurements (“FSP FAS 157-3”), which clarifies the application of Statement of Financial Accounting Standards No. 157, Fair Value Measurements (“SFAS No. 157”), in an inactive market and provides an example to demonstrate how the fair value of a financial asset is determined when the market for that financial asset is inactive. FSP FAS 157-3 was effective upon issuance, including prior periods for which financial statements had not been issued. The adoption of this standard as of September 30, 2008 did not have a material impact on our results of operations, cash flows or financial positions.

In April 2008, the FASB issued FASB Staff Position FAS No. 142-3, Determination of the Useful Life of Intangible Assets (“FSP FAS 142-3”). This pronouncement amends Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets (“SFAS No. 142”), regarding the factors that should be considered in developing the useful lives for intangible assets with renewal or extension provisions. FSP FAS 142-3 requires an entity to consider its own
 
34

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
historical experience in renewing or extending similar arrangements, regardless of whether those arrangements have explicit renewal or extension provisions, when determining the useful life of an intangible asset. In the absence of such experience, an entity shall consider the assumptions that market participants would use about renewal or extension, adjusted for entity-specific factors. FSP FAS 142-3 also requires an entity to disclose information regarding the extent to which the expected future cash flows associated with an intangible asset are affected by the entity’s intent and/or ability to renew or extend the arrangement. FSP FAS 142-3 will be effective for qualifying intangible assets acquired on or after January 1, 2009. The application of FSP FAS 142-3 is not expected to have a material impact on our results of operations, cash flows or financial positions; however, it could impact future transactions.  


 
35

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Results of Operations

The following table sets forth our unaudited 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
           
   
September 30, 2008
 
September 30, 2007
 
September 30, 2008
   
September 30, 2007
 
                       
Total net revenues
$
456,722
 
$
432,573
 
100.0
%
 
100.0
%
Costs and expenses:
                     
Operating salaries and benefits
 
259,809
   
246,632
 
56.9
   
57.0
 
Self-insurance for workers’ compensation and general
                   
and professional liabilities
 
14,580
   
15,646
 
3.2
   
3.6
 
Other operating costs
 
107,685
   
99,217
 
23.6
   
23.0
 
Center rent expense
 
18,551
   
18,552
 
4.1
   
4.3
 
General and administrative expenses
 
13,832
   
16,877
 
3.0
   
3.9
 
Depreciation and amortization
 
10,174
   
9,961
 
2.2
   
2.3
 
Provision for losses on accounts receivable
 
3,306
   
3,328
 
0.7
   
0.8
 
Interest, net
 
13,070
   
14,841
 
2.9
   
3.4
 
Other (income) expenses
 
-
   
12
 
-
   
-
 
Income before income taxes and discontinued
                     
operations
 
15,715
   
7,507
 
3.4
   
1.7
 
Income tax expense
 
6,286
   
2,627
 
1.4
   
0.6
 
Income from continuing operations
 
9,429
   
4,880
 
2.0
   
1.1
 
(Loss) income from discontinued operations, net
 
(825
)
 
316
 
(0.1
)
 
0.1
 
Net income
$
8,604
 
$
5,196
 
1.9
%
 
1.2
%

   
For the Nine
   
For the Nine
 
As a Percentage of Net Revenues
 
   
Months Ended
   
Months Ended
           
   
September 30, 2008
 
September 30, 2007
 
September 30, 2008
   
September 30, 2007
 
                       
Total net revenues
$
1,359,629
 
$
1,118,006
 
100.0
%
 
100.0
%
Costs and expenses:
                     
Operating salaries and benefits
 
767,583
   
637,691
 
56.5
   
57.1
 
Self-insurance for workers’ compensation and general
                   
and professional liabilities
 
41,146
   
33,414
 
3.0
   
3.0
 
Other operating costs
 
318,185
   
256,787
 
23.4
   
22.9
 
Center rent expense
 
55,721
   
52,446
 
4.1
   
4.7
 
General and administrative expenses
 
46,528
   
47,009
 
3.4
   
4.2
 
Depreciation and amortization
 
29,576
   
23,439
 
2.2
   
2.1
 
Provision for losses on accounts receivable
 
9,523
   
8,792
 
0.7
   
0.8
 
Interest, net
 
41,144
   
28,869
 
3.0
   
2.6
 
Other (income) expenses
 
(77
)
 
