SB-2 1 v086248_sb2.htm
As filed with the United States Securities and Exchange Commission on August 29, 2007
 


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

FORM SB-2
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
 
Florida
Pacer Health Corporation
11-3144463
(State or Other Jurisdiction of Incorporation
or Organization)
(Name of Registrant in Our Charter)
(I.R.S. Employer Identification No.)
   
   
Rainier Gonzalez
7759 N.W. 146th Street
7389
Pacer Health Corporation
Miami Lakes, FL 33016
(Primary Standard Industrial
7759 N.W. 146th Street
(305) 828-7660
Classification Code Number)
Miami Lakes, FL 33016
(Address and telephone number of Principal
 
(305) 828-7660
Executive Offices and Principal Place of Business)
 
(Name, address and telephone number of agent for service)
 
Copies to:
Clayton E. Parker, Esq.
Kirkpatrick & Lockhart Preston Gates Ellis LLP
201 S. Biscayne Boulevard, Suite 2000
Miami, Florida 33131
(305) 539-3300
Telecopier No.: (305) 358-7095
 
Approximate date of commencement of proposed sale to the public: As soon as practicable after this registration statement becomes effective.
 
If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933 check the following box. þ
 
If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o
 
If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o
 
If delivery of the prospectus is expected to be made pursuant to Rule 434, please check the following box. o
 
CALCULATION OF REGISTRATION FEE
 
Title Of Each Class Of
Securities To Be Registered
 
Amount To Be
Registered
 
Proposed Maximum
Offering Price
Per Share (1)
 
Proposed Maximum
Aggregate
Offering
Price (2)
 
Amount Of
Registration
Fee (3)
 
Common Stock, par value $0.0001 per share
   
46,593,323
   
shares
(2)
$
0.01
 
$
465,933.23
 
$
14.30
 
TOTAL
   
46,593,323
   
shares
 
$
0.01
 
$
465,933.23
 
$
14.30
 
 
(1)
Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(c) under the Securities Act of 1933, as amended. For the purposes of this table, we have used the recent closing bid price for our common stock on August 29, 2007.
 
(2)
46,593,323 shares are being registered under the convertible debentures issued by the Company to YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.) in connection with the issuance of the convertible debentures as described herein.
 
(3)
This fee has been previously paid by the Company.
 
The Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until the Registrant shall file a further amendment which specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933, as amended or until this Registration Statement shall become effective on such date as the U.S. Securities and Exchange Commission, acting pursuant to said Section 8(a), may determine.
 


 


PROSPECTUS
 
Subject to completion, dated August 29, 2007
 
PACER HEALTH CORPORATION
 
46,593,323 Shares of Common Stock
 
This Prospectus relates to the sale of up to 46,593,323 shares of common stock of Pacer Health Corporation (“Pacer” or the “Company”). The selling shareholder is YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.) (“YA Global”), which intends to sell up to 46,593,323 shares of the Company’s common stock to be issued upon conversion of certain convertible debentures issued by the Company to YA Global. Pacer is not selling any shares of its common stock in this offering and therefore will not receive any proceeds from this offering. All costs associated with this registration will be borne by Pacer.
 
The shares of common stock are being offered for sale by the selling shareholder at prices established on the Over-the-Counter Bulletin Board during the term of this offering. On August 24, 2007, the last reported sale price of our common stock was $0.01 per share. Our common stock is quoted on the Over-the-Counter Bulletin Board under the symbol “PHLH.OB”. These prices will fluctuate based on the demand for the shares of our common stock.
 
On July 6, 2007, YA Global purchased secured convertible debentures in the aggregate principal amount of $5,500,000 pursuant to a securities purchase agreement (the “Securities Purchase Agreement”) signed by YA Global and Pacer on July 6, 2007, of which $3,500,000 of such debentures were issued on July 6, 2007, $1,500,000 have been issued on August 29, 2007 and $500,000 shall be issued to YA Global upon the effectiveness of the Registration Statement to which this Prospectus is made a part. The debentures are convertible into shares of Pacer’s common stock at a conversion price of $0.02 and accrue interest at a rate of thirteen percent (13%) per year. The debentures are secured by substantially all of the Company’s assets as well as 430,422,903 shares of Pacer common stock pledged by Rainier Gonzalez, the CEO of the Company, pursuant to that certain Insider Pledge and Escrow Agreement, dated July 6, 2007. We are registering 46,593,323 shares underlying these debentures in this offering.
 
In connection with the Securities Purchase Agreement, YA Global received a five (5) year warrant to purchase 100,000,000 shares of Pacer’s common stock at an exercise price of $0.02 per share in connection with the purchase of the convertible debentures by YA Global. YA Global also received additional warrants, with various expiration dates, to purchase 120,000,000 shares of Pacer’s common stock at exercise prices ranging from $0.02 to $0.03 per share in connection with the Securities Purchase Agreement and the issuance of the convertible debentures to YA Global on July 6, 2007. No shares underlying warrants are being registered hereunder.
 
Brokers or dealers effecting transactions in these shares should confirm that the shares are registered under the applicable state law or that an exemption from registration is available.
 
These securities are speculative and involve a high degree of risk.
 
Please refer to “Risk Factors” beginning on page 4.
 
No underwriter or person has been engaged to facilitate the sale of shares of common stock in this offering. This offering will terminate twenty-four (24) months after the accompanying Registration Statement is declared effective by the U.S. Securities and Exchange Commission (the “SEC”). None of the proceeds from the sale of stock by the selling shareholder will be placed in escrow, trust or any similar account.
 
The SEC and state securities regulators have not approved or disapproved of these securities, or determined if this Prospectus is truthful or complete. Any representation to the contrary is a criminal offense.
 
The date of this Prospectus is __________ __, 2007.
 


TABLE OF CONTENTS

PROSPECTUS SUMMARY
 
1
THE OFFERING
 
2
RISK FACTORS
 
3
FORWARD-LOOKING STATEMENTS
 
12
SELLING STOCKHOLDER
 
13
USE OF PROCEEDS
 
15
DILUTION
 
16
PLAN OF DISTRIBUTION
 
17
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS AND PLAN OF OPERATION
 
18
DESCRIPTION OF BUSINESS
 
31
MANAGEMENT
 
43
DESCRIPTION OF PROPERTY
 
49
LEGAL PROCEEDINGS
 
50
PRINCIPAL STOCKHOLDERS
 
51
CERTAIN RELATIONSHIP AND RELATED TRANSACTIONS
 
52
MARKET PRICE OF AND DIVIDENDS ON THE REGISTRANT’S COMMON EQUITY AND OTHER STOCKHOLDER MATTERS
 
53
DESCRIPTION OF SECURITIES
 
58
EXPERTS
 
60
LEGAL MATTERS
 
60
HOW TO GET MORE INFORMATION
 
60
FINANCIAL STATEMENTS
 
F-i
 
II-1
EXHIBIT 23.1
 
Exh-23.11

i


PROSPECTUS SUMMARY
 
Overview
 
INFe, Inc., a Florida corporation, n/k/a Pacer Health Corporation (“Pacer”), was formed on February 1, 1993 to acquire the assets and liabilities of various technology companies. INFe ceased operations and began marketing itself as a public shell in 2003.
 
Pacer Health Corporation, a Florida corporation, n/k/a Pacer Health Services, Inc. (“PHS”), was formed in January 2003, and through May 26, 2003, was in the development stage, had no revenue and all of its efforts were directed to developing a business strategy, raising capital and acquiring assisted living facilities and other senior care related businesses. On May 26, 2003, with the acquisition of AAA Medical Center, Pacer commenced its operations and emerged from the development stage.
 
On June 26, 2003, PHS was acquired by Pacer in a transaction accounted for as a recapitalization of PHS. For accounting purposes, PHS was the acquirer because the former shareholders of PHS received the larger portion of the common shareholder interests and voting rights in the combined enterprise when compared to the common shareholder interests and voting rights retained by the pre-merger shareholders of Pacer. As a result, PHS is re-capitalized to reflect the authorized stock of the legal parent, Pacer. Since PHS was the acquirer, for accounting purposes, Pacer’s November fiscal year-end has been changed to PHS’ December 31 fiscal year-end.
 
As a result of the accounting method adopted to record the merger, for financial reporting purposes the historical financial statements of PHS have become the historical financial statements of the continuing entity. The historical financial statements of INFe, Inc. are not presented.
 
Business
 
Pacer is a provider of healthcare services with a primary focus on acquiring and restructuring hospitals. Specifically, we focus on acquiring financially distressed hospitals, restructuring the operations to ensure financial viability and consolidate them under the Pacer brand name. We seek to ensure the financial viability of these healthcare facilities by applying our limited management experience and expertise to restructuring their daily operations. We also design and implement “best practices” across these facilities to ensure quality medical services are provided to our patients. Our strategic business plan contemplates the acquisition of skilled nursing facilities (“SNF”), medical treatment centers, hospitals and other health care facilities and subsequently consolidating and managing them under one central team. We currently own and operate a non-urban hospital in Cameron, Louisiana; a non-urban health clinic in Grand Lakes, Louisiana; a geriatric psychiatric center in Lake Charles, Louisiana; and a non-urban hospital in Greensboro, Georgia. We currently lease and operate an acute care facility in Barbourville, Kentucky. We believe that the need for healthcare facilities will grow substantially over the next thirty years with the advanced aging of the baby boomers and their need for these facilities and services. We further believe that the healthcare industry is highly fragmented and there are many facilities currently available for acquisition which have a relatively low price-earnings ratio.
 
Financial Condition
 
The accompanying consolidated financial statements have been presented in accordance with accounting principles generally accepted in the United States of America, which assume the continuity of the Company as a going concern. The Company has incurred net losses of $262,890 for the six (6) months ended June 30, 2007, and the cash used in operations was $300,162 in the same period. The accumulated deficit, stockholder’s deficiency and working capital deficit were $10,183,705, $7,437,988 and $942,375 at June 30, 2007, respectively.
 
In order to fund acquisitions and operations and until increased positive operating cash flow is achieved, management recognizes that Pacer must generate revenue from its operations and must raise capital from the sale of its securities. The Company anticipates that the capital raised in the transactions described in this Registration Statement will be sufficient to fund Pacer’s activities until positive cash flow is achieved. However, no assurances can be given that Pacer will be successful in these activities. Should any of these events not occur, the accompanying financial statements will be materially affected.
 
About Us
 
Our principal office is located at 7759 N.W. 146th Street, Miami Lakes, Florida 33016. Our telephone number is (305) 828-7660.
 
1


THE OFFERING
 
This offering relates to the sale of the common stock of Pacer by YA Global, a shareholder of Pacer. YA Global intends to sell up to 46,593,323 shares of Pacer’s common stock to be issued to YA Global in connection with the convertible debentures.
 
On July 6, 2007, YA Global purchased secured convertible debentures in the aggregate principal amount of $5,500,000 pursuant to a securities purchase agreement (the “Securities Purchase Agreement”) signed by YA Global and Pacer on July 6, 2007, of which $3,500,000 of such debentures were issued on July 6, 2007, $1,500,000 have been issued on August 29, 2007 and $500,000 shall be issued to YA Global upon the effectiveness of the Registration Statement to which this Prospectus is made a part. The debentures are convertible into shares of Pacer’s common stock at a conversion price of $0.02 and accrue interest at a rate of thirteen percent (13%) per year. The debentures are secured by substantially all of the Company’s assets as well as 430,422,903 shares of Pacer common stock pledged by Rainier Gonzalez, the CEO of the Company, pursuant to that certain Insider Pledge and Escrow Agreement, dated July 6, 2007.
 
In connection with the Securities Purchase Agreement, YA Global received a five (5) year warrant to purchase 100,000,000 shares of Pacer’s common stock at an exercise price of $0.02 per share in connection with the purchase of the convertible debentures by YA Global. YA Global also received additional warrants, with various expiration dates, to purchase 120,000,000 shares of Pacer’s common stock at exercise prices ranging from $0.02 to $0.03 per share in connection with the Securities Purchase Agreement and the issuance of the convertible debentures to YA Global on July 6, 2007. No shares underlying warrants are being registered hereunder.
 
YA Global intends to sell shares underlying the debentures (if converted to shares of common stock) and the warrants (if exercised) at the then prevailing market price. This Prospectus relates to 46,593,323 shares of our common stock underlying the secured convertible debentures issued by Pacer to YA Global pursuant to the Securities Purchase Agreement..
 
Common Stock Offered
 
46,593,323 shares by a selling shareholder
     
Offering Price
 
Market price
     
Common Stock Outstanding Before the Offering
 
587,266,005 shares as of August 29, 2007
     
Use of Proceeds
 
We will not receive any proceeds of the shares offered by the selling shareholder. We will receive however $500,000 upon the effectiveness of the Registration Statement to which this Prospectus is made a part upon the issuance by us to YA Global of a secured convertible debenture pursuant to the Securities Purchase Agreement.
     
Risk Factors
 
The securities offered hereby involve a high degree of risk and immediate substantial dilution. See “Risk Factors” and “Dilution”.
     
Over-the-Counter Bulletin Board Symbol
 
PHLH.OB

2


RISK FACTORS
 
Our business, financial condition, results of operations and prospects, and the prevailing market prices and performance of our common stock may be adversely affected by a number of factors, including, but not limited to, the matters discussed below.
 
Risks Related To Our Business
 
Our Potential Inability to Implement Our Growth Strategy May Negatively Affect Our Operations
 
Our business strategy focuses on growing revenue and operations primarily through acquisitions of various healthcare entities. The success of our growth strategy will depend on a number of factors including our ability to:
 
 
·
assess the value, strengths and weaknesses of acquisition candidates;
 
 
·
evaluate the costs and projected returns of integrating our operations;
 
 
·
promptly and successfully integrate acquired businesses with existing operations; and
 
 
·
obtain financing to support this growth.
 
If we fail to successfully implement our growth strategy, our operations may negatively be impacted due to a higher cost structure resulting from our inability to leverage economies of scale and our inability to raise financing to sustain fluctuations in working capital.
 
We May Not Be Able To Identify Suitable Acquisition Candidates For Our Business
 
If we are not able to identify suitable acquisition candidates or if acquisitions of suitable candidates are prohibitively expensive, we may be forced to alter our growth strategy. Our growth strategy may affect short-term cash flow and net income as we increase our indebtedness and incur additional expenses. As a result, our operating results may fluctuate and our growth strategy may not result in improving our profitability. If we fail to implement our growth strategy successfully, the market price of our common stock may decline.
 
The Demands On Our Resources Due To Potential Growth May Negatively Impact Our Operations
 
Our anticipated growth could place significant demands on our managerial, operational and financial resources. These demands are due to our plans to:
 
 
·
acquire and integrate healthcare facilities;
 
 
·
increase the number of our employees;
 
 
·
expand the scope of our operating and financial systems;
 
 
·
broaden the geographic area of our operations;
 
 
·
increase the complexity of our operations;
 
 
·
increase the level of responsibility of management personnel; and
 
 
·
continue to train and manage our employee base.
 
Our managerial, operational and financial resources, now and in the future, may not be adequate to meet the demands resulting from our expected growth. As a result of these demands, our operations may suffer.
 
3

 
We Need To Improve Our Information Systems Or Our Operations Would Suffer
 
We will need to make improvements to our information system and integrate information systems as a result of our current acquisitions and from potential future acquisitions. We are in the process of implementing an enterprise-wide information system that will provide for uniform accounting and patient services. We have also hired more accounting and information systems personnel. However, we may experience delays, disruptions and unanticipated expenses in implementing, integrating and operating our information systems. Failure to fully integrate and enhance our current and future information system or hire additional personnel could have a material adverse effect on our business, financial condition, results of operation and growth prospects by increasing our time to gather financial information and make business strategy and managerial decisions based upon the information.
 
We May Have Difficulties Integrating Acquired Businesses With Our Company Which Could Harm Our Operations
 
Until we complete and install our information system, we will use and depend upon the information and operating systems of our acquired entities. We have not been able to efficiently combine our operations with those we currently have without encountering difficulties. These difficulties result from having different and potentially incompatible operating practices, computers or other information systems. By consolidating personnel with different business backgrounds and corporate cultures into one company, we experience additional difficulties in gathering financial information. As a result, we may not be able to make business strategy and managerial decisions based upon the information.
 
We May Incur Unexpected Liabilities When We Acquire Businesses
 
During the acquisition process, we may not discover some of the liabilities of the businesses we acquire. These liabilities may result from a prior owner’s non-compliance with applicable federal, state or local laws. For example, we may be liable for the prior owner’s failure to pay taxes or comply with environmental regulations. Environmental liabilities could arise regardless of whether we own or lease our properties. While we will try to minimize our potential exposure by conducting investigations during the acquisition process, we will not be able to identify all existing or potential liabilities.
 
Without Additional Capital We Will Not Be Able To Grow
 
Our ability to remain competitive, sustain our expected growth and expand our operations largely depends on our access to capital. We anticipate making numerous acquisitions of healthcare facilities, which will require capital for the acquisition and ongoing expenditures. We also expect to make expenditures to continue integrating the acquired healthcare facilities with our existing facilities. In addition, to execute our growth strategy and meet our capital needs, we plan to issue additional equity securities as part of the purchase price of future acquisitions, which may have a dilutive effect on the interests of out shareholders. Additional capital may not be available on terms acceptable to us. Our failure to obtain sufficient additional capital could curtail or alter our growth strategy or delay capital expenditures.
 
Our Failure To Repay The Convertible Debentures May Result In A Change Of Control
 
Our ability to repay the secured convertible debentures is dependent upon our successful execution of our business strategy. Based on the Securities Purchase Agreement we executed on July 6, 2007, those debentures issued to YA Global in the aggregate principal amount equal of $5,500,000 are generally due twenty-four (24) months after the date of issuance, which shall not be earlier than March 2009. If we do not successfully execute our business strategy, we may be unable to generate sufficient funds to repay the convertible debentures upon maturity. If we are unable to repay the convertible debentures, YA Global will be able to convert the outstanding principal balance into a significant amount of shares of common stock. This amount will be enough for YA Global to assume control of the Company. If YA Global assumes control of the Company, they may choose to liquidate the operations and divest the Company of all of its operating assets in order to satisfy the outstanding principal balance and related interest.
 
Our Revenues May Decline If Federal Or State Medicare Or Medicaid Programs Or Commercial Insurance Providers Reduce Our Reimbursements
 
In recent years, federal and state governments made significant changes in the Medicare and Medicaid programs. Congress and some state legislators have introduced an increasing number of proposals to make major changes in the healthcare system. Medicare reform is again expected to be considered by Congress in the near future. Accordingly, future federal and state legislation may further reduce the payments we receive for our services. Further, a number of states have incurred budget deficits and adopted legislation designed to reduce their Medicaid expenditures and to provide universal coverage and additional coverage to their residents. Some states propose to impose additional taxes on healthcare facilities to help finance or expand the various state Medicaid systems. Furthermore, insurance companies and other third parties from whom we receive payment for our services have increasingly attempted to control healthcare costs by requiring healthcare facilities to discount their fees in exchange for preferred participation in their benefit plans. We believe this trend may continue and may reduce the payments we receive for our services. As a result, our revenue could decrease.
 
4

 
We May Be Subject To Allegations That We Failed To Comply With Governmental Licensure, Certification And Accreditation Regulations, Which Could Result In Significant Expenses Or Penalties
 
We are subject to many laws and regulations at the federal, state and local government levels. These laws and regulations require us to meet various requirements, including those relating to the adequacy of medical care, equipment, personnel, operating policies and procedures, billing and cost reports, payment for services and supplies, maintenance of adequate records, privacy, compliance with building codes and environmental protection. Facilities are subject to periodic inspection by governmental and other authorities to assure continued compliance with the various standards necessary for licensing and accreditation. We believe that our health care facilities are properly licensed under applicable state laws and are in compliance with current applicable federal, state, local and independent review body regulations and standards. The requirements for licensure, certification and accreditation are subject to change and, in order to remain qualified, it may become necessary for us to make changes in our facilities, equipment, personnel and services. If we fail to comply with applicable laws and regulations regarding, certification and accreditation, we could suffer civil or criminal penalties, including the loss of our licenses to operate and our ability to participate in the Medicare, Medicaid and other federal and state healthcare programs.
 
We May Be Subject To Allegations That We Failed To Comply With “Anti-Kickback Statute” Provisions, Which Could Result In Significant Expenses Or Penalties
 
A section of the Social Security Act known as the “Anti-kickback Statute” prohibits providers and others from directly or indirectly soliciting, receiving, offering or paying any remuneration with the intent of generating referrals or orders for services or items covered by a federal health care program. Courts have interpreted this statute broadly. Violations of the Anti-kickback Statute may be punished by a criminal fine of up to $25,000 for each violation or imprisonment, civil money penalties of up to $50,000 per violation and damages of up to three (3) times the total amount of the remuneration and/or exclusion from participation in federal health care programs, including Medicare and Medicaid.
 
The Office of Inspector General at HHS (“OIG”), among other regulatory agencies, is responsible for identifying and eliminating fraud, abuse and waste. The OIG carries out this mission through a nationwide program of audits, investigations and inspections. As one means of providing guidance to health care providers, the OIG issues “Special Fraud Alerts”. These alerts do not have the force of law, but identify features of arrangements or transactions that may indicate that the arrangements or transactions violate the Anti-kickback Statute or other federal health care laws. The OIG has identified several incentive arrangements, which, if accompanied by inappropriate intent, constitute suspect practices, including: (a) payment of any incentive by the hospital each time a physician refers a patient to the hospital, (b) the use of free or significantly discounted office space or equipment in facilities usually located close to the hospital, (c) provision of free or significantly discounted billing, nursing or other staff services, (d) free training for a physician’s office staff in areas such as management techniques and laboratory techniques, (e) guarantees which provide that, if the physician’s income fails to reach a predetermined level, the hospital will pay any portion of the remainder, (f) low-interest or interest-free loans, or loans which may be forgiven if a physician refers patients to the hospital, (g) payment of the costs of a physician’s travel and expenses for conferences, (h) coverage on the hospital’s group health insurance plans at an inappropriately low cost to the physician, (i) payment for services (which may include consultations at the hospital) which require few, if any, substantive duties by the physician, (j) purchasing goods or services from physicians at prices in excess of their fair market value, (k) rental of space in physician offices, at other than fair market value terms, by persons or entities to which physicians refer, and (l) certain “gainsharing” arrangements, i.e., the practice of giving physicians a share of any reduction in a hospital’s costs for patient care attributable in part to the physician’s efforts. The OIG has encouraged persons having information about hospitals who offer the above types of incentives to physicians to report such information to the OIG.
 
The OIG also issues “Special Advisory Bulletins” as a means of providing guidance to health care providers. These bulletins, along with the “Special Fraud Alerts” have focused on certain arrangements that could be subject to heightened scrutiny by government enforcement authorities, including contractual joint venture arrangements and other joint venture arrangements between those in a position to refer business, such as physicians, and those providing items or services for which Medicare or Medicaid pays.
 
In addition to issuing fraud alerts and special advisory bulletins, the OIG from time to time issues compliance program guidance for certain types of health care providers. In January 2005, the OIG published Supplemental Compliance Guidance for Hospitals, supplementing its 1998 guidance for the hospital industry. In the supplemental guidance, the OIG identifies a number of risk areas under federal fraud and abuse statutes and regulations. These areas of risk include compensation arrangements with physicians, recruitment arrangements with physicians and joint venture relationships with physicians.
 
5

 
As authorized by Congress, the OIG has published safe harbor regulations that outline categories of activities that are deemed protected from prosecution under the Anti-kickback Statute. Currently, there are statutory exceptions and safe harbors for various activities, including the following: investment interests, space rental, equipment rental, practitioner recruitment, personnel services and management contracts, sale of practice, referral services, warranties, discounts, employees, group purchasing organizations, waiver of beneficiary coinsurance and deductible amounts, managed care arrangements, obstetrical malpractice insurance subsidies, investments in group practices, freestanding surgery centers, ambulance replenishing, and referral agreements for specialty services. The fact that conduct or a business arrangement does not fall within a safe harbor, or that it is identified in a fraud alert or as a risk area in the Supplemental Compliance Guidelines for Hospitals, does not automatically render the conduct or business arrangement illegal under the Anti-kickback Statute. However, such conduct and business arrangements may lead to increased scrutiny by government enforcement authorities. Although the Company believes that its arrangements with physicians have been structured to comply with current law and available interpretations, there can be no assurance that regulatory authorities enforcing these laws will determine these financial arrangements do not violate the Anti-kickback Statute or other applicable laws. An adverse determination could subject the Company to liabilities under the Social Security Act, including criminal penalties, civil monetary penalties and exclusion from participation in Medicare, Medicaid or other federal health care programs.
 
We May Be Subject To Actions Brought By Individuals On The Government’s Behalf Under The False Claims Act’s “Qui Tam” Provisions
 
The “Qui Tam” or “whistleblower” provisions allow private individuals to bring actions on behalf of the government alleging that the defendant has defrauded the federal government. Claims that may be alleged under the False Claims Act include, but are not limited to, inflated charges, submitting claims not eligible for reimbursement and submitting claims for unnecessary medical procedures. Defendants determined to be liable under the False Claims Act may be required to pay three times the actual damages sustained by the government, plus mandatory civil penalties of between $5,500 and $11,000 for each separate false claim. There are many potential bases for liability under the False Claims Act. Liability often arises when an entity knowingly submits a false claim for reimbursement to the federal government. The False Claims Act defines the term “knowingly” broadly. Although simple negligence will not give rise to liability under the False Claims Act, submitting a claim with reckless disregard to its truth or falsity constitutes a “knowing” submission under the False Claims Act and, therefore, will qualify for liability. In some cases, whistleblowers or the federal government have taken the position that providers who allegedly have violated other statutes, such as the anti-kickback statute and the Stark Law (which prohibits physicians from referring Medicare and Medicaid patients to selected types of healthcare entities in which they or any of their immediate family members have ownership or a compensation relationship), have thereby submitted false claims under the False Claims Act. These laws may also contain safe harbor provisions that describe some of the conduct and business relationships that are immune from prosecution. Although we believe the business arrangements we now have with physicians are within the safe harbor provisions, some of our business arrangements in the future may not fall within the safe harbors. This would not automatically render our arrangements illegal. However, we may be subject to scrutiny by enforcement authorities who may determine that our current and future business arrangements are not in compliance. In addition, a number of states have adopted their own false claims provisions as well as their own whistleblower provisions whereby a private party may file a civil lawsuit in state court. Currently, we are not subject to these provisions. However, in the future, if these types of claims were brought forth, it could adversely affect our operations, even if ultimately proven to be without merit, as time and expense would be incurred to defend such actions.
 
If We Become Subject To Malpractice And Related Legal Claims, We Could Be Required To Pay Significant Damages, Which May Not Be Covered By Insurance
 
We may be subject to medical malpractice lawsuits and other claims. We currently maintain coverage in excess of $1 million. However, it is possible that there may be successful claims against us in the future for amounts which exceed those set forth in the coverage amounts. This could have an adverse effect on our financial condition. Furthermore, we may not be able to obtain adequate insurance coverage with acceptable deductible amounts at a reasonable cost.
 
If We Fail To Effectively Recruit And Retain Physicians, Nurses And Medical Technicians, Our Ability To Deliver Healthcare Services Efficiently Will Suffer
 
Our success, in part, depends on the number and quality of physicians on our staff as well as the maintenance of good relations with these physicians. We generally do not employ physicians. Furthermore, there is a shortage of specialty care physicians, nurses and certain medical technicians. As a result, our healthcare facilities are forced to hire expensive contract personnel since they are unable to recruit and retain full-time employees. This shortage of specialty care physicians, nurses and medical technicians will continue to affect our ability to deliver healthcare services efficiently.
 
6

 
Our Revenue Is Concentrated Geographically Which Subjects The Company To Regional Risks
 
Our revenue is heavily concentrated in Kentucky, Louisiana and Georgia, which makes us particularly sensitive to regulatory and economic changes in those states. Our revenue primarily consists of reimbursements from private insurance companies, Medicare and the state Medicaid programs. Our expected annualized percentage of revenue in Kentucky, Louisiana and Georgia for year ended December 31, 2007 is 58.07%, 15.30% and 26.63%, respectively. We plan to acquire additional facilities in various states, including Kentucky, Louisiana and Georgia, which have distressed facilities available for acquisition. Accordingly, the concentration of revenue in these States will be reduced as we acquire additional facilities outside of these respective States. Furthermore, legislation and financial difficulties faced by various states can reduce our reimbursement. We cannot predict with accuracy which legislation will pass. Additionally, various state Medicaid programs are in various stages of financial difficulties and can result in lower reimbursement and correspondingly lower revenues. Currently, Georgia has outsourced its Medicaid program to private managed care companies in order to reduce financial losses and Louisiana continues to implement various Medicaid initiatives as a result of the devastation from Hurricane Katrina and Hurricane Rita. Accordingly, if such legislation passed, and financial difficulties of the various state Medicaid programs remain unresolved, this could have a material adverse effect on our business, financial condition, results of operation and growth prospects.
 
We May Have Difficulty Acquiring Healthcare Facilities On Favorable Terms
 
The main element of our business strategy is expansion through the acquisition of healthcare facilities. We may face significant competition to acquire strategic healthcare facilities at terms favorable to us. We may also incur or assume indebtedness as a result of the consummation of any acquisition. Our failure to acquire strategic healthcare facilities consistent with our growth plan could have a material adverse effect on our business, financial condition, results of operation and growth prospects.
 
We May Have Difficulty Acquiring Healthcare Facilities Due To Governmental Regulations
 
Many states, including Georgia and Louisiana, which we intend to expand our operations in, have adopted legislation regarding the sale or other disposition of hospitals operated by not-for-profit entities. In other states that do not have such legislation, including Kentucky, the attorneys general have demonstrated an interest in these transactions under their general obligations to protect charitable assets. These legislative and administrative efforts primarily focus on the appropriate valuation of the assets divested and the use of the proceeds of the sale by the not-for-profit seller. These reviews and, in some instances, approval processes can add additional time to the closing of a not-for-profit hospital acquisition. Future actions by state legislators or attorneys general may seriously delay or even prevent our ability to acquire certain hospitals.
 
Certificate Of Need Laws And Licensing Regulations May Prohibit Or Limit Any Future Expansion By Us In Some States
 
Some states, including Georgia, where we currently operate an acute care facility, require prior approval for the purchase, construction and expansion of healthcare facilities, based on a state’s determination of need for additional or expanded healthcare facilities or services. We may not be able to obtain certificates of need required for expansion activities in the future. If we fail to obtain any required certificate of need or licenses, our ability to operate or expand could be impaired.
 
We May Experience Significant Compliance Issues Under HIPAA’s Transaction, Privacy And Security Requirements
 
Federal regulations issued pursuant to HIPAA contain, among other measures, provisions that require us to implement very significant and potentially expensive new computer systems, employee training programs and business procedures. The federal regulations are intended to encourage electronic commerce in the healthcare industry.
 
Among other things, HIPAA requires healthcare facilities to use standard data formats and code sets established by the Department of Health and Human Services (“DHHS”) when electronically transmitting information in connection with several transactions, including health claims and equivalent encounter information, health care payment and remittance advice and health claim status. HIPAA also requires DHHS to issue regulations establishing standard unique health identifiers for individuals, employers, health plans and health care providers to be used in connection with the standard electronic transactions. All healthcare providers were required to obtain a new National Provider Identifier (“NPI”) to be used in standard transactions instead of other numerical identifiers beginning no later than May 23, 2007, which we have complied with as of the date of this Prospectus. We cannot predict whether our facilities may experience payment delays during the transition to the new identifier. Our facilities have fully implemented use of the Employer Identification Number as the standard unique health identifier for employers.  On January 23, 2004, the Department of Health and Human Services (“DHHS”) published the final Standard Unique Health Identifier Rule for Health Care Providers. The Final Rule establishes a standard for assigning a unique health care provider identifier, or National Provider Identifier (“NPI”), and promulgates implementation specifications to guide health care providers in obtaining and using the NPI. We are currently evaluating our compliance with these regulations and cannot predict the impact of such changes at this time.
 
7

 
HIPAA regulations also require our facilities to comply with standards to protect the confidentiality, availability and integrity of patient health information, by establishing and maintaining reasonable and appropriate administrative, technical and physical safeguards to ensure the integrity, confidentiality and the availability of electronic health and related financial information. The security standards were designed to protect electronic information against reasonably anticipated threats or hazards to the security or integrity of the information and to protect the information against unauthorized use or disclosure. We expect that the security standards will require our facilities to implement additional business procedures and training programs, though the regulations do not mandate use of a specific technology.
 
DHHS has also established standards for the privacy of individually identifiable health information. These privacy standards apply to all health plans, all health care clearinghouses and health care providers, such as our facilities, that transmit health information in an electronic form in connection with standard transactions, and apply to individually identifiable information held or disclosed by a covered entity in any form. These standards impose extensive administrative requirements on our facilities and require compliance with rules governing the use and disclosure of this health information, and they require our facilities to impose these rules, by contract, on any business associate to whom we disclose such information in order to perform functions on their behalf. In addition, our facilities will continue to remain subject to any state laws that are more restrictive than the privacy regulations issued under HIPAA. These laws vary by state and could impose additional penalties.
 
A violation of the HIPAA regulations could result in civil money penalties of $100 per incident, up to a maximum of $25,000 per person per year per standard. HIPAA also provides for criminal penalties of up to $50,000 and one year in prison for knowingly and improperly obtaining or disclosing protected health information, up to $100,000 and five years in prison for obtaining protected health information under false pretenses, and up to $250,000 and ten years in prison for obtaining or disclosing protected health information with the intent to sell, transfer or use such information for commercial advantage, personal gain or malicious harm. Since there is no significant history of enforcement efforts by the federal government at this time, it is not possible to ascertain the likelihood of enforcement efforts in connection with the HIPAA regulations or the potential for fines and penalties, which may result from the violation of the regulations.
 
Compliance with these standards requires significant commitment and action by us and our facilities. Because some of the HIPAA regulations are proposed regulations, we cannot predict the total financial impact of the regulations on our operations.
 
Other Healthcare Facilities May Provide Similar Healthcare Services, Which May Raise The Level Of Competition Faced By Our Healthcare Facilities
 
Competition among healthcare facilities has intensified in recent years. The health care industry with respect to hospitals is limited to few competitors due to the high barriers of entry resulting from governmental regulations and its capital intensive nature. Our hospitals generally have no competing hospital in the surrounding vicinity. However, more recently, hospitals have been facing increasing competition from smaller providers who are not hospitals. Specifically, we face competition from urgent care centers and other specialized care providers, including but not limited to physical therapy and diagnostic centers. We may not be able to successfully compete with all of our competitors, especially with those competitors that are larger and have greater resources. Furthermore, the presence of smaller providers may result in lower revenues which may have a material adverse effect on our business, financial condition, results of operation and growth prospects.
 
Other Healthcare Facilities May Use Equipment And Services That Are More Specialized Than Those Available At Our Facilities, Thus Potentially Making It Difficult For Us To Compete
 
Other healthcare facilities may maintain and use equipment and services that are more specialized or advanced than those at our facilities. Specifically, our Georgia facility faces competition from such a competing hospital. Although the hospital is not located in the vicinity of the Georgia facility, it has been able to successfully attract certain patients who seek more advanced care through its various equipment which is more advanced than those in our Georgia facility, including but not limited to an magnetic resonance imaging (“MRI”) system and a real time three-dimensional ultrasound system. While we are currently attempting to upgrade our equipment, it may be still be difficult for us to compete with this facility in attracting and retaining patients due to their more advanced technology.
 
8

 
Our Directors And Executive Officers Have Limited Industry Experience, But Our Success Depends On Such Persons
 
Some of our directors and executive officers have limited or no significant experience in the healthcare industry. Specifically, our Chief Executive Officer (Rainier Gonzalez) and Chief Financial Officer (John Chi) have limited healthcare industry experience while two (2) of our directors have no healthcare experience (Rep. Marcello Llorente and Alfredo Jurado, Esq.). Since our officers and directors set forth the business strategy of the Company and make significant managerial decisions, our success will depend on their ability to set forth a viable and successful strategy and execute successful managerial decisions. However, our directors and executive officers may not ultimately be successful in the healthcare industry since certain officers and board member have limited or no healthcare industry experience. In addition, we believe that our success will depend to a significant extent upon the efforts and abilities of the management of companies that we acquire.
 
We Depend Heavily On Senior Management And Therefore The Loss Of Such Persons Could Adversely Affect Our Business
 
We believe that our success will depend to a significant extent upon the efforts and abilities of our Chairman and Chief Executive Officer, Rainier Gonzalez, and other members of current senior management, specifically John Chi and Manuel Llano, and the senior management of the companies we acquire. Our current employment agreement with Mr. Gonzalez will terminate on August 31, 2008. Our current employment agreement with Mr. Chi will terminate on July 4, 2008. We do not have key person life insurance policies covering any of our employees. We will likely also depend on the senior management of any significant business that we acquire in the future. If we lose the services of one or more of these key employees before we are able to attract qualified replacement personnel, our business could be adversely affected.
 
Our Significant Shareholder Is Also Our Chief Executive Officer, And He Alone Is Able To Influence Corporate Action
 
As a result of his stock ownership and board representation, Rainier Gonzalez, who is also our Chief Executive Officer and Chairman of the Board of Directors, is in a position to influence our corporate actions in a manner that could conflict with the interests of our other shareholders, including but not limited to mergers/takeovers with other companies, dividend policies, stock splits and repurchases of stock. Rainier Gonzalez owns 430,422,903 shares of common stock which is 73.29% of the outstanding shares of the 587,266,005 common stock on August 29, 2007. If all of the shares registered under this Prospectus (46,593,323 shares) were resold, Mr. Gonzalez’s ownership percentage would fall to approximately 67.91%.
 
Our Stock Price May Be Volatile
 
The market price for our common stock has been volatile and may be affected by a number of factors, including the announcement of acquisitions or other developments by us or our competitors, quarterly variations in our or other healthcare industry participants’ results of operations, changes in earnings estimates or recommendations by securities analysts, developments in the healthcare industry, sales of a substantial number of shares of our common stock in the public market, general market conditions, general economic conditions and other factors. Some of these factors may be beyond our control or may be unrelated to our results of operations or financial condition. Such factors may lead to further volatility in the market price of our common stock.
 
Shares Eligible For Future Sale May Have A Depressing Effect On Our Stock Price
 
We have a substantial number of authorized but unissued shares (343,533,995 shares) of our common stock. We expect to issue additional shares of common stock as part of the purchase price for future acquisitions. We have issued to our employees, officers and directors restricted shares of our common stock. These shares may be resold under Rule 144. Currently, we have 452,879,117 shares of restricted stock issued to employees, officers and directors of which 7,279,018 will become unrestricted on December 31, 2007, 7,470,528 will become unrestricted on December 31, 2008 and 3,000,000 will become unrestricted on December 31, 2009. Furthermore, the selling shareholder in the Registration Statement, to which this Prospectus is made a part, intends to sell in the public market 46,593,323 shares of common stock which is being registered in this offering. That means that up to 46,593,323 shares may be sold hereunder. Any actual sale or any perception that sales of a substantial number of shares may occur could adversely affect the market price of our common stock and could impair our ability to raise capital through an offering of equity securities.
 
9

 
Our Common Stock Qualifies As A “Penny Stock” Under SEC Rules Which May Make It More Difficult For Our Shareholders To Resell Their Shares Of Our Common Stock
 
The holders of our common stock may find it more difficult to obtain accurate quotations concerning the market value of the stock. Shareholders also may experience greater difficulties in attempting to sell the stock than if it were listed on a stock exchange or quoted on the NASDAQ National Market or the NASDAQ Small-Cap Market. Because our common stock does not trade on a stock exchange or on the NASDAQ National Market or the NASDAQ Small-Cap Market, and the market price of the common stock is less than $5.00 per share, the common stock qualifies as a “penny stock”. SEC Rule 15g-9 under the Securities Exchange Act of 1934, as amended, imposes additional sales practice requirements on broker-dealers that recommend the purchase or sale of penny stocks to persons other than those who qualify as an “established customer” or an “accredited investor”. This includes the requirement that a broker-dealer must make a determination on the appropriateness of investments in penny stocks for the customer and must make special disclosures to the customer concerning the risks of penny stocks. Application of the penny stock rules to our common stock affects the market liquidity of the shares, which in turn may affect the ability of holders of our common stock to resell the stock.
 