22
 
-
   
-
 
Income before income taxes and discontinued
                     
operations
 
50,300
   
29,537
 
3.7
   
2.6
 
Income tax expense
 
20,119
   
10,339
 
1.5
   
0.9
 
Income from continuing operations
 
30,181
   
19,198
 
2.2
   
1.7
 
(Loss) income from discontinued operations, net
 
(3,315
)
 
2,960
 
(0.2
)
 
0.3
 
Net income
$
26,866
 
$
22,158
 
2.0
%
 
2.0
%

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


 
36

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Three Months Ended September 30, 2008 Compared to Three Months Ended September 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 $24.1 million, or 5.6%, to $456.7 million for the three months ended September 30, 2008 from $432.6 million for the three months ended September 30, 2007. We reported net income for the three months ended September 30, 2008 of $8.6 million compared to net income of $5.2 million for the three months ended September 30, 2007.

The increase in net revenue for the 2008 period included $19.9 million of additional revenue in our Inpatient Services segment due to increases in Medicare Part A rates, Medicaid rates, 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 a $1.8 million increase in 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 a $6.4 million increase in 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 $13.2 million, or 5.4%, to $259.8 million (56.9% of net revenues) for the three months ended September 30, 2008 from $246.6 million (57.0% of net revenues) for the three months ended September 30, 2007.  The increase resulted primarily from $8.7 million of wage increases in our Inpatient Services segment and a $5.2 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 decreased $1.0 million, or 6.4%, to $14.6 million (3.2% of net revenues) for the three months ended September 30, 2008 from $15.6 million (3.6% of net revenues) for the three months ended September 30, 2007 primarily due to decreased medical, legal and administrative costs associated with claims.

Other operating costs increased $8.5 million, or 8.6%, to $107.7 million (23.6% of net revenues) for the three months ended September 30, 2008 from $99.2 million (23.0% of net revenues) for the three months ended September 30, 2007.  The increase was primarily due to a $7.4 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 $1.9 million increase in our Medical Staffing segment, primarily for travel and lodging expenses.

Center rent expense remained constant for the three months ended September 30, 2008 and September 30, 2007 at $18.6 million.

General and administrative expenses decreased $3.1 million, or 18.3%, to $13.8 million (3.0% of net revenues) for the three months ended September 30, 2008 from $16.9 million (3.9% of net revenues) for the three months ended September 30, 2007.  The decrease was primarily due to cost reductions in our Corporate segment from reduced professional and consultant fees, contract labor and office lease expense.

Depreciation and amortization increased $0.2 million, or 2.0%, to $10.2 million (2.2% of net revenues) for the three months ended September 30, 2008 from $10.0 million (2.3% of net revenues) for the three months ended September 30, 2007.  The increase was attributable to the purchase of previously leased centers and property and equipment acquired during the period.

The provision for losses on accounts receivable remained constant for the three months ended September 30, 2008 and September 30, 2007 at $3.3 million.

Net interest expense decreased $1.7 million, or 11.5%, to $13.1 million (2.9% of net revenues) for the three months ended September 30, 2008 from $14.8 million (3.4% of net revenues) for the three months ended September 30, 2007 due to lower interest rates on variable rate indebtedness in the current quarter, notwithstanding an increase in aggregate indebtedness in 2008.
 
37

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Segment Information

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

   
2008
   
2007
 
                         
Inpatient Services
$
404,701
   
88.6
%
$
384,763
   
89.0
%
Rehabilitation Therapy Services
 
38,318
   
8.4
   
31,879
   
7.4
 
Medical Staffing Services
 
30,083
   
6.6
   
28,281
   
6.5
 
Corporate
 
9
   
-
   
34
   
-
 
Intersegment Eliminations
 
(16,389
)
 
(3.6
)
 
(12,384
)
 
(2.9
)
                         
Total net revenues
$
456,722
   
100.0
%
$
432,573
   
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 September 30 (in thousands):