Only A Small Portion Of The Investment Community Will Purchase “Penny Stocks” Such As Our Common Stock
 
Our common stock is deemed to be “penny stock” as that term is defined in Rule 3a51-1 promulgated under the Exchange Act. These requirements may reduce the potential market for our common stock by reducing the number of potential investors. This may make it more difficult for investors in our common stock to sell shares to third parties or to otherwise dispose of them. This could cause our stock price to decline. Penny stocks are stock:
 
 
·
With a price of less than $5.00 per share;
     
 
·
That are not traded on a “recognized” national exchange;
     
 
·
Whose prices are not quoted on the NASDAQ automated quotation system (NASDAQ listed stock must still have a price of not less than $5.00 per share); or
     
 
·
In issuers with net tangible assets less than $2 million (if the issuer has been in continuous operation for at least three (3) years) or $10 million (if in continuous operation for less than three (3) years), or with average revenues of less than $6 million for the last three (3) years.
 
Broker/dealers dealing in penny stocks are required to provide potential investors with a document disclosing the risks of penny stocks. Moreover, broker/dealers are required to determine whether an investment in a penny stock is a suitable investment for a prospective investor.
 
Risks Related To This Offering
 
Existing Shareholders Will Experience Significant Dilution Upon Conversion Of Convertible Debenture And Exercise Of The Warrants
 
YA Global may convert its secured convertible debentures into shares of our common stock at a conversion price of $0.02 per share. YA Global received a warrant to purchase 35,000,000 shares of our common stock at an exercise price of $0.02 on April 1, 2006, and received additional warrants, with various expiration dates, to purchase 220,000,000 shares of Pacer’s common stock at exercise prices ranging from $0.02 to $0.03 per share in connection with the Securities Purchase Agreement and the issuance of the convertible debentures to YA Global. If YA Global were to exercise all of its warrants and convert all its convertible debentures, our shareholders will experience a dilution of 55.52% based on the outstanding shares as of July 6, 2007.
 
The Sale Of Our Stock Under The Convertible Debentures Or Warrants Could Encourage Short Sales By Third Parties, Which Could Contribute To The Future Decline Of Our Stock Price
 
In many circumstances, the conversion of convertible debentures, or exercise of warrants, for companies that are traded on the Over-The-Counter Bulletin Board (“OTCBB”) has the potential to cause significant downward pressure on the price of their common stock. This is especially the case if the shares being placed into the market exceed the market’s ability to take up the increased stock or if Pacer has not performed in such a manner to show that the equity funds raised will be used to grow Pacer. Such an event could place further downward pressure on the price of our common stock.
 
10

 
The outstanding convertible debentures may be converted at a price of $0.02 per share. As a result, the opportunity exists for short sellers and others to contribute to the decline of Pacer’s stock price. Persons engaging in short-sales first sell shares that they do not own, and thereafter, purchase shares to cover their previous sales. To the extent the stock price declines between the time the person sells the shares and subsequently purchases the shares, the person engaging in short-sales will profit from the transaction, and the greater the decline in the stock, the greater the profit to the person engaging in such short-sales. By contrast, a person owning a long position in a stock, such as an investor purchasing shares in this offering, first purchases the shares at the then market price, if the stock price declines while the person owns the shares, then upon the sale of such shares the person maintaining the long position will incur a loss, and the greater the decline in the stock price, the greater the loss which is incurred by the person owning a long position in the stock.
 
If there are significant short sales of stock, the price decline that would result from this activity will cause the share price to decline more so which in turn may cause long holders of the stock to sell their shares thereby contributing to sales of stock in the market. If there is an imbalance on the sell side of the market for the stock the price will decline. It is not possible to predict if the circumstances where by a short sales could materialize or to what the share price could drop. In some companies that have been subjected to short sales the stock price has dropped to near zero. This could happen to Pacer.
 
The Price You Pay In This Offering Will Fluctuate And May Be Higher Or Lower Than The Prices Paid By Other People Participating In This Offering
 
The price in this offering will fluctuate based on the prevailing market price of the common stock on OTCBB. Accordingly, the price you pay in this offering may be higher or lower than the prices paid by other people participating in this offering.
 
A Change Of Control May Result In A Change In The Course Of Our Operations And May Affect The Future Prices Of Our Common Stock.

If a change of control occurs and YA Global owns more than fifty percent (50%) of our common stock, they will be able to elect the majority of our board of directors, control all matters that require a shareholder vote (such as mergers, acquisitions and other business combinations) and exercise a significant amount of influence over our management and operations. Therefore, we may not be able to execute our planned operational strategy and this may affect the future price of our common stock, including a decline in value.

11


FORWARD-LOOKING STATEMENTS
 
This Prospectus contains forward-looking statements. Such forward-looking statements include statements regarding, among other things, (a) our projected sales and profitability, (b) our growth strategies, (c) anticipated trends in our industry, (d) our future financing plans, (e) our anticipated needs for working capital, (f) our lack of operational experience, and (g) the benefits related to ownership of our common stock. Forward-looking statements, which involve assumptions and describe our future plans, strategies, and expectations, are generally identifiable by use of the words “may”, “will”, “should”, “expect”, “anticipate”, “estimate”, “believe”, “intend”, or “project” or the negative of these words or other variations on these words or comparable terminology. This information may involve known and unknown risks, uncertainties, and other factors that may cause our actual results, performance, or achievements to be materially different from the future results, performance, or achievements expressed or implied by any forward-looking statements. These statements may be found under “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Business”, as well as in this Prospectus generally. Actual events or results may differ materially from those discussed in forward-looking statements as a result of various factors, including, without limitation, the risks outlined under “Risk Factors” and matters described in this Prospectus generally. In light of these risks and uncertainties, there can be no assurance that the forward-looking statements contained in this Prospectus will in fact occur as projected.
 
12


SELLING SHAREHOLDER
 
The following table presents information regarding YA Global, the selling shareholder, in this offering. A description of the selling shareholder’s relationship to Pacer and how it acquired the shares to be sold in this offering is detailed in the information immediately following this table.
 
Selling Stockholder
 
Shares Beneficially Owned Before Offering
 
Percentage Of Outstanding Shares Beneficially Owned Before Offering 
 
Shares To Be Acquired Under The Debenture (If Converted) And Warrant
(If Exercised)
 
Percentage Of Outstanding Shares To Be Acquired Under The Debenture (If Converted) And Warrant
(If Exercised)
 
Shares To Be Sold In The Offering
 
Percentage Of Shares Beneficially Owned After Offering (1)
 
Shares Acquired in Financing Transactions with Pacer
 
YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.)
   
5,769,231
   
0.984
%
 
46,593,323
(2)
 
4.99
%
 
46,593,323
(2)
 
0
%
Total
   
5,769,231
   
0.984
%
 
46,593,323
(2)
 
4.99
%
 
46,593,323
(2)
 
0
%
 

(1)
Applicable percentage of ownership is based on 587,266,005 shares of common stock issued as of August 29, 2007, together with securities exercisable or convertible into shares of common stock within sixty (60) days of August 29, 2007, for each shareholder. Beneficial ownership is determined in accordance with the rules of the SEC and generally includes voting or investment power with respect to securities. Shares of common stock subject to securities exercisable or convertible into shares of common stock that are currently exercisable or exercisable within sixty (60) days of August 29, 2007 are deemed to be beneficially owned by the person holding such securities for the purpose of computing the percentage of ownership of such person, but are not treated as outstanding for the purpose of computing the percentage ownership of any other person. Note that affiliates are subject to Rule 144 and Insider trading regulations - percentage computation is for form purposes only.
 
(2)
Consists of up to 46,593,323 shares of common stock which may be converted under the convertible debentures issued and to be issued to YA Global.
 
The following information contains a description of the selling shareholder’s relationship to Pacer and how it acquired the shares to be sold in this offering. The selling shareholder has not held a position or office, or had any other material relationship with Pacer, except as follows:
 
Shares Acquired In Financing Transactions With Pacer
 
YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.) YA Global is the holder of the convertible debentures and warrants described herein. All investment decisions of YA Global are made by its general partner, Yorkville Advisors, LLC (“Yorkville”). Mark Angelo, the managing member of Yorkville, makes the investment decisions on behalf of Yorkville. YA Global acquired all shares being registered in this offering in financing transactions with Pacer. Those transactions are explained below:
 
 
·
2006 Securities Purchase Agreement. On April 1, 2006, the Company executed a securities purchase agreement (the “2006 SPA”) with YA Global whereby it would issue $2,000,000 of secured convertible debentures. On April 1, 2006, pursuant to such 2006 SPA, the Company issued a three (3) year convertible debenture totaling $1,000,000 to YA Global which had been secured by all of the assets and property of the Company. On May 5, 2006, pursuant to the 2006 SPA, the Company issued a three (3) year convertible debenture totaling $1,000,000 to YA Global secured by all of the assets and property of the Company. As of the date hereof, all amounts owed by the Company to YA Global under the 2006 SPA have been repaid.
 
 
·
2007 Securities Purchase Agreement. On July 6, 2007, YA Global purchased secured convertible debentures in the aggregate principal amount of $5,500,000 pursuant to the Securities Purchase Agreement signed by YA Global and Pacer on July 6, 2007, of which $3,500,000 of such debentures were issued on July 6, 2007, $1,500,000 have been issued on August 29, 2007 and $500,000 shall be issued to YA Global upon the effectiveness of the Registration Statement to which this Prospectus is made a part. The debentures are convertible into shares of Pacer’s common stock at a conversion price of $0.02 and accrue interest at a rate of thirteen percent (13%) per year. The debentures are secured by substantially all of the Company’s assets as well as 430,422,903 shares of Pacer common stock pledged by Rainier Gonzalez, the CEO of the Company, pursuant that certain Insider Pledge and Escrow Agreement, dated July 6, 2007. At maturity, Pacer has the option to either pay the holder the outstanding principal balance and accrued interest or to convert the debentures into shares of common stock at a conversion price equal to the lower of $0.02 or eighty percent (80%) of the volume weighted average price for the fifteen (15) days immediately preceding the conversion date. Pacer has the right to redeem all or a portion of the debenture upon three (3) business days’ notice by paying to YA Global one-hundred seven and one-half percent (107.5%) of the amount redeemed plus accrued interest. Pacer is registering in this offering 46,593,323 shares of common stock underlying the convertible debentures.
 
13

 
 
·
Warrants. On April 1, 2006, the Company issued a warrant to YA Global to purchase 35,000,000 shares of Pacer’s common stock at an exercise price of $0.02 in connection with the 2006 SPA. On July 6, 2007, YA Global received a five (5) year warrant to purchase 100,000,000 shares of Pacer’s common stock at an exercise price of $0.02 per share. The warrant was issued in connection with the purchase of the convertible debentures by YA Global on July 6, 2007. YA Global also received additional warrants, with various expiration dates, to purchase 120,000,000 shares of Pacer’s common stock at exercise prices ranging from $0.02 to $0.03 per share in connection with the Securities Purchase Agreement and the issuance of the convertible debentures to YA Global on July 6, 2007. No shares underlying warrants are being registered hereunder.
 
There are certain risks related to sales by YA Global, including:
 
 
·
To the extent YA Global sells its common stock, the common stock price may decrease due to the additional shares in the market. This could lead to YA Global selling additional amounts of our common stock, the sales of which would further depress the stock price.
 
 
·
The significant downward pressure on the price of our common stock as YA Global sells material amounts of common stocks could encourage short sales by YA Global or others. This could place further downward pressure on the price of the common stock.
 
14


USE OF PROCEEDS
 
This Prospectus relates to shares of our common stock that may be offered and sold from time to time by YA Global, the selling shareholder. There will be no proceeds to us from the sale of shares of our common stock in this offering.
 
For illustrative purposes only, we have set forth below our use or intended use of proceeds we received in connection with the sale of the convertible debentures to YA Global. The table assumes estimated offering expenses of $85,000, eight percent (8%) commitment fees payable to YA Global upon the purchase of each debenture, three (3) months accrued interest and a one-time $25,000 structuring fee paid to YA Global in connection with the structuring and issuance of the debentures. The figures below are estimates only, and may be changed due to various factors, including the timing of the receipt of the proceeds.

GROSS PROCEEDS FROM SALE OF DEBENTURES:
 
$
5,500,000
 
8% commitment fee
   
($440,000
)
Structuring fee
   
($25,000
)
Three months accrued interest
   
($162,500
)
Related Offering Expenses
   
($85,000
)
   
$
4,787,500
 
 
Net proceeds
       
USE OF PROCEEDS:
   
AMOUNT
 
Acquisitions
 
$
2,000,000
 
Repayments of outstanding debentures
 
$
1,845,651
 
General Working Capital
 
$
941,849
 
Total
 
$
4,787,500
 
 
We intend to use $2,000,000 towards the partial funding of all of our future acquisitions in 2007. We anticipate that we will also generate additional cash from our operations and utilize other external financing to fund purchases. Currently, the Company does not have specific acquisitions planned but is continually reviewing various opportunities for possible acquisition.
 
We intend to use the remainder of the funds to provide general working capital to our facilities. Specifically, we intend to provide working capital to Knox County, South Cameron Memorial Hospital and Minnie G. Boswell Memorial Hospital in order to increase profitability by generating revenue, leveraging the cost structure, and reducing outstanding current liabilities.
 
15


DILUTION
 
The net tangible book value (deficit) of our Company as of June 30, 2007 was $(0.0001) per share of common stock. Net tangible book value (deficit) per share is determined by dividing the tangible book value of our Company (total tangible assets less total liabilities) by the number of outstanding shares of our common stock. Since this offering is being made solely by the selling shareholder and none of the proceeds will be paid to our Company, our net tangible book value (deficit) will be unaffected by this offering.
 
16


PLAN OF DISTRIBUTION
 
The selling shareholder have advised us that the sale or distribution of our common stock owned by the selling shareholder may be effected directly to purchasers by the selling shareholder or by pledgees, donees, transferees or other successors in interest, as principals or through one or more underwriters, brokers, dealers or agents from time to time in one or more transactions (which may involve crosses or block transactions) (i) on the over-the-counter market or in any other market on which the price of our shares of common stock are quoted or (ii) in transactions otherwise than on the over-the-counter market or in any other market on which the price of our shares of common stock are quoted. Any of such transactions may be effected at market prices prevailing at the time of sale, at prices related to such prevailing market prices, at varying prices determined at the time of sale or at negotiated or fixed prices, in each case as determined by the selling shareholder or by agreement between the selling shareholder and underwriters, brokers, dealers or agents, or purchasers. If the selling shareholder effect such transactions by selling their shares of common stock to or through underwriters, brokers, dealers or agents, such underwriters, brokers, dealers or agents may receive compensation in the form of discounts, concessions or commissions from the selling shareholder or commissions from purchasers of common stock for whom they may act as agent (which discounts, concessions or commissions as to particular underwriters, brokers, dealers or agents may be in excess of those customary in the types of transactions involved). The selling shareholder and any brokers, dealers or agents that participate in the distribution of the common stock may be deemed to be underwriters, and any profit on the sale of common stock by them and any discounts, concessions or commissions received by any such underwriters, brokers, dealers or agents may be deemed to be underwriting discounts and commissions under the Securities Act.
 
YA Global is an exempted Cayman Island limited partnership. YA Global is an international private equity fund in the business of investing in and financing public companies. YA Global does not intend to make a market in our stock or to otherwise engage in stabilizing or other transactions intended to help support the stock price. Prospective investors should take these factors into consideration before purchasing our common stock.
 
Under the securities laws of certain states, shares of our common stock may be sold in such States only through registered or licensed brokers or dealers. The selling shareholder is advised to ensure that any underwriters, brokers, dealers or agents effecting transactions on behalf of the selling shareholder are registered to sell securities in all fifty (50) States. In addition, in certain States, shares of our common stock may not be sold unless the shares have been registered or qualified for sale in such State or an exemption from registration or qualification is available and is complied with.
 
We will pay all the expenses incident to the registration, offering and sale of the shares of our common stock to the public hereunder other than commissions, fees and discounts of underwriters, brokers, dealers and agents. We have agreed to indemnify YA Global and its controlling persons against certain liabilities, including liabilities under the Securities Act. We estimate that the expenses of the offering to be borne by us will be approximately $85,000. The offering expenses consist of: an SEC registration fee of $14, printing expenses of $2,500, accounting fees of $15,000, legal fees of $50,000 and miscellaneous expenses of $17,486. We will not receive any proceeds from the sale of any of the shares of our common stock by the selling shareholder. We did receive proceeds from the sale of debentures to YA Global.
 
The selling shareholder should be aware that the anti-manipulation provisions of Regulation M under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), will apply to purchases and sales of shares of common stock by the selling shareholder, and that there are restrictions on market-making activities by persons engaged in the distribution of the shares. Under Registration M, the selling shareholder or their agents may not bid for, purchase, or attempt to induce any person to bid for or purchase, shares of our common stock while such selling shareholder are distributing shares covered by this Prospectus. Further, YA Global is contractually prohibited under the Securities Purchase Agreement from engaging in any “short sales”, as such term is defined by the Exchange Act. The selling shareholder is advised that if a particular offer of common stock is to be made on terms constituting a material change from the information set forth above with respect to the Plan of Distribution, then, to the extent required, a post-effective amendment to the accompanying Registration Statement must be filed with the SEC.
 
17


MANAGEMENT’S DISCUSSION AND ANALYSIS
OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS AND PLAN OF OPERATION
 
General
 
We are a provider of healthcare services with a primary focus on acquiring and restructuring hospitals. Specifically, we intend to focus on acquiring financially distressed hospitals, restructuring the operations to ensure financial viability and consolidating them under the Pacer brand name. We intend to attempt to ensure the financial viability of these healthcare facilities by applying our management experience to restructuring the daily operations. We also intend to design and implement best practices across these facilities to ensure quality medical services are provided to our patients.
 
On June 26, 2003, Pacer Health Services, Inc. was acquired by Pacer Health Corporation (f/k/a INFe, Inc.) in a transaction accounted for as a recapitalization of Pacer Health Services, Inc. For accounting purposes, Pacer Health Services, Inc. was the acquirer because the former shareholders’ of Pacer Health Services, Inc. received the larger portion of the common shareholder interests and voting rights in the combined enterprise when compared to the common shareholder interests and voting rights retained by the pre-merger shareholders of Pacer Health Corporation (f/k/a INFe, Inc.). As a result, Pacer Health Services, Inc. is re-capitalized to reflect the authorized stock of the legal parent, Pacer Health Corporation (f/k/a INFe, Inc.). Since Pacer Health Services, Inc. was the acquirer, for accounting purposes, Pacer’s November fiscal year end has been changed to Pacer Health Services, Inc.’s December 31, fiscal year end. Accordingly, our financial statements discussed below represent the financial statements of Pacer Health Services, Inc. which reflect the re-capitalization and includes the period from inception to the fiscal year end. Our principal offices are located at 7759 NW 146th Street, Miami Lakes, Florida 33016, and our telephone number is (305) 826-7660. Our website is www.pacerhealth.com.
 
No material part of our revenues were derived outside of the United States in the three (3) or six (6) months ended June 30, 2007, and during that period, we had no material assets outside the United States.
 
Management’s Discussion and Analysis of Financial Condition and Results of Operations should be read with along with the accompanying Unaudited Consolidated Financial Statements.
 
Acquisitions, Divestitures and Operating Lease

On December 31, 2006, our wholly-owned subsidiary, Pacer Health Management Corporation of Kentucky, consummated an agreement with the County of Knox, Kentucky (the “Agreement”) to lease all of the assets and real property used in connection with Knox County Hospital as well as delegating full and complete management responsibility and operational control for the Hospital to the Company. The Company may retain all profits from the operations of the Hospital after satisfying its lease obligations to the County of Knox and maintenance and operations expenses of the Hospital facility. The annual lease payment is equal to the amount of annual payment due by Knox County on its County of Knox, Kentucky Taxable General Obligation Refunding Bonds, Series 2006 (“Bonds”), after applying the capitalized interest which is to be paid from the proceeds of the Bonds. We estimate the annual payment for 2007 to be approximately $703,461. Additionally, at any time during the term of the Agreement, we have the option to purchase all of the Hospital assets from the County of Knox County and assume all of the liabilities (excluding certain liabilities as defined in the Agreement) for a purchase price equal to the sum of (a) the lesser of: (i) the outstanding principal amount of the Bonds on the closing of such purchase or (ii) what the principal balance of the Bonds would have been if all lease payments and other payments to be made by the Company were used to satisfy the principal and interest due under the Bonds at the date of each such payment plus (b) any prepayment penalties on the Bonds and (c) less any funds then held in any debt service reserve fund, bond fund or any other fund or account in any way pertaining to the Bonds. The term of the Agreement ends on the earlier of (a) the date the refunding bonds are paid in full; or (b) the date the Company exercises its purchase option. The refunding bonds have a term of 30 years. The County of Knox may only terminate the Agreement if (a) the Company does not make the required monthly lease payments or (b) if the Company fails to complete substantial repairs caused by a casualty.

On December 6, 2005, our wholly-owned subsidiary, Pacer Health Holdings of Lafayette, Inc. (“Pacer Sub”) acquired a majority interest in Southpark Community Hospital, L.L.C. (“Southpark”) Pacer Sub received a sixty percent equity position in Southpark and the remaining investors of Southpark reduced their equity position to forty percent in consideration for an infusion amount up to $2,500,000 over the period of ownership, the exact amount to be reasonably determined by Pacer Sub as necessary to sustain the operations of Southpark. Pacer Sub also assumed a prorated share of the outstanding liabilities and also assumed the position of guarantor, equal to its percentage of ownership, on all notes. Pacer Sub had also agreed to reimburse certain investors who made principal and interest payments on certain third party loans on behalf of Southpark. On September 29, 2006, the Company divested its majority interest for a $3,000,000 note receivable to a third party, which consists primarily of shareholders of the minority interest. Subsequent to the issuance of the note receivable, the Company determined that its collectability was not assured. Accordingly, the Company reduced the value of the note receivable to a fair market value of $0 and recorded a $3,000,000 bad debt expense which is included in discontinued operations for the year ended December 31, 2006.
 
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On September 1, 2005, our wholly-owned subsidiary, Pacer Health Management Corporation of Georgia, completed its asset purchase agreement with the Greene County Hospital Authority to acquire certain assets and assume certain liabilities used in the operation of Minnie G. Boswell Memorial Hospital. The total purchase amount was $1,108,676. On September 29, 2006, the Company executed a sale-leaseback of certain of its assets in Georgia, which included a sale of its skilled nursing operations to Health Systems Real Estate, Inc.

In March 2007, the Company amended its lease agreement (the “Amended and Restated Cooperative Endeavor Lease and Assignment of Third Party Leases”) with the Lower Cameron Hospital Service District (“LCHSD”) to provide for the funding of operational losses by the LCHSD through certain grants. These grants will be paid quarterly in 2007 and provide for a payment of $3.5 million in 2007 and $1.2 million, or such lesser amount as may be generated by tax revenues collected by the LCHSD during the then current year, beginning in 2008 through 2017. As of June 30, 2007, the Company has received $2.2 million of the expected $3.5 million of grants for 2007 and such amount is included in patient revenue for the six months ended June 30, 2007.
 
Critical Accounting Estimates
 
The preparation of financial statements in accordance with U.S. Generally Accepted Accounting Principles requires us to make estimates and assumptions that affect reported amounts and related disclosures. We consider an accounting estimate to be critical if:
 
 
·
it requires assumptions to be made that were uncertain at the time the estimate was made; and
 
 
·
changes in the estimate or different estimates that could have been made could have a material impact on our consolidated results of operations or financial condition.
 
The table of critical accounting estimates is not intended to be a comprehensive list of all of our accounting policies that require estimates. We believe that of our significant accounting policies, as discussed in Note 1 of our consolidated financial statements for the six (6) months ended June 30, 2007 and for the years ended December 31, 2006 and 2005 included elsewhere in this report, the estimates discussed below involve a higher degree of judgment and complexity. We believe the current assumptions and other considerations used to estimate amounts reflected in our consolidated financial statements are appropriate. However, if actual experience differs from the assumptions and other considerations used in estimating amounts reflected in our consolidated financial statements, the resulting changes could have a material adverse effect on our consolidated results of operations and our financial condition.
 
The table that follows presents information about our critical accounting estimates, as well as the effects of hypothetical changes in the material assumptions used to develop each estimate:
 
BALANCE SHEET
OR INCOME STATEMENT CAPTION/
NATURE OF CRITICAL ESTIMATE ITEM
 
ASSUMPTIONS/
APPROACH USED
 
SENSITIVITY ANALYSIS
         
Allowance for doubtful accounts and provision for doubtful accounts
       
         
Accounts receivable primarily consist of amounts due from third-party payors and patients. Our ability to collect outstanding receivables is critical to our results of operations and cash flows. To provide for accounts receivable that could become uncollectible in the future, we establish an allowance for doubtful accounts to reduce the carrying value of such receivables to their estimated net realizable value. The primary uncertainty lies with uninsured patient receivables and deductibles, co-payments or other amounts due from individual patients. Our allowance for doubtful accounts, included in our balance sheets as of December 31, 2006 and December 31, 2005 was as follows:
 
· December 31, 2006 — $13,079,845; and
 
· December 31, 2005 — $4,402,894.
 
The largest component of bad debts in our patient accounts receivable relates to accounts for which patients are responsible, which we refer to as patient responsibility accounts. These accounts include both amounts payable by uninsured patients and co-payments and deductibles payable by insured patients. In general, we attempt to collect deductibles, co-payments and self-pay accounts prior to the time of service for non-emergency care. If we do not collect these patient responsibility accounts prior to the delivery of care, the accounts are handled through our billing and collections processes.
 
We verify each patient’s insurance coverage at the time of the scheduled admission or procedure, including eligibility, benefits and authorization / pre-certification requirements, in order to notify patients of the amounts for which they will be responsible. We attempt to verify insurance coverage within a reasonable amount of time for all emergency room visits and urgent admissions in compliance with the Emergency Medical Treatment and Active Labor Act.
 
In general, we follow the following steps in collecting accounts receivable:
 
· if possible, cash collection of deductibles, co-payments and self-pay accounts at the time service is provided;
 
· billing and follow-up with third party payors;
 
· utilization of collection agencies; and
 
· if collection efforts are unsuccessful, write off of the patient accounts.
 
Our policy is to write off accounts after all legal actions have been exhausted. Patient responsibility accounts represent the majority of our write-offs. Generally, we do write off accounts at the time we utilize the services of a collection agency.
 
We determine the adequacy of the allowance for doubtful accounts reviewing our remittances against related charges. We continually adjust our reserve based on our collection history.
 
If self-pay revenues during 2006 were changed by one percent (1%), our 2006 after-tax income from continuing operations would change by approximately $0.001 or diluted earnings per share of $0.001.
 
This is only one example of reasonably possible sensitivity scenarios. The process of determining the allowance requires us to estimate uncollectible patient accounts that are highly uncertain and requires a high degree of judgment. It is impacted by changes in regional economic conditions, business office operations, payor mix and trends in Federal or state governmental healthcare coverage.
 
A significant increase in our provision for doubtful accounts (as a percentage of revenues) would lower our earnings. This would adversely affect our results of operations, financial condition, liquidity and future access to capital.
 
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Revenue recognition / Allowance for contractual discounts
       
We recognize revenues in the period in which services are provided. Accounts receivable primarily consist of amounts due from third-party payors and patients. Amounts we receive for treatment of patients covered by governmental programs, such as Medicare and Medicaid, and other third-party payors such as HMOs, PPOs and other private insurers, are generally less than our established billing rates. Accordingly, our gross revenues and accounts receivable are reduced to net realizable value through an allowance for contractual discounts.
 
Our allowance for contractual discounts, included in our balance sheets as of December 31, 2006 and December 31, 2005 was as follows:
 
· December 31, 2006 — $10,816,132; and
 
· December 31, 2005 — $3,746,076.
 
We recorded contractual allowance discounts, included in our results of operations, as follows (in thousands):
 
· December 31, 2006 — $13,633,127; and

· December 31, 2005 —$9,695,457 of which $2,224,000 was a change in estimate.
 
Revenues are recorded at estimated net amounts due from patients, third-party payors and others for healthcare services provided. Estimates for contractual allowances are calculated based solely on historical collections from payors based on the type of service provided. All contractual adjustments regardless of type of payor or method of calculation are reviewed continually and compared to actual experience.
   
 
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Governmental payors
 
Governmental payors
   
The majority of services performed on Medicare and Medicaid patients are reimbursed at predetermined reimbursement rates except for our critical access acute care facility in Greensboro, Georgia and our geriatric psychiatric facility in Lake Charles, Louisiana, which is reimbursed on a reasonable cost method. The differences between the established billing rates (i.e., gross charges) and the actual reimbursement rates are recorded as contractual discounts and deducted from gross charges.
 
For our critical access acute care facility in Greensboro, Georgia and our geriatric psychiatric facility in Lake Charles, Louisiana, there is an adjustment or settlement of the difference between the actual cost to provide the service and the actual reimbursement rates. Settlements are adjusted in future periods when settlements of filed cost reports are received. Final settlements under these programs are subject to adjustment based on administrative review and audit by third party intermediaries, which can take several years to resolve completely.
 
Because the laws and regulations governing the Medicare and Medicaid programs are complex and subject to change, the estimates of contractual discounts we record could change by material amounts. Adjustments related to settlements decreased our revenues by the following amounts:

· 2006 — $1,744,541.

· 2005 — $887,084.
 
A change in the settlement of five percent (5%) would result in a charge to our results of operations of $87,227.
This is only one example of reasonably possible sensitivity scenarios. The process of determining the allowance requires us to estimate reasonable costs and predetermined reimbursement rates that are highly uncertain and requires a high degree of judgment. It is impacted by changes in regional economic conditions, business office operations, payor mix and trends in Federal or state governmental healthcare coverage.
 
A significant increase in our allowance for contractual discounts (as a percentage of revenues) would lower our earnings. This would adversely affect our results of operations, financial condition, liquidity and future access to capital.
         
   
Non-Governmental payors
 
Non-Governmental payors
   
For most managed care plans, estimated contractual allowances are adjusted to actual contractual allowances as cash is received and claims are reconciled.
 
Accounts receivable primarily consist of amounts due from third party payors and patients. Amounts we receive for the treatment of patients covered by HMOs, PPOs and other private insurers are generally less than our established billing rates. We include contractual allowances as a reduction to revenues in our financial statements based on payor specific identification and payor specific factors for rate increases and denials.
 
If our overall estimated contractual discount percentage on all of our non-governmental revenues during 2006 were changed by one percent (1%), our 2006 after-tax income from continuing operations would change by approximately $0.001 million.
 
This is only one example of reasonably possible sensitivity scenarios. The process of determining the allowance requires us to estimate the amount expected to be received and requires a high degree of judgment. It is impacted by changes in managed care contracts and other related factors.
 
A significant increase in our estimate of contractual discounts would lower our earnings. This would adversely affect our results of operations, financial condition, liquidity and future access to capital.
 
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Goodwill and accounting for business combinations
       
         
Goodwill represents the excess of the purchase price over the fair value of the net assets of acquired companies. Our goodwill included in our consolidated balance sheets as of December 31, 2006 and December 31, 2005 was as follows:
 
· December 31, 2006 — $1,216,318; and
 
· December 31, 2005 — $2,796,452.
 
The decrease in our goodwill during 2006 was primarily the result of the disposal of our majority interest in Southpark Community Hospital.
 
We follow the guidance in Statement of Financial Accounting Standard (“SFAS”) No. 142, “Goodwill and Other Intangible Assets”, and test goodwill for impairment using a fair value approach. We are required to test for impairment at least annually, absent some triggering event that would accelerate an impairment assessment. On an ongoing basis, absent any impairment indicators, we perform our goodwill impairment testing as of December 31 of each year. We determine fair value using a discounted cash flow analysis. These types of analyses require us to make assumptions and estimates regarding future cash flows, industry economic factors and the profitability of future business strategies.
 
The purchase price of acquisitions are allocated to the assets acquired and liabilities assumed based upon their respective fair values and subject to change during the twelve month period subsequent to the acquisition date. Such valuations require us to make significant estimates and assumptions, including projections of future events and operating performance.
 
Fair value estimates are derived internal calculations of estimated future net cash flows. Our estimate of future cash flows is based on assumptions and projections we believe to be currently reasonable and supportable. Our assumptions take into account revenue and expense growth rates, patient volumes, changes in payor mix, and changes in legislation and other payor payment patterns.
 
We performed our annual testing for goodwill impairment as of December 31, 2005 and 2006 using the methodology described here, and determined that no goodwill impairment existed. If actual future results are not consistent with our assumptions and estimates, we may be required to record goodwill impairment charges in the future.
 
Our estimate of fair value of acquired assets and assumed liabilities are based upon assumptions believed to be reasonable based upon current facts and circumstances. If ten percent (10%) of the non-depreciable assets acquired during 2006 were allocated to a depreciable asset with an average life of twenty (20) years, depreciation expense would have increased by approximately $12,770 in 2006.
 
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Accounting for income taxes
       
Deferred tax assets generally represent items that will result in a tax deduction in future years for which we have already recorded the tax benefit in our income statement. We assess the likelihood that deferred tax assets will be recovered from future taxable income. To the extent we believe that recovery is not probable, a valuation allowance is established. To the extent we establish a valuation allowance or increase this allowance, we must include an expense as part of the income tax provision in our results of operations. Our deferred tax asset balances in our consolidated balance sheets as of December 31 for the following years were as follows:
 
· 2006 — $3,173,323; and
 
· 2005 — $303,646.
 
Our valuation allowances for deferred tax assets in our consolidated balance sheets as of December 31 for the following years were as follows:
 
· 2006 — $3,173,323; and

· 2005 — $303,646.
 
The first step in determining the deferred tax asset valuation allowance is identifying reporting jurisdictions where we have a history of tax and operating losses or are projected to have losses in future periods as a result of changes in operational performance. We then determine if a valuation allowance should be established against the deferred tax assets for that reporting jurisdiction.
 
The second step is to determine the amount of the valuation allowance. We will generally establish a valuation allowance equal to the net deferred tax asset (deferred tax assets less deferred tax liabilities) related to the jurisdiction identified in step one of the analysis. In certain cases, we may not reduce the valuation allowance by the amount of the deferred tax liabilities depending on the nature and timing of future taxable income attributable to deferred tax liabilities.
 
We have subsidiaries with a history of tax losses and, based upon those historical tax losses, we assumed that the subsidiaries would not be profitable in the future for income tax purposes. If our assertion regarding the future profitability of those subsidiaries were incorrect, then our deferred tax assets would be understated by the amount of the valuation allowance of $3,173,323 on December 31, 2006 and $303,646 on December 31, 2005.
 
The IRS may propose adjustments for items we have failed to identify as tax contingencies. If the IRS were to propose and sustain assessments equal to ten percent (10%) of our taxable loss for 2006, we would incur $734,515 of additional tax payments plus applicable penalties and interest.
         
In addition, significant judgment is required in determining and assessing the impact of certain tax-related contingencies. We establish accruals when, despite our belief that our tax return positions are fully supportable, it is probable that we have incurred a loss related to tax contingencies and the loss or range of loss can be reasonably estimated.
 
We adjust the accruals related to tax contingencies as part of our provision for income taxes in our results of operations based upon changing facts and circumstances, such as progress of a tax audit, development of industry related examination issues, as well as legislative, regulatory or judicial developments. A number of years may elapse before a particular matter, for which we have established an accrual, is audited and resolved.
 
In assessing tax contingencies, we identify tax issues that we believe may be challenged upon examination by the taxing authorities. We also assess the likelihood of sustaining tax benefits associated with tax planning strategies and reduce tax benefits based on management’s judgment regarding such likelihood. We compute the tax and related interest on each contingency. We then determine the amount of loss, or reduction in tax benefits based upon the foregoing and reflect such amount as a component of the provision for income taxes in the reporting period.
 
During each reporting period, we assess the facts and circumstances related to recorded tax contingencies. If tax contingencies are no longer deemed probable based upon new facts and circumstances, the contingency is reflected as a reduction of the provision for income taxes in the current period.
   
 
Payor Mix Concentration
 
The following table represents our payor mix concentration as of December 31, 2006 among the following five (5) payors:
 
 
·
Medicare
 
 
·
Medicaid
 
 
·
Blue Cross/Blue Shield
 
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·
Commercial Insurance
 
 
·
Self-Pay
 
Payor
 
0-30 Days
 
31-60 Days
 
61-90 Days
 
91-120 Days
 
121-150 Days
 
151-180 Days
 
>180 Days
 
Total
 
Medicare
   
2,619,983
   
3,259,186
   
2,194,104
   
442,095
   
289,960
   
218,492
   
734,959
   
9,758,778
 
Medicaid
   
1,423,625
   
1,133,559
   
335,044
   
298,631
   
137,936
   
67,729
   
677,329
   
4,073,852
 
BCBS
   
203,781
   
127,277
   
105,581
   
53,219
   
54,102
   
59,142
   
272,138
   
875,240
 
Commercial
   
675,988
   
332,919
   
247,328
   
149,362
   
107,102
   
62,232
   
413,600
   
1,988,532
 
Private
   
(195,316
)
 
454,294
   
589,380
   
733,943
   
644,284
   
533,552
   
10,634,758
   
13,394,895
 
     
4,728,061
   
5,307,235
   
3,471,438
   
1,677,250
   
1,233,383
   
941,146
   
12,732,783
   
30,091,295
 
 
Results Of Operations For The Three Months Ended June 30, 2007 and June 30, 2006.
 
Net Revenue
 
Net revenues for continuing operations for the three months ended June 30, 2007 and 2006, were $10,651,380 and $3,154,172, comprised of patient service revenues of $10,651,380 and $3,079,172 and management services fees $0 and $75,000, respectively. Patient service revenue of $2,423,782 for Southpark was included in discontinued operations for the three months ended June 30, 2006. The increase in revenue was primarily due to the acquisition of Knox County Hospital. We anticipate revenues to continue to grow in the fiscal year ending December 31, 2007, primarily as a result of acquisitions.
 
Operating Expenses
 
Operating expenses for continuing operations for the three months ended June 30, 2007 and 2006 were $11,220,962 and $4,041,942, respectively. Operating expenses of $3,700,501 for Southpark was included in discontinued operations for the three months ended June 30, 2006. Operating expenses increased primarily due to the acquisition of Knox County Hospital. We anticipate that our continued efforts to leverage our cost structure, particularly in the areas of compensation and other selling, general and administrative expenses will reduce expenses in the future. Additionally, we continue to centralize certain key accounting and administrative activities in our facilities, which we expect will reduce our operating costs and improve our operating efficiency over time. During the three months ended June 30, 2007, operating expenses consisted principally of $4,392,626 in salaries, wages and benefits, $2,471,552 in bad debt expenses, $1,048,030 in contract labor, $91,264 in depreciation, $233,586 in insurance expenses, $1,214,632 in medical supplies, $296,652 of professional fees, $503,225 in rent expenses and $969,395 of general and administrative expenses. We anticipate operating expenses to increase in the fiscal year ending December 31, 2007, primarily as a result of acquisitions.
 
Other Income/(Expense)
 
Other income/(expense) for the three months ended June 30, 2007 and 2006 was $268,583 and $(1,088,424). Other income consisted primarily of the gain on the sale of the minority interest of $980,458 and a loss on the change of fair market value of derivatives related to the convertible debenture of $285,635. Interest expense for the three months ended June 30, 2007 and 2006 was $474,238 and $183,873, respectively. Interest expense of $278,559 for Southpark was included in discontinued operations for the three months ended June 30, 2006.
 
Net Loss
 
Our net loss for the three months ended June 30, 2007 and 2006 was $301,000 and $1,976,194. The decrease in net loss is primarily the result of our disposal of Southpark and our acquisition of Knox County Hospital. During the three months ended June 30, 2006, Southpark had a net loss of $1,550,797, which was included in discontinued operations.
 
Results Of Operations For The Six Months Ended June 30, 2007 and June 30, 2006.
 
Net Revenue
 
Net revenues for continuing operations for the six months ended June 30, 2007 and 2006, were $21,711,069 and $7,964,560, comprised of patient service revenues of $21,711,069 and $7,814,560 and management services fees $0 and $150,000, respectively. Patient service revenue of $4,560,229 for Southpark was included in discontinued operations for the six months ended June 30, 2006. The increase in revenue was primarily due to the acquisition of Knox County Hospital. We anticipate revenues to continue to grow in the fiscal year ending December 31, 2007, primarily as a result of acquisitions.
 
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Operating Expenses
 
Operating expenses for continuing operations for the six months ended June 30, 2007 and 2006 were $22,050,795 and $8,922,445, respectively. Operating expenses of $7,130,587 for Southpark was included in discontinued operations for the six months ended June 30, 2006. Operating expenses increased primarily due to the acquisition of Knox County Hospital. We anticipate that our continued efforts to leverage our cost structure, particularly in the areas of compensation and other selling, general and administrative expenses will reduce expenses in the future. Additionally, we continue to centralize certain key accounting and administrative activities in our facilities, which we expect will reduce our operating costs and improve our operating efficiency over time. During the six months ended June 30, 2007, operating expenses consisted principally of $8,665,782 in salaries, wages and benefits, $5,102,965 in bad debt expenses, $1,763,178 in contract labor, $187,112 in depreciation, $414,701 in insurance expenses, $1,990,786 in medical supplies, $866,035 of professional fees, $1,145,201 in rent expenses and $1,915,035 of general and administrative expenses. We anticipate operating expenses to increase in the fiscal year ending December 31, 2007, primarily as a result of acquisitions.
 
Other Expense
 
Other expense for the six months ended June 30, 2007 and 2006 was $121,707 and $1,071,326. Other expense consisted primarily of the gain on the sale of the minority interest of $980,458 offset by a loss on the change of fair market value of derivatives related to the convertible debenture of $29,451 and a loss on the settlement of our lawsuit with Alliance of $400,000. Interest expense for the six months ended June 30, 2007 and 2006 was $820,865 and $231,945, respectively. Interest expense of $647,074 for Southpark was included in discontinued operations for the six months ended June 30, 2006.
 
Net Loss
 
Our net loss for the six months ended June 30, 2007 and 2006 was $262,890 and $2,029,211. The decrease in net loss is primarily the result of our disposal of Southpark and our acquisition of Knox County Hospital. During the six months ended June 30, 2006, Southpark had a net loss of $3,202,407, which was included in discontinued operations.
 
Significant Features of Restructuring Plan
 
Our restructuring plan for South Cameron Memorial Hospital consists primarily of revenue generation and reduction of costs. We intend to generate revenue in South Cameron Memorial Hospital by implementing a comprehensive revenue generation plan. Prior to its devastation by Hurricane Rita, South Cameron Memorial Hospital had a successful marketing strategy. We have reestablished a marketing department that currently works with the hospital administration and business office to specifically target various healthcare facilities, including but not limited to physician’s offices and skilled nursing facilities. We are attempting to develop brand awareness by marketing specifically to these facilities. Furthermore, we have publicly advertised through television and radio commercials as well as billboards to further enhance our brand awareness in the Lake Charles, LA market.
 
We have begun to reduce excess costs in the cost structure of South Cameron. We have eliminated unnecessary positions, and in certain cases, consolidated departments and job positions. We have begun the process of identifying and managing our cost drivers to ensure that they approximate the same expense as other similar facilities. We believe that we will finalize our reengineering of the cost structure in the late summer of 2007.
 
We are in the final stages of turning around the operations of MGBMH. We have begun restructuring operations in 2004 when we were first engaged to manage the facility. As a result, the majority of our restructuring plan has been implemented. The final stages of our plan include revenue generation through additional outpatient programs and through the acquisition of certain medical equipment (e.g., CT Scanner). We expect to continue to see results of our restructuring in the near future.
 
Results Of Operations For The Fiscal Year Ended December 31, 2006, Compared To Fiscal Year Ended December 31, 2005.
 
The Company had revenues $14,835,282 and $11,310,642 in the years ended December 31, 2006 and 2005, respectively, an increase of $3,524,640 or 31.1%. Our revenues increased for the year ended December 31, 2006 from the year ended December 31, 2005 primarily as a result of our inclusion of the full year results of our facility in Greensboro, Georgia. The increase was partially offset by a lack of revenue stream for our Cameron, Louisiana facility which has remained closed during the year ended December 31, 2006. The closure was the direct result of the destruction of our acute care facility from Hurricane Rita. However, we anticipate that our Cameron facility will reopen in June 2007. Additionally, we have experienced decreased patient days in our Lake Charles, Louisiana facility as a result of the slow return of the area population. Revenue includes reimbursement amounts billed to Medicare, Medicaid and private insurance companies. These amounts are shown at the gross amount billed less contractual allowances. Revenue also includes management fees and other operational income.
 
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The Company had total operating expenses of $19,817,171 and $12,099,132 in the years ended December 31, 2006 and 2005, respectively, an increase of $7,718,039 or 63.7%. Our expenses increased significantly for the year ended December 31, 2006 from the year ended December 31, 2005 primarily as a result of our inclusion of the full year results of our facility in Greensboro, Georgia. Our bad debts expense has increased as a direct result of the increase of indigent patients we have served at our Greensboro facility. Furthermore, our operating costs include increased legal fees which we have incurred in connection with our attempts to reopen our Cameron facility as well as fees incurred to defend the Company in certain lawsuits at our Greensboro facility. Our operating costs also remain disproportionately high as a result of our retention of key personnel from our Cameron facility. We anticipate operating costs will increase slightly upon the reopening of our Cameron facility in June 2007. However, we expect our consolidated operating expenses to be proportional to our consolidated net revenues as a result of the revenue stream from the Cameron facility.
 
The Company had a net loss of $7,636,744 and $899,039 in the years ended December 31, 2006 and 2005, respectively. The loss per share was approximately $(0.01) and $(0.00) in the years ended December 31, 2006 and 2005, respectively. The loss is the result of lower revenues due to the destruction of our facility in Cameron and the slow return of the area population in Lake Charles as well as the disproportionately high cost structure we have maintained during the rebuilding process. We anticipate that we will mitigate such losses in 2007 as a result of the reopening of our Cameron facility. We also anticipate the addition of our Barbourville, Kentucky facility to contribute to an increase in net profit for 2007. Furthermore, this net loss was also the result of our acquisition of the majority interest of Southpark, which we divested on September 29, 2006. On December 6, 2005, we acquired a sixty percent (60%) interest in Southpark. During the nine (9) months ended September 30, 2006, Southpark incurred an operating loss of $3,596,921. The loss was primarily attributable to the inherited cost structure of Southpark and the low revenues generated due to the start-up nature of the operations.
 
The Company plans to expand its business over the next several years, largely through the acquisition of financially distressed hospitals. The corporate general and administrative expenses are expected to increase over this time period, due principally to expansion of corporate personnel and integration costs planned to be incurred in connection with the development and implementation of centralized operational and financial systems.
 
The Company incurred interest expense of $1,127,663 and $77,794 for the years ended December 31, 2006 and 2005, respectively, an increase of $1,049,869 or 1,349.5%. The increase is primarily due to the issuance of outstanding convertible debentures we had issued to YA Global in April 2006 and May 2006. The amortization of debt discount related to these convertible debentures is included in interest expense. For the year ended December 2006, the amortization of debt discount included in interest expense was $650,392. We may also incur additional debt in future years in order to facilitate acquisitions or expand corporate operations. Interest paid on this future debt could have a material adverse effect on our business, financial condition, results of operations, cash flows, and prospects.
 
The provision for income taxes for the years ended December 31, 2006 and 2005 was $0 and $0, respectively. Any tax benefit generated by our loss was offset by a deferred tax asset allowance. Our future effective tax rate will depend on various factors including the mix between state taxable income or losses, amounts of tax deductible goodwill and the timing of adjustments to the valuation allowance on our net deferred tax assets.
 
Liquidity And Capital Resources
 
We had cash of $348,631 at June 30, 2007. Net Cash used in operating activities during the six month period ended June 30, 2007 was $300,162, compared to $2,314,738 for the same period a year earlier. During the six months ended June 30, 2007, the net cash used, after reducing the gain on sale of minority interest of $980,458 was mainly the result of an increase in Medicare receivable of $361,906, increase in account payable of $1,574,389, increase in prepaid expenses of $263,548, increase in accrued wages of $392,319, increase in supplies inventory of $263,548 offset primarily by a decrease in patient receivables of $6,114,941, decrease in Medicare payable of $821,162, change in fair market value of derivatives related to the convertible debenture of $29,451 and bad debt expense and depreciation expense of $5,102,965 and $187,112, respectively.
 
Net Cash used in investing activities was $170,633 for the six months ended June 30, 2007, compared to $397,167 for the same period in 2006. Net cash used in investing activities during the six months ended June 30, 2007 was attributable to the fact that the Company purchased medical equipment and computers in the amount of $224,633, issued a dividend to minority interest holders of $21,000 and had received a refund of a deposit placed earlier for $75,000.
 
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Net Cash provided by financing activities was $741,051 for the six months ended June 30, 2007, compared to $1,566,865 in the same period for 2006. Net cash provided in financing activities during the six months ended June 30, 2007 consisted of proceeds from the sale of the minority interest of $1,200,000, a redemption of convertible debentures of $250,000, repayments of $210,944 for notes payable and a cash overdraft of $1,995.
 
The Company believes that future cash flows from operating activities and from issuances of debt and common stock will provide adequate funds to meet the ongoing cash requirements of its existing business over the next twelve (12) months. However, failure to successfully raise additional capital or incur debt could limit the planned expansion of our existing business in the short-term. We cannot provide assurance that the occurrence of unplanned events, including temporary or long-term adverse changes in global capital markets, will not interrupt or curtail our short-term or long-term growth plans.
 
We anticipate that we will refinance our debt to obtain better payment terms with respect to the outstanding various debts of all of our facilities. This would result in significantly less cash used to repay outstanding debt. Furthermore, as a result of our financing from YA Global, we anticipate that we will be required to use cash to repay YA Global. If we are unable to repay YA Global on a monthly basis, we will be forced to let YA Global convert the monthly payment into shares of common stock. The conversion will result in no usage of cash from the Company.
 
On April 1, 2006, the Company executed a securities purchase agreement (the “2006 SPA”) with YA Global whereby it would issue $2,000,000 of secured convertible debentures. On April 1, 2006, pursuant to such 2006 SPA, the Company issued a three (3) year convertible debenture totaling $1,000,000 to YA Global which had been secured by all of the assets and property of the Company. In connection with the debenture, the Company recorded a contra liability of $115,000 by debiting debt discount. These $115,000 in costs are fees and expenses paid directly to the lender in connection with obtaining the debt funding. As of the date hereof, all amounts owed by the Company to YA Global under this debenture have been repaid.
 
On May 5, 2006, pursuant to the 2006 SPA, the Company issued a three (3) year convertible debenture totaling $1,000,000 to YA Global secured by all of the assets and property of the Company. In connection with the May 5, 2006 issuance of the $1,000,000 convertible debenture, the Company recorded a contra liability of $100,000 by debiting debt discount. As of the date hereof, all amounts owed by the Company to YA Global under this debenture have been repaid.
 
In conjunction with the 2006 SPA, the Company issued a five (5) year warrant to YA Global to purchase 35,000,000 shares of common stock at an exercise price of $0.02.
 
On July 2, 2007, YA Global converted $30,000 of debt into 5,769,331 shares of common stock. The conversion was pursuant to the 2006 SPA which has since been repaid.
 
On July 6, 2007, YA Global purchased secured convertible debentures in the aggregate principal amount of $5,500,000 pursuant to the Securities Purchase Agreement signed by YA Global and Pacer on July 6, 2007, of which $3,500,000 of such debentures were issued on July 6, 2007, $1,500,000 have been issued on August 29, 2007 and $500,000 shall be issued to YA Global upon the effectiveness of the Registration Statement to which this Prospectus is made a part. The debentures are convertible into shares of Pacer’s common stock at a conversion price of $0.02 and accrue interest at a rate of thirteen percent (13%) per year. The debentures are secured by substantially all of the Company’s assets as well as 430,422,903 shares of Pacer common stock pledged by Rainier Gonzalez, the CEO of the Company, pursuant to that certain Insider Pledge and Escrow Agreement, dated July 6, 2007. At maturity, Pacer has the option to either pay the holder the outstanding principal balance and accrued interest or to convert the debentures into shares of common stock at a conversion price equal to the lower of $0.02 or eighty percent (80%) of the volume weighted average price for the fifteen (15) days immediately preceding the conversion date. Pacer has the right to redeem all or a portion of the debenture upon three (3) business days’ notice by paying to YA Global one-hundred seven and one-half percent (107.5%) of the amount redeemed plus accrued interest. Pacer is registering in this offering 46,593,323 shares of common stock underlying the convertible debentures.
 
On July 6, 2007, YA Global received a five (5) year warrant to purchase 100,000,000 shares of Pacer’s common stock at an exercise price of $0.02 per share. The warrant was issued in connection with the purchase of the convertible debentures by YA Global on July 6, 2007. YA Global also received additional warrants, with various expiration dates, to purchase 120,000,000 shares of Pacer’s common stock at exercise prices ranging from $0.02 to $0.03 per share in connection with the Securities Purchase Agreement and the issuance of the convertible debentures to YA Global on July 6, 2007.
 
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In connection with the July 6, 2007 issuance of the $3,500,000 and the $1,500,000 convertible debenture, the Company recorded a contra liability of $265,000 and $160,000, respectively, by debiting debt discount. These $265,000 in costs are fees and expenses paid directly to the lender in connection with obtaining the debt funding. Debt discount will be directly offset against the gross convertible debentures balance outstanding. The total debt discount will be amortized to interest expense over the life of the debt.
 
The convertible debentures and warrants contain registration rights with filing and effectiveness deadlines and a liquidated damages provision. The registration statement was required to be filed within thirty (30) days of the initial funding date of July 6, 2007. The Company must also maintain the registration statement effective until all the registrable securities have been sold by the lender (the “Registration Period”).
 
Intangible Assets
 
Intangible assets at June 30, 2007 consisted of goodwill of $1,216,318 which is the result of the acquisitions of SCMH. Goodwill consists of the excess of purchase price over the fair value of assets and liabilities acquired in acquisitions accounted for under the purchase method of accounting.
 
The Company follows the provisions of SFAS No. 141, “Business Combinations” (“SFAS 141”), which requires all business combinations initiated after June 30, 2001 to be accounted for using the purchase method. Additionally, acquired intangible assets are separately recognized if the benefit of the intangible asset is obtained through contractual or other legal rights, or if the intangible asset can be sold, transferred, licensed, rented, or exchanged, regardless of the acquirer’s intent to do so.
 
The Company also follows the provisions of Statement of Financial Accounting Standards No. 142, “Goodwill and Other Intangible Assets” (“SFAS 142”). As required by SFAS 142, the Company has completed certain impairment tests for its recorded goodwill. These tests include determining the fair value of the Company’s single reporting unit, as defined by SFAS 142, and comparing it to the carrying value of the net assets allocated to the reporting unit. Goodwill will be tested for impairment annually at December 31 or more frequently when events or circumstances indicate that an impairment may have occurred.
 
Stock-Based Compensation
 
Prior to January 1, 2006, the Company accounts for stock based compensation under the provisions of SFAS No. 123, “Accounting for Stock Based Compensation”. For stock and options issued to employees, and for transactions with non-employees in which services were performed in exchange for the Company’s common stock, the transactions are recorded on the basis of fair value of the services received or the fair value of the equity instruments issued, whichever was more readily measurable.
 
In December 2002, SFAS No. 148, “Accounting for Stock-Based Compensation - Transition and Disclosure” was issued. This pronouncement amends SFAS No. 123, “Accounting for Stock-Based Compensation,” and provides guidance to companies that wish to voluntarily change to the fair value based method of accounting for stock-based employee compensation, among other provisions. The Company accounts for its employee stock based compensation under the fair value based method provisions of SFAS No. 123. During the three (3) months ended March 31, 2007 and the year ended December 31, 2006, there were no grants of stock options to either employees or non-employees.
 
On January 1, 2006, the Company implemented Statement of Financial Accounting Standard 123 (revised 2004) (“SFAS 123(R)”), “Share-Based Payment” which replaced SFAS 123 “Accounting for Stock-Based Compensation” and superseded APB Opinion No. 25, “Accounting for Stock Issued to Employee”. SFAS 123(R) requires the fair value of all stock-based employee compensation awarded to employees to be recorded as an expense over the related vesting period. The statement also requires the recognition of compensation expense for the fair value of any unvested stock option awards outstanding at the date of adoption. During 2006 and for the three (3) months ended March 31, 2007, all employee stock compensation is recorded at fair value using the Black Scholes Pricing Model. In adopting SFAS 123(R), the Company used the modified prospective application (“MPA”). MPA requires the Company to account for all new stock compensation to employees using fair value, and for any portion of awards prior to January 1, 2006 for which the requisite service has not been rendered and the options remain outstanding as of January 1, 2006, the Company should recognize the compensation cost for that portion of the award the that requisite service was rendered on or after January 1, 2006. The fair value for these awards is determined based on the grant-date.
 
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For stock directly issued to employees for services and members of the board of directors for their role as directors, a compensation charge is recorded against earnings over the requisite service period measured at the date of grant based on the fair value of the stock award. During the six (6) months ended June 30, 2007 and the year ended December 31, 2006, the Company issued 2,000,000 and 7,470,528 shares of common stock, respectively, to key employees and directors.
 
Patient Service Revenue Recognition
 
In general, the Company follows the guidance of the United States Securities and Exchange Commission’s Staff Accounting Bulletin No. 104 for revenue recognition. The Company records revenue when persuasive evidence of an arrangement exists, services have been rendered, or product delivery has occurred, the sales price to the patient is fixed or determinable, and collectability is reasonably assured. The Company also follows the industry specific revenue recognition criteria as delineated in the AICPA Audit and Accounting Guide “Health Care Organizations”.
 
(i) Hospital Operations
 
The Company recognizes revenues in the period in which services are performed and billed to the patient or third party payor. Accounts receivable primarily consist of amounts due from third party payors and patients. Amounts the Company receives for treatment of patients covered by governmental programs such as Medicare and Medicaid and other third party payors such as health maintenance organizations, preferred provider organizations and other private insurers are generally less than the Company’s established billing rates. Accordingly, the revenues and accounts receivable reported in the Company’s unaudited consolidated financial statements are recorded at the amount expected to be received.
 
The Company derives a significant portion of its revenues from Medicare, Medicaid and other payors that receive discounts from our standard charges. The Company must estimate the total amount of these discounts to prepare its consolidated financial statements. The Medicare and Medicaid regulations and various managed care contracts under which these discounts must be calculated are complex and are subject to interpretation and adjustment. The Company estimates the allowance for contractual discounts on a payor-specific basis given its interpretation of the applicable regulations or contract terms. These interpretations sometimes result in payments that differ from the Company’s estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management. Changes in estimates related to the allowance for contractual discounts affect revenues reported in the Company’s unaudited consolidated statements of operations in the period of the change.
 
Management has recorded estimates for bad debt losses, which may be sustained in the collection of these receivables. Although estimates with respect to realization of the receivables are based on Management’s knowledge of current events, the Company’s collection history, and actions it may undertake in the future, actual collections may ultimately differ substantially from these estimates. Receivables are written off when all legal actions have been exhausted.
 
The Company participates in the Louisiana disproportionate share hospital (“DSH”) fund and the Georgia disproportionate share hospital fund (“ICTF”) related to uncompensated care provided to a disproportionate percentage of low-income and Medicaid patients. Upon meeting certain qualifications, our facilities in Louisiana and Georgia become eligible to receive additional reimbursement from the fund. The reimbursement amount is determined upon submission of uncompensated care data by all eligible hospitals. Once the reimbursement amount is determined and collectability is reasonably assured, the additional reimbursement is included as revenue under SEC Staff Accounting Bulleting 104.
 
(ii) Management Services
 
The Company recognizes management service fees as services are provided.
 
(iii) Patient Accounts Receivable, Allowance For Contractuals, And Allowance For Doubtful Accounts
 
Patient Accounts Receivable at June 30, 2007 is as follows:
 
Patient accounts receivable
 
$
26,134,777
 
Less: Allowance for doubtful accounts
   
(10,409,494
)
Less: Allowance for contractual discounts
   
(8,517,989
)
Patient Accounts Receivable, net
 
$
7,207,294
 
 
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The Company derives a significant portion of its revenues from Medicare, Medicaid and other payers that receive discounts from our standard charges. The Company must estimate the total amount of these discounts to prepare its consolidated financial statements. The Medicare and Medicaid regulations and various managed care contracts under which these discounts must be calculated are complex and are subject to interpretation and adjustment. The Company estimates the allowance for contractual discounts on a payor-specific basis given its interpretation of the applicable regulations or contract terms. These interpretations sometimes result in payments that differ from the Company’s estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management. Changes in estimates related to the allowance for contractual discounts affect revenues reported in the period in which the change in estimate occurred.
 
During the three months ended June 30, 2007 and 2006, the Company recorded bad debt expense from patient receivables relating to continuing operations of $2,471,552 and $239,250, respectively. In addition, the Company included in discontinued operations bad debt expense of $0 and $223,754 for the three months ended June 30, 2007 and 2006, respectively. During the six months ended June 30, 2007 and 2006, the Company recorded bad debt expense from patient receivables relating to continuing operations of $5,102,965 and $1,557,671, respectively. The Company also included in discontinued operations bad debt expense of $0 and $447,732 for the six months ended June 30, 2007 and 2006, respectively. The Company establishes an allowance for doubtful accounts to reduce the carrying value of patient receivables to their estimated net realizable value. The primary uncertainty of such allowances lies with uninsured patient receivables and deductibles, co-payments or other amounts due from individual patients.
 
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DESCRIPTION OF BUSINESS
 
General Historical Information
 
Pacer Health Corporation (“Pacer” or the “Company”) is a provider of healthcare services with a primary focus on acquiring and restructuring hospitals. Specifically, we focus on acquiring financially distressed hospitals, restructuring the operations to ensure financial viability and consolidate them under the Pacer brand name. We seek to ensure the financial viability of these healthcare facilities by applying our limited management experience and expertise to restructuring their daily operations. We also design and implement “best practices” across these facilities to ensure quality medical services are provided to our patients.
 
Our facilities provide acute medical care, including emergency room and urgent care services, geriatric psychiatric services, and skilled nursing services. We currently serve the following markets:
 
 
·
Lake Charles, Louisiana;
 
 
·
Cameron, Louisiana;
 
 
·
Barbourville, Kentucky; and
 
 
·
Greensboro, Georgia.
 
Our facilities serve the general population with respect to our acute medical care services. However, our psychiatric services and skilled nursing services serve primarily the elderly population aged 65 or older.
 
Our principal offices are located at 7759 NW 146th Street, Miami Lakes, Florida 33016, and our telephone number is (305) 826-7660. Our website is www.pacerhealth.com.
 
On December 31, 2006, our wholly-owned subsidiary, Pacer Health Management Corporation of Kentucky, consummated an agreement with the County of Knox, Kentucky (the “Agreement”) to lease all of the assets and real property used in connection with Knox County Hospital as well as delegating full and complete management responsibility and operational control for the Hospital to the Company. The Company may retain all profits from the operations of the Hospital after satisfying its lease obligations to the County of Knox and maintenance and operations expenses of the Hospital facility. The annual lease payment is equal to the amount of annual payment due by Knox County on its County of Knox, Kentucky Taxable General Obligation Refunding Bonds, Series 2006 (“Bonds”), after applying the capitalized interest which is to be paid from the proceeds of the Bonds. We estimate the annual payment for 2007 to be approximately $703,461. Additionally, at any time during the term of the Agreement, we have the option to purchase all of the Hospital assets from the County of Knox County and assume all of the liabilities (excluding certain liabilities as defined in the Agreement) for a purchase price equal to the sum of (a) the lesser of: (i) the outstanding principal amount of the Bonds on the closing of such purchase or (ii) what the principal balance of the Bonds would have been if all lease payments and other payments to be made by the Company were used to satisfy the principal and interest due under the Bonds at the date of each such payment plus (b) any prepayment penalties on the Bonds and (c) less any funds then held in any debt service reserve fund, bond fund or any other fund or account in any way pertaining to the Bonds. The term of the Agreement ends on the earlier of (a) the date the refunding bonds are paid in full; or (b) the date the Company exercises its purchase option. The refunding bonds have a term of 30 years. The County of Knox may only terminate the Agreement if (a) the Company does not make the required monthly lease payments or (b) if the Company fails to complete substantial repairs caused by a casualty.

On December 6, 2005, our wholly-owned subsidiary, Pacer Health Holdings of Lafayette, Inc. (“Pacer Sub”) acquired a majority interest in Southpark Community Hospital, L.L.C. (“Southpark”) Pacer Sub received a sixty percent equity position in Southpark and the remaining investors of Southpark reduced their equity position to forty percent in consideration for an infusion amount up to $2,500,000 over the period of ownership, the exact amount to be reasonably determined by Pacer Sub as necessary to sustain the operations of Southpark. Pacer Sub also assumed a prorated share of the outstanding liabilities and also assumed the position of guarantor, equal to its percentage of ownership, on all notes. Pacer Sub had also agreed to reimburse certain investors who made principal and interest payments on certain third party loans on behalf of Southpark. On September 29, 2006, the Company divested its majority interest for a $3,000,000 note receivable to a third party, which consists primarily of shareholders of the minority interest. Subsequent to the issuance of the note receivable, the Company determined that its collectability was not assured. Accordingly, the Company reduced the value of the note receivable to a fair market value of $0 and recorded a $3,000,000 bad debt expense which is included in discontinued operations for the year ended December 31, 2006.
 
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On September 1, 2005, our wholly-owned subsidiary, Pacer Health Management Corporation of Georgia, completed its asset purchase agreement with the Greene County Hospital Authority to acquire certain assets and assume certain liabilities used in the operation of Minnie G. Boswell Memorial Hospital. The total purchase amount was $1,108,676. On September 29, 2006, the Company executed a sale-leaseback of certain of its assets in Georgia, which included a sale of its skilled nursing operations to Health Systems Real Estate, Inc.

In March 2007, the Company amended its lease agreement (the “Amended and Restated Cooperative Endeavor Lease and Assignment of Third Party Leases”) with the Lower Cameron Hospital Service District (“LCHSD”) to provide for the funding of operational losses by the LCHSD through certain grants. These grants will be paid quarterly in 2007 and provide for a payment of $3.5 million in 2007 and $1.2 million, or such lesser amount as may be generated by tax revenues collected by the LCHSD during the then current year, beginning in 2008 through 2017. As of June 30, 2007, the Company has received $2.2 million of the expected $3.5 million of grants for 2007 and such amount is included in patient revenue for the six months ended June 30, 2007.
 
No material part of our revenues were derived outside of the United States in fiscal year 2006 or the six (6) months ended June 30, 2007, and during said year and three (3) month period, we had no material assets outside of the United States.
 
Industry Overview
 
The Healthcare Industry’s Size and Opportunity
 
Size. The domestic healthcare industry is a large and growing industry. The Centers for Medicare and Medicaid Services (“CMS”) released a report on February 22, 2006 projecting a 7.3% increase in health care spending in 2006, surpassing $2 trillion. As a percentage of Gross Domestic Product (“GDP”), health care spending is expected to continue to grow, reaching 16.2% in 2005, up from 16.0% in 2004. As published in Health Affairs in February 2006, by 2015, health care spending in the U.S. is projected to reach $4.0 trillion and 20.0% of GDP. 
 
Opportunity to Create a Regional Network. We believe that the domestic healthcare industry presents opportunities for innovation, differentiation and the creation of regional networks due to the following industry characteristics:
 
Highly Fragmented. The domestic healthcare industry market is highly fragmented and made up of many economically independent entities. We believe that the growing societal demands for quality healthcare services and for greater administrative efficiency has resulted in a need for reducing the various typical practices among the disparate healthcare entities.
 
Opportunity to Grow the Market. We believe the healthcare industry also presents opportunities to expand the range of Healthcare services we can provide to our patients. We believe the following several factors will lead to this opportunity.
 
 
·
Increased Per Capita Spending. Annual healthcare spending in the United States in 2003 was $5,635 per capita according to a study by the Organization for Economic Co-operation and Development and is projected by the actuaries at the Center for Medicare and Medicaid Services to increase to over $11,000 by 2014.
 
 
·
Future Favorable Demographics. We believe that favorable demographics should generate additional industry growth. According to the United States Census Bureau, the older population is projected to double from 36 million in 2003 to 72 million in 2030, and to increase from 12% to 20% of the population in the same time frame. The population aged 85 and older is also projected to double, from 4.7 million in 2003 to 9.6 million in 2030, and to double again to 20.9 million in 2050.
 
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Business Strategy
 
Overview
 
Our goal is to become a regional provider of hospital services. We intend to accomplish this by targeting and acquiring financially distressed hospitals and restructuring the operations to attempt to achieve financial viability. We believe that the acquisition of financially distressed facilities at a significant discount and its subsequent turnaround will allow us to increase significantly the value of the facilities. We intend to acquire these facilities through a combination of capital infusion, traditional financing and funds from current operations. Key elements of our strategy include:
 
Expand Our Healthcare Facilities Base 
 
We plan to expand our healthcare operations in order to increase our market share in existing markets and/or acquire or gain control of healthcare facilities in new markets where we believe the opportunity exists. Our efforts to increase our healthcare facilities base include the following practices and initiatives:
 
 
·
Acquisitions and Operating Leases - The success of our Company depends significantly on acquiring healthcare facilities. Through August 29,, 2007, we have acquired or leased the following facilities:
 
 
·
General acute care hospital in Cameron, LA (acquisition);
 
 
·
Psychiatric hospital in Lake Charles, LA (acquisition);
 
 
·
General acute care hospital in Barbourville, KY (operating lease); and
 
 
·
General acute care hospital in Greensboro, GA (acquisition).
 
We generally pursue financially distressed hospitals which are located in a non-urban market and are generally the sole provider of the market and its surrounding communities. We believe there are numerous hospitals that meet these criteria. These hospitals are primarily owned by governmental, not-for-profit, or faith based agencies.
 
We have a dedicated team of internal and external professionals who complete a thorough review of the hospital’s financial and operating performance, the demographics and service needs of the market and the physical condition of the facilities. Based on our historical experience, we then determine whether or not the hospital can benefit from our management services and leadership. Whether we buy or lease the existing facility or agree to construct a replacement hospital, we approach our pricing from a discounted range in order to ensure maximum working capital can be utilized at the acquired facility. We typically begin the acquisition process by entering into a non-binding letter of intent with an acquisition candidate. After we complete business and financial due diligence, we decide whether or not to enter into a definitive agreement. Once an acquisition is completed, we have an organized and systematic approach to transitioning and integrating the new hospital into our system of hospitals. At the time we acquire a hospital, we may commit to an amount of capital expenditures, such as a replacement facility, renovations, or equipment over a specified period of time.
 
On September 29, 2006, the Company executed a sale-leaseback of certain of its assets in Georgia, which included a sale of its skilled nursing operations to Health Systems Real Estate, Inc. (“HSRE”). The assets sold include all real property of Minnie G. Boswell Memorial Hospital (“MGBMH”) as well as licenses, permits and personal property, including vehicles, related to the skilled nursing operations. HSRE also agreed to assume certain liabilities, including accrued vacation for employees it subsequently hired in conjunction with the sale.
 
On September 29, 2006, the Company divested its majority interest in Southpark for a $3,000,000 note receivable to a third party, which consists primarily of shareholders of the minority interest. The terms of the agreement include assumption of all prorated liabilities and guarantees of Southpark from the Company. Subsequent to the issuance of the note receivable, the Company determined that its collectability was not assured. Accordingly, the Company reduced the value of the note receivable to a fair market value of $0 and recorded a $3,000,000 bad debt expense.
 
 
·
Increase Market Share - We intend to attempt to increase our market share in the markets we serve. We have begun to increase our brand awareness among the doctors we serve in the markets and have done various public advertisements. We also intend to construct a new facility in Greensboro, GA in order to attract patients from neighboring counties. We are also increasing our capital additions, such as a CT Scanner in Greensboro, GA, in order to provide additional services to patients and physicians in order to increase our patient volumes.
 
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Enhance The Operational Efficiencies
 
We intend to leverage our inter-entity network to provide us with operation efficiencies by promoting “best practices” across all of our facilities. The following are examples of the operational efficiencies:
 
 
·
Business Office - We are in the process of developing and reengineering the business office to improve our collection efforts. By streamlining and automating our business office, we expect to reduce the period from which the patient is discharged to when the bill is issued to the third party payor. Furthermore, we are hiring additional personnel so we can better process denial management. Both of these improvements will enhance our cash flow while reducing our bad debts expense.
 
 
·
Information System - We are in the process of standardizing our information technology across an enterprise-wide information system. Currently, our facilities are retaining the same information system they have been operating prior to our acquisition. By placing all of our facilities across an enterprise-wide platform, we expect to be able to make more informed strategic managerial decisions for the entire company. Furthermore, with a common platform, we expect that our facilities in our inter-entity network will be better able to share “best practices”.
 
Improve Expense Management
 
We intend to leverage our inter-entity network to further improve our cost structure by obtaining significant cost savings to our business. The following practices and initiatives reflect our commitment to leveraging our inter-entity network:
 
 
·
Managing Supplies Inventories - We are in the process of developing a group purchase order method that will allow us to use our economies of scale to negotiate with various vendors and obtain favorable pricing terms for our medical supplies. By obtaining favorable terms, we expect to reduce medical supplies expense.
 
 
·
Managing Costs - We intend to reduce or eliminate duplicate resources. We are in the process of centralizing our billing function. We expect that by eliminating the duplicate business offices that exist in all our facilities, we can increase the productivity of the business office personnel and reduce excess personnel. This would result in significant savings in our salaries and wages expense. 
 
Operations
 
Most of our general acute care hospitals provide medical and surgical services, including inpatient care, psychiatric diagnostic services and emergency services. The general acute care hospitals also provide outpatient services such as outpatient surgery, laboratory, radiology, respiratory therapy and physical therapy. Our psychiatric hospitals provide therapeutic programs including for adult psychiatric care, adult drug abuse treatment and counseling.

Each of our hospitals has a local board of trustees that includes members of the hospital’s medical staff as well as community leaders. Each board establishes policies concerning medical, professional and ethical practices, monitors these practices, and is responsible for reviewing these practices in order to determine that they conform to established standards. We maintain quality assurance programs to support and monitor quality of care standards and to meet accreditation and regulatory requirements. We also monitor patient care evaluations and other quality of care assessment activities on a regular basis.
 
Like most hospitals located in non-urban markets, our hospitals do not engage in extensive medical research and medical education programs.
 
In addition to providing access to capital resources, we make available a variety of management services to our hospitals. These services include, among other things:
 
 
 
 
 
·
accounting, financial, tax and reimbursement management;
 
 
 
·
clinical management and consulting;
 
 
 
·
construction oversight and management;
 
 
 
·
corporate ethics and compliance;
 
34

 
 
·
education and training;
 
 
 
·
employee benefits;
 
 
 
·
HIPAA compliance;
 
 
 
·
human resources management;
 
 
 
·
information and clinical systems;
 
 
 
·
internal auditing and consulting;
 
 
 
·
legal management;
 
 
 
·
managed care contracting;
 
 
 
·
materials management;
 
 
 
·
physician recruiting;
 
 
 
·
physician services management;
 
 
 
·
quality resource management;
 
 
 
·
risk management; and
 
 
 
·
revenue and cash cycle management.
 
Marketing
 
We offer various medical services, specifically, general acute medical care, and geriatric psychiatric services. Our marketing effort has been focused primarily on brand awareness among physicians. We have hired marketers who have devoted significant portions of their time developing physicians’ awareness of our facilities. Furthermore, we have advertised publicly through television, radio, newspapers and billboards in the local markets. We believe that as we continue to increase our brand awareness, our patient volume will increase.
 
Competition
 
Generally, our hospitals, in the local and surrounding communities served by our hospitals, provide services similar to those offered by other hospitals in the area. The rates charged by our hospitals are intended to be competitive with those charged by other local hospitals for similar services. In some cases, competing hospitals are more established than our hospitals. Some competing hospitals are owned by tax-supported government agencies and some others are owned by not-for-profit entities that may be supported by endowments, charitable contributions and/or tax revenues and are exempt from sales, property and income taxes. Such exemptions and support may not always be available to our hospitals. Psychiatric hospitals frequently attract patients from areas outside their immediate locale and, therefore, our psychiatric hospital competes with both local and regional hospitals, including the psychiatric units of other general acute care hospitals.

State certificate of need (“CON”) laws, which place limitations on a hospital’s ability to expand hospital services and facilities, make capital expenditures and otherwise make changes in operations, may also have the effect of restricting competition.

Our facilities located in Cameron, Louisiana and Greensboro, Georgia face minimal competition while our facilities located in Lake Charles, Louisiana and Lafayette, Louisiana have competition from various other treatment centers, private physician practices, and hospitals. We expect that any future acquisition will face similar competition from similar healthcare facilities. To the extent we are unable to compete successfully against our existing and future competitors, our business, operating results and financial condition may be materially adversely affected. While we believe we are and will compete effectively within the healthcare industry, additional competitors, currently and in the future, have or may enter the industry and effectively compete against us.
 
Intellectual Property
 
We are in the process of registering a variety of service marks, trademarks and trade names for use in our business, including: “Pacer Healthcare”, “Pacer Health” and “Pacer Hospital”.
 
We regard our intellectual property and brand awareness to be an important factor in the marketing of our Company in its growth stage. We are not aware of any facts that would negatively impact our continuing use of any of our service marks, trademarks or trade names.
 
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Insurance and Risk Management
 
Our business exposes us to the risk of liabilities arising out of our operations. For example, liabilities may arise out of claims of patients, employees or other third parties for personal injury or property damage occurring in the course of our operations. The healthcare industry, in general, is subject to substantial risk of malpractice claims resulting from personal injuries of patients. In our case, in particular, we face potential malpractice claims arising out of the treatment of patients who are treated in our acute care facilities. We currently maintain malpractice insurance coverage in excess of $1 million, with various levels of per claim deductibles. Currently, none of our policies require any collateral. We evaluate, based on historical data and overall trends in the industry, the level of risk we have with regards to a potential malpractice claim. We adjust our coverage based on these factors to ensure we have provided sufficient coverage. However, we cannot provide assurances that any claims against will be completely covered by our insurance polices. Such a claim could have an adverse impact on the business, financial condition, cash flows and results of operations.
 
Employees
 
On August 29, 2007, we employed over 500 full-time employees. We also employed various doctors as independent contractors to perform the healthcare services at all of our facilities. None of our employees are represented by unions. We consider our employee relations to be in good standing. The majority of our physicians are currently employed under exclusive contracts with the Company. Furthermore, certain key members of management are also employed under exclusive contracts which include non-compete covenants.
 
Regulation
 
All participants in the healthcare industry are required to comply with extensive government regulations at the Federal, state and local levels. Under these laws and regulations, hospitals must meet requirements for licensure and qualify to participate in government programs, including the Medicare and Medicaid programs. These requirements relate to the adequacy of medical care, equipment, personnel, operating policies and procedures, maintenance of adequate records, rate-setting, compliance with building codes and environmental protection laws. If we fail to comply with applicable laws and regulations, we may be subject to criminal penalties and civil sanctions, and our hospitals may lose their licenses and ability to participate in government programs. In addition, government regulations frequently change. When regulations change, we may be required to make changes in our facilities, equipment, personnel and services so that our hospitals remain licensed and qualified to participate in these programs. We believe that our hospitals are in substantial compliance with current Federal, state and local regulations and standards.
 