   
2008
   
2007
 
             
Rehabilitation Therapy Services
$
15,562
 
$
11,300
 
Medical Staffing Services
 
827
   
1,084
 
Total intersegment revenue
$
16,389
 
$
12,384
 


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

   
2008
   
2007
 
             
Inpatient Services
$
35,829
 
$
32,980
 
Rehabilitation Therapy Services
 
1,793
   
1,697
 
Medical Staffing Services
 
2,479
   
2,319
 
Net segment income before Corporate
 
40,101
   
36,996
 
Corporate
 
(24,386
)
 
(29,477
)
Net segment income
$
15,715
 
$
7,519
 

Inpatient Services
 
Net revenues increased $19.9 million, or 5.2%, to $404.7 million for the three months ended September 30, 2008 from $384.8 million for the three months ended September 30, 2007.  The increase was primarily the result of:

-
an increase of $14.2 million in Medicare revenues comprised of an $8.1 million increase from an increase in Medicare Part A rates, a $3.1 million increase from a higher customer base, a $1.8 million increase in hospice revenues related to an increase in customer base and the acquisition of a hospice business, and a $1.4 million increase in Medicare Part B revenues partially offset by a $0.2 million decrease in enteral nutrition revenues;
   
-
a $5.3 million increase in managed care and commercial insurance revenues driven by a higher customer base, which contributed $3.3 million of the increase, and higher rates, which drove the remaining $2.0 million of the increase;
   
-
an increase of $4.8 million in Medicaid revenues due to improved rates; and
   
-
a $2.3 million increase in private pay revenues due to higher rates;
   

 
38

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
 
Offset in part by:
   
-
a $4.6 million decrease in Medicaid revenues due to lower customer base; and
   
-
a $2.1 million decrease in private pay revenues due to lower customer base and lower other revenues.
 
    Operating salaries and benefits expenses increased $8.7 million, or 4.4%, to $206.8 million for the three months ended September 30, 2008 from $198.1 million for the three months ended September 30, 2007.  The increase was attributable to the following:

-
wage increases and related benefits and taxes of $8.3 million; and
   
-
an increase of $1.8 million in health insurance expense;
   
 
Offset in part by:
   
-
a decrease of $0.8 million in overtime pay; and
   
-
a decrease of $0.6 million in bonus expense.

Self-insurance for workers’ compensation and general and professional liability insurance decreased $1.1 million, or 7.5%, to $13.5 million for the three months ended September 30, 2008 as compared to $14.6 million for the three months ended September 30, 2007, primarily due to decreased medical, legal and administrative costs associated with claims.

Other operating costs increased $7.4 million, or 7.6%, to $104.4 million for the three months ended September 30, 2008 from $97.0 million for the three months ended September 30, 2007.  The increase was attributable to the following:

-
a $4.1 million increase in therapy and equipment rental costs due to an increase in higher acuity patients requiring more rehabilitation therapy;
   
-
a $1.4 million increase in purchased services including repairs and maintenance and service contracts;
   
-
a $1.0 million increase in utilities expense, principally due to increases in natural gas and electricity rates;
   
-
a $0.8 million increase in supplies, due to higher costs for medical, incontinency and food supplies;
   
-
a $0.5 million increase in legal fees and civil monetary penalties;
   
-
a $0.4 million increase in dues and subscriptions and miscellaneous expenses;
   
-
a $0.3 million increase in education and training, primarily related to increased clinical training; and
   
-
a $0.2 million increase in professional and consultant fees;
   
 
Offset in part by:
   
-
a $1.0 million decrease in nursing contract labor; and
   
-
a $0.3 million increase in rebates and discounts.

General and administrative expenses increased $1.6 million, or 18.6%, to $10.2 million for the three months ended September 30, 2008 from $8.6 million for the three months ended September 30, 2007. The increase is primarily due to the salaries and benefits associated with the filling of open positions, travel and utility costs.
 
39

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
The provision for losses on accounts receivable increased $0.1 million, or 3.1%, to approximately $3.3 million for the three months ended September 30, 2008 from $3.2 million for the three months ended September 30, 2007.
 
Center rent expense of $18.2 million for the three months ended September 30, 2008 decreased $0.1 million, or 0.5%, compared to $18.3 million for the three months ended September 30, 2007.

Depreciation and amortization increased $0.2 million, or 2.3%, to $9.0 million for the three months ended September 30, 2008 from $8.8 million for the three months ended September 30, 2007. The increase was attributable to additional depreciation expense for property and equipment acquired during the period.