Hospitals are subject to periodic inspection by Federal, state and local authorities to determine their compliance with applicable regulations and requirements necessary for licensing and certification. All of our hospitals are currently licensed under appropriate state laws and are qualified to participate in Medicare and Medicaid programs. In addition, as of December 31, 2006, all of our hospitals, except for our facilities in Cameron and Lake Charles, were accredited by The Joint Commission. The Joint Commission accreditation indicates that a hospital satisfies the applicable health and administrative standards to participate in Medicare and Medicaid.
 
Utilization Review.  Federal law contains numerous provisions designed to ensure that services rendered by hospitals to Medicare and Medicaid patients meet professionally recognized standards, are medically necessary and that claims for reimbursement are properly filed. These provisions include a requirement that a sampling of admissions of Medicare and Medicaid patients must be reviewed by peer review organizations, which review the appropriateness of Medicare and Medicaid patient admissions and discharges, the quality of care provided, the validity of DRG classifications and the appropriateness of cases of extraordinary length of stay or cost. Peer review organizations may deny payment for services provided, or assess fines and also have the authority to recommend to the Department of Health and Human Services (“DHHS”) that a provider which is in substantial noncompliance with the standards of the peer review organization be excluded from participation in the Medicare program. Utilization review is also a requirement of most non-governmental managed care organizations.
 
Fraud and Abuse Laws.  Participation in the Medicare and/or Medicaid programs is heavily regulated by Federal statutes and regulations. If a hospital fails to comply substantially with the numerous Federal laws governing a facility’s activities, the hospital’s participation in the Medicare and/or Medicaid programs may be terminated and/or civil or criminal penalties may be imposed. For example, a hospital may lose its ability to participate in the Medicare and/or Medicaid programs if it performs any of the following acts:
 
 
·
Making claims to Medicare and/or Medicaid for services not provided or misrepresenting actual services provided in order to obtain higher payments;
 
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·
Paying money to induce the referral of patients or purchase of items or services where such items or services are reimbursable under a Federal or state health program; or
 
 
 
·
Failing to provide appropriate emergency medical screening services to any individual who comes to a hospital’s campus or otherwise failing to properly treat and transfer emergency patients.
 
The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) broadened the scope of the fraud and abuse laws by adding several criminal statutes that are not related to receipt of payments from a Federal healthcare program. HIPAA created civil penalties for proscribed conduct, including upcoding and billing for medically unnecessary goods or services. HIPAA established new enforcement mechanisms to combat fraud and abuse. These new mechanisms include a bounty system, where a portion of the payments recovered is returned to the government agencies, as well as a whistleblower program. HIPAA also expanded the categories of persons that may be excluded from participation in Federal and state healthcare programs.
 
The anti-kickback provision of the Social Security Act prohibits the payment, receipt, offer or solicitation of anything of value, whether in cash or in kind, with the intent of generating referrals or orders for services or items covered by a Federal or state healthcare program. Violations of the anti-kickback statute may be punished by criminal and civil fines, exclusion from Federal and state healthcare programs, imprisonment and damages up to three times the total dollar amount involved.
 
The Office of Inspector General (“OIG”) of DHHS is responsible for identifying fraud and abuse activities in government programs. In order to fulfill its duties, the OIG performs audits, investigations and inspections. In addition, it provides guidance to healthcare providers by identifying types of activities that could violate the anti-kickback statute. The OIG has identified the following hospital/physician incentive arrangements as potential violations:
 
 
 
 
·
Payment of any incentive by a hospital each time a physician refers a patient to the hospital;
 
 
 
·
Use of free or significantly discounted office space or equipment;
 
 
 
·
Provision of free or significantly discounted billing, nursing or other staff services;
 
 
 
·
Free training (other than compliance training) for a physician’s office staff, including management and laboratory technique training;
 
 
 
·
Guarantees which provide that if a physician’s income fails to reach a predetermined level, the hospital will pay any portion of the remainder;
 
 
 
·
Low-interest or interest-free loans, or loans which may be forgiven if a physician refers patients to the hospital;
 
 
 
·
Payment of the costs for a physician’s travel and expenses for conferences;
 
 
 
·
Payment of services which require few, if any, substantive duties by the physician or which are in excess of the fair market value of the services rendered; or
 
 
 
·
Purchasing goods or services from physicians at prices in excess of their fair market value.
 
We have a variety of financial relationships with physicians who refer patients to our hospitals, including employment contracts, independent contractor agreements and professional service agreements. The OIG is authorized to publish regulations outlining activities and business relationships that would be deemed not to violate the anti-kickback statute. These regulations are known as “safe harbor” regulations. Failure to comply with the safe harbor regulations does not make conduct illegal, but instead the safe harbors delineate standards that, if complied with, protect conduct that might otherwise be deemed in violation of the anti-kickback statute. We seek to structure each of our arrangements with physicians to fit as closely as possible within an applicable safe harbor. However, not all of our business arrangements fit wholly within safe harbors, so we cannot guarantee that these arrangements will not be scrutinized by government authorities or, if scrutinized, that they will be determined to be in compliance with the anti-kickback statute or other applicable laws. The failure of a particular activity to comply with the safe harbor regulations does not mean that the activity violates the anti-kickback statute. We believe that our business arrangements are in compliance with the anti-kickback statute. If we violate the anti-kickback statute, we would be subject to criminal and civil penalties and/or possible exclusion from participating in Medicare, Medicaid or other governmental healthcare programs.
 
The Social Security Act also includes a provision commonly known as the “Stark law”. This law prohibits physicians from referring Medicare and Medicaid patients to selected types of healthcare entities in which they or any of their immediate family members have ownership or a compensation relationship. These types of referrals are commonly known as “self referrals”. Sanctions for violating the Stark law include civil monetary penalties, assessments equal to twice the dollar value of each service rendered for an impermissible referral and exclusion from Medicare and Medicaid programs. There are ownership and compensation arrangement exceptions to the self-referral prohibition. One exception allows a physician to make a referral to a hospital that is not a specialty hospital if the physician owns an interest in the entire hospital, as opposed to an ownership interest in a department of the hospital. Another exception allows a physician to refer patients to a healthcare entity in which the physician has an ownership interest if the entity is located in a rural area, as defined in the statute. There are also exceptions for many of the customary financial arrangements between physicians and facilities, including employment contracts, leases and recruitment agreements. We have structured our financial arrangements with physicians to comply with the statutory exceptions included in the Stark law and regulations.
 
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Many states in which we operate also have adopted, or are considering adopting, laws similar to the Federal anti-kickback and Stark laws. Some of these state laws apply even if the government is not the payor. These statutes typically provide criminal and civil penalties as remedies. While there is little precedent for the interpretation or enforcement of these state laws, we have attempted to structure our financial relationships with physicians and others in light of these laws. However, if a state determines that we have violated such a law, we would be subject to criminal and civil penalties.

Corporate Practice of Medicine and Fee-Splitting.  Some states have laws that prohibit unlicensed persons or business entities, including corporations or business organizations that own hospitals, from employing physicians. Some states also have adopted laws that prohibit direct or indirect payments or fee-splitting arrangements between physicians and unlicensed persons or business entities. Possible sanctions for violations of these restrictions include loss of a physician’s license, civil and criminal penalties and rescission of business arrangements. These laws vary from state to state, are often vague and have seldom been interpreted by the courts or regulatory agencies. We attempt to structure our arrangements with healthcare providers to comply with the relevant state laws and the few available regulatory interpretations.
 
Emergency Medical Treatment and Active Labor Act.  All of our general acute care facilities are subject to the Emergency Medical Treatment and Active Labor Act (“EMTALA”). This Federal law requires any hospital that participates in the Medicare program to conduct an appropriate medical screening examination of every person who presents to the hospital’s emergency department for treatment and, if the patient is suffering from an emergency medical condition, to either stabilize that condition or make an appropriate transfer of the patient to a facility that can handle the condition. The obligation to screen and stabilize emergency medical conditions exists regardless of a patient’s ability to pay for treatment. There are severe penalties under EMTALA if a hospital fails to screen or appropriately stabilize or transfer a patient or if the hospital delays appropriate treatment in order to first inquire about the patient’s ability to pay. Penalties for violations of EMTALA include civil monetary penalties and exclusion from participation in the Medicare program. In addition, an injured patient, the patient’s family or a medical facility that suffers a financial loss as a direct result of another hospital’s violation of the law can bring a civil suit against that other hospital.
 
During 2003, Centers for Medicare and Medicaid Service (“CMS”) published a final rule clarifying a hospital’s duties under EMTALA. In the final rule, CMS clarified when a patient is considered to be on a hospital’s property for purposes of treating the person pursuant to EMTALA. CMS stated that off-campus facilities such as specialty clinics, surgery centers and other facilities that lack emergency departments should not be subject to EMTALA, but that these locations must have a plan explaining how the location should proceed in an emergency situation such as transferring the patient to the closest hospital with an emergency department. CMS further clarified that hospital-owned ambulances could transport a patient to the closest emergency department instead of to the hospital that owns the ambulance.
 
CMS’s rules did not specify “on-call” physician requirements for an emergency department, but provided a subjective standard stating that “on-call” hospital schedules should meet the hospital’s and community’s needs. Although we believe that our hospitals comply with EMTALA, we cannot predict whether CMS will implement new requirements in the future and whether our hospitals will comply with any new requirements.
 
Federal False Claims Act.  The Federal False Claims Act prohibits providers from knowingly submitting false claims for payment to the Federal government. This law has been used not only by the Federal government, but also by individuals who bring an action on behalf of the government under the law’s “qui tam” or “whistleblower” provisions. When a private party brings a qui tam action under the Federal False Claims Act, the defendant will generally not be aware of the lawsuit until the government makes a determination whether it will intervene and take a lead in the litigation.
 
Civil liability under the Federal False Claims Act can be up to three times the actual damages sustained by the government plus civil penalties for each separate false claim. There are many potential bases for liability under the Federal False Claims Act, including claims submitted pursuant to a referral found to violate the anti-kickback statute. Although liability under the Federal False Claims Act arises when an entity knowingly submits a false claim for reimbursement to the Federal government, the Federal False Claims Act defines the term “knowingly” broadly. Although simple negligence generally will not give rise to liability under the Federal False Claims Act, submitting a claim with reckless disregard to its truth or falsity can constitute “knowingly” submitting a false claim.
 
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Healthcare Reform.  The healthcare industry continues to attract much legislative interest and public attention. The Medicare Modernization Act (“MMA”) introduced changes to the Medicare program. Many of MMA’s changes went into effect January 1, 2006. MMA establishes a voluntary prescription drug benefit, provides Federal subsidies to plan sponsors that provide prescription drug benefits to Medicare-eligible retirees, substantially adjusts Medicare+Choice and provides favorable payment adjustments for rural hospitals. MMA also provides favorable tax treatment for individual health savings accounts. In addition, MMA authorizes MedPAC to study the effects of rural hospital reimbursement in current and anticipated reimbursement methodologies.
 
In recent years, Medicaid enrollment has grown as more people became eligible for the program. At the same time, healthcare costs have been rising, forcing states to address Medicaid cost-containment. Healthcare costs, demographics, erosion of employer-sponsored health coverage and potential changes in Federal Medicaid policies continue to put pressure on state Medicaid programs. Policymakers in many states are evaluating the Medicaid programs in their states and considering reforms. Also, the number of persons without health insurance has risen. We anticipate that the Federal and state governments will continue to introduce legislative proposals to modify the cost and efficiency of the healthcare delivery system to provide coverage for more or all persons.
 
Conversion Legislation.  Many states have adopted legislation regarding the sale or other disposition of hospitals operated by not-for-profit entities. In states that do not have such legislation, the attorneys general have demonstrated an interest in these transactions under their general obligations to protect charitable assets. These legislative and administrative efforts primarily focus on the appropriate valuation of the assets divested and the use of the proceeds of the sale by the not-for-profit seller. These reviews and, in some instances, approval processes can add additional time to the closing of a not-for-profit hospital acquisition. Future actions by state legislators or attorneys general may seriously delay or even prevent our ability to acquire certain hospitals.
 
Certificates of Need.  The construction of new facilities, the acquisition or expansion of existing facilities and the addition of new services and expensive equipment at our facilities may be subject to state laws that require prior approval by state regulatory agencies. These certificate of need laws generally require that a state agency determine the public need and give approval prior to the construction or acquisition of facilities or the addition of new services. We operate hospitals in two states that have adopted certificate of need laws — Georgia and Kentucky. If we fail to obtain necessary state approval, we will not be able to expand our facilities, complete acquisitions or add new services at our facilities in these states. Violation of these state laws may result in the imposition of civil sanctions or the revocation of hospital licenses. All other states in which we operate do not require a certificate of need prior to the initiation of new healthcare services. In these other states, our facilities are subject to competition from other providers who may choose to enter the market by developing new facilities or services.
 
HIPAA Transaction, Privacy and Security Requirements.  Federal regulations issued pursuant to HIPAA contain, among other measures, provisions that require us to implement very significant and potentially expensive new computer systems, employee training programs and business procedures. The Federal regulations are intended to protect the privacy of healthcare information and encourage electronic commerce in the healthcare industry.
 
Among other things, HIPAA requires healthcare facilities to use standard data formats and code sets established by DHHS when electronically transmitting information in connection with several transactions, including health claims and equivalent encounter information, healthcare payment and remittance advice and health claim status. We have implemented or upgraded, or are in the process of upgrading, computer systems utilizing a third party vendor, as appropriate, at our facilities and at our corporate headquarters to comply with the new transaction and code set regulations and have tested these systems with several of our payors.

HIPAA also requires DHHS to issue regulations establishing standard unique health identifiers for individuals, employers, health plans and healthcare providers to be used in connection with the standard electronic transactions. DHHS published on January 23, 2004 the final rule establishing the standard for the unique health identifier for healthcare providers. All healthcare providers, including our facilities, will be required to obtain a new National Provider Identifier to be used in standard transactions instead of other numerical identifiers beginning no later than May 23, 2007.
 
HIPAA regulations also require our facilities to comply with standards to protect the confidentiality, availability and integrity of patient health information, by establishing and maintaining reasonable and appropriate administrative, technical and physical safeguards to ensure the integrity, confidentiality and the availability of electronic health and related financial information. The security standards were designed to protect electronic information against reasonably anticipated threats or hazards to the security or integrity of the information and to protect the information against unauthorized use or disclosure. We expect that the security standards will require our facilities to implement business procedures and training programs, though the regulations do not mandate use of a specific technology.
 
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DHHS has also established standards for the privacy of individually identifiable health information. These privacy standards apply to all health plans, all healthcare clearinghouses and healthcare providers, such as our facilities, that transmit health information in an electronic form in connection with standard transactions, and apply to individually identifiable information held or disclosed by a covered entity in any form. These standards impose extensive administrative requirements on our facilities and require compliance with rules governing the use and disclosure of this health information, and they require our facilities to impose these rules, by contract, on any business associate to whom we disclose such information in order for them to perform functions on our facilities’ behalf. In addition, our facilities will continue to remain subject to any state laws that are more restrictive than the privacy regulations issued under HIPAA. These laws vary by state and could impose additional penalties. Compliance with these standards requires significant commitment and action by us.
 
Patient Safety and Quality Improvement Act of 2005.  On July 29, 2005, the President signed the Patient Safety and Quality Improvement Act of 2005, which has the goal of reducing medical errors and increasing patient safety. This legislation establishes a confidential reporting structure in which providers can voluntarily report “Patient Safety Work Product” (“PSWP”) to “Patient Safety Organizations” (“PSOs”). Under the system, PSWP is made privileged, confidential and legally protected from disclosure. PSWP does not include medical, discharge or billing records or any other original patient or provider records but does include information gathered specifically in connection with the reporting of medical errors and improving patient safety. This legislation does not preempt state or Federal mandatory disclosure laws concerning information that does not constitute PSWP. PSOs will be certified by the Secretary of the DHHS for three-year periods after the Secretary develops applicable certification criteria. PSOs will analyze PSWP, provide feedback to providers and may report non-identifiable PSWP to a database. In addition, PSOs are expected to generate patient safety improvement strategies. We will monitor the progress of these voluntary reporting programs and we anticipate that we will participate in some form when the details are available.
 
Medical Malpractice Tort Law Reform.  Medical malpractice tort law has historically been maintained at the state level. All states have laws governing medical liability lawsuits. Over half of the states have limits on damages awards. Almost all states have eliminated joint and several liability in malpractice lawsuits, and many states have established limits on attorney fees. In 2006, most states had bills introduced in their legislative sessions to address medical malpractice tort reform. Proposed solutions include enacting limits on non-economic damages, malpractice insurance reform, and gathering lawsuit claims data from malpractice insurance companies and the courts for the purpose of assessing the connection between malpractice settlements and premium rates. Reform legislation has also been proposed, but not adopted, at the Federal level that could preempt additional state legislation in this area.
 
Environmental Regulation.  Our healthcare operations generate medical waste that must be disposed of in compliance with Federal, state and local environmental laws, rules and regulations. Our operations, as well as our purchases and sales of healthcare facilities, are also subject to compliance with various other environmental laws, rules and regulations. Such compliance costs are not significant and we do not anticipate that such compliance costs will be significant in the future.
 
Sources of Revenue
 
General

Hospital revenues depend upon inpatient occupancy levels, the medical and ancillary services ordered by physicians and provided to patients, the volume of outpatient procedures and the charges or payment rates for such services. Charges and reimbursement rates for inpatient services vary significantly depending on the type of service (e.g., medical/surgical, or psychiatric) and the geographic location of the hospital. Inpatient occupancy levels fluctuate for various reasons, many of which are beyond our control.

We receive payment for patient services from the Federal government primarily under the Medicare program, state governments under their respective Medicaid or similar programs, managed care plans, private insurers and directly from patients.     
 
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Medicare is a Federal program that provides certain hospital and medical insurance benefits to persons age 65 and over, some disabled persons and persons with end-stage renal disease. Medicaid is a Federal-state program, administered by the states, which provides hospital and medical benefits to qualifying individuals who are unable to afford health care. All of our general acute care hospitals located in the United States are certified as health care services providers for persons covered under Medicare and Medicaid programs. Amounts received under Medicare and Medicaid programs are generally significantly less than established hospital gross charges for the services provided.

Our hospitals generally offer discounts from established charges to certain group purchasers of health care services, including private insurance companies, employers, HMOs, PPOs and other managed care plans. These discount programs limit our ability to increase revenues in response to increasing costs. Patients are generally not responsible for the total difference between established hospital gross charges and amounts reimbursed for such services under Medicare, Medicaid, HMOs or PPOs and other managed care plans, but are responsible to the extent of any exclusions, deductibles or coinsurance features of their coverage.

 
Medicare
 
Under the Medicare program, we are paid for inpatient and outpatient services performed by our hospitals.
 
Payments for inpatient acute services are generally made pursuant to a prospective payment system, commonly known as “PPS.” Under PPS, our hospitals are paid a predetermined amount for each hospital discharge based on the patient’s diagnosis. Specifically, each discharge is assigned to a diagnosis-related group, commonly known as a (“DRG”), based upon the patient’s condition and treatment during the relevant inpatient stay. For the Federal fiscal year 2007, each DRG is assigned a payment rate using 67% of the national average charge per case and 33% of the national average cost per case. For the Federal year 2008, each DRG is assigned a payment rate using 67% of the national average cost per case and 33% of the national average charge per case. For the Federal fiscal year 2009, each DRG is assigned a payment rate using 100% of the national average cost per case. DRG payments are based on national averages and not on charges or costs specific to a hospital. However, DRG payments are adjusted by a predetermined geographic adjustment factor assigned to the geographic area in which the hospital is located. While a hospital generally does not receive payment in addition to a DRG payment, hospitals may qualify for an “outlier” payment when the relevant patient’s treatment costs are extraordinarily high and exceed a specified regulatory threshold.
 
The DRG rates are adjusted by an update factor on October 1 of each year, the beginning of the Federal fiscal year (i.e., the Federal fiscal year beginning October 1, 2006 is referred to as the 2007 Federal fiscal year). The index used to adjust the DRG rates, known as the “market basket index”, gives consideration to the inflation experienced by hospitals in purchasing goods and services. Under the Medicare Prescription Drug, Improvement and Modernization Act of 2003, DRG payment rates were increased by the full “market basket index” for the Federal fiscal years 2004, 2005, 2006 and 2007 or 3.4%, 3.3%, 3.7% and 3.4%, respectively. The Deficit Reduction Act of 2005 imposes a 2% reduction to the market basket index beginning in the Federal fiscal year 2007 if patient quality data is not submitted. Future legislation may decrease the rate of increase for DRG payments, but we are not able to predict the amount of any reduction or the effect that any reduction will have on us.
 
In addition, hospitals may qualify for Medicare disproportionate share payments when their percentage of low income patients exceeds specified regulatory thresholds. All of our hospitals qualify to receive Medicare disproportionate share payments. With regards to the Medicare disproportionate share payments, these payments were increased by the Medicare Prescription Drug, Improvement and Modernization Act of 2003, effective April 1, 2004.
 
We receive Medicare reimbursement for outpatient services through a PPS. Under the Balanced Budget Refinement Act of 1999, non-urban hospitals with 100 beds or less were held harmless through December 31, 2004 under this Medicare outpatient PPS. The Medicare Prescription Drug, Improvement and Modernization Act of 2003 extended the hold harmless provision for non-urban hospitals with 100 beds or less and for non-urban sole community hospitals with more than 100 beds through December 31, 2005. The Deficit Reduction Act of 2005 extended the hold harmless provision for non-urban hospitals with 100 beds or less that are not sole community hospitals through December 31, 2008; however, it reduces the amount these hospitals would receive in hold harmless payment by 5% in 2006, 10% in 2007 and 15% in 2008.
 
Skilled nursing facilities and swing bed facilities were historically paid by Medicare on the basis of actual costs, subject to limitations. The Balanced Budget Act of 1997 established a PPS for Medicare skilled nursing facilities and mandated that swing bed facilities must be incorporated into the skilled nursing facility PPS. For Federal fiscal year 2004 skilled nursing facility PPS payment rates are increased by the full market basket of 3.0% coupled with a 3.26% increase to reflect the difference between the market basket forecast and the actual market basket increase from the start of the skilled nursing facility PPS in July 1998. For Federal fiscal year 2005, skilled nursing facility PPS payment rates were increased by the full market basket of 2.8%. For Federal fiscal year 2006, skilled nursing facility PPS payment rates were increased 3.1%. For Federal fiscal year 2007, skilled nursing facility PPS rates were increased by the full SNF market basket index of 3.1%.
 
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Medicaid

Medicaid programs are funded jointly by the Federal government and the states and are administered by states under approved plans. Most state Medicaid program payments are made under a PPS or are based on negotiated payment levels with individual hospitals. Medicaid reimbursement is often less than a hospital’s cost of services. The Federal government and many states are currently considering altering the level of Medicaid funding (including upper payment limits) or program eligibility that could adversely affect future levels of Medicaid reimbursement received by our hospitals. We can provide no assurance that reductions to Medicaid fundings will not have a material adverse effect on our results of operations.

 
Managed Medicaid

Managed Medicaid programs relate to situations where states contract with one (1) or more entities for patient enrollment, care management and claims adjudication. The states usually do not abdicate program responsibilities for financing, eligibility criteria and core benefit plan design. We generally contract directly with one of the designated entities, usually a managed care organization. The provisions of these programs are state specific. As of August 29, 2007, only our Greensboro, Georgia facility was subject to a Managed Medicaid program.

 
Annual Cost Reports

All hospitals participating in the Medicare, Medicaid programs, whether paid on a reasonable cost basis or under a PPS, are required to meet certain financial reporting requirements. Federal and, where applicable, state regulations require the submission of annual cost reports covering the revenue, costs and expenses associated with the services provided by each hospital to Medicare beneficiaries and Medicaid recipients.

Annual cost reports required under the Medicare and Medicaid programs are subject to routine audits, which may result in adjustments to the amounts ultimately determined to be due to us under these reimbursement programs. These audits often require several years to reach the final determination of amounts due to or from us under these programs. Providers also have rights of appeal, and it is common to contest issues raised in audits of prior years’ reports.

 
Commercial Insurance
     
Our hospitals provide services to individuals covered by private healthcare insurance. Private insurance carriers pay our hospitals or in some cases reimburse their policyholders based upon the hospital’s established charges and the coverage provided in the insurance policy. Commercial insurers are trying to limit the costs of hospital services by negotiating discounts, including PPS, which would reduce payments by commercial insurers to our hospitals. Reductions in payments for services provided by our hospitals to individuals covered by commercial insurers could adversely affect us.
 
Currently, our billing software does not generate automatic contractual adjustments based on fee schedules provided by Medicare, Medicaid, or third-party payors. On a monthly basis, we estimate our contractual adjustments on a per facility basis. In our estimates, we consider cash collections received based on the payor and the type of service rendered. By relying on historical payments of similar charges of the same payor, we believe that we can accurately determine the future payments we will receive from the payor for future services rendered of the same type. Furthermore, we are enforcing our policy of collecting deductibles and co-payments with patients on a timely basis. As a result of our collection efforts, we expect bad debts expense to be reduced in the future.
 
Our revenue days outstanding reflected in our consolidated net accounts receivable for June 30, 2007 and December 31, 2006 were 116.62 days and 115.06 days, respectively. The increase was due to the integration of Knox County Hospital to our consolidated operations.
 
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MANAGEMENT
 
As of August 29, 2007, the Directors and executive officers of Pacer, their age, positions in Pacer, the dates of their initial election or appointment as directors or executive officers, and the expiration of the terms are as follows:
 
Name of Director/
Executive Officer
 
Age
 
Position(s)
 
Period Served
             
Rainier Gonzalez
 
34
 
Chairman, CEO and President
 
June 2003 to date
Eric Pantaleon, M.D.
 
45
 
Director
 
July 2003 to date
Alfredo Jurado
 
34
 
Director
 
July 2003 to date
Marcelo Llorente
 
30
 
Director
 
March 2005 to date
Eugene Marini
 
45
 
Director
 
March 2005 to date
John Vincent
 
40
 
Chief Operating Officer
 
January 2007 to date
J. Antony Chi
 
34
 
Chief Financial Officer
 
July 2004 to date

 
There are no family relationships between or among the directors, executive officers or any other person. None of Pacer’s directors or executive officers is a director of any company that files reports with the SEC. None of Pacer’s directors have been involved in legal proceedings.
 
Pacer’s directors are elected at the annual meeting of shareholders and hold office until their successors are appointed. Pacer’s officers are appointed by the Board of Directors (the “Board”) and serve at the pleasure of the Board and are subject to employment agreements, if any, approved and ratified by the Board.
 
Rainier Gonzalez, President, Chief Executive Officer and Chairman. Mr. Gonzalez has been President, Chief Executive Officer, Secretary and Chairman of the Company since June 26, 2003. Prior to founding Pacer Health Corporation, Mr. Gonzalez served as a principal in two (2) South Florida financial services firms, both of which he also helped found in 2002. From 2000 to 2002, Mr. Gonzalez served as vice president of business development, and principal, for Brick Mountain LLC, an Internet company that was sold to Jupiter Media (Nasdaq: JUPM). From 1999 to 2000, he was an associate in the Washington D.C. law firm of Sidley Austin Brown & Wood, where he worked in the securitization and structured finance department. Mr. Gonzalez earned his bachelor’s degree in political science from Florida International University in 1995, and his law degree, magna cum laude, from the Indiana University School of Law in 1998. Prior to joining Sidley Austin Brown & Wood, he worked as a law clerk for Federal Judge Denny Chin of the Southern District of New York.
 
Eric Pantaleon, M.D., Director. Dr. Pantaleon has been a Director of the Company since July 2003. Dr. Pantaleon has been a pediatrician in private practice since 1994, and is an active member of the American Academy of Pediatrics. He is also a pediatric clinical instructor at the University of Miami - Jackson Memorial Medical Center, and serves as an assistant pediatric clinical instructor at Nova Southeastern University. From 1990 to 1993, he was a resident in training at the Jersey Shore Medical Center, where he served on the hospital’s Medical Education Committee and was president of the Residents House Staff. Dr. Pantaleon completed both his pre-medical and doctoral education at the Universidad Nacional Pedro Henriquez Urena in Santo Domingo, Dominican Republic.
 
Alfredo Jurado, Esq., Director. Mr. Jurado has been a Director of the Company since July 2003. Mr. Jurado is currently an attorney in private practice and an active member of the Florida Bar. Prior to that, he was a co-owner and general counsel for a Miami-based financial services firm, which he joined in 2002. From 1998 to 2002, Mr. Jurado worked for the Florida State Attorney’s Office, where he served as a county court prosecutor, a county court supervisor and, most recently, a felony trial unit prosecutor in Florida’s 17th Judicial Circuit. In 1997, he served as a certified legal intern in the 11th Judicial Circuit of the Florida State Attorney’s Office, and in 1996, he served as a law clerk for the Honorable Judge Scott Silverman, also of the 11th Judicial Circuit. Mr. Jurado earned his bachelor’s degree in criminal science from Florida International University in 1995, and his law degree, cum laude, from Nova Southeastern University, Shepard Broad Law Center, in 1998.
 
43

 
Eugene Marini, Director. Mr. Marini has been a Director of the Company since March 2005. Mr. Marini is currently the Chief Executive Officer of Oakridge Outpatient and Surgical Center, which he joined in 2004. Prior to joining Oakridge, Mr. Marini was Director of Operations at Catholic Health Services, Inc. from 2001 through 2004 where he oversaw the operations of three nursing homes, two (2) acute care rehabilitation hospitals, two (2) home health agencies and two (2) adult living facilities. In 1999, Mr. Marini was recruited by Ruben King-Shaw, then Secretary of the Agency for Healthcare Administration of the State of Florida, to restructure the Agency’s Managed Care and Health Quality Division. From 1994 to 1997, Mr. Marini was Chief Executive Officer of West Gables Rehabilitation Hospital, a 60 bed acute rehabilitation facility and 120 bed sub-acute facility, which he brought into JCAHO compliance. Mr. Marini also served as Vice-President of Operations and Business Development at the Miami Heart Institute and Chief Executive Officer at Doctors Hospital of Hollywood. Mr. Marini holds a master’s degree in public health and a bachelor’s degree in health administration from Florida International University. He is a licensed nursing home administrator and member of the American College of Healthcare Executives.
 
Rep. Marcelo Llorente, Esq., Director. Rep. Llorente has been a Director of the Company since March 2005. Rep. Llorente currently represents District 116 in the Florida House of Representatives, to which he was elected to in 2002 and is currently the Chairman of the Judicial Committee. Rep. Llorente is also an attorney with the law firm of Bryant, Miller & Olive, P.A., where he specializes in the areas of public finance and affordable housing. Rep. Llorente is a member of the Florida Bar, American Bar Association, and Cuban-American Bar Association. Rep. Llorente has been active in the “Amor en Acion: (Love in Action)” Latin American Missionary Group. He also served as a Volunteer Law Student in the Leon County Teen Court program and as a certified legal intern providing legal representation to domestic violence victims through Florida State University’s Children Advocacy Center. Rep. Llorente graduated cum laude from Tulane University with a bachelor’s degree and holds a law degree from Florida State University College of Law.
 
John Vincent, Chief Operating Officer. Mr. Vincent has been with the Company since August 2004. Prior to becoming Chief Operating Officer, Mr. Vincent served as Pacer Health’s chief nursing officer and director of hospital operations. Mr. Vincent started with the Company as the director of nursing for South Cameron Memorial Hospital. Prior to that, he served as the manager of the emergency department, operating room, medical surgical, and intensive care unit at Women and Children’s Hospital in Lake Charles, Louisiana from 1994 to 2004. Prior to his work at Women and Children’s, he served as the emergency department technician and then the emergency department charge nurse at Lake Charles Memorial Hospital from 1989 to 1994. Mr. Vincent holds a degree in nursing from Louisiana State University, as well as a master’s in nursing administration from Regents College, New York. Mr. Vincent is currently a member of the Emergency Nurses’ Association and American Heart Association and is a certified ACLS and PALS instructor and an instructor for basic life support and trauma nursing.
 
J. Antony Chi, Chief Financial Officer. Mr. Chi has been with the Company since July 2004. His prior experience includes working at PriceWaterhouseCoopers LLP from 1997 to 1998 and Ernst & Young LLP from 1998 to 1999. He has also worked at LNR Property Corporation from 1999 to 2000, Gerald Stevens Inc. from 2000 to 2001, and most recently, AutoNation, Inc., which he joined in 2001, prior to joining the Company. Mr. Chi holds a bachelor’s degree from New York University. Mr. Chi is currently a Certified Public Accountant in the State of Maryland.
 
Board Meetings And Committees
 
During the fiscal year ended December 31, 2006, the Board met four (4) times. All the members of the Board attended the meetings.
 
Audit Committee  
 
We have a separately-designated standing audit committee established in accordance with section 3(a)(58)(A) of the Exchange Act. The members of our Committee are Messrs. Marini, Jurado and Llorente. All three (3) members of the committee are independent. Mr. Marini is our audit committee financial expert and is independent as defined under the applicable SEC Rules.
 
Compensation Committee  
 
We have a separately-designated standing compensation committee. The members of our Committee are Messrs. Marini and Jurado. Both members of the committee are independent.
 
44

 
Compensation Of Directors
 
For his or her service on the Board, each director receives $1,000 per quarter as reimbursement of expenses, payable in cash or restricted stock, at the option of the Company.
 
Section 16(a) Beneficial Ownership
 
Reporting Compliance
 
Section 16(a) of the Exchange Act and the rules promulgated thereunder require Pacer’s officers and directors, and persons who beneficially own more than ten percent (10%) of a registered class of Pacer’s equity securities, to file reports of ownership and changes in ownership with the SEC and to furnish Pacer with copies thereof.
 
Based on its reviews of the copies of the Section 16(a) forms received by it, or written representations from certain reporting persons, Pacer believes that, during the last fiscal year, the officers, directors and greater than ten percent (10%) beneficial owners of Pacer timely complied with the Section 16(a) filing requirements.
 
Code Of Ethics
 
On April 14, 2004, the Board adopted a written Code of Ethics designed to deter wrongdoing and promote honest and ethical conduct, full, fair and accurate disclosure, compliance with laws, prompt internal reporting and accountability to adherence to the Code of Ethics. This Code of Ethics was filed with the SEC as an exhibit to the Company’s Form 10-KSB for the year ended December 31, 2003.
 
Executive Compensation
 
Summary Compensation Table
 
The following table sets forth information with respect to the total compensation earned by, or paid to, Rainier Gonzalez, the Company’s President and Chief Executive Officer, J. Antony Chi, Chief Financial Officer and John Vincent, Chief Operating Officer (collectively, the Named Executive Officers”), for the fiscal years ended December 31, 2006, 2005, and 2004. No other executive officer of the Company earned total salary and bonus in excess of $100,000 during any such fiscal years.
 
Name and Principal Position
 
Year
 
Salary
 
Bonus
 
Stock Award
 
Option Award
 
Non-Equity Incentive Plan Compensation
 
Change in Pension Value and Nonqualified Deferred Compensation Earnings
 
All Other Compensation
 
Total
 
R. Gonzalez, CEO
   
2006
 
$
250,000
   
   
   
   
   
 
$
20,342
(1)
$
270,342
 
     
2005
 
$
191,200
   
   
   
   
   
 
$
20,192
(1)
$
211,392
 
     
2004
 
$
191,200
   
   
   
   
   
   
 
$
191,200
 
                                                         
J. Chi, CFO
   
2006
 
$
150,000
   
   
   
   
   
   
 
$
150,000
 
     
2005
 
$
150,000
   
   
   
   
   
   
 
$
150,000
 
     
2004
 
$
150,000
   
 
$
150,000
(2)
 
   
   
   
 
$
300,000
 
                                                         
J. Vincent, COO
   
2006
 
$
108,000
   
   
   
   
   
   
 
$
108,000
 
     
2005
 
$
106,000
   
   
   
   
   
   
 
$
106,000
 
     
2004
 
$
85,000
   
   
   
   
   
   
 
$
85,000
 
 

(1)  
This represents an automobile allowance issued to Mr. Gonzalez per the employment agreement dated January 1, 2004 and renewed through August 31, 2008.
 
(2)  
This represents 10,000,000 shares of restricted stock issued or to be issued per the employment agreement dated July 4, 2005 and renewed through June 30, 2007.

45

 
Narrative Disclosures
 
Pacer currently has an employment agreement with its Chief Executive Officer, Rainier Gonzalez. The agreement commenced on January 1, 2004 and was subsequently revised on September 1, 2005 to provide for a base salary of $250,000 per annum. The agreement expires on August 31, 2008.
 
Pacer currently has an employment agreement with its Chief Financial Officer, J. Antony Chi. The agreement commenced on July 5, 2004 and provides for a base salary of $150,000 per annum and ten million (10,000,000) shares to be issued ratably over a three (3) year period. The agreement expires on June 30, 2008.
 
Pacer currently has an employment agreement with its Chief Operating Officer, John Vincent. The agreement commenced on January 1, 2007 and provides for a base salary of $100,000 per annum and ten million (10,000,000) shares to be issued ratably over a three (3) year period. The agreement expires on December 31, 2007.
 
Grants of Plan Based Awards
 
The following table sets forth information for the Named Executive Officers named in the Summary Compensation Table with respect to the grants of plan based awards of the Company as of December 31, 2006.
 
Name and Principal
 
Grant
 
Estimated Future Payouts Under Non-Equity Incentive Plan Awards
 
Estimated Future Payouts Under Equity Incentive Plan Awards
 
All Other Stock Awards; Number of Shares of Stock or
 
All Other Option Awards; Number of Securities Underlying
 


Exercise or Base Price of Option
 
 Position
 
Date
 
Threshold
 
Target
 
Maximum
 
Threshold
 
Target
 
Maximum
 
  Units
 
Options
 
Awards
 
R. Gonzalez, CEO
     
 
 
 
 
 
     
 
 
                                           
J. Chi, CFO
   
7/4/04
   
   
   
   
   
   
 
$
150,000;
10,000,000
   
   
 
                                                               
J. Vincent, COO
   
1/1/07
   
   
   
   
   
   
 
$
200,000
10,000,000
   
   
 
 
Outstanding Equity Awards at Fiscal Year-End
 
The following table sets forth information for the Named Executive Officers named in the Summary Compensation
 
   
Option Awards
 
Stock Awards
 
Name and Principal Position
 
Number of Securities Underlying Unexercised Options
Exercisable
 
Number of Securities Underlying Unexercised Options
Unexercisable
 
Equity Incentive Plan Awards: Number of Securities Underlying Unexercised Unearned Options
 
Option Exercise Price
 
Option Expiration Date
 
Number of Shares or Units of Stock That Have Not Vested
 
Market Value of Shares or Units of Stock That Have Not Vested
 
Equity Incentive Plan Awards: Number of Unearned Shares, Units or Other Rights That Have Not Vested
 
Equity Incentive Plan Awards: Market or Payout Value of Unearned Shares, Units of Other Rights That Have Not Vested
 
R. Gonzalez, CEO
   
   
   
   
   
   
   
   
   
 
                                                         
J. Chi, CFO
   
   
   
   
   
   
5,000,000
 
$
100,000
   
   
 
                                                         
J. Vincent, COO
   
   
   
   
   
   
10,000,000
 
$
200,000
   
   
 
 
Table with respect to the outstanding equity awards of the Company as of December 31, 2006.
 
46

 
Option Exercises and Stock Vested
 
The following table sets forth information for the Named Executive Officers named in the Summary Compensation Table with respect to the option exercises and stock vested of the Company as of December 31, 2006.
 
   
Option Awards
 
Stock Awards
 
Name and Principal Position
 
Number of Shares Acquired on Exercise
 
Value Realized on Exercise
 
Number of Shares Acquired on Vesting
 
Value Realized on Exercise
 
R. Gonzalez, CEO
   
   
   
   
 
                           
J. Chi, CFO
   
   
   
5,000,000
 
$
100,000
 
                           
J. Vincent, COO
   
   
   
   
 
 
Director Compensation Table
 
The following table sets forth information with respect to the total compensation paid to the Company’s Directors for the fiscal years ended December 31, 2006.
 
Name
 
Fees Earned or Paid in Cash
 
Stock Award
 
Option Award
 
Non-Equity Incentive Plan Compensation
 
Change in Pension Value and Nonqualified Deferred Compensation Earnings
 
All Other Compensation
 
Total
 
Eric Pantaleon, M.D.
 
$
2,000
 
$
2,000
   
   
   
   
 
$
4,000
 
                                             
Alfredo Jurado, Esq.
 
$
2,000
 
$
2,000
   
   
   
   
 
$
4,000
 
                                             
Rep. Marcelo Llorente
 
$
2,000
 
$
2,000
   
   
   
   
 
$
4,000
 
                                             
Eugene Marini
 
$
2,000
 
$
2,000
   
   
   
   
 
$
4,000
 
                                             
Rainier Gonzalez, Chairman
   
   
   
   
   
   
   
 
 
Stock Option Plan
 
On June 2, 2003, the Company filed a Form S-8 Registration Statement to register 8,000,000 shares underlying its 2003 Stock Plan. On February 21, 2003, the Company filed a Form S-8 Registration Statement to register 6,000,000 shares underlying its 2003 Stock Incentive Plan. On June 21, 2002, the Company filed a Form S-8 Registration Statement to register 1,000,000 shares underlying its 2002 Stock Incentive Plan. All shares registered under the stock plans have been issued. Based on the information available to the Company’s current management, the above information contains a description of the Company’s stock option plans.
 
47

 
DESCRIPTION OF PROPERTY
 
Our corporate headquarters are located in leased premises at 7759 NW 146th Street, Miami Lakes, Florida 33016. As of August 29, 2007, we leased the real estate for a psychiatric hospital in Lake Charles, Louisiana and the hospital in Barbourville, Kentucky. We currently lease the real estate for our medical facility in Greensboro, Georgia as a result of a sales-leaseback transaction. We consider these facilities to be in good operating condition and suitable for their current use. We do not expect that we will need to make significant capital expenditures on these facilities in the near future.
 
48

 
LEGAL PROCEEDINGS
 
Sharon K. Postell v. Greene County Hospital Authority d/b/a Minnie G. Boswell Memorial Hospital, Pacer Health Management Corporation of Georgia, Inc., and Anita Brown, in Her Individual Capacity
 
The Company has been named as a co-defendant in a lawsuit initiated by Plaintiff Sharon K. Postell on August 19, 2005. Plaintiff alleges that the Company discriminated against her based on her religion in violation of 42 U.S.C. § 1983 and Title VII. Plaintiff also claims that she was retaliated against when she complained about the religious discrimination. The last settlement demand by Plaintiff was for approximately $70,000, which the Company rejected. Discovery is complete in this case and Defendants have filed a motion to dismiss Plaintiff’s claim in its entirety.
 
From time to time we become subject to other proceedings, lawsuits and other claims in the ordinary course of business including proceedings related to medical services provided and other matters. Such matters are subject to many uncertainties, and outcomes are not predictable with assurance.
 
The Company is subject to various lawsuits and unasserted claims from patients and service providers. The Company believes that the outcome of these matters, if unfavorable, may be covered by its medical malpractice insurance coverage. Amounts due to vendors have been accrued as of June 30, 2007.
 
Other than as stated above, there is no current outstanding litigation in which we are involved in other than routine litigation incidental to our ongoing business.
 
49

 
PRINCIPAL SHAREHOLDERS
 
The following table sets forth information with respect of the beneficial ownership as of August 29, 2007 for each officer and director of Pacer and for each person who is known to Pacer to be the beneficial owner of more than 5% of Pacer’s common stock.   
 
Name and
Address of Beneficial Owner (2)
 
Title of Class
 
Amount and Nature of Beneficial Ownership
 
Percentage of Class(1)
Rainier Gonzalez
 
Common
 
430,422,903
 
73.87%
7759 N.W. 146th Street
           
Miami Lakes, FL 33016
           
             
Dr. Eric Pantaleon
 
Common
 
1,404,983
 
*
7759 N.W. 146th Street
           
Miami Lakes, FL 33016
           
             
Alfredo Jurado
 
Common
 
1,292,633
 
*
7759 N.W. 146th Street
           
Miami Lakes, FL 33016
           
             
Eugene M. Marini
7759 N.W. 146 Street
Miami Lakes, FL 33016
 
Common
 
494,299
 
*
             
Rep. Marcelo Llorente
7759 NW 146th Street
Miami Lakes, FL 33016
 
Common
 
459,299
 
*
             
J. Antony Chi
7759 N.W. 146 Street
Miami Lakes, FL 33016
 
Common
 
10,000,000
 
*
             
John Vincent
7759 NW 146th Street
Miami Lakes, FL 33016
 
Common
 
2,000,000
 
*
All Officers And Directors
As A Group (6 Persons)
 
Common
 
446,074,117
 
75.92%


*
Less than one percent (1%).
 
(1)
Applicable percentage of ownership is based on 587,266,005 shares of our common stock outstanding as of August 29, 2007 for each shareholder. Beneficial ownership is determined in accordance within the rules of the SEC and generally includes voting of investment power with respect to securities. Shares of common stock subject to securities exercisable or convertible into shares of common stock that are currently exercisable or exercisable within sixty (60) days of August 29, 2007 are deemed to be beneficially owned by the person holding such options for the purpose of computing the percentage of ownership of such persons, but are not treated as outstanding for the purpose of computing the percentage ownership of any other person.
 
(2)
Unless otherwise indicated, the persons named in the table have sole voting and investment power with respect to all shares of common stock shown as beneficially owned by them.
 
50

 
CERTAIN RELATIONSHIP AND RELATED TRANSACTIONS
 
During the past two (2) years, Pacer has not entered into a transaction with a value in excess of $60,000 with a director, officer or beneficial owner of five percent (5%) or more of Pacer’s common stock, except as disclosed in the following paragraphs.
 
In January 2005, the Company repaid a note payable having a principal balance of $250,000, plus an additional $18,000 of accrued interest, to a company of which Rainier Gonzalez, the President and Chief Executive Officer of the Company, is the principal shareholder. The total repayment to the affiliated entity was $268,000.
 
During the years ended December 31, 2006 and 2005, the Company received funds of $849,000 and $260,000 from Rainier Gonzalez, the President, Chief Executive Officer, Chairman of the Board of Directors and principal shareholder of the Company. Up until November 2005, these advances received bear interest at eight percent (8%), are unsecured and due twenty-four (24) months from date of receipt. Funds received from the related party after November 2005 bear a flat interest rate of three percent (3%) and have no due date. During the years ended December 31, 2006 and 2005, the Company repaid $865,529 and $516,000 of the outstanding amount. At August 29, 2007, the Company had no outstanding loans payable to this individual.
 
51


MARKET PRICE OF AND DIVIDENDS ON THE REGISTRANT’S
COMMON EQUITY AND OTHER SHAREHOLDER MATTERS
 
Market Information
 
Our common stock began trading on the NASDAQ Over-the-Counter Bulletin Board (the “OTC”) under the symbol “PHLH” on February 20, 2004. Prior to that date, our common stock traded under the symbol “INFE”.
 
The following table sets forth the average high and low bid prices for the common stock for each calendar quarter and subsequent interim period since January 1, 2005, as reported by the National Quotation Bureau, and represent interdealer quotations, without retail markup, markdown or commission and may not be reflective of actual transactions.
 
   
HIGH
 
LOW
 
2007:
         
First Quarter
 
$
0.02
 
$
0.02
 
Second Quarter
 
$
0.02
 
$
0.01
 
Third Quarter
 
$
0.01
 
$
0.01
 
2006:
             
First Quarter
 
$
0.03
 
$
0.01
 
Second Quarter
 
$
0.03
 
$
0.02
 
Third Quarter
 
$
0.03
 
$
0.02
 
Fourth Quarter
 
$
0.02
 
$
0.01
 
2005:
             
First Quarter
 
$
0.02
 
$
0.01
 
Second Quarter
 
$
0.04
 
$
0.02
 
Third Quarter
 
$
0.03
 
$
0.01
 
Fourth Quarter
 
$
0.02
 
$
0.01
 
 
Pacer presently is authorized to issue 930,000,000 shares of common stock, par value $0.0001 per share. As of August 29, 2007, there were 587,266,005 shares of common stock issued and outstanding.
 
Pacer is authorized to issue 20,000,000 shares of preferred stock, par value $0.0001 per share, none of which is outstanding. One (1) share of preferred stock was previously designated as Series A Convertible Preferred, which was previously issued to Rainier Gonzalez in 2004 and since converted into 318,822,903 shares of our common stock. All of the other preferred stock is undesignated and may not be designated or issued by our Board of Directors without prior shareholder approval.
 
Dividends 
 
We have never paid dividends on our common stock and we do not anticipate paying cash dividends in the foreseeable future. We intend to retain future earnings to fund the development and growth of our business. Any payment of dividend in the future will be at the discretions of our Board of Directors and will be dependent upon our earnings, financial condition, capital requirements and other factors deemed relevant by our Board of Directors. Future credit facilities may also restrict our ability to pay dividends in the future.
 
52


Penny Stock
 
Our common stock is deemed to be “penny stock” as that term is defined in Rule 3a51-1 promulgated under the Exchange Act. These requirements may reduce the potential market for our common stock by reducing the number of potential investors. This may make it more difficult for investors in our common stock to sell shares to third parties or to otherwise dispose of them. This could cause our stock price to decline. Penny stocks are stock:
 
·  
With a price of less than $5.00 per share;
 
·  
That are not traded on a “recognized” national exchange;
 
·  
Whose prices are not quoted on the NASDAQ automated quotation system (NASDAQ listed stock must still have a price of not less than $5.00 per share); or
 
·  
In issuers with net tangible assets less than $2 million (if the issuer has been in continuous operation for at least three (3) years) or $10 million (if in continuous operation for less than three (3) years), or with average revenues of less than $6 million for the last three (3) years.
 
Broker/dealers dealing in penny stocks are required to provide potential investors with a document disclosing the risks of penny stocks. Moreover, broker/dealers are required to determine whether an investment in a penny stock is a suitable investment for a prospective investor.
 
Recent Sales Of Unregistered Securities
 
During the last three (3) years, Pacer issued the following unregistered securities:
 
Amount of
Shares Issued
 
Date Issued
 
Issued To
 
Price/Purpose
             
2,000,000
 
1/7/04
 
J. Scafidi
 
Price- $0.021 per share
(In settlement of prior consulting services on business development)
             
476,190
 
1/7/04
 
Newbridge Securities Corporation
 
Price- $0.021 per share
(Placement Agent fee)
             
318,822,903
 
1/8/04
 
R. Gonzalez
 
Conversion of preferred stock
             
1,600,000
 
1/27/04
 
J. Dodrill
 
Price- $0.02 per share
(In settlement of preacquisition legal fees liability)
             
25,000
 
1/28/04
 
V. Blanco
 
Price- $0.02 per share
(satisfaction of loan)
             
2,000,000
 
2/4/04
 
D. Byrns
 
Price- $0.021 per share
(pursuant to an employment agreement)
             
50,000
 
2/9/04
 
J. Stanger
 
Price- $0.025 per share
(in accordance with consulting agreement for patient billing consulting)
             
50,000,000
 
2/10/04
 
Butterworth Investments
 
Price- $0.022 per share
(acquisition of the operations of South Cameron Memorial Hospital in Cameron, LA)
 
53

 
 
Amount of
Shares Issued
 
Date Issued
 
Issued To
 
Price/Purpose
             
1,000,000
 
2/23/04
 
J. Getter
 
Price- $0.029 per share
(in accordance with consulting agreement for business development services)
             
600,000
 
3/29/04
 
J. Stanger
 
Price- $0.018 per share
(in accordance with consulting agreement for patient billing consulting)
             
200,000
 
6/7/04
 
G. Williams, J. Peterson
 
Price- $0.025 per share
(in accordance with consulting agreement for website consulting)
             
2,000,000
 
10/11/04
 
J. Chi
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
40,000
 
10/11/04
 
T. Vidal
 
Price- $0.044 per share
(pursuant to an employment agreement)
             
8,000,000
 
3/8/05
 
D. Byrns
 
Price- $0.021 per share
(pursuant to an employment agreement)
             
112,350
 
5/23/05
 
GEI Enterprises LLC
 
Price- $0.02 (per rental agreement)
             
100,000
 
6/8/05
 
M. Llano
 
Price- $0.03 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
3,000,000
 
7/5/05
 
J. Chi
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
             
100,000
 
7/6/05
 
M. Llano
 
Price- $0.024 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
50,000
 
8/11/05
 
M. Llorente
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
8/11/05
 
E. Marini
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
8/11/05
 
A. Jurado
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
8/11/05
 
E. Pantaleon
 
Price- $0.02 per share
(Director’s fees)
             
100,000
 
8/22/05
 
M. Llano
 
Price- $0.021 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
66,667
 
11/10/05
 
M. Llorente
 
Price- $0.015 per share
(Director’s fees)
 
54

 

Amount of
Shares Issued
 
Date Issued
 
Issued To
 
Price/Purpose
             
66,667
 
11/10/05
 
E. Marini
 
Price- $0.015 per share
(Director’s fees)
             
66,667
 
11/10/05
 
A. Jurado
 
Price- $0.015 per share
(Director’s fees)
             
66,667
 
11/10/05
 
E. Pantaleon
 
Price- $0.015 per share
(Director’s fees)
             
300,000
 
11/14/05
 
M. Llano
 
Price- $0.015 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
3,000,000
 
11/15/05
 
T. Vidal
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
100,000
 
12/14/05
 
M. Llano
 
Price- $0.015 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
100,000
 
1/9/06
 
M. Llano
 
Price- $0.02 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
5,000,000
 
7/21/06
 
J. Chi
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
40,000
 
8/9/06
 
M. Llorente
 
Price- $0.025 per share
(Director’s fees)
             
40,000
 
8/9/06
 
E. Marini
 
Price- $0.025 per share
(Director’s fees)
             
40,000
 
8/9/06
 
A. Jurado
 
Price- $0.025 per share
(Director’s fees)
             
40,000
 
8/9/06
 
E. Pantaleon
 
Price- $0.025 per share
(Director’s fees)
             
2,000,000
 
9/30/06
 
T. Vidal
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
52,632
 
11/13/06
 
M. Llorente
 
Price- $0.019 per share
(Director’s fees)
             
52,632
 
11/13/06
 
E. Marini
 
Price- $0.019 per share
(Director’s fees)
             
52,632
 
11/13/06
 
A. Jurado
 
Price- $0.019 per share
(Director’s fees)
             
52,632
 
11/13/06
 
E. Pantaleon
 
Price- $0.019 per share
(Director’s fees)
             
2,000,000
 
3/19/07
 
J. Vincent
 
Price- $0.02 per share
(pursuant to an employment agreement)
             
50,000
 
3/19/07
 
M. Llorente
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
3/19/07
 
E. Marini
 
Price- $0.02 per share
(Director’s fees)
 
55

 
Amount of Shares Issued
 
Date Issued
 
Issued To
 
Price/Purpose
50,000
 
3/19/07
 
A. Jurado
 
Price- $0.02 per share
(Director’s fees)
50,000
 
3/19/07
 
E. Pantaleon
 
Price- $0.02 per share
(Director’s fees)
5,769,331
 
7/2/07
 
YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.)
 
Price- $0.0052 per share
(Redemption of convertible debenture)
200,000
 
7/25/07
 
M. Llorente
 
Price- $0.01 per share
(Director’s fees)
200,000
 
7/25/07
 
E. Marini
 
Price- $0.01 per share
(Director’s fees)
200,000
 
7/25/07
 
A. Jurado
 
Price- $0.01 per share
(Director’s fees)
200,000
 
7/25/07
 
E. Pantaleon
 
Price- $0.01 per share
(Director’s fees)

On July 2, 2007, YA Global converted $30,000 of debt into 5,769,331 shares of common stock. The conversion was pursuant to the 2006 SPA which all amounts thereunder has since been repaid.
 
On July 6, 2007, YA Global purchased secured convertible debenture in the aggregate principal amount of $5,500,000 pursuant to the Securities Purchase Agreement signed by YA Global and Pacer on July 6, 2007, of which $3,500,000 of such debentures were issued, on July 6, 2007, $1,500,000 have been issued on August 29, 2007 and $500,000 shall be issued to YA Global upon the effectiveness of the Registration Statement to which this prospectus is made a part. The debentures are convertible into shares of Pacer’s common stock at a conversion price of $0.02 and accrue interest at a rate of thirteen percent (13%) per year. The debentures are secured by substantially all of the Company’s assets as well as 430,422,903 shares of Pacer common stock pledged by Rainier Gonzalez, the CEO of the Company, pursuant to that certain Insider Pledge and Escrow Agreement, dated July 6, 2007. At maturity, Pacer has the option to either pay the holder the outstanding principal balance and accrued interest or to convert the debentures into shares of common stock at a conversion price equal to the lower of $0.02 or eighty percent (80%) of the volume weighted average price for the fifteen (15) days immediately preceding the conversion date. Pacer has the right to redeem all or a portion of the debenture upon three (3) business days’ notice by paying to YA Global one-hundred seven and one-half percent (107.5%) of the amount redeemed plus accrued interest.
 
On April 1, 2006, the Company issued a warrant to YA Global to purchase 35,000,000 shares of Pacer’s common stock at an exercise price of $0.02 in connection with the 2006 SPA.
 
On July 6, 2007, YA Global received a five (5) year warrant to purchase 100,000,000 shares of Pacer’s common stock at an exercise price of $0.02 per share. The warrant was issued in connection with the purchase of the convertible debentures by YA Global on July 6, 2007. YA Global also received additional warrants, with various expiration dates, to purchase 120,000,000 shares of Pacer’s common stock at exercise prices ranging from $0.02 to $0.03 per share in connection with the Securities Purchase Agreement and the issuance of the convertible debentures to YA Global on July 6, 2007. No shares underlying warrants are being registered hereunder.
 
With respect to the sale of unregistered securities referenced above, all transactions were exempt from registration pursuant to Section 4(2) of the Securities Act and Regulation D promulgated under the Securities Act. In each instance, the purchaser had access to sufficient information regarding Pacer so as to make an informed investment decision. More specifically, Pacer had a reasonable basis to believe that each purchaser was an “accredited investor” as defined in Regulation D of the Securities Act and otherwise had the requisite sophistication to make an investment in Pacer’s securities.
 
56

 
DESCRIPTION OF SECURITIES
 
General
 
Pacer’s authorized capital consists of 930,000,000 shares of common stock, par value $0.0001 per share and 20,000,000 shares of preferred stock. At August 29, 2007, there were 587,266,005 outstanding shares of common stock and zero (0) outstanding shares of preferred stock. Set forth below is a description of certain provisions relating to Pacer’s capital stock.
 
Common Stock
 
Each outstanding share of common stock has one vote on all matters requiring a vote of the shareholders. There is no right to cumulative voting; thus, the holder of fifty percent or more of the shares outstanding can, if they choose to do so, elect all of the directors. In the event of a voluntary of involuntary liquidation, all shareholders are entitled to a pro rata distribution after payment of liabilities and after provision has been made for each class of stock, if any, having preference over the common stock. The holders of the common stock have no preemptive rights with respect to future offerings of shares of common stock. Subject to the declaration and payment of dividends upon any preferred stock at the time outstanding, to the extent of any preference to which that preferred stock is entitled and after the provision for any sinking or purchase fund or funds for any series of any preferred stock has been complied with, the board of directors may declared and pay dividends on the common stock, payable in cash or other consideration, out of the funds legally available therefore. It is Pacer’s present intention to retain earnings, if any, for use in its business. The payment of dividends on the common stock are, therefore, unlikely in the foreseeable future.
 
Preferred Stock
 
Pacer is authorized to issue 20,000,000 shares of preferred stock, none of which is outstanding. The available preferred stock is undesignated. The Board of Directors does not have the right to set forth the rights, designations, preferences or other terms of the preferred stock. Such rights and preferences must be authorized by the shareholders in accordance with Florida law.
 
Convertible Debentures
 
On July 2, 2007, YA Global converted $30,000 of debt into 5,769,331 shares of common stock. The conversion was pursuant to a Securities and Purchase Agreement dated April 1, 2006, which has since been repaid.
 
On July 6, 2007, YA Global purchased secured convertible debentures in the aggregate principal amount of $5,500,000 pursuant to the Securities Purchase Agreement signed by YA Global and Pacer on July 6, 2007, of which $3,500,000 of such debentures were issued on July 6, 2007, $1,500,000 have been issued on August 29, 2007 and $500,000 shall be issued to YA Global upon the effectiveness of the Registration Statement to which this Prospectus is made a part. The debentures are convertible into shares of Pacer’s common stock at a conversion price of $0.02 and accrue interest at a rate of thirteen percent (13%) per year. The debentures are secured by substantially all of the Company’s assets as well as 430,422,903 shares of Pacer common stock pledged by Rainier Gonzalez, the CEO of the Company, pursuant to that certain Insider Pledge and Escrow Agreement, dated July 6, 2007. At maturity, Pacer has the option to either pay the holder the outstanding principal balance and accrued interest or to convert the debentures into shares of common stock at a conversion price equal to the lower of $0.02 or eighty percent (80%) of the volume weighted average price for the fifteen (15) days immediately preceding the conversion date. Pacer has the right to redeem all or a portion of the debenture upon three (3) business days’ notice by paying to YA Global one-hundred seven and one-half percent (107.5%) of the amount redeemed plus accrued interest. Pacer is registering in this offering 46,593,323 shares of common stock underlying the convertible debentures.
 
Warrants
 
On April 1, 2006, the Company issued a warrant to YA Global to purchase 35,000,000 shares of Pacer’s common stock at an exercise price of $0.02 in connection with the 2006 SPA.
 
57

 
On July 6, 2007, YA Global received a five (5) year warrant to purchase 100,000,000 shares of Pacer’s common stock at an exercise price of $0.02 per share. The warrant was issued in connection with the purchase of the convertible debentures by YA Global on July 6, 2007. YA Global also received additional warrants, with various expiration dates, to purchase 120,000,000 shares of Pacer’s common stock at exercise prices ranging from $0.02 to $0.03 per share in connection with the Securities Purchase Agreement and the issuance of the convertible debentures to YA Global on July 6, 2007. No shares underlying warrants are being registered hereunder.
 
On June 20, 2002, INFe had issued 950,000 warrants to various consultants in exchange for their services. These warrants have an exercise price of $0.50 per share and expire over a five (5) year period and, accordingly, have expired. The warrants were assumed by the Company in the reverse merger.
 
Transfer Agent
 
The transfer agent and registrar for our common stock is Computershare Transfer Company, Inc., 350 Indiana Street, Suite 800, Golden, Colorado, Telephone (303) 262-0600.
 
Limitation Of Liability: Indemnification
 
Our Articles of Incorporation (as amended) include an indemnification provision under which we have agreed to indemnify directors and officers of Pacer from and against certain claims arising from or related to future acts or omissions as a director or officer of Pacer. Insofar as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers and controlling persons of Pacer pursuant to the foregoing, or otherwise, Pacer has been advised that in the opinion of the SEC such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable.
 
Anti-Takeover Effects Of Provisions Of The Articles Of Incorporation
 
Authorized And Unissued Stock
 
The authorized but unissued shares of our common are available for future issuance without our shareholders’ approval. These additional shares may be utilized for a variety of corporate purposes including but not limited to future public or direct offerings to raise additional capital, corporate acquisitions and employee incentive plans. The issuance of such shares may also be used to deter a potential takeover of Pacer that may otherwise be beneficial to shareholders by diluting the shares held by a potential suitor or issuing shares to a shareholder that will vote in accordance with the desires of Pacer’s Board of Directors. A takeover may be beneficial to shareholders because, among other reasons, a potential suitor may offer shareholders a premium for their shares of stock compared to the then-existing market price.
 
The existence of authorized but unissued and unreserved shares of preferred stock may enable the Board of Directors to issue shares to persons friendly to current management which would render more difficult or discourage an attempt to obtain control of our Company by means of a proxy contest, tender offer, merger or otherwise, and thereby protect the continuity of our Company’s management.
 
58

 
EXPERTS
 
Our audited consolidated financial statements as of December 31, 2006 and for the years ended December 31, 2006 and 2005, have been included in this Prospectus in reliance upon the report of Salberg & Company, PA, independent registered public accounting firm, included herein, given on the authority of said firm as experts in accounting and auditing.
 
LEGAL MATTERS
 
Kirkpatrick & Lockhart Preston Gates Ellis LLP will pass upon the validity of the shares of common stock offered hereby for us. Their opinion will be filed by amendment.
 
HOW TO GET MORE INFORMATION
 
We have filed with the SEC a registration statement on Form SB-2 under the Securities Act with respect to the securities offered by this Prospectus. This Prospectus, which forms a part of the registration statement, does not contain all the information set forth in the registration statement, as permitted by the rules and regulations of the SEC. For further information with respect to us and the securities offered by this Prospectus, reference is made to the accompanying registration statement. Statements contained in this Prospectus as to the contents of any contract or other document that we have filed as an exhibit to the registration statement are qualified in their entirety by reference to the exhibits for a complete statement of their terms and conditions. The registration statement and other information may be read and copied at the SEC’s Public Reference Room at 450 Fifth Street N.W., Washington, D.C. 20549. The public may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC maintains a web site at www.sec.gov that contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC.
 
59

 
FINANCIAL STATEMENTS
 
CONTENTS
 
PACER HEALTH CORPORATION AND SUBSIDIARES CONSOLIDATED FINANCIAL STATEMENTS FOR THE SIX (6) MONTHS ENDED JUNE 30, 2007 (UNAUDITED)
   
Consolidated Balance Sheet as of June 30, 2007 (Unaudited)
 
F-1
Consolidated Statements of Operations for the three and six months ended June 30, 2007 and 2006 (Unaudited)
 
F-2
Consolidated Statement of Cash Flows for the six months ended June 30, 2007 and 2006 (Unaudited)
 
F-3
Notes to Consolidated Financial Statements (Unaudited)
 
F-4 - F-16
PACER HEALTH CORPORATION AND SUBSIDIARES CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED DECEMBER 31, 2006 AND 2005
   
Report of Independent Registered Public Accounting Firm
 
F-17
Consolidated Balance Sheet for the Year Ended December 31, 2006
 
F-18
Consolidated Statements of Operations for the Years ended December 31, 2006 and 2005
 
F-19
Consolidated Statement of Changes in Stockholders’ Equity (Deficiency) Years Ended December 31, 2006 and 2005
 
F-20
Consolidated Statement of Cash Flows for the Year Ended December 31, 2006 and 2005
 
F-21 - F-22
Notes to Consolidated Financial Statements
 
F-23 - F-44

F-i

 
Consolidated Balance Sheet
June 30, 2007
(Unaudited)
 
ASSETS
     
Current Assets
     
Cash
 
$
348,631
 
Patient accounts receivable, net
   
7,207,294
 
Medicare Receivable
   
361,906
 
Other accounts receivable
   
309,039
 
Supplies
   
709,011
 
Prepaid Expenses
   
406,139
 
Total Current Assets
   
9,342,020
 
         
Property and equipment, net
   
5,750,499
 
         
Other Assets
       
Deposits
   
275
 
Debt issue costs, net
   
25,492
 
Goodwill
   
1,216,318
 
Total Other Assets
   
1,242,085
 
         
Total Assets
 
$
16,334,604
 
         
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFCIENCY)
         
Current Liabilities
       
Accounts payable
 
$
4,190,391
 
Cash overdraft
   
1,995
 
Settlements payable, current portion
   
139,832
 
Accrued wages and related payroll taxes
   
1,780,192
 
Accrued interest payable
   
124,007
 
Accrued professional fees
   
40,550
 
Accrued rent
   
227,084
 
Accrued liabilities, related party
   
28,861
 
Accrued expenses
   
225,541
 
Accrued liquidated damages
   
390,000
 
Notes Payable, current portion
   
352,183
 
Medicare payable, current portion
   
1,215,390
 
Warrant liability
   
125,324
 
Embedded conversion option liability
   
1,443,045
 
Total Current Liabilities
   
10,284,395
 
         
Long Term Liabilities
       
Convertible debenture, net of debt discount of $901,460
   
598,540
 
Medicare payable, net of current portion
   
1,608,325
 
Note payable, building
   
1,810,000
 
Settlements payable, net of current portion
   
222,223
 
Notes payable, net of current portion
   
636,295
 
Total Long Term Liabilities
   
4,875,384
 
         
Total Liabilities
   
15,159,779
 
         
Minority Interest
   
8,612,814
 
         
Commitments and Contingencies
   
-
 
         
Stockholders' Equity (Deficiency)
       
Preferred stock, Series A, $0.0001 par value, 20,000,000
       
shares authorized, none issued and outstanding
   
-
 
Common stock, $0.0001 par value, 930,000,000 shares authorized
       
578,696,774 issued and outstanding
   
57,870
 
Additional paid in capital
   
2,687,847
 
Accumulated deficit
   
(10,183,705
)
Total Stockholders' Equity (Deficiency)
   
(7,437,988
)
         
Total Liabilities and Stockholders' Equity (Deficiency)
 
$
16,334,604
 
         
See accompanying notes to unaudited consolidated financial statements
 
F-1


Pacer Health Corporation and Subsidiaries
Consolidated Statement of Operations
(Unaudited)
 
   
Three Months Ended
June 30,
 
 Six Months Ended
June 30,
 
   
2007
 
2006
 
 2007
 
2006
 
Revenue
                  
Patient services revenues, net
 
$
10,651,380
 
$
3,079,172
 
$
21,711,069
 
$
7,814,560
 
Management services fees
   
-
   
75,000
   
-
   
150,000
 
Total Revenues
   
10,651,380
   
3,154,172
   
21,711,069
   
7,964,560
 
                           
Operating Expenses
                         
Advertising
   
18,780
   
5,712
   
26,590
   
21,509
 
Amortization of Debt Costs
   
1,170
   
-
   
4,682
   
-
 
Bad debt expense
   
2,471,552
   
239,250
   
5,102,965
   
1,557,671
 
Contract labor
   
1,048,030
   
563,035
   
1,763,178
   
1,115,376
 
Depreciation
   
91,264
   
27,486
   
187,112
   
61,072
 
Insurance
   
233,586
   
181,244
   
414,701
   
306,045
 
Liquidated Damages
   
100,000
   
-
   
205,000
   
-
 
Loan fee
   
(54,049
)
 
9,991
   
88,492
   
13,463
 
Medical Supplies
   
1,214,632
   
246,786
   
1,990,786
   
474,886
 
Patient Expenses
   
151,906
   
4,285
   
283,861
   
56,951
 
Professional fees
   
296,652
   
266,431
   
866,035
   
473,691
 
Rent
   
503,225
   
143,660
   
1,145,201
   
242,519
 
Repairs and Maintenance
   
151,864
   
54,651
   
278,232
   
85,975
 
Salaries and wages
   
4,392,626
   
1,949,296
   
8,665,782
   
3,836,807
 
Travel
   
120,264
   
135,032
   
157,756
   
240,132
 
Utilities
   
177,586
   
47,189
   
294,010
   
114,809
 
General and administrative
   
301,874
   
167,893
   
576,412
   
321,118
 
Total Operating Expenses
   
11,220,962
   
4,041,942
   
22,050,795
   
8,922,445
 
                           
Net Loss from Operations
   
(569,582
)
 
(887,770
)
 
(339,726
)
 
(957,885
)
                           
Other Income (Expense)
                         
Other Income / (Expense)
   
47,999
   
2,373
   
48,568
   
2,443
 
Writeoff of preacquisition
                         
Liabilities
   
-
   
-
   
99,583
   
-
 
Loss on settlement payable
   
-
   
-
   
(400,000
)
 
-
 
Gain on disposal of assets
   
-
   
-
   
-
   
65,100
 
Gain on Sale of Minority
                         
Interest
   
980,458
   
-
   
980,458
   
-
 
Finance Charges
   
-
   
(9,029
)
 
-
   
(9,029
)
Change in fair market value of
                         
Derivatives
   
(285,635
)
 
(897,896
)
 
(29,451
)
 
(897,896
)
Interest expense
   
(474,238
)
 
(183,873
)
 
(820,865
)
 
(231,945
)
Total Other Income /
                         
(Expense), net
   
268,583
   
(1,088,424
)
 
(121,707
)
 
(1,071,326
)
                           
Minority Interest in Net (Income) /
Loss of Consolidated
                         
Subsidiary Company
   
198,542
   
-
   
198,542
   
-
 
                           
Net Income/(Loss) from
                         
Continuing Operations
 
$
(301,000
)
$
(1,976,194
)
$
(262,890
)
$
(2,029,211
)
                           
Discontinued Operations
                         
Loss from operations of Discontinued component
   
-
   
(1,550,797
)
 
-
   
(3,202,407
)
 
         
(1,550,797
)
 
-
   
(3,202,407
)
                           
Net Income/(Loss)
 
$
(301,000
)
 
(3,526,991
)
$
(262,890
)
 
(5,231,618
)
                           
Net Income/(Loss) Per Share -
Basic and Diluted
                         
                           
Income/(Loss) from continuing
operations
 
$
(0.00
)
 
(0.00
)
$
(0.00
)
 
(0.00
)
                           
Income/(Loss) from discontinued
operations
 
$
0.00
   
(0.00
)
$
0.00
   
(0.01
)
                           
Net Income/(Loss) Per Share -
Basic and Diluted
 
$
(0.00
)
$
(0.01
)
$
(0.00
)
$
(0.01
)
 
Weighted average number of shares outstanding
during the period - basic
                         
and diluted
   
580,696,774
   
573,116,246
   
581,107,824
   
573,121,274
 
                           
See accompanying notes to unaudited consolidated financial statements

F-2



Pacer Health Corporation and Subsidiaries
Consolidated Statements of Cash Flows
(Unaudited)
 
   
Six Months Ended
June 30,
 
   
2007
 
2006
 
Cash Flows from Operating Activities:
         
Net Income/(Loss)
 
$
(262,890
)
$
(5,231,621
)
Adjustments to reconcile net income/(loss) to net cash used in
             
operating activities:
             
Amortization of debt discount to interest expense
   
432,661
   
133,533
 
Amortization of debt issue costs
   
7,061
   
-
 
Bad debt expense
   
5,102,965
   
2,005,403
 
Gain on writeoff of pre-recapitalization liabilities
   
(99,583
)
     
Gain on partial sale of subsidiary
   
(980,458
)
     
Depreciation
   
187,112
   
951,151
 
Minority interest
   
(198,542
)
     
Amortization of stock based expenses
   
72,500
   
45,000
 
Stock issued for services
   
4,000
   
1,500
 
Change in fair market value of derivatives
   
29,451
   
897,896
 
Changes in operating assets and liabilities:
             
(Increase) decrease in:
             
Patient receivables
   
(6,114,941
)
 
(2,454,728
)
Medicare receivable
   
(361,906
)
 
-
 
Other receivables
   
(128,322
)
 
(58,242
)
Supplies
   
206,811
   
(64,845
)
Prepaids and other current assets
   
263,548
   
260,959
 
Increase (decrease) in:
             
Accounts payable
   
1,574,389
   
1,039,550
 
Settlements payable
   
103,056
   
(3,000
)
Accrued interest payable
   
39,692
   
42,047
 
Accrued wages payable
   
392,319
   
564,624
 
Accrued expenses
   
13,404
   
(95,262
)
Accrued rent
   
45,409
   
428
 
Accrued penalties and liquidated damages
   
205,000
   
-
 
Accrued professional fees
   
-
   
40,550
 
Escrow
   
-
   
(575,000
)
Medicare payable
   
(821,162
)
 
167,052
 
Other current liabilities
   
(11,736
)
 
18,267
 
Net Cash Provided by/Used in) Operating Activities
   
(300,162
)
 
(2,314,738
)
               
Cash Flows from Investing Activities:
             
Acquisition of property, plant and equipment
   
(224,633
)
 
(130,617
)
Receipt of refund of deposit
   
75,000
   
(254,000
)
Deposit held for equipment purchase
   
-
   
(12,550
)
Dividend paid to minority interest
   
(21,000
)
 
-
 
Net Cash Provided by/(Used in) in Investing Activities
   
(170,633
)
 
(397,167
)
               
Cash Flows from Financing Activities:
             
Proceeds from loan payable - related party
   
-
   
710,000
 
Repayments of loan payable - related party
   
-
   
(316,529
)
Cash overdraft
   
1,995
   
391,067
 
Proceeds from issuance of convertible debenture
   
-
   
2,000,000
 
Repayments of convertible debenture
   
(250,000
)
 
-
 
Debt lender fees
         
(215,000
)
Debt issue costs
         
(52,242
)
Repayments of loans payable
   
-
   
(549,798
)
Repayments of capitalized lease obligations
   
-
   
(183,171
)
Minority interest capital contribution
   
1,200,000
   
31,700
 
Repayments of note payable
   
(210,944
)
 
(329,440
)
Proceeds from note payable
   
-
   
80,278
 
Repayment of advances
   
-
   
-
 
Net Cash Provided by/(Used in) Financing Activities
   
741,051
   
1,566,865
 
               
Net Increase/(Decrease) in Cash
   
270,256
   
(1,145,040
)
               
Cash, Beginning of Period
 
$
78,375
 
$
1,219,225
 
               
Cash, End of Period
 
$
348,631
 
$
74,185
 
 
Supplemental Disclosure of Cash Flow Information:
     
Cash Paid for:
             
Interest
 
$
434,547
 
$
413,587
 
Taxes
 
$
-
 
$
-
 
Supplemental Disclosure of Non Cash Investing and Financing Activities:
Issuance of Note Payable for Insurance Policies
 
$
313,393
 
$
248,169
 
Issuance of Note Payable for Equipment
 
$
12,947
 
$
12,824
 
 
See accompanying notes to unaudited consolidated financial statements
 

F-3


Pacer Health Corporation and Subsidiaries
Notes to Consolidated Financial Statements
June 30, 2007
(Unaudited)

 
Note 1 Basis of Presentation
 
The accompanying unaudited interim consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America and the rules and regulations of the United States Securities and Exchange Commission for interim consolidated financial information. Accordingly, they do not include all the information and footnotes necessary for a comprehensive presentation of our consolidated financial position and results of operations.

It is Management’s opinion, however, that all material adjustments (consisting of normal recurring adjustments) have been made which are necessary for a fair consolidated financial statement presentation. The results for the interim period are not necessarily indicative of the results to be expected for the year.

For further information, refer to the audited consolidated financial statements and footnotes of the Company for the year ending December 31, 2006 included in the Company’s Form Annual Report on 10-KSB.

At June 30, 2007, the Company had a working capital deficit of $942,375, which includes $125,324 of warrant liability and $1,443,045 of embedded conversion option liability related to the issuance of convertible debentures to Cornell Capital Partners, L.P. (See Note 13) The Company has included these amounts as current liabilities but does not anticipate cash settlement or conversion within one year. Furthermore, Cornell is limited as to the amount of debt it may convert. If these liabilities were not included, the Company would have a positive working capital of $625,994. Additionally, for the six months ended June 30, 2007, the Company had a net loss of $262,890 and a negative cash flow from operations of $300,162. The net income from continuing operations was reduced by a one time loss on settlement of litigation for $400,000 and the cash flow from operations include the non-recurring settlement payments of $294,444. (See Note 8) Management also anticipates the addition of the Barbourville, Kentucky facility to contribute to an increase in net income and positive cash flows for the remainder of 2007. Management also anticipates positive cash flows from the additional grants of $1,380,000 from the revised lease agreement with the Lower Cameron Hospital Service District. (See Note 2) Accordingly, management has mitigated future losses and anticipates positive cash flows in 2007 and does not believe that substantial doubt exists about the Company’s ability to continue as a going concern.
 