Net interest expense for the three months ended September 30, 2008 was $3.5 million as compared to $3.1 million for the three months ended September 30, 2007.  The increase of $0.4 million, or 12.9%, 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 $6.4 million, or 20.1%, to $38.3 million for the three months ended September 30, 2008 from $31.9 million for the three months ended September 30, 2007. The revenue increase was the result of:

-
an increase of $5.2 million attributable to a 15.8% 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 $1.2 million attributable to a 3.7% 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 $5.2 million, or 19.4%, to $32.0 million for the three months ended September 30, 2008 from $26.8 million for the three months ended September 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 $1.8 million, or 6.4%, to $30.1 million for the three months ended September 30, 2008 from $28.3 million for the three months ended September 30, 2007.  The increase was primarily the result of:

-
an increase of $0.7 million attributable to a 2.6% increase in billable hours;
   
-
an increase of $1.5 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;
   
 
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 $0.5 million related to disposed offices.

Operating salaries and benefits expenses were $21.1 million for the three months ended September 30, 2008 as compared to $21.7 million for the three months ended September 30, 2007, a decrease of $0.6 million, or 2.8%. The decrease in operating salaries and benefits resulted from a decrease in the nurse staffing business.

 
 
40

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Other operating costs increased $1.9 million, or 63.3%, to $4.9 million for the three months ended September 30, 2008 from $3.0 million for the three months ended September 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 $3.1 million, or 18.3%, to $13.8 million for the three months ended September 30, 2008 from $16.9 million for the three months ended September 30, 2007. The decrease was primarily due to cost reductions in professional and consultant fees, contract labor and office lease expense.  As a percent of consolidated revenues, general and administrative expenses were 3.0% for the three months ended September 30, 2008 compared to 3.9% for the three months ended September 30, 2007.

Interest expense

Interest expense not directly attributed to operating segments decreased $2.2 million, or 18.8%, to $9.5 million for the three months ended September 30, 2008 from $11.7 million for the three months ended September 30, 2007 due to lower interest rates on variable rate indebtedness in the current quarter, notwithstanding an increase in aggregate indebtedness in 2008.

Nine Months Ended September 30, 2008 Compared to Nine Months Ended September 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 $241.6 million, or 21.6%, to $1,359.6 million for the nine months ended September 30, 2008 from $1,118.0 million for the nine months ended September 30, 2007. We reported net income for the nine months ended September 30, 2008 of $26.9 million compared to net income of $22.2 million for the nine months ended September 30, 2007.

The increase in net revenue for the 2008 period included $228.1 million of additional revenue in our Inpatient Services segment, of which $167.0 million is attributable to our acquisition of Harborside in April 2007, with the remainder primarily due to increases in Medicare Part A rates, Medicaid rates, private pay rates, and commercial insurance revenues, partially offset by decreases due to a lower Medicaid and private pay customer base.  The remainder of the increase primarily resulted from a $9.8 million increase in 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 a $15.9 million increase in 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 $129.9 million, or 20.4%, to $767.6 million (56.5% of net revenues) for the nine months ended September 30, 2008 from $637.7 million (57.1% of net revenues) for the nine months ended September 30, 2007.  Our Inpatient Services segment contributed $115.0 million of the increase, of which $90.7 million related to the Harborside acquisition and the remainder resulted from wage and benefit increases.  We also experienced increases of $2.4 million in our Medical Staffing segment and $12.5 million in our Rehabilitation Therapy segment, in each case attributable to higher wage rates and business growth.

Self-insurance for workers’ compensation and general and professional liability insurance increased $7.7 million, or 23.1%, to $41.1 million (3.0% of net revenues) for the nine months ended September 30, 2008 from $33.4 million (3.0% of net revenues) for the nine months ended September 30, 2007.  The addition of Harborside contributed $4.7 million to the increase.  The remaining increase is primarily due to higher medical, legal and administrative costs associated with claims.

Other operating costs increased $61.4 million, or 23.9%, to $318.2 million (23.4% of net revenues) for the nine months ended September 30, 2008 from $256.8 million (22.9% of net revenues) for the nine months ended September 30, 2007.  The increase was primarily due to $39.3 million in additional costs due to the addition of Harborside’s operations and a $18.8 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

 
41

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
increased utilities expense, as well as a $5.6 million increase in our Medical Staffing segment primarily for travel and lodging expenses.