Note 2 Nature of Operations and Summary of Significant Accounting Policies
 
Pacer Health Corporation (“Pacer”), a Florida corporation, has thirteen subsidiaries:

·  
Pacer Health Services, Inc. (a Florida corporation formed on May 5, 2003),
   
·  
Pacer Health Management Corporation (a Louisiana Corporation formed on February 1, 2004),
   
·  
Pacer Holdings of Louisiana, Inc. (a Florida corporation formed on March 3, 2004),
   
·  
Pacer Holdings of Georgia, Inc. (a Florida corporation formed on June 26, 2004),
   
·  
Pacer Health Management Corporation of Georgia (a Georgia corporation formed on June 28, 2004),
   
·  
Pacer Holdings of Arkansas, Inc. (a Florida corporation formed on October 26, 2004),
   
·  
Pacer Health Management of Florida LLC (a Florida limited liability company formed on December 19, 2005),
   
·  
Pacer Holdings of Lafayette, Inc. d/b/a Pacer Health Holdings of Lafayette, Inc. (a Louisiana corporation formed on November 28, 2005),
   
·  
Pacer Holdings of Kentucky, Inc. (a Florida corporation formed on March 9, 2006),
   
·  
Pacer Health Management Corporation of Kentucky (a Kentucky corporation formed on March 20, 2006),
   
·  
Woman's OB-GYN Center, Inc. (a Georgia corporation formed on October 30, 2006),
   
·  
Lake Medical Center, Inc. (a Georgia corporation formed on October 30, 2006), and
   
·  
Pacer Psychiatry of Calcasieu, Inc.

On December 31, 2006, our wholly-owned subsidiary, Pacer Health Management Corporation of Kentucky, consummated an agreement with the County of Knox, Kentucky (the “Agreement”) to lease all of the assets and real property used in connection with Knox County Hospital as well as delegating full and complete management responsibility and operational control for the Hospital to the Company. The Company may retain all profits from the operations of the Hospital after satisfying its lease obligations to the County of Knox and maintenance and operations expenses of the Hospital facility. The annual lease payment is equal to the amount of annual payment due by Knox County on its County of Knox, Kentucky Taxable General Obligation Refunding Bonds, Series 2006 (“Bonds”), after applying the capitalized interest which is to be paid from the proceeds of the Bonds. We estimate the annual payment for 2007 to be approximately $703,461. Additionally, at any time during the term of the Agreement, we have the option to purchase all of the Hospital assets from the County of Knox County and assume all of the liabilities (excluding certain liabilities as defined in the Agreement) for a purchase price equal to the sum of (a) the lesser of: (i) the outstanding principal amount of the Bonds on the closing of such purchase or (ii) what the principal balance of the Bonds would have been if all lease payments and other payments to be made by the Company were used to satisfy the principal and interest due under the Bonds at the date of each such payment plus (b) any prepayment penalties on the Bonds and (c) less any funds then held in any debt service reserve fund, bond fund or any other fund or account in any way pertaining to the Bonds. The term of the Agreement ends on the earlier of (a) the date the refunding bonds are paid in full; or (b) the date the Company exercises its purchase option. The refunding bonds have a term of 30 years. The County of Knox may only terminate the Agreement if (a) the Company does not make the required monthly lease payments or (b) if the Company fails to complete substantial repairs caused by a casualty. (See Note 3)
 
F-4


On December 6, 2005, our wholly-owned subsidiary, Pacer Health Holdings of Lafayette, Inc. (“Pacer Sub”) acquired a majority interest in Southpark Community Hospital, L.L.C. (“Southpark”) Pacer Sub received a sixty percent equity position in Southpark and the remaining investors of Southpark reduced their equity position to forty percent in consideration for an infusion amount up to $2,500,000 over the period of ownership, the exact amount to be reasonably determined by Pacer Sub as necessary to sustain the operations of Southpark. Pacer Sub also assumed a prorated share of the outstanding liabilities and also assumed the position of guarantor, equal to its percentage of ownership, on all notes. Pacer Sub had also agreed to reimburse certain investors who made principal and interest payments on certain third party loans on behalf of Southpark. On September 29, 2006, the Company divested its majority interest for a $3,000,000 note receivable to a third party, which consisted primarily of shareholders of the minority interest. Subsequent to the issuance of the note receivable, the Company determined that its collectability was not assured. Accordingly, the Company reduced the value of the note receivable to a fair market value of $0 and recorded a $3,000,000 bad debt expense which is included in discontinued operations for the year ended December 31, 2006. (See Note 3)

On September 1, 2005, our wholly-owned subsidiary, Pacer Health Management Corporation of Georgia, completed its asset purchase agreement with the Greene County Hospital Authority to acquire certain assets and assume certain liabilities used in the operation of Minnie G. Boswell Memorial Hospital. The total purchase amount was $1,108,676. (See Note 3) On September 29, 2006, the Company executed a sale-leaseback of certain of its assets in Georgia, which included a sale of its skilled nursing operations to Health Systems Real Estate, Inc.

In March 2007, the Company amended its lease agreement (the “Amended and Restated Cooperative Endeavor Lease and Assignment of Third Party Leases”) with the Lower Cameron Hospital Service District (“LCHSD”) to provide for the funding of operational losses by the LCHSD through certain grants. These grants will be paid quarterly in 2007 and provide for a payment of $3.5 million in 2007 and $1.2 million, or such lesser amount as may be generated by tax revenues collected by the LCHSD during the then current year, beginning in 2008 through 2017. As of June 30, 2007, the Company has received $2.2 million of the expected $3.5 million of grants for 2007 and such amount is included in patient revenue for the six months ended June 30, 2007.

Pacer along with its subsidiaries (collectively, the “Company”) began its activities in May 2003. The Company acquires financially distressed hospitals. The Company currently owns and operates a non-urban hospital in Cameron, Louisiana; a non-urban health clinic in Grand Lakes, Louisiana; a geriatric psychiatric center in Lake Charles, Louisiana; a non-urban hospital in Greensboro, Georgia; a skilled nursing facility in Greensboro, Georgia; and operates a non-urban hospital in Barbourville, Kentucky. The Company is attempting to build a regional network of hospitals designed to provide healthcare services to various individuals.

New Accounting Pronouncements

As of January 1, 2007, the Company adopted Financial Accounting Standards Board (“FASB”) Interpretation No.48, “Accounting for Uncertainty in Income Taxes — an Interpretation of FASB Statement No.109, Accounting for Income Taxes” (“FIN 48”).

In September 2006, the FASB issued Statement of Financial Accounting Standards (“SFAS”) No. 157, “Fair Value Measurements.” SFAS No.157 defines fair value and applies to other accounting pronouncements that require or permit fair value measurements and expands disclosures about fair value measurements. SFAS No.157 is effective for fiscal years beginning after November 15, 2007 and interim periods within those fiscal years. The Company is currently evaluating the impact of adopting SFAS No.157 on its Consolidated Financial Statements.
 
F-5


In February 2007, the FASB issued SFAS No.159, “The Fair Value Option for Financial Assets and Liabilities — Including an Amendment of FASB Statement No.115”. SFAS No.159 permits entities to choose to measure certain financial assets and liabilities at fair value. Unrealized gains and losses, arising subsequent to adoption, are reported in earnings. SFAS No.159 is effective for fiscal years beginning after November 15, 2007. The Company is currently evaluating the impact of adopting SFAS No.159, if elected, on its Consolidated Financial Statements.
 
Note 3 Acquisitions and Goodwill
 
On September 1, 2005 (“Acquisition Date”), the Company completed its acquisition of Minnie G. Boswell Memorial Hospital (“MGBMH”). Under the terms of the acquisition agreement, the Company acquired the business and certain identifiable assets and assumed certain liabilities. At the Acquisition Date, MGBMH was a provider of healthcare services with a primary focus on hospitals and nursing homes. MGBMH owns and operates a non-urban hospital and nursing home. The Company operates this hospital doing business as Minnie G. Boswell Memorial Hospital.
 
The Company accounted for this acquisition using the purchase method of accounting in accordance with SFAS No. 141. The purchase price of the facility was $1,108,676, including $108,676 in direct costs of the acquisition. In connection with the acquisition, the Company applied a receivable due to it from MGBMH of $1,086,807 and waived receipt of the additional $86,807 from the seller as a charge to management income.
 
The results of operations of MGBMH are included in the consolidated results of operations of the Company from the Acquisition Date.
 
The initial allocation of fair value of the assets acquired and liabilities assumed was done on September 1, 2005 and revised as of September 30, 2006 as follows: (see Note 5)
 
Cash  
 
$
460,188
 
Accounts receivable, net  
   
1,197,343
 
Supplies 
   
262,685
 
Prepaid insurance 
   
102,372
 
Fixed assets 
   
731,107
 
Liabilities
   
(1,645,019
)
         
Purchase Price
 
$
1,108,676
 
 
The following unaudited pro forma consolidated results of operations have been prepared as if the acquisition of MGBMH had occurred at January 1, 2004:
 
 
 
     
Period Ended
 
     
Year Ended
December 31, 2005
   
Year Ended December 31, 2004
 
Net Revenues
 
$
13,489,797
 
$
15,830,151
 
Net (Loss) Income
 
$
(2,625,618
)
$
(369,067
)
Net (Loss) Income per Share - Basic
 
$
(.00
)
$
(.00
)
Net (Loss) Income per Share - Diluted
 
$
(.00
)
$
(.00
)

Pro forma data does not purport to be indicative of the results that would have been obtained had these events actually occurred at January 1, 2004 and is not intended to be a projection of future results.
 
On September 29, 2006, the Company executed a sale-leaseback of certain of its assets in Georgia, which included a sale of its skilled nursing operations to Health Systems Real Estate, Inc. (“HSRE”) The assets sold include all real property for MGBMH as well as licenses, permits and personal property, including vehicles, related to the skilled nursing operations. HSRE also agreed to assume certain liabilities, including accrued vacation for employees it subsequently hired in conjunction with the sale. The sale price was $2,600,000, resulting in a gain of $637,196, which is included in Other Income, and a deferred gain of $1,534,524 which is included in the $1,810,000, which is treated as a financing obligation for accounting purposes (see below). The Company received $2,590,000 as a result of a $10,000 credit withheld by HSRE for assumed accrued vacation. In connection with the transaction, HSRE entered into a operating lease with the Company whereby HSRE leases the real property comprising of the real property related to the acute care facility back to the Company pursuant to a five year triple net lease which would call for annual lease payments equal to $480,000, provided that the Company shall have the right to terminate the lease at the end of thirty-six months if the Company provides HSRE with ninety days written notice prior to such 36th month (see renewal provisions below). As lessor, HSRE takes a perfected security interest in all of the tangible personal property and general intangibles used in connection with the operation of the acute care hospital to secure the Company’s obligations under the lease. If HSRE effectuates a sale of the tangible real and personal property located at the current Hospital/Nursing Home site in the future, then HSRE agrees to pay to the Company an amount equal to fifty percent (50%) of the cash net proceeds (gross cash proceeds less all expenses of the sale) from such sale.
 
F-6

 
The sale-leaseback of the real property has been accounted for as a financing lease, wherein the property remains on the books and continues to be depreciated. The deferred gain of $1,534,524 and future gain of $275,475, totaling the $1,810,000 on this transaction are recorded as liabilities on the books. The Company has the option to renew the lease at the end of the lease term subject to certain conditions. The lease may be renewed for two separate five-year terms with a written notice not earlier than nine months and not later than ninety days prior to the expiration of the original lease term. The rent for the renewal periods will be reset in accordance to a rental amount formula based upon the fair market value as of the date of the renewal.
 
On December 6, 2005 (“Southpark Acquisition Date”), the Company completed its acquisition of Southpark Community Hospital (“Southpark”). Under the terms of the acquisition agreement, the Company received a sixty percent equity position in Southpark and the remaining investors of Southpark reduced their equity position to forty percent in consideration for an infusion amount up to $2,500,000, the exact amount was to be reasonably determined by the Company as necessary to sustain the operations of Southpark. The Company also assumed a prorated share of the outstanding liabilities and also assumed the position of guarantor, equal to its percentage of ownership, on all notes. The Company had also agreed to reimburse certain investors who made principal and interest payments on certain third party loans on behalf of Southpark.

The Company accounted for this acquisition using the purchase method of accounting in accordance with SFAS No. 141. The purchase price of the facility was $2,450,000 as of September 30, 2006, which includes additional consideration of $1,950,000 in the nine months ended September 30, 2006. The purchase price as of September 30, 2006 of $2,450,000 was increased by $500,000 from the purchase price as of December 31, 2005 as a result of the additional amounts paid pursuant to the acquisition agreement. The results of operations of SPCH are included in the consolidated results of operations of the Company from the Southpark Acquisition Date.
 
The initial allocation of fair value of the assets acquired and liabilities assumed was as follows:
 
Cash  
 
$
126,726
 
Accounts receivable, net  
   
1,390,059
 
Inventory 
   
120,000
 
Prepaid insurance and other current assets
   
142,356
 
Fixed assets 
   
16,032,505
 
Goodwill
   
4,250,224
 
Liabilities
   
(19,611,870
)
Purchase Price
 
$
2,450,000
 
         
Goodwill (see adjustment below to acquired Goodwill relating to minority interest)
   
4,250,224
 
Minority interest portion of Goodwill charged to Additional Paid-In Capital
   
(720,090
)
Goodwill recorded
 
$
3,530,134
 
 
The above purchase price allocation constitutes 100% of the fair value of the total assets and liabilities of SPCH with the exception of goodwill where the minority interest 40% portion was allocated to consolidated equity as a charge to additional paid in capital. Since the purchase price of $2,450,000 exceeded the fair value of the net assets identified, goodwill of $3,530,134 was recognized net of the minority interest portion of $720,090. There is no minority interest since the Company acquired net liabilities.
 
The following unaudited pro forma consolidated results of operations have been prepared as if the acquisition of SPCH had occurred at January 1, 2004:
 
     
Period Ended
 
     
Year Ended
December 31,
 2005
   
Year Ended December 31, 2004 
 
Net Revenues
 
$
1,751,442
 
$
0
 
Net (Loss) Income
 
$
(3,521,542
)
$
(13,140
)
Net (Loss) Income per Share - Basic
 
$
(.00
)
$
(.00
)
Net (Loss) Income per Share - Diluted
 
$
(.00
)
$
(.00
)
 
F-7

 
Pro forma data does not purport to be indicative of the results that would have been obtained had these events actually occurred at January 1, 2004 and is not intended to be a projection of future results. Furthermore, the operations of SPCH did not begin admitting patients until August 2005. Accordingly, there is no patient revenue in 2004.
 
On September 29, 2006, the Company divested its majority interest for a $3,000,000 note receivable to a third party, which consisted primarily of shareholders of the minority interest. Upon the execution of a binding letter of intent, the Company formally relinquished control of SPCH to the third party. The terms of the agreement included assumption of all prorated liabilities and guarantees of SPCH from the Company. The sale resulted in a gain of $4,433,895 which is included in Discontinued Operations for the year ended December 31, 2006. Subsequent to the issuance of the note receivable, the Company determined that its collectability was not assured. Accordingly, the Company reduced the value of the note receivable to a fair market value of $0 and recorded a $3,000,000 bad debts expense which is included in discontinued operations for the year ended December 31, 2006.
 
On December 31, 2006, our wholly-owned subsidiary, Pacer Health Management Corporation of Kentucky, entered into an agreement with the County of Knox (the “Agreement”), Kentucky to lease all of the assets and real property used in connection with Knox County Hospital as well as delegating full and complete management responsibility and operational control for the Hospital to the Company. The Company may retain all profits from the operations of the Hospital after satisfying its lease obligations to the County of Knox and maintenance and operations expenses of the Hospital facility. The annual lease payment is equal to the amount of annual payment due by Knox County on its County of Knox, Kentucky Taxable General Obligation Refunding Bonds, Series 2006 (“Bonds”), after applying the capitalized interest which is to be paid from the proceeds of the Bonds. We estimate the annual payment for 2007 to be approximately $703,461. Additionally, at any time during the term of the agreement, we have the option to purchase all of the Hospital assets from the County of Knox County and assume all of the liabilities (excluding certain liabilities as defined in the Agreement) for a purchase price equal to the sum of (a) the lesser of: (i) the outstanding principal amount of the Bonds on the closing of such purchase or (ii) what the principal balance of the Bonds would have been if all lease payments and other payments to be made by the Company were used to satisfy the principal and interest due under the Bonds at the date of each such payment plus (b) any prepayment penalties on the Bonds and (c) less any funds then held in any debt service reserve fund, bond fund or any other fund or account in any way pertaining to the Bonds. The term of the Agreement ends on the earlier of (a) the date the refunding bonds are paid in full; or (b) the date the Company exercises its purchase option. The refunding bonds have a term of 30 years. The County of Knox may only terminate the Agreement if (a) the Company does not make the required monthly lease payments or (b) if the Company fails to complete substantial repairs caused by a casualty. The Company follows the industry specific consolidation criteria as delineated in the AICPA Audit and Accounting Guide “Health Care Organizations” and the criteria under Emerging Issues Task Force Standard 97-2 (“EITF 97-2”) “Application of FASB Statement No. 94 and APB Opinion 16 to Physician Practice Management Entities and Certain Other Entities with Contractual Management Arrangements”. In accordance with the criteria, the Company has consolidated all of the assets and liabilities of Knox County Hospital and has reflected a minority interest to account for the economic interest upon dissolution for the County of Knox.
 
On April 1, 2007, the Company entered into an agreement to sell, in substance, a minority interest of 40% of its wholly-owned subsidiary, Pacer Health Management Corporation of Kentucky, to an unrelated third party. Pacer Health Management Corporation of Kentucky currently leases certain assets from the County of Knox, Kentucky. The sales price was $1.2 million, which consisted solely of cash, of which $500,000 was received on March 30, 2007 and $700,000 was received on April 20, 2007. A gain of $980,458 was included in Other Income for the six months ended June 30, 2007 and an initial minority interest of $219,542 was recorded based on 40% of the net equity of the subsidiary on the sale date.
 
Note 4 Patient Accounts Receivable, Allowance for Contractuals, and Allowance for Doubtful Accounts
 
Patient Accounts Receivable at June 30, 2007 is as follows:
 
Patient accounts receivable
 
$
26,134,777
 
Less: Allowance for doubtful accounts
   
(10,409,494
)
Less: Allowance for contractual discounts
   
(8,517,989
)
Patient Accounts Receivable, net
 
$
7,207,294
 

The Company derives a significant portion of its revenues from Medicare, Medicaid and other payers that receive discounts from our standard charges. The Company must estimate the total amount of these discounts to prepare its consolidated financial statements. The Medicare and Medicaid regulations and various managed care contracts under which these discounts must be calculated are complex and are subject to interpretation and adjustment. The Company estimates the allowance for contractual discounts on a payor-specific basis given its interpretation of the applicable regulations or contract terms. These interpretations sometimes result in payments that differ from the Company’s estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management. Changes in estimates related to the allowance for contractual discounts affect revenues reported in the period in which the change in estimate occurred.
 
F-8

 
During the three months ended June 30, 2007 and 2006, the Company recorded bad debt expense from patient receivables relating to continuing operations of $2,471,552 and $239,250, respectively. In addition, the Company included in discontinued operations bad debt expense of $0 and $223,754 for the three months ended June 30, 2007 and 2006, respectively. During the six months ended June 30, 2007 and 2006, the Company recorded bad debt expense from patient receivables relating to continuing operations of $5,102,965 and $1,557,671, respectively. The Company also included in discontinued operations bad debt expense of $0 and $447,732 for the six months ended June 30, 2007 and 2006, respectively. The Company establishes an allowance for doubtful accounts to reduce the carrying value of patient receivables to their estimated net realizable value. The primary uncertainty of such allowances lies with uninsured patient receivables and deductibles, co-payments or other amounts due from individual patients.
 
Note 5 Property, Plant and Equipment, net
 
Property, plant and equipment at June 30, 2007 is as follows:
 
Land
 
$
682,513
 
Building and improvements
   
4,130,325
 
Equipment
   
1,454,673
 
Furniture & Fixtures
   
5,000
 
Less: accumulated depreciation
   
(522,012
)
Property and Equipment, net
 
$
5,750,499
 

For the six months ended June 30, 2007 and 2006, the Company recorded a gain of $0 and $65,100 on the disposal of assets related to a natural disaster (See Note 15). The Company maintained insurance on the assets. The assets were deemed a total loss by the insurer. Accordingly, the Company received insurance recoveries for the assets.
 
Depreciation expense for the three months ended June 30, 2007 and 2006 was $91,264 and $27,486, respectively, net of $0 and $530,322, respectively, which was included in discontinued operations. Depreciation expense for the six months ended June 30, 2007 and 2006 was $187,112 and $61,072, respectively, net of $0 and $890,079, respectively, which was included in discontinued operations.
 
As a result of the decrease in the initial estimate of the assumed Medicare payable liability from the acquisition of MGBMH, the Company was required to reduce the purchase price allocation of value to certain property, plant and equipment of MGBMH in accordance with SFAS No. 141. The amount of the reduction in the value of property, plant and equipment was $217,388. This revised allocation is reflected in Note 3.
 
Note 6 Loan Payable-Related Party
 
During the three months ended June 30, 2007 and 2006, the Company received funds of $0 and $460,000 from Rainier Gonzalez, the President, Chief Executive Officer, Chairman of the Board of Directors and principal stockholder of the Company. During the six months ended June 30, 2007 and 2006, the Company received funds of $0 and $710,000 from this individual. These advances received bear a flat interest rate of three percent (3%) and have no due date. During the three months ended June 30, 2007 and 2006, the Company repaid $0 and $300,000 of the outstanding amount. During the six months ended June 30, 2007 and 2006, the Company repaid $0 and $316,529 of the outstanding amount. At June 30, 2007, the Company had no outstanding loans payable to this individual.
 
Note 7 Notes, Loans and Capital Lease Obligations Payable
 
On June 30, 2007, the Company had the following outstanding notes and loans payable:
 
Insurance Note Payable dated December 2006, original principal of $128,298, annual interest rate of 7.250%, maturity date September 2007.
 
$
35,097
 
Insurance Note Payable dated December 2006, original principal of $9,726, annual interest rate of 7.250%, maturity date September 2007.
   
3,324
 
Note payable dated July 31, 1994, original principal of $37,150, annual interest rate of 6.941%, originally due July 15, 2011.
   
13,184
 
Equipment note payable dated December 2006, original principal of $47,130, payable in 9 monthly payments of $5,237.
   
15,710
 
Computer software note payable dated February 2007, original principal of $48,400, 50% due with the signing of the agreement, 25% due upon the completion of the installation and 25% upon approval of the system.
   
12,947
 
Construction loan (land) - dated June 2006, original principal of $536,100, original term 24 months, annual interest rate 12%, quarterly interest only payments, principal due at maturity.
   
536,100
 
Insurance Note Payable dated April 2007, original principal of $104,706, annual interest rate of 6.750%, maturity date January 2008.
   
63,172
 
Insurance Note Payable dated January 2007, original principal of $15,840, maturity date June 2007.
   
5,940
 
Note Payable dated August 2006, original principal of $131,577, annual interest rate of 9.00%, maturity date August 2011.
   
113,480
 
Insurance Note Payable dated June 2007, original principal of $189,524, annual interest rate of 8.640%, maturity date February 2008.
   
189,524
 
         
         
Total
 
$
988,478
 
Current Portion
 
$
352,183
 
Long Term Portion
 
$
636,295
 
 
F-9

 
At June 30, 2007, the Company had the following financing obligation:
 
Finance obligation on sale leaseback of real property on September 29, 2006 for $1,810,000
 
$
1,810,000
 

The sale-leaseback of the real property has been accounted for as a financing lease, wherein the property remains on the books and continues to be depreciated. The gain on this transaction will be recognized at the end of the lease term including renewal periods. The Company has the option to renew the lease at the end of the lease term subject to certain conditions. The Company will pay $480,000 annually to the lessor. (See Note 3)

Maturities of the Company’s debt at June 30, 2007 were as follows:
 
 
 
 
2007
 
$
492,015
 
2008
   
2,508,324
 
2009
   
120,421
 
2010
   
34,417
 
2011
   
5,352
 
Thereafter
   
 
 
     
 
 
$
3,160,529
 
 
Note 8 Settlements Payable and Writeoff of Accounts Payable
 
In connection with its acquisition of MGBMH, the Company is defending a lawsuit filed on September 30, 2004 against Greene County Hospital Authority and Minnie G. Boswell Memorial Hospital, Inc. by Alliance Emergency Group (“Alliance”) and Greene Emergency Physicians (“GEP”) in the Superior Court of Dekalb County, Georgia. Alliance and GEP allege that in June 2004 Defendants breached its ER physician staffing contract. As of December 31, 2006, the Company had reserved $250,000 for the lawsuit. On February 15, 2007, the Company reached a settlement agreement with Alliance and GEP for $650,000, of which $250,000 was paid on March 1, 2007 and the remaining $400,000 was payable over 36 months and accrued as settlement payable. The payment of $250,000 was applied against the reserve and the balance of the reserve is $0 as of June 30, 2007. The balance due at June 30, 2007 was $355,556.
 
As a result of its recapitalization that resulted from its reverse merger in 2003, the Company assumed certain outstanding liabilities. Since the assumption of the debt, the various creditors have not sought any collection actions against the Company. Accordingly, as a result of the expiration of the statute of limitation, the Company was written off these accounts payable and recognized a gain of $99,583 in the quarter ended March 31, 2007.
 
Note 9 Medicare Payable and Receivable
 
Medicare liabilities resulted primarily from our submission of a cost report for our Cameron / Lake Charles, Louisiana facility for the standalone period March 22, 2004 to December 31, 2004 (in the amount of $641,099) and the year ended December 31, 2005 (in the amount of $1,311,837); the submission of a cost report for our Greensboro, Georgia facility for the standalone period September 1, 2005 to December 31, 2005 (in the amount of $351,382); and from our assumption of Medicare liabilities as a result of business acquisitions (see Note 3). As of June 30, 2007, the Company had Medicare receivables of $188,472 for our Cameron / Lake Charles, Louisiana facility for the year ended December 31, 2006 and $506,045 for our Greensboro, Georgia facility for the year ended December 31, 2006. These receivables were used to offset current Medicare liabilities within those same facilities and are therefore netted against Medicare liabilities in the accompanying financial statements. The Company also had a Medicare receivable of $361,906 for its Knox County Hospital facility. Medicare liabilities result from Medicare audits or our submission of cost reports to Medicare. Medicare liabilities represent amounts due to Medicare as a result of excess cost reimbursements by Medicare. The Company determines the liability based upon the completion of the cost report or the audit settlement report we receive from Medicare and records the liability in that year. We have reviewed and continue to review Medicare reimbursements to ensure that we have been properly reimbursed and have reflected any adjustment through the contractual allowances. The Company has current Medicare liabilities of $1,215,390 and long term Medicare liabilities of $1,608,325. The long term portion relates to negotiated payment plans from our Cameron / Lake Charles, Louisiana facility and our Greensboro, Georgia facility.
 
F-10

 
The majority of services performed on Medicare and Medicaid patients are reimbursed at predetermined reimbursement rates except for our critical access acute care facility in Greensboro, Georgia and our geriatric psychiatric facility in Lake Charles, Louisiana, which is reimbursed on a reasonable cost method. The differences between the established billing rates (i.e., gross charges) and the actual reimbursement rates are recorded as contractual discounts and deducted from gross charges.
 
For our critical access acute care facility in Greensboro, Georgia and our geriatric psychiatric facility in Lake Charles, Louisiana, there is an adjustment or settlement of the difference between the actual cost to provide the service and the actual reimbursement rates. Settlements are adjusted in future periods when settlements of filed cost reports are received. Final settlements under these programs are subject to adjustment based on administrative review and audit by third party intermediaries, which can take several years to resolve completely. Generally, we are audited approximately every 2 years. However, the time between audits differs based upon facility and the cost report filed and can change from year to year without prior notice.
 
Our Lake Charles, Louisiana facility has negotiated three payment plans with respect to its Medicare payable for the cost report periods ended December 31, 2003, 2004 and 2005. The facility established the payment plan for the cost report period ended December 31, 2006 in April 2007. A summary of the significant terms of the plans are as follows:
 
   
For the Period Ended December 31, 2003
 
For the Period Ended December 31, 2004
 
For the Period Ended December 31, 2005
 
For the Period Ended December 31, 2006
 
Principal Outstanding at June 30, 2007
 
$
16,596
 
$
622,150
 
$
1,120,713
 
$
174,963
 
Long Term Principal
   
 
$
474,383
 
$
889,026
 
$
146,116
 
Monthly Payment Amount
 
$
16,596
 
$
17,873
 
$
29,582
 
$
4,075
 
Maturity Date
   
July 2007
   
January 2011
   
June 2011
   
March 2012
 
 
Our Greensboro, Georgia facility has negotiated two payment plans with respect to its Medicare payable for the cost report periods ended August 31, 2005 and December 31, 2005. The facility is currently on a payment plan for the cost report period ended December 31, 2006 for estimated overpayments paid during the calendar year 2006. A summary of the significant terms of the plans are as follows:
 
   
For the Period Ended August 31, 2005
 
For the Period Ended December 31, 2005
 
Principal Outstanding at June 30, 2007
 
$
329,982
 
$
129,284
 
Long Term Principal
 
$
98,826
   
 
Monthly Payment Amount
 
$
23,180
 
$
12,500
 
Maturity Date
   
November 2008
   
May 2008
 

F-11

 
Note 10 Commitments and Contingencies 
 
Legal Proceedings
 
Sharon K. Postell v. Greene County Hospital Authority d/b/a Minnie G. Boswell Memorial Hospital, Pacer Health Management Corporation of Georgia, Inc., and Anita Brown, in Her Individual Capacity

The Company has been named as a co-defendant in a lawsuit initiated by Plaintiff Sharon K. Postell on August 19, 2005. Plaintiff alleges that the Company discriminated against her based on her religion in violation of 42 U.S.C. § 1983 and Title VII. Plaintiff also claims that she was retaliated against when she complained about the religious discrimination. The last settlement demand by Plaintiff was for approximately $70,000, which the Company rejected. Discovery is complete in this case and Defendants have filed a motion to dismiss Plaintiff’s claim in its entirety. As management believes it is not probable the plaintiff will prevail, no amounts have been accrued as of June 30, 2007.
 
From time to time we become subject to other proceedings, lawsuits and other claims in the ordinary course of business including proceedings related to medical services provided and other matters. Such matters are subject to many uncertainties, and outcomes are not predictable with assurance.
 
Lease Commitments
 
The Company leases real property under various leases most of which have terms from one to five years. The Company accounts for leases under SFAS No. 13, “Accounting for Leases”, and other related authoritative literature.
 
Expenses under real property leases were $268,038 and $74,831 for the three months ended June 30, 2007 and 2006, respectively and is included as part of rent expense in the accompanying consolidated financial statements. Expenses under real property leases were $657,674 and $149,662 for the six months ended June 30, 2007 and 2006, respectively. The leases require payment of real estate taxes and insurance in addition to rent. Most of the leases contain renewal options and escalation clauses. Lease expense is recognized on a straight-line basis over the term of the lease, including any option periods, as appropriate. The same lease term is used for lease classification, the amortization period of related leasehold improvements and the estimation of future lease commitments.
 
Future minimum lease obligations under non-cancelable real property leases with initial terms in excess of one year at June 30, 2007 are as follows:
 
 
 
 
Period Ending June 30:
 
 
 
2007
 
$
1,428,674
 
2008
   
1,729.090
 
2009
   
1,582,407
 
2010
   
396,037
 
2011
   
299,325
 
Thereafter
   
 
 
     
   
$
5,435,534
 
 
Note 11 Stockholders’ Deficiency
 
(A) Common Stock
 
On January 9, 2006, the Company issued 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period December 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.015 per share and had a fair value of $1,500 which was expensed.
 
On July 21, 2006, the Company issued 5,000,000 shares of common stock to its Chief Financial Officer in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2004 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
F-12

 
On August 9, 2006, the Company issued to its four independent Directors 40,000 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.025 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
On September 30, 2006, the Company issued 2,000,000 shares of common stock to its Director of Corporate operations in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2005 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
On November 13, 2006, the Company issued to its four independent Directors 52,632 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.019 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
On March 19, 2007, the Company issued 2,000,000 shares of common stock to its Chief Operating Officer in accordance with an employment agreement. The shares were valued at $0.02 per share, or $40,000, based on the quoted trading price of the Company’s common stock on the grant date in 2007. The shares cliff vest in one year from the grant date and therefore are not considered issued and outstanding until they vest. The expense has been and continues to be charged to operations over the service period with a credit to additional paid in capital.
 
On March 19, 2007, the Company issued to its four independent Directors 50,000 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.02 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
In the first quarter of 2007, pursuant to a settlement agreement, the Company received back and cancelled 2,000,000 common shares originally issued in a prior year to a former employee.
 
(B) Common Stock Warrants 
 
On June 20, 2002, the predecessor to the Company had issued 950,000 stock warrants to various consultants in exchange for their services.  These warrants have a strike price of $.50 per share.  All of the warrants expire over a five-year period.  These warrants were not cancelled as a result of the recapitalization transaction with Pacer and thus are considered deemed issuance of options as part of the recapitalization with no net accounting effect. On June 20, 2007, these warrants expired. No warrants were granted during the periods ended June 30, 2007 and 2006.  
 
On April 1, 2006 the Company issued 35,000,000 warrants in connection with convertible debentures. The warrants have an exercise price of $0.02 and expire in 5 years from the issuance date. The warrants may be exercised on a cashless basis. These warrants are reflected as a warrant liability at June 30, 2007 (see Note 14).
 
Note 12 Related Party Transactions
 
During the three months ended June 30, 2007 and 2006, the Company received funds of $0 and $460,000 from Rainier Gonzalez, the President, Chief Executive Officer, Chairman of the Board of Directors and principal stockholder of the Company. During the six months ended June 30, 2007 and 2006, the Company received funds of $0 and $710,000 from this individual. These advances received bear a flat interest rate of three percent (3%) and have no due date. During the three months ended June 30, 2007 and 2006, the Company repaid $0 and $300,000 of the outstanding amount. During the three and six months ended June 30, 2007 and 2006, the Company repaid $0 and $316,529 of the outstanding amount. At June 30, 2007, the Company had no outstanding loans payable to this individual.
 
On January 9, 2006, the Company issued 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period December 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.015 per share and had a fair value of $1,500 which was expensed.
 
On July 21, 2006, the Company issued 5,000,000 shares of common stock to its Chief Financial Officer in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2004 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
On September 30, 2006, the Company issued 2,000,000 shares of common stock to its Director of Corporate operations in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2005 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
F-13

 
On March 19, 2007, the Company issued 2,000,000 shares of common stock to its Chief Operating Officer in accordance with an employment agreement. The shares were valued at $0.02 per share, or $40,000, based on the quoted trading price of the Company’s common stock on the grant date in 2007. The shares cliff vest in one year from the grant date and therefore are not considered issued and outstanding until they vest. The expense has been and continues to be charged to operations over the service period with a credit to additional paid in capital.
 
On March 19, 2007, the Company issued to its four independent Directors 50,000 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.02 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
MGBMH incurs a rent expense for temporary dwelling for employees and contractors in the amount of $3,300 monthly payable to the landlord who is a related party of an officer the Company. The terms of this lease are month to month.
 
The Company currently outsources its patient accounting function, which includes the issuance of patient bills to third party payors and the accounting of receipts, to a company owned by certain officers of the Company, including the Chief Executive Officer, Chief Operating Officer and Chief Financial Officer. The Company pays to the professional billing firm four (4%) percent of its net collected revenue. For the six months ended June 30, 2007, the Company has been billed $463,297 by the billing company.

Note 13 Convertible Debentures

On April 1, 2006, the Company executed a Securities Purchase Agreement with YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.) (“Cornell”) whereby it would issue $2,000,000 of secured convertible debentures. On April 1, 2006, pursuant to the Securities Purchase Agreement, the Company issued a three year convertible debenture totaling $1,000,000 to Cornell secured by all of the assets and property of the Company. The debenture accrues interest at a rate of 10% per year. The debentures are convertible at the holder’s option until the maturity date. The conversion price is equal to the lower of (a) $0.05 or (b) 95% of the lowest volume weighted average price of the common stock for the 30 trading days immediately preceding the conversion date.

In connection with the April 1, 2006 issuance of the $1,000,000 convertible debenture, the Company recorded a contra liability of $115,000 by debiting debt discount. These $115,000 in costs were fees and expenses paid directly to the lender in connection with obtaining the debt funding. The Company also incurred additional expenses of $37,923 related to accountant and attorneys fees in connection with the financing that was paid directly from the debt funding which will be capitalized and amortized as debt issue costs. On September 29, 2006 the Company repaid $250,000 of this debenture. As a result $197,547 of the embedded conversion option liability was reclassified to additional paid-in capital, $7,111 of debt issue costs were expensed and $187,500 of debt discount was expensed. On May 15,2007 the Company repaid an additional $250,000 of this debenture. As of June 30, 2007, the Company has amortized $11,808 of debt issue costs. Debt discount is directly offset against the gross convertible debentures balance outstanding. As of June 30, 2007, the Company has amortized $207,573 of debt discount. The total debt discount will be amortized to interest expense over the life of the debt.

On May 5, 2006, pursuant to the Securities Purchase Agreement, the Company issued a three year convertible debenture totaling $1,000,000 to Cornell secured by all of the assets and property of the Company. The debenture accrues interest at a rate of 10% per year. The debentures are convertible at the holder’s option until the maturity date. The conversion price is equal to the lower of (i) $0.05 or (ii) 95% of the lowest volume weighted average price of the common stock for the 30 trading days immediately preceding the conversion date.

In connection with the May 5, 2006 issuance of the $1,000,000 convertible debenture, the Company recorded a contra liability of $100,000 by debiting debt discount. These $100,000 in costs were fees and expenses paid directly to the lender in connection with obtaining the debt funding. The Company also incurred additional expenses of $14,319 related to accountant and attorneys fees in connection with the financing that was paid directly from the debt funding which will be capitalized and amortized as debt issue costs. As of June 30, 2007, the Company has amortized $5,461 of debt issue costs. Debt discount is directly offset against the gross convertible debentures balance outstanding. As of June 30, 2007, the Company has amortized $375,480 of debt discount. The total debt discount will be amortized to interest expense over the life of the debt.

In conjunction with the Securities Purchase Agreement, the Company issued a five year warrant to Cornell to purchase 35,000,000 shares of common stock at an exercise price of $0.02. The warrants may be exercised on a cashless basis.

The convertible debentures and warrants contain registration rights with filing and effectiveness deadlines and a liquidated damages provision. The registration statement was required to be filed within 60 days of the initial funding date of April 1, 2006 and was required to become effective within 120 of the initial funding date. The deadline was not met. Accordingly, the Company is required to accrue as liquidated damages, payable in cash or shares at the lender's option, 2% of the value of the convertible debentures for each 30-day period after the scheduled deadline as applicable. Once effective, the Company must also maintain the registration statement effective until all the registrable securities have been sold by the lender (the "Registration Period"). As of June 30, 2007, the registration statement had not been declared effective. Accordingly, as of June 30, 2007, the Company has accrued $390,000 in accrued liquidated damages related to the filing.
 