Center rent expense increased $3.3 million, or 6.3%, to $55.7 million (4.1% of net revenues) for the nine months ended September 30, 2008 from $52.4 million (4.7% of net revenues) for the nine months ended September 30, 2007, of which $4.7 million of the increase was due to the additional rent expense resulting from the Harborside acquisition partially offset by rent decreases related to conversions of leased centers to owned.

General and administrative expenses decreased $0.5 million, or 1.1%, to $46.5 million (3.4% of net revenues) for the nine months ended September 30, 2008 from $47.0 million (4.2% of net revenues) for the nine months ended September 30, 2007.  The decrease was primarily due to cost reductions in our Corporate segment from reduced professional and consultant fees, contract labor and office lease expense, partially offset by the incremental costs associated with supporting Harborside’s operations for a full nine months in 2008 versus only six months during the corresponding 2007 period.

Depreciation and amortization increased $6.2 million, or 26.5%, to $29.6 million (2.2% of net revenues) for the nine months ended September 30, 2008 from $23.4 million (2.1% of net revenues) for the nine months ended September 30, 2007.  The increase was primarily attributable to the addition of the Harborside centers and additional depreciation expense for property and equipment acquired during the period.

The provision for losses on accounts receivable increased $0.7 million, or 8.0%, to $9.5 million (0.7% of net revenues) for the nine months ended September 30, 2008 from $8.8 million (0.8% of net revenues) for the nine months ended September 30, 2007.  The increase was primarily due to the addition of Harborside’s operations offset by improved collections at existing centers.

Net interest expense increased $12.2 million, or 42.2%, to $41.1 million (3.0% of net revenues) for the nine months ended September 30, 2008 from $28.9 million (2.6% of net revenues) for the nine months ended September 30, 2007. The increase was attributable to the debt incurred and assumed in the Harborside acquisition, offset by rate decreases on variable rate debt.

Segment Information

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

   
2008
   
2007
 
                         
Inpatient Services
$
1,204,973
   
88.6
%
$
976,928
   
87.4
%
Rehabilitation Therapy Services
 
109,921
   
8.1
   
93,942
   
8.4
 
Medical Staffing Services
 
91,175
   
6.7
   
81,434
   
7.3
 
Corporate
 
29
   
-
   
68
   
-
 
Intersegment Eliminations
 
(46,469
)
 
(3.4
)
 
(34,366
)
 
(3.1
)
                         
Total net revenues
$
1,359,629
   
100.0
%
$
1,118,006
   
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 nine months ended September 30 (in thousands):

   
2008
   
2007
 
             
Rehabilitation Therapy Services
$
44,314
 
$
31,894
 
Medical Staffing Services
 
2,155
   
2,472
 
Total intersegment revenue
$
46,469
 
$
34,366
 


 
42

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

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

   
2008
   
2007
 
             
Inpatient Services
$
117,073
 
$
88,403
 
Rehabilitation Therapy Services
 
6,483
   
5,405
 
Medical Staffing Services
 
6,866
   
5,789
 
Net segment income before Corporate
 
130,422
   
99,597
 
Corporate
 
(80,199
)
 
(70,038
)
Net segment income
$
50,223
 
$
29,559
 

Inpatient Services

Net revenues increased $228.1 million, or 23.3%, to $1,205.0 million for the nine months ended September 30, 2008 from $976.9 million for the nine months ended September 30, 2007. The addition of Harborside contributed $167.0 million of the increase.  The remaining increase of $61.1 million was primarily the result of:

-
an increase of $35.2 million in Medicare revenues comprised of a $22.8 million increase in Medicare Part A rates, a $6.2 million increase from a higher customer base, a $4.0 million increase in hospice revenues related to an increase in customer base and an acquisition of a hospice business in the third quarter of 2008, a $2.0 million increase in Medicare Part B revenues and $0.2 million in enteral nutrition revenues;
   
-
a $17.3 million increase in Medicaid revenues due to higher rates;
   
-
an $17.5 million increase in managed care and commercial insurance revenues driven by a higher customer base, which contributed $12.9 million of the increase, and higher rates, which drove the remaining $4.6 million of the increase; and
   
-
a $6.1 million increase in private pay revenues driven by a improved rates;
   
 
Offset in part by:
   
-
a $13.5 million decrease in Medicaid revenues due to a lower customer base; and
   
-
a $1.5 million decrease in private pay revenues due to lower customer base.