F-14


The Company evaluated whether or not the secured convertible debentures contain embedded conversion options which meet the definition of derivatives under SFAS 133 “Accounting for Derivative Instruments and Hedging Activities” and related interpretations. The Company concluded that since the secured convertible debentures had a variable conversion rate, the Company could not guarantee it would have enough authorized shares pursuant to the criteria of EITF 00-19 and therefore the embedded conversion option must be accounted for as a derivative. In addition the liquidated damage penalty in the Registration Rights Agreement would cause derivative classification as the Company considers the registration rights agreement to be part of the convertible debentures contract both to be accounted for as a single unit considering the criteria EITF 05-4 “The Effects of a Liquidated Damages Clause on a Freestanding Financial Instrument Subject to EITF 00-19”. In addition, all prior existing non-employee options or warrants (950,000) must be classified as liabilities for the same reason. The Company recorded an embedded conversion options liability and warrant liability relating to 35,000,000 warrants at the April 1, 2006 funding date with a debt discount. In addition, $5,415 of the fair value of 950,000 existing warrants was reclassified to warrant liabilities from stockholders’ equity at the funding date. Those warrants expired effective June 20, 2007.

In December 2006, the FASB issued FSP EITF 00-19-2, "Accounting for Registration Payments" which was effective immediately. This FSP amends EITF 00-19 to require potential registration payment arrangements be treated as a contingency pursuant to FASB Statement 5 rather than at fair value. We considered the effect of this standard on the above embedded conversion option and warrant classification as a liability and determined that the accounting would not have changed as a result of this standard; since the variable rate on the convertible debentures still cause derivative treatment and the liquidated damages liability had been recorded. Therefore, there was no effect of implementing this standard.

The following table summarizes the assets and liabilities recorded in conjunction with the issuance of the convertible debentures at the respective issuance dates:
 
   
Convertible Debenture Issued April 1, 2006
 
Convertible Debenture Issued May 5, 2006
 
Principal liability
   
1,000,000
   
1,000,000
 
Debt issue costs
   
37,923
   
14,319
 
Debt discount from lender fees
   
115,000
   
100,000
 
Debt discount from embedded conversion option
   
257,800
   
884,513
 
Debt discount from warrants issued with convertible debenture
   
627,200
   
-
 
Initial embedded convertible option liability
   
257,800
   
884,513
 
Initial warrant liability
   
627,200
   
-
 
Initial warrant liability reclassed from equity
   
5,415
   
-
 

The change in fair value recognized as other income/(expense) of the embedded conversion option and warrant liabilities from the three months ended June 30, 2007 were $319,723 and $(605,358) for a total of $(285,655). The change in fair value recognized as other income/(expense) of the embedded conversion option and warrant liabilities from the six months ended June 30, 2007 were $368,045 and $(397,496) for a total of $(29,451).
 
Note 14 Income Taxes
 
There was no income tax expense for the six months ended June 30, 2007, due to the Company’s utilization of net operating loss carryforwards.   
 
Note 15 Natural Disaster
 
On September 24, 2005, the Company suffered severe damage to our acute care hospital and health clinic in Cameron, Louisiana as a result of Hurricane Rita. The facilities and corresponding equipment have been deemed unsuitable for use in administering health care services. The property and equipment were insured and the Company received the proceeds of the policies from the insurance companies. The Company recognized a gain, net of impairment, of $0 and $65,100 for the six months ended June 30, 2007 and 2006, respectively, from the insurance proceeds.
 
F-15

 
Note 16 Subsequent Events

On July 6, 2007, the Company entered into a Securities Purchase Agreement with YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.) (“YA Global”) pursuant to which the Company sold to the YA Global, and YA Global purchased from the Company, up to $5,500,000 of Secured Convertible Debentures, which shall be convertible, at a fixed convertible price of $0.02 until maturity, into shares of the Company’s common stock and warrants to acquire up to 220,000,000 additional shares of Common Stock, of which $3,500,000 was funded on July 9, 2007, $1,500,000 shall be funded on the date a registration statement is filed with the U.S. Securities and Exchange Commission and $500,000 shall be funded within five (5) business days after the registration statement is declared effective.

The Debentures shall accrue interest at a rate equal to thirteen percent (13%) per annum and shall mature, unless extended by YA Global, on March 31, 2009. On the maturity date, the Company may, at its option, redeem the outstanding principal and any accrued interest in either cash or common stock. If the Company chooses to repay in common stock, the debentures shall be convertible at the lower of $0.02 and that price which shall be computed as 80% of the lowest daily volume weighted average price of the common stock during the fifteen (15) consecutive trading days immediately preceding the applicable payment date. The Company shall pay a redemption premium of seven and one half percent (7.5%). The Company at its option shall also have the right to redeem a portion or all amounts outstanding prior to the Maturity Date provided that as of the date of the holder’s receipt of a Redemption Notice (as defined therein): (i) the closing bid price is less than $0.02; (ii) the Registration Statement is effective; and (iii) no event of default has occurred and be continuing. The Company shall pay an amount equal to the principal amount being redeemed plus a redemption premium equal to fifteen percent (15%) of the principal amount being redeemed and accrued interest.

In connection with the Securities Purchase Agreement, the Company also issued to YA Global the Warrants to purchase, in YA Global’s sole discretion, Two Hundred Twenty Million (220,000,000) shares of Common Stock at a price of $0.02 per share which expire on various dates beginning July 2012.

On July 9, 2007, pursuant to the Securities Purchase Agreement, the Company issued 5,769,231 shares to YA Global in conversion of $30,000 of principal for a convertible debenture issued on April 1, 2006. (See Note 13)
 
F-16


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Shareholders of:
Pacer Health Corporation

We have audited the accompanying consolidated balance sheet of Pacer Health Corporation as of December 31, 2006, and the related consolidated statements of operations, changes in shareholders’ equity (deficiency), and cash flows for the years ended December 31, 2006 and 2005. These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits.

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

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Pacer Health Corporation at December 31, 2006, and the results of its operations and its cash flows for the years ended December 31, 2006 and 2005 in conformity with accounting principles generally accepted in the United States of America.

/s/ SALBERG & COMPANY, P.A.

Boca Raton, Florida
April 11, 2007
 
F-17

 
 
Pacer Health Corporation and Subsidiaries
Consolidated Balance Sheet
December 31, 2006
 
     
Current Assets
     
Cash
 
$
396,033
 
Patient accounts receivable, net
   
6,195,318
 
Other accounts receivable
   
180,717
 
Supplies
   
915,822
 
Prepaid Expenses
   
356,294
 
Total Current Assets
   
8,044,184
 
         
Property and equipment, net
   
5,700,031
 
         
Other Assets
       
Deposits
   
75,275
 
Debt issue costs, net
   
32,554
 
Goodwill
   
1,216,318
 
Total Other Assets
   
1,324,147
 
         
Total Assets
 
$
15,068,362
 
         
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIENCY)
         
Current Liabilities
       
Bank overdraft liability
 
$
317,658
 
Accounts payable
   
2,612,442
 
Settlements payable
   
259,000
 
Accrued wages
   
1,387,873
 
Accrued interest
   
84,315
 
Accrued professional fees
   
40,550
 
Accrued rent
   
181,675
 
Accrued liabilities, related party
   
3,560
 
Accrued expenses
   
340,581
 
Accrued liquidated damages
   
185,000
 
Patient Deposits
   
11,751
 
Notes payables, current portion
   
223,265
 
Medicare payable, current portion
   
1,717,825
 
Warrant liability
   
493,369
 
Embedded conversion option liability
   
1,154,604
 
Total Current Liabilities
   
9,013,468
 
         
Long Term Liabilities
       
Convertible debenture, net of debt discount of $1,334,121
   
415,880
 
Medicare payable, net of current portion
   
1,927,052
 
Finance obligation on sale-leaseback of real property
   
1,810,000
 
Note payable, net of current portion
   
649,818
 
Total Long Term Liabilities
   
4,802,750
 
         
Total Liabilities
   
13,816,218
 
         
Commitments and Contingencies (Note 11)
       
         
Minority Interest in Consolidated Subsidiary Company
   
8,612,814
 
         
Stockholders' Equity (Deficiency)
       
Preferred stock, Series A, $0.0001 par value, 20,000,000
       
shares authorized, none issued and outstanding
   
-
 
Common stock, $0.0001 par value, 930,000,000 shares authorized
       
580,496,774 issued and outstanding
   
58,049
 
Additional paid in capital
   
2,502,096
 
Accumulated deficit
   
(9,920,815
)
Total Stockholders' Equity (Deficiency)
   
(7,360,670
)
         
Total Liabilities and Stockholders' Equity
 
$
15,068,362
 
See accompanying notes to consolidated financial statements
 

F-18


Pacer Health Corporation and Subsidiaries
Consolidated Statements of Operations
 
       
   
For Year Ended December 31,
 
   
2006
 
2005
 
Revenues
         
Patient services revenues, net
 
$
14,660,282
 
$
10,384,970
 
Management fees
   
175,000
   
925,672
 
Total Revenues
   
14,835,282
   
11,310,642
 
               
Operating Expenses
             
Advertising
   
27,806
   
5,323
 
Amortization of debt costs
   
19,688
   
-
 
Bad debt expense
   
3,956,709
   
1,834,956
 
Contract labor
   
2,247,972
   
1,851,208
 
Depreciation
   
119,318
   
84,197
 
Insurance
   
552,439
   
360,733
 
Loan fee
   
86,719
   
72,500
 
Medical Supplies
   
951,171
   
900,920
 
Patient Expenses
   
188,270
   
156,336
 
Penalties (liquidated damages)
   
185,000
   
-
 
Professional fees
   
1,321,738
   
466,653
 
Rent
   
528,832
   
549,170
 
Repairs and Maintenance
   
136,319
   
83,592
 
Salaries and wages
   
8,108,544
   
5,068,041
 
Travel
   
453,624
   
155,527
 
Utilities
   
222,180
   
141,616
 
General and administrative
   
710,842
   
368,360
 
Total Operating Expenses
   
19,817,171
   
12,099,132
 
               
Net Loss from Operations
   
(4,981,889
)
 
(788,490
)
               
Other Income (Expense)
             
Gain on debt settlement
   
-
   
10,000
 
Gain on disposal of assets
   
702,296
   
521,141
 
Realized Gain on Securities
   
-
   
76,507
 
Change in fair value of derivatives
   
(70,593
)
 
-
 
Other income
   
4,131
   
-
 
Interest Expense
   
(1,127,663
)
 
(77,794
)
Total Other Income (Expense), net
   
(491,829
)
 
529,854
 
               
Net Income/(Loss) from Continuing Operations
 
$
(5,473,718
)
$
(258,636
)
               
Discontinued Operations
             
 Loss from operations of discontinued component
             
 (including gain on disposal of $1,433,895 in 2006)
   
(2,163,026
)
 
(640,403
)
Gain / (Loss) on Discontinued Operations
   
(2,163,026
)
 
(640,403
)
               
Net Loss
 
$
(7,636,744
)
$
(899,039
)
               
Net Loss Per Share - Basic and Diluted
             
               
Loss from continuing operations
 
$
(0.01
)
$
(0.00
)
Loss from discontinued operations
 
$
0.00
 
$
(0.00
)
               
Loss Per Share - Basic and Diluted
 
$
(0.01
)
$
(0.00
)
               
Weighted average number of shares outstanding
             
during the period - basic and diluted
   
575,951,576
   
569,587,890
 
               
See accompanying notes to consolidated financial statements

F-19



Pacer Health Corporation
Consolidated Statement of Changes in Stockholders' Equity (Deficiency)
Years Ended December 31, 2006, 2005 and 2004
 
   
Preferred Stock Series A
 
Common Stock
 
Common Stock Issuable
 
Paid-in
 
Accumulated
 
Deferred Loan
 
Deferred
     
   
Shares
 
Amount
 
Shares
 
Amount
 
Shares
 
Amount
 
Capital
 
Deficit
 
Costs
 
Compensation
 
Total
 
                                               
Balance December 31, 2004
   
-
   
-
   
570,722,228
   
56,772
   
-
   
-
   
2,130,636
   
(1,385,032
)
 
-
   
(19,527
)
 
782,849
 
                                                                     
Other adjustment
                     
300
               
(48
)
                   
252
 
                                                                     
Stock issued to employees in connection with employment agreements
               
3,000,000
   
300
               
48,220
               
(48,520
)
 
-
 
                                                                     
Stock issued for rent
   
-
   
-
   
112,350
   
11
               
2,236
                     
2,247
 
                                                                     
Stock issued for consulting services
   
-
   
-
   
1,225,000
   
123
               
28,235
                     
28,358
 
                                                                     
Stock issued for directors fees
               
466,668
   
47
               
7,953
                     
8,000
 
                                                                     
Amortization of deferred compensation
   
-
   
-
   
-
   
-
               
41,479
               
8,047
   
49,526
 
                                                                     
Cancellation of shares per settlement agreement
   
-
   
-
   
(2,500,000
)
 
(250
)
             
-
               
-
   
(250
)
                                                                     
Membership Interest Contribution
   
-
   
-
   
-
   
-
               
(110,289
)
                   
(110,289
)
                                                                     
Net Loss
                                             
(899,039
)
             
(899,039
)
                                                                     
Balance December 31, 2005
   
-
   
-
   
573,026,246
   
57,302
   
-
   
-
   
2,148,422
   
(2,284,071
)
 
-
   
(60,000
)
 
(138,347
)
                                                                     
Reclassification of warrants to warrant liability
                                       
(5,415
)
                   
(5,415
)
 
                                                                   
Reclassification of embedded conversion option liability to equity
                                       
197,547
                     
197,547
 
                                                                     
Stock issued to employees in connection with employment agreements
               
7,000,000
   
700
               
104,300
               
(105,000
)
 
-
 
                                                                     
Stock issued for consulting services
   
-
   
-
   
100,000
   
10
               
1,490
                     
1,500
 
                                                                     
Stock issued for directors fees
               
370,528
   
37
               
7,963
                     
8,000
 
                                                                     
Amortization of deferred compensation
   
-
   
-
   
-
   
-
                               
102,500
   
102,500
 
                                                                     
Reclass upon implementation of SFAS 123(R)
   
-
   
-
   
-
   
-
               
(62,500
)
             
62,500
   
-
 
                                                                     
Membership Interest Contribution received
   
-
   
-
   
-
   
-
               
110,289
                     
110,289
 
                                                                     
Net Loss
                                             
(7,636,744
)
             
(7,636,744
)
                                                                     
Balance December 31, 2006
   
-
   
-
   
580,496,774
   
58,049
   
-
   
-
   
2,502,096
   
(9,920,815
)
 
-
   
-
   
(7,360,670
)
                                                                     
See accompanying notes to consolidated financial statements

F-20


Pacer Health Corporation and Subsidiaries
Consolidated Statements of Cash Flows

   
Year Ended December 31,
 
   
2006
 
2005
 
Cash Flows from Operating Activities:
     
Net Income/(Loss)
 
$
(7,636,744
)
$
(899,039
)
Adjustments to reconcile net income/(loss) to net cash used in
             
operating activities:
             
Amortization of debt discount to interest expense
   
650,392
   
-
 
Amortization of debt issue costs
   
19,688
   
-
 
Bad debt expense
   
3,956,709
   
1,923,238
 
Recovery of bad debt expense on management fees
   
-
   
(205,476
)
Depreciation
   
1,215,380
   
170,021
 
Gain on debt settlement
   
-
   
(10,000
)
Realized gain on Securities
   
-
   
(76,507
)
Gain on sale of nursing home asset
   
(637,196
)
 
-
 
Gain on disposal of subsidiaries or components
   
(1,433,895
)
 
-
 
Amortization of stock based expenses
   
102,500
   
49,528
 
Stock issued for services
   
9,500
   
38,605
 
Change in fair market value of derivatives
   
70,593
   
-
 
Gain on natural disaster
   
-
   
(521,141
)
Changes in operating assets and liabilities:
             
(Increase) decrease in:
             
Patient receivables
   
(5,499,028
)
 
(1,269,655
)
Management fee receivable, net
   
-
   
(475,000
)
Other receivables
   
(186,686
)
 
7
 
Supplies Inventory
   
(49,286
)
 
(122,037
)
Prepaids and other current assets
   
439,430
   
117,206
 
Increase (decrease) in:
             
Accounts payable
   
2,014,364
   
292,263
 
Settlements payable
   
(6,500
)
 
(517,757
)
Accrued interest payable
   
75,946
   
(15,857
)
Accrued wages payable
   
1,108,861
   
230,991
 
Accrued expenses
   
(95,485
)
 
(165,519
)
Accrued rent
   
428
   
2,247
 
Accrued liquidated damages
   
185,000
   
-
 
Accrued professional fees
   
40,550
   
(140,896
)
Escrow
   
(575,000
)
 
575,000
 
Medicare payable
   
1,744,873
   
623,382
 
Other current liabilities
   
2,761
   
4,913
 
Net Cash (Used in) / Provided by Operating Activities
   
(4,482,845
)
 
(391,483
)
               
Cash Flows from Investing Activities:
             
Acquisition of equipment
   
(239,479
)
 
(111,903
)
Deposit for future acquisitions
   
(75,000
)
 
-
 
Proceeds from sale of trading securities
   
-
   
76,507
 
Cash acquired in acquisition of subsidiaries
   
340,389
   
586,915
 
Cash overdraft on disposed subsidiary
   
226,333
   
-
 
Disaster related insurance proceeds
   
-
   
795,608
 
Cash paid in MGBMH acquisition
   
-
   
(108,676
)
Proceeds from sale of nursing home asset
   
780,000
   
-
 
Land Purchase
   
-
   
(5,908
)
Net Cash Provided by/(Used in) Investing Activities
   
1,032,243
   
1,232,543
 
               
Cash Flows from Financing Activities:
             
Proceeds from loan payable - related party
   
849,000
   
260,000
 
Repayments of loan payable - related party
   
(865,529
)
 
(516,000
)
Cash overdraft
   
317,658
       
Proceeds from issuance of convertible debenture and related capitalized expenses
   
1,732,758
   
-
 
Repayment of convertible debenture
   
(250,000
)
 
-
 
Proceeds from property sale treated as financing
   
1,810,000
   
-
 
Repayments of loans payable
   
(832,599
)
 
(89,628
)
Repayments of capitalized lease obligations
   
(287,285
)
 
(36,774
)
Minority interest capital contribution
   
639,739
   
109,800
 
Repayments of note payable
   
(566,610
)
 
(143,760
)
Proceeds from note payable
   
80,278
   
75,000
 
Repayment of advances
   
-
   
(303,500
)
Net Cash Provided by/(Used in) Financing Activities
   
2,627,410
   
(644,862
)
               
Net Increase/(Decrease) in Cash
   
(823,192
)
 
196,198
 
               
Cash, Beginning of Year
 
$
1,219,225
 
$
1,023,027
 
               
Cash, End of Year
 
$
396,033
 
$
1,219,225
 
               
Supplemental Disclosure of Cash Flow Information:
             
Cash Paid for:
             
Interest
 
$
1,028,847
 
$
155,210
 
Taxes
 
$
-
 
$
-
 
Supplemental Disclosure of Non Cash Investing and Financing Activities:
             
Insurance policies financed and recorded as prepaid insurance
 
$
487,178
 
$
-
 
Financed equipment purchases
 
$
75,653
 
$
-
 
Financed land additions
 
$
505,822
 
$
-
 
Warrant liability recorded as debt discount
 
$
627,200
 
$
-
 
Embedded conversion option liability recorded as debt discount
 
$
1,142,313
 
$
-
 
Reclassification of warrant value to liabilities from equity
 
$
5,414
 
$
-
 
Reclassification of embedded conversion option liability to equity
 
$
197,547
 
$
-
 
Reclassification of deferred compensation to additional paid-in capital
 
$
62,500
 
$
-
 
Reclassification of deposit to purchase equipment
 
$
-
 
$
149,760
 

See accompanying notes to consolidated financial statements
 
F-21


Pacer Health Corporation and Subsidiaries
Consolidated Statements of Cash Flows

   
Year Ended December 31,
 
 
2006
 
2005
 
Supplemental Disclosure of Cash Flow Information
         
Extinguishment and settlement of outstanding convertible debentures, related accrued interest, accrued liquidated damages, unamortized portion of debt discount and unamortized portion of debt issue costs
 
$
-
 
$
991,726
 
               
Acquisition of Minnie G. Boswell Memorial Hospital:
             
Cash
   
-
   
460,188
 
Patient receivables
   
-
   
1,168,756
 
Other receivables
   
-
   
28,587
 
Prepaid insurance
   
-
   
102,372
 
Inventory
   
-
   
262,685
 
Property, plant and equipment
   
-
   
948,495
 
Accounts payable
   
-
   
(220,180
)
Settlements payable
   
-
   
(250,000
)
Accrued wages
   
-
   
(243,772
)
Accrued professional fees
   
-
   
(30,550
)
Accrued expenses
   
-
   
(336,463
)
Medicare payable
   
-
   
(693,871
)
Notes payable
   
-
   
(84,887
)
Other liabilities
   
-
   
(2,684
)
Purchase price
 
$
-
 
$
1,108,676
 
               
Acquisition of Southpark Community Hospital:
             
Cash
   
-
   
126,726
 
Patient receivables
   
-
   
1,390,059
 
Deposits
   
-
   
14,066
 
Prepaid insurance
   
-
   
128,290
 
Inventory
   
-
   
120,000
 
Property, plant and equipment
   
-
   
16,032,505
 
Accounts payable
   
-
   
(2,239,306
)
Accrued wages
   
-
   
(50,132
)
Notes payable
   
-
   
(50,892
)
Investors notes payable
   
-
   
(1,100,000
)
Capitalized lease obligations
   
-
   
(2,088,247
)
Line of credit
   
-
   
(2,500,000
)
Construction loans
   
-
   
(11,583,293
)
Noncontrolling interest
   
-
   
720,090
 
Goodwill
   
-
   
1,580,134
 
Purchase price
 
$
-
 
$
500,000
 

See accompanying notes to consolidated financial statements
 
F-22


Pacer Health Corporation and Subsidiaries
Notes to Consolidated Financial Statements
December 31, 2006
 
Note 1 Nature of Operations and Summary of Significant Accounting Policies

Nature of Operations 

Pacer Health Corporation (“Pacer”), a Florida corporation, has twelve subsidiaries:

 
·
Pacer Health Services, Inc. (a Florida corporation formed on May 5, 2003),
     
 
·
Pacer Health Management Corporation (a Louisiana Corporation formed on February 1, 2004),
     
 
·
Pacer Holdings of Louisiana, Inc. (a Florida corporation formed on March 3, 2004),
     
 
·
Pacer Holdings of Georgia, Inc. (a Florida corporation formed on June 26, 2004),
     
 
·
Pacer Health Management Corporation of Georgia (a Georgia corporation formed on June 28, 2004),
     
 
·
Pacer Holdings of Arkansas, Inc. (a Florida corporation formed on October 26, 2004),
     
 
·
Pacer Health Management of Florida LLC (a Florida limited liability company formed on December 19, 2005),
     
 
·
Pacer Holdings of Lafayette, Inc. d/b/a Pacer Health Holdings of Lafayette, Inc. (a Louisiana corporation formed on November 28, 2005),
     
 
·
Pacer Holdings of Kentucky, Inc. (a Florida corporation formed on March 9, 2006),
     
 
·
Pacer Health Management Corporation of Kentucky (a Kentucky corporation formed on March 20, 2006),
     
 
·
Woman's OB-GYN Center, Inc. (a Georgia corporation formed on October 30, 2006), and
     
 
·
Lake Medical Center, Inc. (a Georgia corporation formed on October 30, 2006).

On December 31, 2006, our wholly-owned subsidiary, Pacer Health Management Corporation of Kentucky, consummated an agreement with the County of Knox, Kentucky to lease all of the assets and real property used in connection with Knox County Hospital as well as delegating full and complete management responsibility and operational control for the Hospital to the Company. The Company may retain all profits from the operations of the Hospital after satisfying its lease obligations to the County of Knox and maintenance and operations expenses of the Hospital facility. The annual lease payment is equal to the amount of annual payment due by Knox County on its County of Knox, Kentucky Taxable General Obligation Refunding Bonds, Series 2006 (“Bonds”), after applying the capitalized interest which is to be paid from the proceeds of the Bonds. We estimate the annual payment for 2007 to be approximately $703,461. Our parent corporation has guaranteed the payment of up to six (6) monthly rent installments which approximates $352,000. Additionally, at any time during the term of the Agreement, we have the option to purchase all of the Hospital assets from the County of Knox County and assume all of the liabilities (excluding certain liabilities as defined in the Agreement) for a purchase price equal to the sum of (a) the lesser of: (i) the outstanding principal amount of the Bonds on the closing of such purchase or (ii) what the principal balance of the Bonds would have been if all lease payments and other payments to be made by the Company were used to satisfy the principal and interest due under the Bonds at the date of each such payment plus (b) any prepayment penalties on the Bonds and (c) less any funds then held in any debt service reserve fund, bond fund or any other fund or account in any way pertaining to the Bonds. The term of the agreement ends on the earlier of (a) the date the refunding bonds are paid in full; or (b) the date the Company exercises its purchase option. The refunding bonds have a term of 30 years. The County of Knox may only terminate the agreement if (a) the Company does not make the required monthly lease payments or (b) if the Company fails to complete substantial repairs caused by a casualty. (See Note 3)
 
F-23


On December 6, 2005, our wholly-owned subsidiary, Pacer Health Holdings of Lafayette, Inc. (“Pacer Sub”) acquired a majority interest in Southpark Community Hospital, L.L.C. (“Southpark”) Pacer Sub received a sixty percent equity position in Southpark and the remaining investors of Southpark reduced their equity position to forty percent in consideration for an infusion amount up to $2,500,000 over the period of ownership, the exact amount to be reasonably determined by Pacer Sub as necessary to sustain the operations of Southpark. Pacer Sub also assumed a prorated share of the outstanding liabilities and also assumed the position of guarantor, equal to its percentage of ownership, on all notes. Pacer Sub has also agreed to reimburse certain investors who made principal and interest payments on certain third party loans on behalf of Southpark. On September 29, 2006, the Company divested its majority interest for a $3,000,000 note receivable to a third party, which consists primarily of shareholders of the minority interest. (See Note 3)

On September 1, 2005, our wholly-owned subsidiary, Pacer Health Management Corporation of Georgia, completed its asset purchase agreement with the Greene County Hospital Authority to acquire certain assets and assume certain liabilities used in the operation of Minnie G. Boswell Memorial Hospital. The total purchase amount was $1,108,676. (See Note 3) On September 29, 2006, the Company executed a sale-leaseback of certain of its assets in Georgia, which included a sale of its skilled nursing operations to Health Systems Real Estate, Inc.

On March 22, 2004, our wholly-owned subsidiary, Pacer Health Management Corporation, entered into an Asset Purchase Agreement with Camelot Specialty Hospital of Cameron, LLC (“Camelot”) to acquire certain assets used in the operation of South Cameron Memorial Hospital (“SCMH”). As consideration for the acquisition, the Company issued 50,000,000 shares of its common stock having a fair value of $1,100,000. On March 22, 2004, our wholly-owned subsidiary, Pacer Health Management Corporation, entered into an Asset Purchase Agreement with Camelot Specialty Hospital of Cameron, LLC to acquire certain assets used in the operation of South Cameron Memorial Hospital.

In March 2007, the Company amended its lease agreement (the “Amended and Restated Cooperative Endeavor Lease and Assignment of Third Party Leases”) with the Lower Cameron Hospital Service District (“LCHSD”) to provide for the funding of operational losses by the LCHSD through certain grants. These grants will be paid quarterly in 2007 and provide for a payment of $3.5 million in 2007 and $1.2 million, or such lesser amount as may be generated by tax revenues collected by the LCHSD during the then current year, beginning in 2008 through 2017.

Pacer along with its subsidiaries (collectively, the “Company”) began its activities in May 2003. The Company acquires financially distressed hospitals. The Company currently owns and operates a non-urban hospital in Cameron, Louisiana; a non-urban health clinic in Grand Lakes, Louisiana; a geriatric psychiatric center in Lake Charles, Louisiana; a non-urban hospital in Greensboro, Georgia; a skilled nursing facility in Greensboro, Georgia; and operates a non-urban hospital in Barbourville, Kentucky. The Company is attempting to build a regional network of hospitals designed to provide healthcare services to various individuals.
 
F-24


Basis of Presentation

The accompanying Consolidated Financial Statements include the accounts of Pacer Health Corporation and its wholly- owned subsidiaries and a leased operation that qualifies for consolidation under authoritative accounting standards (see Note 3). The Company operates in a single industry segment, healthcare. The Company owns and operates urban and non-urban hospitals, rural health clinics and skilled nursing facilities. All intercompany accounts and transactions have been eliminated in consolidation.

At December 31, 2006, the Company had a working capital deficit of $969,284, which includes $493,369 of warrant liability and $1,154,604 of embedded conversion option liability related to the issuance of convertible debentures to YA Global Investments, L.P. (See Note 14) The Company has included these amounts in current liability but does not anticipate cash settlement or conversion within one year. Furthermore, YA Global has been limited as to the amount of debt it may convert. If these liabilities were not included, the Company would have a positive working capital of $678,689. Additionally, in 2006, the Company had a net loss of $7,636,744 and a negative cash flow from operations of $4,482,845. The loss is the result of lower revenues due to the destruction of our facility in Cameron and the slow return of the area population in Lake Charles as well as the disproportionately high cost structure we have maintained during the rebuilding process. Furthermore, this net loss was also the result of our acquisition of the majority interest of Southpark Community Hospital LLC, which we divested on September 29, 2006. On December 6, 2005, we acquired a 60% interest in Southpark Community Hospital LLC. During the nine months ended September 30, 2006, Southpark Community Hospital LLC incurred an operating loss of $3,596,921. The loss was primarily attributable to the inherited cost structure of Southpark Community Hospital LLC and the low revenues generated due to the start-up nature of the operations. The loss was also attributable to the uncollectability of the $3,000,000 note receivable received as part of the sale of its majority interest in Southpark. (See Note 3) We anticipate that we will mitigate such losses in 2007 as a result of the reopening of our Cameron facility and the $3,500,000 in approved grants (see above) as well as the expected disproportionate share payment (“DSH”) we will receive as a result of the reopening of our hospital. Additionally, as a result of a recent amendment to the law regarding DSH payments in Louisiana, we will receive additional DSH payments for our geriatric psychiatric hospital in Lake Charles, Louisiana. We also anticipate the addition of our Barbourville, Kentucky facility to contribute to an increase in net income and positive cash flows for 2007. Accordingly, management has mitigated future losses and anticipates positive cash flows in 2007 and does not believe that substantial doubt exists about the Company’s ability to continue as a going concern.

Use of Estimates

The preparation of consolidated financial statements in conformity with generally accepted accounting principles requires management to make certain estimates and assumptions about the future outcome of current transactions, which may affect the reporting and disclosure of these transactions. Accordingly, actual results could differ from those estimates used in the preparation of these financial statements.

Significant estimates in 2006 and 2005 include contractual allowances on revenues and related patients receivable, bad debt allowance on patient receivables, bad debt allowance on other receivables, valuation of assets acquired and liabilities assumed in acquisitions, valuation and related impairments of goodwill, and other long-lived assets, valuation of stock-based compensation and an estimate of the deferred tax asset valuation allowance.

Cash and Cash Equivalents

For the purpose of the cash flow statements, the Company considers all highly liquid investments with original maturities of three months or less at the time of purchase to be cash equivalents.
 
F-25


Investments

The Company accounts for marketable securities according to the provisions of SFAS No. 115, "Accounting for Certain Investments in Debt and Equity Securities". SFAS No. 115 addresses the accounting and reporting for investments in equity securities that have readily determinable fair values and for all investments in debt securities. Investments in securities are to be classified as either held-to-maturity, available-for-sale or trading.
 
Held-to-Maturity - Investments in debt securities classified as held-to-maturity are stated at cost, adjusted for amortization of premiums and accretion of discounts using the effective interest method. The Company has the ability and the intention to hold these investments to maturity and, accordingly, they are not adjusted for temporary declines in their fair value.
 
Available-for-Sale - Investments in debt and equity securities classified as available-for-sale are stated at fair value. Unrealized gains and losses are recognized (net of tax effect) as a separate component of shareholders' equity.
 
Trading - Investments in debt and equity securities classified as trading are stated at fair value. Realized and unrealized gains and losses for trading securities are included in income.
 
Realized gains and losses on the sale of securities are determined using the specific identification method.
 
Property and Equipment 

Property and equipment are stated at cost. Equipment, major renewals and improvements greater than $5,000 are capitalized; maintenance and repairs are charged to expense as incurred. Gain or loss on disposition of property is recorded at the time of disposition.

Depreciation and amortization are provided using the straight-line method over the estimated useful lives of the assets, generally 40 years for buildings, 3 to 10 years for furniture, fixtures, and equipment and 3 to 5 years for vehicles, computer hardware, software, and communication systems. Leasehold improvements are depreciated over the lesser of useful lives or lease terms including available option periods.

Long-Lived Assets

The Company reviews long-lived assets and certain identifiable assets related to those assets for impairment whenever circumstances and situations change such that there is an indication that the carrying amounts may not be recoverable. If the undiscounted future cash flows of the long-lived assets are less than the carrying amount, their carrying amounts are reduced to fair value and an impairment loss is recognized.
 
Intangibles and Other Long-Lived Assets

The Company reviews the carrying value of intangibles and other long-lived assets for impairment at least annually or whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets is measured by comparison of its carrying amount to the undiscounted cash flows that the asset or asset group is expected to generate. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the property, if any, exceeds its fair market value. Goodwill represents the excess of the cost of the Company’s acquired subsidiaries or assets over the fair value of their net assets at the date of acquisition. Under Statement of Financial Accounting Standards (“SFAS”) No. 142, goodwill is no longer subject to amortization over its estimated useful life; rather, goodwill is subject to at least an annual assessment for impairment applying a fair-value based test. During the years ended December 31, 2006 and 2005, the Company did not recognize an impairment charge to goodwill.
 
F-26


Accounting for Derivatives

The Company evaluates its convertible debt, options, warrants or other contracts to determine if those contracts or embedded components of those contracts qualify as derivatives to be separately accounted for under Statement of Financial Accounting Standards 133 “Accounting for Derivative Instruments and Hedging Activities” and related interpretations including EITF 00-19 “Accounting for Derivative Financial Instruments Indexed to, and Potentially Settled in, a Company's Own Stock”.
 
The result of this accounting treatment is that the fair value of the embedded derivative is marked-to-market each balance sheet date and recorded as a liability. In the event that the fair value is recorded as a liability, the change in fair value is recorded in the consolidated statement of operations as an other income or expense. Upon conversion or exercise of a derivative instrument, the instrument is marked to fair value at the conversion date and then that fair value is reclassified to equity. Equity instruments that are initially classified as equity that become subject to reclassification under SFAS 133 are reclassified to liability at the fair value of the instrument on the reclassification date.
 
Revenue Recognition and Patients Receivable

 
(i)
Hospital Operations

In general, the Company follows the guidance of the United States Securities and Exchange Commission’s Staff Accounting Bulletin No. 104 for revenue recognition. The Company records revenue when persuasive evidence of an arrangement exists, services have been rendered, or product delivery has occurred, the sales price to the patient is fixed or determinable, and collectability is reasonably assured. The Company also follows the industry specific revenue recognition criteria as delineated in the AICPA Audit and Accounting Guide “Health Care Organizations”.
 
The Company recognizes revenues in the period in which services are performed and billed to the patient or third party payor. Accounts receivable primarily consist of amounts due from third party payors and patients. Amounts the Company receives for treatment of patients covered by governmental programs such as Medicare and Medicaid and other third party payors such as health maintenance organizations, preferred provider organizations and other private insurers are generally less than the Company’s established billing rates. Accordingly, the revenues and accounts receivable reported in the Company’s consolidated financial statements are recorded at the amount expected to be received.
 
The Company derives a significant portion of its revenues from Medicare, Medicaid and other payors that receive discounts from our standard charges. The Company must estimate the total amount of these discounts to prepare its consolidated financial statements. The Medicare and Medicaid regulations and various managed care contracts under which these discounts must be calculated are complex and are subject to interpretation and adjustment. The Company estimates the allowance for contractual discounts on a payor-specific basis given its interpretation of the applicable regulations or contract terms. These interpretations sometimes result in payments that differ from the Company’s estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management. Changes in estimates related to the allowance for contractual discounts affect revenues reported in the Company’s consolidated statements of operations in the period of the change.
 
Management has recorded estimates for bad debt losses, which may be sustained in the collection of these receivables. Although estimates with respect to realization of the receivables are based on Management’s knowledge of current events, the Company’s collection history, and actions it may undertake in the future, actual collections may ultimately differ substantially from these estimates. Receivables are written off when all legal actions have been exhausted.
 
F-27


The Company participates in the Louisiana disproportionate share hospital (“DSH”) fund and the Georgia disproportionate share hospital fund (“ICTF”) related to uncompensated care provided to a disproportionate percentage of low-income and Medicaid patients. Upon meeting certain qualifications, our facilities in Louisiana and Georgia become eligible to receive additional reimbursement from the fund. The reimbursement amount is determined upon submission of uncompensated care data by all eligible hospitals. Once the reimbursement amount is determined, collectability is reasonably assured and the additional reimbursement is included as revenue under SEC Staff Accounting Bulleting 104.
 
 
(ii)
Management Services

The Company recognizes management service fees as services are provided.
 
Charity Care

The Company provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates.  Because the Company does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue.  The amount of charges forgone for services and supplies furnished under the Company’s charity care aggregated approximately $985,519 and $600,075 in 2006 and 2005, respectively.
 
Stock Based Compensation 

On January 1, 2006, the Company implemented Statement of Financial Accounting Standard 123 (revised 2004) (“SFAS 123(R)”), “Share-Based Payment” which replaced SFAS 123 “Accounting for Stock-Based Compensation” and superseded APB Opinion No. 25, “Accounting for Stock Issued to Employees.” In March 2005, the SEC issued Staff Accounting Bulletin No. 107 (SAB 107) regarding its interpretation of SFAS 123R. SFAS 123(R) and related interpretations requires the fair value of all stock-based employee compensation awarded to employees to be recorded as an expense over the related requisite service period. The statement also requires the recognition of compensation expense for the fair value of any unvested stock option awards outstanding at the date of adoption. The Company values any employee or non-employee stock based compensation at fair value using the Black Scholes Pricing Model. In adopting SFAS 123(R), the Company used the modified prospective application (“MPA”). MPA requires the Company to account for all new stock based compensation to employees using fair value, and for any portion of awards prior to January 1, 2006 for which the requisite service has not been rendered and the options remain outstanding as of January 1, 2006, the Company should recognize the compensation cost for that portion of the award that the requisite service was rendered on or after January 1, 2006. The fair value for these awards is determined based on the grant-date. The only effect of applying the MPA method was a reclassification of deferred compensation, a contra equity account, into additional paid-in capital.

Prior to January 1, 2006, the Company accounted for stock based compensation under the provisions of SFAS No. 123, "Accounting for Stock Based Compensation". For stock and options issued to employees, and for transactions with non-employees in which services were performed in exchange for the Company’s common stock, the transactions are recorded on the basis of fair value of the services received or the fair value of the equity instruments issued, whichever was more readily measurable.
 
In December 2002, SFAS No. 148, "Accounting for Stock-Based Compensation - Transition and Disclosure", was issued. This pronouncement amends SFAS No. 123, “Accounting for Stock-Based Compensation", and provides guidance to companies that wish to voluntarily change to the fair value based method of accounting for stock-based employee compensation, among other provisions. The Company accounted for its employee stock based compensation under the fair value based method provisions of SFAS No. 123. During the years ended December 31, 2005, there were no grants of stock options to either employees or non-employees.
 
F-28


Basic and Diluted Net Income (Loss) Per Share

Basic net income (loss) per common share (“Basic EPS”) excludes dilution and is computed by dividing net income (loss) by the weighted average number of common shares outstanding during the year. Diluted net income(loss) per share (Diluted EPS) reflects the potential dilution that could occur if stock options or other contracts to issue common stock, such as convertible notes, were exercised or converted into common stock. There is no calculation of fully diluted earnings per share for the years ended December 31, 2006 or 2005 as discussed below.
 