Operating salaries and benefits expenses increased $115.0 million, or 23.2%, to $611.1 million for the nine months ended September 30, 2008 from $496.1 million for the nine months ended September 30, 2007.  The accretive impact of the Harborside operations contributed $90.7 million of the increase, with the remaining increase of $24.3 million attributable to the following:

-
wage increases and related benefits and taxes of $22.6 million; and
   
-
an increase of $3.3 million in health insurance expense;
   
 
Offset in part by:
   
-
a decrease of $1.0 million in bonus expense; and
   
-
a decrease of $0.6 million in paid time-off, including sick, vacation and holiday.

Self-insurance for workers’ compensation and general and professional liability insurance increased $7.4 million, or 24.2%, to $38.0 million for the nine months ended September 30, 2008 as compared to $30.6 million for the nine months ended September 30, 2007.  The addition of Harborside accounted for $4.7 million of the net increase for the nine months ended September 30, 2008.  The remainder of the increase is primarily due to a net increase in costs associated with workers
 
43

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
compensation and general and professional liability insurance related to increased medical, legal and administrative costs associated with claims.
 
Other operating costs increased $58.1 million, or 23.2%, to $308.7 million for the nine months ended September 30, 2008 from $250.6 million for the nine months ended September 30, 2007.  Approximately $39.3 million of this amount was due to the addition of Harborside.  The remaining increase of $18.8 million was primarily due to:

-
a $11.3 million increase in therapy and equipment rental costs due to an increase in higher acuity patients requiring more rehabilitation therapy;
   
-
a $3.0 million increase in utilities expense, principally due to increases in natural gas and electricity rates;
   
-
a $2.9 million increase in supplies, due to higher costs for medical, incontinency and food supplies;
   
-
a $2.3 million increase in education and training related to increased clinical training;
   
-
a $2.0 million increase in purchased services including repairs and maintenance and service contracts;
   
-
a $1.1 million increase in legal fees and civil monetary penalties;
   
-
a $0.6 million increase in travel and other miscellaneous expenses; and
   
-
a $0.3 million increase in license fees and bank service charges;
   
 
Offset in part by:
   
-
a $2.6 million decrease in nursing contract labor;
   
-
a $1.2 million increase in discounts and rebates; and
   
-
a $0.9 million decrease in taxes primarily related to gross receipts, provider and real estate taxes.

General and administrative expenses increased $7.7 million, or 34.4%, to $30.1 million for the nine months ended September 30, 2008 from $22.4 million for the nine months ended September 30, 2007. The addition of the Harborside operations accounted for $3.2 million of the increase with the remaining $4.5 million resulting primarily from the filling of open positions, travel and utilities.

The provision for losses on accounts receivable increased $0.3 million, or 3.5%, to approximately $8.9 million for the nine months ended September 30, 2008 from $8.6 million for the nine months ended September 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 $54.7 million for the nine months ended September 30, 2008 increased $3.1 million, or 6.0%, compared to $51.6 million for the nine months ended September 30, 2007, due to $4.7 million of rent expense associated with the acquired Harborside operations offset by $1.6 million of rent decreases related to conversions of leased centers to owned.

Depreciation and amortization increased $5.8 million, or 28.3%, to $26.3 million for the nine months ended September 30, 2008 from $20.5 million for the nine months ended September 30, 2007. The increase was primarily attributable to the addition of the Harborside centers and additional depreciation expense for property and equipment acquired during the period.

Net interest expense for the nine months ended September 30, 2008 was $10.1 million as compared to $8.1 million for the nine months ended September 30, 2007.  The increase of $2.0 million, or 24.7%, was primarily due to debt incurred and assumed in the Harborside acquisition as well as interest expense associated with debt incurred on the purchase of leased centers.
 
44

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Rehabilitation Therapy Services

Total revenues from the Rehabilitation Therapy Services segment increased $16.0 million, or 17.0%, to $109.9 million for the nine months ended September 30, 2008 from $93.9 million for the nine months ended September 30, 2007. The revenue increase was the result of:

-
an increase of $11.6 million attributable to a 11.8% 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 $4.4 million attributable to a 4.7% 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 $12.5 million, or 16.0%, to $90.7 million for the nine months ended September 30, 2008 from $78.2 million for the nine months ended September 30, 2007. The increase was primarily driven by higher wage rates coupled with the aforementioned increase in service volume.
 
Medical Staffing Services

Total revenues from the Medical Staffing Services segment increased $9.8 million, or 12.0%, to $91.2 million for the nine months ended September 30, 2008 from $81.4 million for the nine months ended September 30, 2007.  The increase was primarily the result of:

-
an increase of $5.9 million attributable to an 8.3% increase in billable hours;
   
-
an increase of $3.1 million due to an increase in temporary placement of physicians;
   
-
an increase of $1.4 million due to the addition of Harborside’s medical staffing business, and
   
-
an increase of $0.3 million due to an average bill rate per hour increase;
   
 
Offset in part by:
   
-
a decrease of $1.3 million related to disposed offices.

Operating salaries and benefits expenses were $65.8 million for the nine months ended September 30, 2008 as compared to $63.4 million for the nine months ended September 30, 2007, an increase of $2.4 million, or 3.8%. The increase in operating salaries and benefits resulted from the increase in business.

Other operating costs increased $5.6 million, or 75.7%, to $13.0 million for the nine months ended September 30, 2008 from $7.4 million for the nine months ended September 30, 2007. The increase was primarily attributable to costs paid for physicians and travel and lodging for nurses and therapists.

Corporate

General and administrative expenses not directly attributed to segments decreased $0.5 million, or 1.1%, to $46.5 million for the nine months ended September 30, 2008 from $47.0 million for the nine months ended September 30, 2007. As a percent of consolidated revenues, general and administrative expenses were 3.4% for the nine months ended September 30, 2008 compared to 4.2% for the nine months ended September 30, 2007.  The decrease was primarily due to cost reductions from reduced professional and consultant fees, contract labor and office lease expense, partially offset by the incremental costs associated with supporting Harborside’s operations for a full nine months in 2008 versus only six months during the corresponding 2007 period.


 
45

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

Interest expense

Interest expense not directly attributed to operating segments increased $10.2 million, or 49.0%, to $31.0 million for the nine months ended September 30, 2008 from $20.8 million for the nine months ended September 30, 2007. The increase in expense was due to the debt incurred and assumed in the Harborside acquisition, offset by rate decreases on variable rate debt.

Liquidity and Capital Resources

For the three and nine months ended September 30, 2008, our net income was $8.6 million and $26.9 million, respectively.  As of September 30, 2008, our working capital was $134.4 million. As of September 30, 2008, we had cash and cash equivalents of $80.4 million, $728.0 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.  Recent issues involving the stability of financial institutions generally have called into question credit availability, and under our Credit Agreement, if one lender defaults on a borrowing request, then the other lenders are not required to fund that lender’s share.  While we do not anticipate that any of our lenders will be unable to lend under our revolving credit facility if we determine to borrow funds, no assurance can be given that one or more of our lenders will be able to fulfill their commitments.  We do not depend on cash flows from discontinued operations to provide for future liquidity.

Cash Flows

During the three months ended September 30, 2008, net cash provided by operating activities increased by $4.3 million as compared to the same period last year. This increase was the result of (i) our quarter-over-quarter increase in net income of $3.4 million, (ii) our quarter-over-quarter decrease in working capital changes of $6.9 million, driven by changes in accounts receivable and accrued compensation and benefits and other accrued liabilities and (iii) a $7.7 million increase in non-cash adjustments to net income, principally related to deferred tax assets, stock based compensation expense and losses in discontinued operations.

Debt

On July 24, 2008, we entered into an interest rate swap agreement for interest rate risk management purposes.  The interest rate swap agreement effectively modifies our exposure to interest by converting a portion of our floating rate debt to a fixed rate.  This agreement involves the receipt of floating rate amounts in exchange for fixed rate interest payments over the life of the agreement without an exchange of the underlying principal amount.  The agreement is based on a notional amount of $50.0 million and has a term of two years.  Settlement occurs on a quarterly basis, which is based upon a floating rate of LIBOR and an annual fixed rate of 3.65%.

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 $12.4 million and $11.4 million for the three months ended September 30, 2008 and 2007, respectively, and of $28.5 million and $23.3 million for the nine months ended September 30, 2008 and 2007, respectively.

 
46

 
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
   
September 30,
   
December 31,
 
   
2009
   
2010
   
2011
   
2012
   
2013
   
Thereafter
   
Total
   
2008 (1)
   
2007 (1)
 
     
(Dollars in thousands)
     
Long-term debt:
                                                     
Fixed rate debt (2)
$
6,761
 
$
13,898
 
$
16,632
 
$
23,700
 
$
5,842
 
$
434,811
 
$
501,644
 
$
464,302
 
$
428,428
 
  Rate
 
7.4
%
 
8.4
%
 
8.1
%
 
6.5
%
 
8.3
%
 
8.1
%
                 
                                                       
Variable rate debt
$
6,028
 
$
2,426
 
$
26,674
 
$
1,999
 
$
1,999
 
$
187,241
 
$
226,367
 
$
215,104
 
$
248,128
 
  Rate
 
5.6
%
 
5.3
%
 
5.8
%
 
5.2
%
 
5.2
%
 
5.2
%
                 
                                                       
Interest rate swaps:
                                                     
Variable to fixed
$
150,000
 
$
150,000
   
-
   
-
   
-
   
-
       
$
(4,557
)
$
(4,005
)
Average pay rate
 
4.8
%
 
4.8
%
 
-
   
-
   
-
   
-
                   
Average receive rate
 
2.8
%
 
2.8
%
 
-
   
-
   
-
   
-
                   

(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 $48.8 million related to the consolidation of Clipper as of September 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 September 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.


 
47

 
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

PART II. OTHER INFORMATION

ITEM 6. EXHIBITS

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


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)

October 30, 2008

 
48

 

EX-31.1 2 ex31-1.htm EXHIBIT 31.1 ex31-1.htm
EXHIBIT 31.1

CERTIFICATION PURSUANT TO
SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002

I, Richard K. Matros, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Sun Healthcare Group, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

c) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.


Date: October 30, 2008
/s/ Richard K. Matros
 
Richard K. Matros
Chief Executive Officer (Principal Executive Officer)




EX-31.2 3 ex31-2.htm EXHIBIT 31.2 ex31-2.htm
EXHIBIT 31.2

CERTIFICATION PURSUANT TO
SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002

I, L. Bryan Shaul, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Sun Healthcare Group, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

c) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.


Date: October 30, 2008
/s/ L. Bryan Shaul
 
L. Bryan Shaul
Executive Vice President and Chief Financial Officer
(Principal Financial and Accounting Officer)
 


EX-32.1 4 ex32-1.htm EXHIBIT 32.1 ex32-1.htm
EXHIBIT 32.1

WRITTEN STATEMENT
 PURSUANT TO
18 U.S.C. SECTION 1350



   The undersigned, Richard K. Matros, the Chief Executive Officer (Principal Executive Officer), of Sun Healthcare Group, Inc. (the "Company"), pursuant to 18 U.S.C. Section 1350, hereby certifies that:

(i)   the Quarterly Report on Form 10-Q for the quarter ended September 30, 2008 of the Company (the "Report") fully complies with the requirements of section 13(a) and 15(d) of the Securities Exchange Act of 1934; and

(ii)   the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.


Date: October 30, 2008
/s/ Richard K. Matros
 
Richard K. Matros
 

 


EX-32.2 5 ex32-2.htm EXHIBIT 32.2 ex32-2.htm
EXHIBIT 32.2

WRITTEN STATEMENT
 PURSUANT TO
18 U.S.C. SECTION 1350



   The undersigned, L. Bryan Shaul, the Chief Financial Officer (Principal Financial Officer), of Sun Healthcare Group, Inc. (the "Company"), pursuant to 18 U.S.C. Section 1350, hereby certifies that:

(i)   the Quarterly Report on Form 10-Q for the quarter ended September 30, 2008 of the Company (the "Report") fully complies with the requirements of section 13(a) and 15(d) of the Securities Exchange Act of 1934; and

(ii)   the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.


Date: October 30, 2008
/s/ L. Bryan Shaul
 
L. Bryan Shaul
 
 


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