At December 31, 2006 and 2005, there were outstanding warrants for 35,950,000 shares of common stock and convertible debt convertible into 103,550,296 common shares, based on the variable conversion rate computed at December 31, 2006, which were excluded from the computation of basic and diluted earning per share in 2006 and which may dilute future earnings per share. At December 31, 2005 there were warrants for 950,000 which were excluded from the computation of basic and diluted earning per share in 2005. There is no incremental effect of these warrants on diluted net loss per share in 2006 and 2005 due to the Company’s net loss in those years.
 
Additionally, pursuant to the terms of certain employment agreements for three individuals who have received restricted stock awards, the vesting date for shares issued is one year subsequent to the receipt of said shares. The employee must provide services for one year in order to be fully vested in their stock award. As a result, the Company has only included those shares that have been issued and correspond to the employee’s current service period. As such, these shares are not included in basic earnings per share until they become fully vested. The Company follows financial accounting as set forth in SFAS No. 123R for cliff vesting when recording the charges for services provided.
 
Advertising

In accordance with Accounting Standards Executive Committee Statement of Position 93-7, (“SOP 93-7”) costs incurred for producing and communicating advertising of the Company, are charged to operations as incurred. Advertising expense for the years ended December 31, 2006 and 2005 were $27,806 and $5,323, respectively. In addition, the Company included in discontinued operations advertising expense of $122,853 and $584 for the years ended December 31, 2006 and 2005, respectively.

Income Taxes

The Company accounts for income taxes under the Financial Accounting Standards No. 109 “Accounting for Income Taxes” (“Statement 109”). Under Statement 109, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. Under Statement 109, the effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period, which includes the enactment date.

Fair Value of Financial Instruments

Statement of Financial Accounting Standards No. 107, “Disclosures about Fair Value of Financial Instruments,” requires disclosures of information about the fair value of certain financial instruments for which it is practicable to estimate the value. For purpose of this disclosure, the fair value of a financial instrument is the amount at which the instrument could be exchanged in a current transaction between willing parties, other than in a forced sale or liquidation.

The carrying amounts of the Company’s short-term financial instruments, including patient receivables and current liabilities approximate fair value due to the relatively short period to maturity for these instruments.
 
F-29


Concentrations

Bank Deposit Accounts:

The Company maintains its cash in bank deposit accounts, which, at times exceed Federally insured limits. As of December 31, 2006, the Company had net deposits of $852,861 in excess of Federally insured limits. The Company has not experienced any losses in such accounts through December 31, 2006.

Geographic Concentrations:

The Company’s operations are concentrated in specific medical facilities in Louisiana and Georgia. (See Note 1). Geographic concentration risks may include natural disasters. The Company incurred disaster loss and interruption of operations, as a result of Hurricane Rita and Wilma in late 2005. (See Note 16).

Recent Accounting Standards
 
In March 2005, the FASB issued Interpretation (“FIN”) No. 47, “Accounting for Conditional Asset Retirement Obligations — an Interpretation of FASB Statement No. 143.” This Interpretation clarifies the timing of liability recognition for legal obligations associated with an asset retirement when the timing and/or method of settling obligations are conditional on a future event that may or may not be within the control of the entity. FIN 47 is effective no later than the end of fiscal years ending after December 15, 2005. The adoption of FIN 47 did not have an impact on our consolidated financial statements.
 
In May 2005, the FASB issued SFAS No. 154, “Accounting Changes and Error Corrections” which replaces Accounting Principles Board Opinion (“APB”) No. 20, “Accounting Changes”, and SFAS No. 3, “Reporting Accounting Changes in Interim Financial Statements-An Amendment of APB Opinion No. 28.” SFAS 154 provides guidance on the accounting for and reporting of accounting changes and error corrections. SFAS 154 is effective for accounting changes and a correction of errors made in fiscal years beginning after December 15, 2005 and did not have a material effect on our consolidated financial statements.

In July 2006, the FASB issued Interpretation No. 48, “Accounting for Uncertainty in Income Taxes — an Interpretation of FASB Statement No. 109, Accounting for Income Taxes” (FIN 48) to create a single model to address accounting for uncertainty in tax positions. FIN 48 clarifies the accounting for income taxes by prescribing a minimum recognition threshold a tax position is required to meet before being recognized. FIN 48 also provides guidance on derecognition, measurement, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for fiscal years beginning after December 15, 2006. We are currently evaluating the impact of adopting FIN 48 and do not expect the adoption of FIN 48 will have a material impact on our Consolidated Financial Statements.
 
 In September 2006, the FASB issued SFAS No. 157, “Fair Value Measurements.” SFAS No. 157 defines fair value and applies to other accounting pronouncements that require or permit fair value measurements and expands disclosures about fair value measurements. SFAS No. 157 is effective for fiscal years beginning after November 15, 2007 and interim periods within those fiscal years. We are currently evaluating the impact of adopting SFAS No. 157 on our Consolidated Financial Statements.
 
 In September 2006, the SEC issued Staff Accounting Bulletin (“SAB”) No. 108, to address diversity in practice in quantifying financial statement misstatements and the potential for the build up of improper amounts on the balance sheet. SAB No. 108 identifies the approach that registrants should take when evaluating the effects of unadjusted misstatements on each financial statement, the circumstances under which corrections of misstatements should result in a revision to financial statements, and disclosures related to the correction of misstatements. SAB No. 108 is effective for the fiscal year ending December 31, 2006. The adoption of SAB No. 108 did not have a material impact on our Consolidated Financial Statements.

F-30


Reclassifications

Certain amounts for the year ended December 31, 2005 have been reclassified to conform to the presentation of the December 31, 2006 consolidated financial Statements. Such reclassifications include those 2005 amounts related to operations discontinued in 2006.
 
Note 2 Principles of Consolidation 
 
The accompanying Consolidated Financial Statements include the accounts of Pacer Health Corporation and its wholly-owned subsidiaries and a leased operation that qualifies for consolidation under authoritative accounting standards (see Note 3). All significant intercompany accounts and transactions have been eliminated in consolidation.
 
Note 3 Acquisitions and Goodwill
 
On September 1, 2005 (“Acquisition Date”), the Company completed its acquisition of Minnie G. Boswell Memorial Hospital (“MGBMH”). Under the terms of the acquisition agreement, the Company acquired the business and certain identifiable assets and assumed certain liabilities. At the Acquisition Date, MGBMH was a provider of healthcare services with a primary focus on hospitals and nursing homes. MGBMH owns and operates a non-urban hospital and nursing home. The Company operates this hospital doing business as Minnie G. Boswell Memorial Hospital.
 
The Company accounted for this acquisition using the purchase method of accounting in accordance with SFAS No. 141. The purchase price of the facility was $1,108,676, including $108,676 in direct costs of the acquisition. In connection with the acquisition, the Company applied a receivable due to it from MGBMH of $1,086,807 and waived receipt of the additional $86,807 from the seller as a charge to management income.
 
The results of operations of MGBMH are included in the consolidated results of operations of the Company from the Acquisition Date.
 
The initial allocation of fair value of the assets acquired and liabilities assumed was done on September 1, 2005 and revised as of September 30, 2006 as follows: (see Note 6)
 
Cash
 
$
460,188
 
Accounts receivable, net
   
1,197,343
 
Supplies 
   
262,685
 
Prepaid insurance 
   
102,372
 
Fixed assets
   
731,107
 
Liabilities
   
(1,645,019
)
         
Purchase Price
 
$
1,108,676
 
 
The following unaudited pro forma consolidated results of operations have been prepared as if the acquisition of MGBMH had occurred at January 1, 2004:
 
   
Period Ended
 
 
 
Year Ended December 31, 2005
 
Year Ended December 31, 2004
 
Net Revenues
 
$
13,489,797
 
$
15,830,151
 
Net (Loss) Income
 
$
(2,625,618
)
$
(369,067
)
Net (Loss) Income per Share - Basic
 
$
(.00
)
$
(.00
)
Net (Loss) Income per Share - Diluted
 
$
(.00
)
$
(.00
)

Pro forma data does not purport to be indicative of the results that would have been obtained had these events actually occurred at January 1, 2004 and is not intended to be a projection of future results.
 
F-31


On September 29, 2006, the Company executed a sale-leaseback of certain of its assets in Georgia, which included a sale of its skilled nursing operations to Health Systems Real Estate, Inc. (“HSRE”) The assets sold include all real property for MGBMH as well as licenses, permits and personal property, including vehicles, related to the skilled nursing operations. HSRE also agreed to assume certain liabilities, including accrued vacation for employees it subsequently hired in conjunction with the sale. The sale price was $2,600,000, resulting in a gain of $637,196, which is included in Other Income, and a deferred gain of $1,534,524 which is included in the $1,810,000, which is treated as a financing obligation for accounting purposes (see below). The Company received $2,590,000 as a result of a $10,000 credit withheld by HSRE for assumed accrued vacation. In connection with the transaction, HSRE entered into a operating lease with the Company whereby HSRE leases the real property comprising of the real property back to the Company pursuant to a five year triple net lease which would call for annual lease payments equal to $480,000, provided that the Company shall have the right to terminate the lease at the end of thirty-six months if the Company provides HSRE with ninety days written notice prior to such 36th month (see renewal provisions below). As lessor, HSRE takes a perfected security interest in all of the tangible personal property and general intangibles used in connection with the operation of the acute care hospital to secure the Company’s obligations under the lease. If HSRE effectuates a sale of the tangible real and personal property located at the current Hospital/Nursing Home site in the future, then HSRE agrees to pay to the Company an amount equal to fifty percent (50%) of the cash net proceeds (gross cash proceeds less all expenses of the sale) from such sale.
 
The sale-leaseback of the real property has been accounted for as a financing lease, wherein the property remains on the books and continues to be depreciated. The deferred gain of $1,534,524 and future gain of $275,475, totaling the $1,810,000 on this transaction are recorded as liabilities on the books. The Company has the option to renew the lease at the end of the lease term subject to certain conditions. The lease may be renewed for two separate five-year terms with a written notice not earlier than nine months and not later than ninety days prior to the expiration of the original lease term. The rent for the renewal periods will be reset in accordance to a rental amount formula based upon the fair market value as of the date of the renewal. (See Note 3)
 
On December 6, 2005 (“Acquisition Date”), the Company completed its acquisition of Southpark Community Hospital (“SPCH”). Under the terms of the acquisition agreement, the Company received a sixty percent equity position in Southpark and the remaining investors of Southpark reduced their equity position to forty percent in consideration for an infusion amount up to $2,500,000, the exact amount to be reasonably determined by the Company as necessary to sustain the operations of Southpark. The Company also assumed a prorated share of the outstanding liabilities and also assumed the position of guarantor, equal to its percentage of ownership, on all notes. The Company has also agreed to reimburse certain investors who made principal and interest payments on certain third party loans on behalf of Southpark.

The Company accounted for this acquisition using the purchase method of accounting in accordance with SFAS No. 141. The purchase price of the facility was $2,450,000 as of September 30, 2006, which includes additional consideration of $1,950,000 in the nine months ended September 30, 2006. The purchase price as of September 30, 2006 of $2,450,000 was increased from the purchase price of $500,000 as of December 31, 2005 as a result of the additional amounts paid pursuant to the acquisition agreement. The results of operations of SPCH are included in the consolidated results of operations of the Company from the Acquisition Date.
 
The initial allocation of fair value of the assets acquired and liabilities assumed which is subject to an allocation adjustment as allowed under SFAS 141 were as follows:
 
Cash
 
$
126,726
 
Accounts receivable, net
   
1,390,059
 
Inventory
   
120,000
 
Prepaid insurance and other current assets
   
142,356
 
Fixed assets
   
16,032,505
 
Goodwill
   
4,250,224
 
Liabilities
   
(19,611,870
)
Purchase Price
 
$
2,450,000
 
         
Goodwill (see adjustment below to acquired Goodwill relating to minority interest)
   
4,250,224
 
Minority interest portion of Goodwill charged to Additional Paid-In Capital
   
(720,090
)
Goodwill recorded
 
$
3,530,134
 
 
F-32

 
The above purchase price allocation constitutes 100% of the fair value of the total assets and liabilities of SPCH with the exception of goodwill where the minority interest 40% portion was allocated to consolidated equity as a charge to additional paid in capital. Since the purchase price of $2,450,000 exceeded the fair value of the net assets identified, goodwill of $3,530,134 was recognized net of the minority interest portion of $720,090. There is no minority interest since the Company acquired net liabilities.
 
The following unaudited pro forma consolidated results of operations have been prepared as if the acquisition of SPCH had occurred at January 1, 2004:
 
   
Period Ended
 
 
 
Year Ended December 31, 2005
 
Year Ended December 31, 2004
 
Net Revenues
 
$
1,751,442
 
$
0
 
Net (Loss) Income
 
$
(3,521,542
)
$
(13,140
)
Net (Loss) Income per Share - Basic
 
$
(.00
)
$
(.00
)
Net (Loss) Income per Share - Diluted
 
$
(.00
)
$
(.00
)

Pro forma data does not purport to be indicative of the results that would have been obtained had these events actually occurred at January 1, 2004 and is not intended to be a projection of future results. Furthermore, the operations of SPCH did not begin admitting patients until August 2005. Accordingly, there is no patient revenue in 2004.
 
On September 29, 2006, the Company divested its majority interest for a $3,000,000 note receivable to a third party, which consists primarily of shareholders of the minority interest. Upon the execution of a binding letter of intent, the Company formally relinquished control of SPCH to the third party. The terms of the agreement include assumption of all prorated liabilities and guarantees of SPCH from the Company. The sale resulted in a gain of $4,433,895 which is included in Discontinued Operations. Subsequent to the issuance of the note receivable, the Company determined that its collectability was not assured. Accordingly, the Company reduced the value of the note receivable to a fair market value of $0 and recorded a $3,000,000 bad debts expense which is included in discontinued operations. (See Note 4)
 
On December 31, 2006, our wholly-owned subsidiary, Pacer Health Management Corporation of Kentucky, entered into an agreement with the County of Knox, Kentucky to lease all of the assets and real property used in connection with Knox County Hospital as well as delegating full and complete management responsibility and operational control for the Hospital to the Company. The Company may retain all profits from the operations of the Hospital after satisfying its lease obligations to the County of Knox and maintenance and operations expenses of the Hospital facility. The annual lease payment is equal to the amount of annual payment due by Knox County on its County of Knox, Kentucky Taxable General Obligation Refunding Bonds, Series 2006 (“Bonds”), after applying the capitalized interest which is to be paid from the proceeds of the Bonds. We estimate the annual payment for 2007 to be approximately $703,461. Our parent corporation has guaranteed the payment of up to six (6) monthly rent installments which approximates $352,000. Additionally, at any time during the term of the agreement, we have the option to purchase all of the Hospital assets from the County of Knox County and assume all of the liabilities (excluding certain liabilities as defined in the Agreement) for a purchase price equal to the sum of (a) the lesser of: (i) the outstanding principal amount of the Bonds on the closing of such purchase or (ii) what the principal balance of the Bonds would have been if all lease payments and other payments to be made by the Company were used to satisfy the principal and interest due under the Bonds at the date of each such payment plus (b) any prepayment penalties on the Bonds and (c) less any funds then held in any debt service reserve fund, bond fund or any other fund or account in any way pertaining to the Bonds. The term of the agreement ends on the earlier of (a) the date the refunding bonds are paid in full; or (b) the date the Company exercises its purchase option. The refunding bonds have a term of 30 years. The County of Knox may only terminate the agreement if (a) the Company does not make the required monthly lease payments or (b) if the Company fails to complete substantial repairs caused by a casualty. The Company follows the industry specific consolidation criteria as delineated in the AICPA Audit and Accounting Guide “Health Care Organizations” and the criteria under Emerging Issues Task Force Standard 97-2 (“EITF 97-2”) “Application of FASB Statement No. 94 and APB Opinion 16 to Physician Practice Management Entities and Certain Other Entities with Contractual Management Arrangements” In accordance with the criteria, the Company has consolidated all of the assets and liabilities of Knox County Hospital and has reflected a minority interest to account for the economic interest upon dissolution for the County of Knox.
 
F-33

 
Note 4 Patient Accounts Receivable, Allowance for Contractuals, and Allowance for Doubtful Accounts
 
Patient Accounts Receivable at December 31, 2006 is as follows:
 
Patient accounts receivable
 
$
30,091,295
 
Less: Allowance for doubtful accounts
   
(13,079,845
)
Less: Allowance for contractual discounts
   
(10,816,132
)
Patient Accounts Receivable, net
 
$
6,195,318
 

The Company derives a significant portion of its revenues from Medicare, Medicaid and other payers that receive discounts from our standard charges. The Company must estimate the total amount of these discounts to prepare its consolidated financial statements. The Medicare and Medicaid regulations and various managed care contracts under which these discounts must be calculated are complex and are subject to interpretation and adjustment. The Company estimates the allowance for contractual discounts on a payor-specific basis given its interpretation of the applicable regulations or contract terms. These interpretations sometimes result in payments that differ from the Company’s estimates. Additionally, updated regulations and contract renegotiations occur frequently, necessitating regular review and assessment of the estimation process by management. Changes in estimates related to the allowance for contractual discounts affect revenues reported in the period in which the change in estimate occurred.
 
During the years ended December 31, 2006 and 2005, the Company recorded bad debt expense from patient receivables relating to continuing operations of $3,956,709 and $1,834,956, respectively. In addition, the Company included in discontinued operations bad debt expense of $1,608,803 and $14,056 for the years ended December 31, 2006 and 2005, respectively. The Company also recognized $3,000,000 in bad debts expense, which is included in discontinued operations, related to a note receivable received as part of the sale of its majority interest in Southpark. (See Note 3) The Company establishes an allowance for doubtful accounts to reduce the carrying value of patient receivables to their estimated net realizable value. The primary uncertainty of such allowances lies with uninsured patient receivables and deductibles, co-payments or other amounts due from individual patients. The Company also recognized a recovery of bad debt expense of $131,250 during the year ended December 31, 2005 in relation to its management fees receivable due from the Greene County Hospital Authority for its management of Minnie G. Boswell Memorial Hospital prior to its acquisition by the Company. As a result of the offset of the management fee receivable against the purchase price for the acquisition of Minnie G. Boswell Memorial Hospital, the Company recognized a recovery of bad debt expense of $205,476 for the year ended December 31, 2005. (See Note 3)
 
Note 5 Investments
 
During April 2005, the Company received 400,000 shares of a public company as a result of a legal settlement occurring in 2004. Management has elected to treat these securities as trading pursuant to the rules of SFAS No. 115. The Company recorded these shares as having a $0 cost basis due to the stock not trading at time of settlement in 2004. Additionally, there was no alternative method to determine the fair value of the securities.
 
As of December 31, 2005, the Company sold all remaining shares. During the year ended December 31, 2005, the Company received proceeds of $76,507 from the sale of securities. Due to a $0 cost basis, the Company recorded a realized gain on sale of trading securities of $76,507.
 
Unrealized gains and losses are recognized as a component of other income. The fair value of trading securities is based on the quoted closing trading price of the stock as of the last day of the fiscal period. Unrealized gains and losses become recognized gains and losses upon the sale of securities.
 
Note 6 Property, Plant and Equipment, net
 
Property, plant and equipment at December 31, 2006 is as follows:
 
Land
 
$
682,513
 
Building and improvements
   
4,116,985
 
Equipment
   
1,230,433
 
Furniture & Fixtures
   
5,000
 
Less: accumulated depreciation
   
(334,900
)
Property and Equipment, net
 
$
5,700,031
 
 
F-34


In 2006 and 2005, the Company recorded a gain of $65,100 and $521,141 on the disposal of assets related to a natural disaster (See Note 16). The Company maintained insurance on the assets. The assets were deemed a total loss by the insurer. Accordingly, the Company received insurance recoveries for the assets.
 
Depreciation expense for the years ended December 31, 2006 and 2005 was $119,318 and $84,197, respectively, net of $1,096,063 and $85,825, respectively, which was included in discontinued operations.
 
As a result of the decrease in the initial estimate of the assumed Medicare payable liability from the acquisition of MGBMH, the Company was required to reduce the purchase price allocation of value to certain property, plant and equipment of MGBMH in accordance with SFAS No. 141. The amount of the reduction in the value of property, plant and equipment was $217,388. This revised allocation is reflected in Note 3.
 
Note 7 Loan Payable-Related Party
 
In January 2005, the Company repaid a note payable having a principal balance of $250,000, plus an additional $18,000 of accrued interest, to a company, of which Rainier Gonzalez, the President and Chief Executive Officer of the Company, is the principal shareholder. The total repayment to the affiliated entity was $268,000. (See Note 13)
 
During the years ended December 31, 2006 and 2005, the Company received funds of $849,000 and $260,000 from Rainier Gonzalez, the President, Chief Executive Officer, Chairman of the Board of Directors and principal shareholder of the Company. Up until November 2005, these advances received bear interest at eight percent (8%), are unsecured and due twenty-four (24) months from date of receipt. Funds received from the related party after November 2005 bear a flat interest rate of three percent (3%) and have no due date. During the years ended December 31, 2006 and 2005, the Company repaid $865,529 and $516,000 of the outstanding amount. At December 31, 2006, the Company had no outstanding loans payable to this individual.
 
Note 8 Notes, Loans and Capital Lease Obligations Payable
 
On December 31, 2006, the Company had the following outstanding notes and loans payable:
 
Insurance Note Payable dated December 2006, original principal of $128,298, maturity date October 2007.
 
$
105,288
 
Note payable dated August 29, 1994, original principal of $37,150, annual interest rate of 6.941%, originally due July 15, 2011.
   
14,558
 
Note payable dated December 2006, original principal of $47,130, payable in 9 monthly payments of $5,237
   
41,894
 
Construction loan (land) - dated June 2006, original principal of $536,100, original term 24 months, annual interest rate 12%, quarterly interest only payments, principal due at maturity
   
536,100
 
Insurance Note Payable dated June 2006, original principal of $314,300, maturity date February 2007.
   
50,743
 
Note Payable dated August 2006, original principal of $131,577, maturity date August 2011.
   
124,500
 
         
Total
 
$
873,083
 
Current Portion
 
$
223,265
 
Long Term Portion
 
$
649,818
 
 
On January 20, 2005, the Company repaid a note payable to an unrelated third party for the principal amount of $50,000, plus accrued interest of $3,000. The total repayment amount was $53,000.
 
At December 31, 2006, the Company had the following financing obligation:

Finance obligation on sale leaseback of real property on September 29, 2006 for $1,810,000
 
$
1,810,000
 

The sale-leaseback of the real property has been accounted for as a financing lease, wherein the property remains on the books and continues to be depreciated. The gain on this transaction will be recognized over the lease term including renewal periods. The Company has the option to renew the lease at the end of the lease term subject to certain conditions. The Company will pay $480,000 annually to the lessor. (See Note 3)
 
F-35


Maturities of the Company’s debt at December 31, 2006 were as follows:

2007
 
$
223,265
 
2008
   
563,752
 
2009
   
30,183
 
2010
   
30,086
 
2011
   
25,797
 
Thereafter
   
 
 
     
 
 
$
873,083
 
 
Note 9 Advances Payable
 
Minnie G. Boswell Memorial Hospital (“MGBMH”) is a participant in the Indigent Care Trust Fund (“ICTF”) in the State of Georgia, which administers the disproportionate share hospital payments (“DSH”). MGBMH is required to make an intergovernmental transfer approximately equal to the value of the previous year’s uncompensated care as a match to draw down Federal DSH dollars. The amount MGBMH was required to transfer in December of 2004 was approximately $950,000. Prior to the acquisition, MGBMH remitted to the Company funds of which $244,000 was allocated for the intergovernmental transfer. The Company anticipated providing the remaining balance of approximately $700,000 for the intergovernmental transfer due on behalf of MGBMH. Prior to the remittance coming due, the State of Georgia amended the disproportionate share amount on an interim basis pending an audit of designated hospitals. The amended disproportionate share amount was remitted to the State of Georgia in January 2005 and all proceeds thereof including the remitted amount were transferred by the State of Georgia to MGBMH. At August 31, 2005, the Company accrued $2,482 relating to certain advances received from MGBMH in excess of services billed for in connection with the interim services agreement.
 
As a result of the acquisition of MGBMH, the Company offset the amount due against its receivable which was the applied as consideration for the purchase price.
 
Note 10 Medicare Payable
 
Medicare liabilities resulted primarily from our submission of a cost report for our Cameron / Lake Charles, Louisiana facility for the standalone period March 22, 2004 to December 31, 2004 (in the amount of $641,099) and the year ended December 31, 2005 (in the amount of $1,311,837); the submission of a cost report for our Greensboro, Georgia facility for the standalone period September 1, 2005 to December 31, 2005 (in the amount of $351,382); and from our assumption of Medicare liabilities as a result of business acquisitions (see Note 3). Medicare liabilities result from Medicare audits or our annual submission of cost reports to Medicare. Medicare liabilities represent amounts due to Medicare as a result of excess cost reimbursements by Medicare (see Note 1). The Company determines the liability based upon the completion of the cost report or the audit settlement report we receive from Medicare and records the liability in that year. As a result of our implementation of our cost reduction programs, we have received reimbursements in excess of costs. We have reviewed and continue to review Medicare reimbursements to ensure that we have been properly reimbursed and have reflected any adjustment through the contractual allowances. The Company has current Medicare liabilities of $1,717,825 and long term Medicare liabilities of $1,927,052. The long term portion relates to negotiated payment plans from our Cameron / Lake Charles, Louisiana facility and our Greensboro, Georgia facility.
 
F-36

 
The majority of services performed on Medicare and Medicaid patients are reimbursed at predetermined reimbursement rates except for our critical access acute care facility in Greensboro, Georgia and our geriatric psychiatric facility in Lake Charles, Louisiana, which is reimbursed on a reasonable cost method. The differences between the established billing rates (i.e., gross charges) and the actual reimbursement rates are recorded as contractual discounts and deducted from gross charges.
 
For our critical access acute care facility in Greensboro, Georgia and our geriatric psychiatric facility in Lake Charles, Louisiana, there is an adjustment or settlement of the difference between the actual cost to provide the service and the actual reimbursement rates. Settlements are adjusted in future periods when settlements of filed cost reports are received. Final settlements under these programs are subject to adjustment based on administrative review and audit by third party intermediaries, which can take several years to resolve completely. Generally, we are audited approximately every 2 years. However, the time between audits differs based upon facility and the cost report filed and can change from year to year without prior notice.
 
Our Lake Charles, Louisiana facility has negotiated two payment plans with respect to its Medicare payable for the cost report periods ended December 31, 2003 and 2004. The facility is currently in negotiation of establishing the payment plan for the cost report period ended December 31, 2005. A summary of the significant terms of the plans are as follows:
 
   
For the Period Ended December 31, 2003
 
For the Period Ended December 31, 2004
 
For the Period Ended December 31, 2005
 
Principal Outstanding at
December 31, 2006
 
$
112,817
 
$
689,674
 
$
1,226,487
 
Long Term Principal
   
 
$
550,471
 
$
1,008,826
 
Monthly Payment Amount
 
$
16,761
 
$
17,873
 
$
29,582
 
Maturity Date
   
July 2007
 
 
January 2011
 
 
June 2011
 
 
Our Greensboro, Georgia facility has negotiated two payment plans with respect to its Medicare payable for the cost report periods ended August 31, 2005 and December 31, 2005. The facility is currently on a payment plan for the cost report period ended December 31, 2006 for estimated overpayments paid during the calendar year 2006. A summary of the significant terms of the plans are as follows:
 
   
For the Period Ended August 31, 2005
 
For the Period Ended December 31, 2005
 
For the Period Ended December 31, 2006
 
Principal Outstanding at
December 31, 2006
 
$
506,949
 
$
303,542
 
$
253,559
 
Long Term Principal
 
$
282,721
 
$
183,839
 
$
155,047
 
Monthly Payment Amount
 
$
23,180
 
$
12,500
 
$
10,325
 
Maturity Date
   
March 2009
 
 
April 2009
 
 
April 2009
 
 
Note 11 Commitments and Contingencies 
 
Legal Proceedings
 
Alliance Emergency Group, Inc. and Greene Emergency Physicians, LLC v. Greene County Hospital Authority and Minnie G. Boswell Memorial Hospital, Inc.

In connection with its acquisition of MGBMH, the Company is defending a lawsuit filed on September 30, 2004 against Greene County Hospital Authority and Minnie G. Boswell Memorial Hospital, Inc. by Alliance Emergency Group (“Alliance”) and Greene Emergency Physicians (“GEP”) in the Superior Court of Dekalb County, Georgia. Alliance and GEP allege that in June 2004 Defendants breached its ER physician staffing contract. On February 15, 2007, the Company reached a settlement agreement with Alliance and GEP for $650,000, of which $250,000 was payable on or before March 1, 2007 and the remaining $400,000 was payable over 36 months.
 
F-37


Sharon K. Postell v. Greene County Hospital Authority d/b/a Minnie G. Boswell Memorial Hospital, Pacer Health Management Corporation of Georgia, Inc., and Anita Brown, in Her Individual Capacity

The Company has been named as a co-defendant in a lawsuit initiated by Plaintiff Sharon K. Postell on August 19, 2005. Plaintiff alleges that the Company discriminated against her based on her religion in violation of 42 U.S.C. § 1983 and Title VII. Plaintiff also claims that she was retaliated against when she complained about the religious discrimination. The last settlement demand by Plaintiff was for approximately $70,000, which the Company rejected. Discovery is complete in this case and Defendants have filed a motion to dismiss Plaintiff’s claim in its entirety.
 
From time to time we become subject to other proceedings, lawsuits and other claims in the ordinary course of business including proceedings related to medical services provided and other matters. Such matters are subject to many uncertainties, and outcomes are not predictable with assurance.
 
Lease Commitments
 
The Company leases real property under various leases most of which have terms from one to five years. The Company accounts for leases under SFAS No. 13, “Accounting for Leases”, and other related authoritative literature.
 
Expenses under real property leases were $379,325 and $279,325 for the years ended December 31, 2006 and 2005, respectively and is included as part of rent expense in the accompanying consolidated financial statements. The leases require payment of real estate taxes and insurance in addition to rent. Most of the leases contain renewal options and escalation clauses. Lease expense is recognized on a straight-line basis over the term of the lease, including any option periods, as appropriate. The same lease term is used for lease classification, the amortization period of related leasehold improvements and the estimation of future lease commitments.
 
Future minimum lease obligations under non-cancelable real property leases with initial terms in excess of one year at December 31, 2006 are as follows:
 
Year Ending December 31:
 
 
 
2007
 
$
1,482,786
 
2008
   
1,471,590
 
2009
   
1,823,357
 
2010
   
686,175
 
2011
   
299,325
 
Thereafter
   
 
 
     
   
$
5,763,233
 
 
Note 12 Stockholders’ Deficiency
 
(A) Common Stock
 
On March 8, 2005, the Company issued 5,000,000 shares of common stock at $0.007 having a fair value of $35,000 as a bonus to our then Vice-President of Finance. The bonus amount is in excess of the amount provided for in the employment contract and was issued at the discretion of the Company. The common shares were subsequently forfeited as a result of the termination of the employment contract. These shares have been cancelled. The Company also issued 3,000,000 shares of common stock pursuant to the employment contract that were also subsequently forfeited. At December 31, 2005, for financial accounting purposes, there has been no impact on the consolidated financial statements for the issuance and forfeiture of the 8,000,000 common shares. On July 21, 2005, the Company entered into a settlement agreement to cancel the remaining 2,000,000 shares of common stock issued in February 2004. The Company is still in the final process of retrieving and canceling these shares and no accounting will be recorded for the return until the Company is successful at retrieving the shares.
 
On May 20, 2005, at the request of the related party Director, the Company issued 112,350 shares of common stock to a related party (Board Director) at $0.02 per share for the rental of the corporate facilities, in lieu of the monthly cash payments. The shares were valued based on the quoted trading price of the Company’s common stock on the grant date and had a fair value of $2,247 which was expensed.
 
F-38


On June 6, 2005, the Company issued 100,000 shares of common stock to our Vice-President of Operations at $0.029 per share in connection with a consulting agreement. The shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date and had a fair value of $2,900 which was expensed. These shares were issued for the period May 2005.
 
On June 15, 2005, the Company issued 525,000 shares of common stock to a consultant at $0.0283 per share for services rendered. The shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date and had a fair value of $14,858 which was expensed.
 
On July 6, 2005, the Company issued an additional 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period June 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.026 per share and had a fair value of $2,600 which was expensed in June 2005.
 
On July 6, 2005, the Company issued 3,000,000 shares of common stock to its Chief Financial Officer in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2004 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
On August 11, 2005, the Company issued to its four independent Directors 50,000 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.02 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
On August 22, 2005, the Company issued an additional 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period July 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.020 per share and had a fair value of $2,000 which was expensed.
 
In September 2005, the Company granted 10,000,000 common shares of common stock to our Director of Corporate Operations under a new employment agreement. The shares are valued at $190,000 based on the $0.019 per share quoted trade price on the grant date which is being recognized over the three year service period. The first 3,000,000 were issued and vested on November 15, 2005 and 2,000,000, 2,000,000, and 3,000,000 will be issued and vest at the first, second and third anniversary of the date of the employment agreement, respectively.
 
On November 10, 2005, the Company issued to its four independent Directors 66,667 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.015 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
On November 14, 2005, the Company issued an additional 300,000 shares of common stock to our Vice-President of Operations for services rendered during the period August, September and October 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.015 per share and had a fair value of $4,500 which was expensed.
 
On December 14, 2005, the Company issued an additional 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period November 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.015 per share and had a fair value of $1,500 which was expensed.
 
On January 9, 2006, the Company issued 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period December 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.015 per share and had a fair value of $1,500 which was expensed.
 
On July 21, 2006, the Company issued 5,000,000 shares of common stock to its Chief Financial Officer in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2004 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
F-39


On August 9, 2006, the Company issued to its four independent Directors 40,000 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.025 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
On September 30, 2006, the Company issued 2,000,000 shares of common stock to its Director of Corporate operations in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2005 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
On November 13, 2006, the Company issued to its four independent Directors 52,632 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.019 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
(B)
Common Stock Warrants 
 
On June 20, 2002, the predecessor to the Company had issued 950,000 stock warrants to various consultants in exchange for their services.  These warrants have a strike price of $.50 per share.  All of the warrants expire over a five-year period.  No warrants were granted during the periods ended December 31, 2006 and 2005.  

These warrants were not cancelled as a result of the recapitalization transaction with Pacer and thus are considered deemed issuance of options as part of the recapitalization with no net accounting effect. (See Note 14 for reclassification of $5,415 of fair value of these warrants to a liability.)
 
On April 1, 2006 the Company issued 35,000,000 warrants in connection with convertible debentures. The warrants have an exercise price of $0.02 and expire in 5 years from the issuance date. The warrants may be cashless exercised if a related registration statement is not effective within 180 days from April 1, 2006. These warrants are reflected as a warrant liability at December 31, 2006 (see Note 14)
 
Note 13 Related Party Transactions
 
In January 2005, the Company repaid a note payable having a principal balance of $250,000, plus an additional $18,000 of accrued interest, to a company, of which Rainier Gonzalez, the President and Chief Executive Officer of the Company, is the principal shareholder. The total repayment to the affiliated entity was $268,000. (See Note 7)
 
During the years ended December 31, 2006 and 2005, the Company received funds of $849,000 and $260,000 from Rainier Gonzalez, the President, Chief Executive Officer, Chairman of the Board of Directors and principal shareholder of the Company. Up until November 2005, these advances received bear interest at eight percent (8%), are unsecured and due twenty-four (24) months from date of receipt. Funds received from the related party after November 2005 bear a flat interest rate of three percent (3%) and have no due date. During the years ended December 31, 2006 and 2005, the Company repaid $865,529 and $516,000 of the outstanding amount. At December 31, 2006, the Company had no outstanding loans payable to this individual.
 
On May 20, 2005, at the request of the related party Director, the Company issued 112,350 shares of common stock to a related party (Board Director) at $0.02 per share for the rental of the corporate facilities, in lieu of the monthly cash payments. The shares were valued based on the quoted trading price of the Company’s common stock on the grant date and had a fair value of $2,247 which was expensed.
 
On June 6, 2005, the Company issued 100,000 shares of common stock to our Vice-President of Operations at $0.029 per share in connection with a consulting agreement. The shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date and had a fair value of $2,900 which was expensed. These shares were issued for the period May 2005.
 
On July 6, 2005, the Company issued an additional 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period June 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.026 per share and had a fair value of $2,600 which was expensed in June 2005.
 
F-40


On July 6, 2005, the Company issued 3,000,000 shares of common stock to its Chief Financial Officer in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2004 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
On August 11, 2005, the Company issued to its four independent Directors 50,000 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.02 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
On August 22, 2005, the Company issued an additional 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period July 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.020 per share and had a fair value of $2,000 which was expensed.
 
In September 2005, the Company granted 10,000,000 common shares of common stock to our Director of Corporate Operations under a new employment agreement. The shares are valued at $190,000 based on the $0.019 per share quoted trade price on the grant date which is being recognized over the three year service period. The first 3,000,000 were issued and vested on November 15, 2005 and 2,000,000, 2,000,000, and 3,000,000 will be issued and vest at the first, second and third anniversary of the date of the employment agreement, respectively.
 
On September 15, 2005, MGBMH began incurring a rent expense for temporary dwelling for employees and contractors in the amount of $3,300 monthly payable to the landlord who is a related party of an officer the Company. The terms of this lease are month to month.

On November 10, 2005, the Company issued to its four independent Directors 66,667 shares each of its common stock in payment of the Director’s fees. The shares were valued at $0.015 per share based on the quoted closing trading price of the Company’s common stock on the grant date and had a total fair value of $4,000 which was expensed.
 
On November 14, 2005, the Company issued an additional 300,000 shares of common stock to our Vice-President of Operations for services rendered during the period August, September and October 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.015 per share and had a fair value of $4,500 which was expensed.
 
On December 14, 2005, the Company issued an additional 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period November 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.015 per share and had a fair value of $1,500 which was expensed.
 
On January 9, 2006, the Company issued 100,000 shares of common stock to our Vice-President of Operations for services rendered during the period December 2005. These shares were valued based on the quoted closing trading price of the Company’s common stock on the grant date which was $0.015 per share and had a fair value of $1,500 which was expensed.
 
On July 21, 2006, the Company issued 5,000,000 shares of common stock to its Chief Financial Officer in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2004 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
On September 30, 2006, the Company issued 2,000,000 shares of common stock to its Director of Corporate operations in accordance with an employment agreement. The shares were valued at $0.015 per share based on the quoted trading price of the Company’s common stock on the grant date in 2005 and recorded as part of deferred compensation. The expense has been and continues to be charged to operations over the service period.
 
MGBMH incurs a rent expense for temporary dwelling for employees and contractors in the amount of $3,300 monthly payable to the landlord who is a related party of an officer the Company. The terms of this lease are month to month.
 
F-41


Note 14 Convertible Debentures

On April 1, 2006, the Company executed a Securities Purchase Agreement with YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.) (“YA Global”) whereby it would issue $2,000,000 of secured convertible debentures. On April 1, 2006, pursuant to the Securities Purchase Agreement, the Company issued a three year convertible debenture totaling $1,000,000 to YA Global secured by all of the assets and property of the Company. The debenture accrues interest at a rate of 10% per year. The debentures are convertible at the holder’s option until the maturity date. The conversion price is equal to the lower of (a) $0.05 or (b) 95% of the lowest volume weighted average price of the common stock for the 30 trading days immediately preceding the conversion date.

In connection with the April 1, 2006 issuance of the $1,000,000 convertible debenture, the Company recorded a contra liability of $115,000 by debiting debt discount. These $115,000 in costs are fees and expenses paid directly to the lender in connection with obtaining the debt funding. The Company also incurred additional expenses of $37,923 related to accountant and attorneys fees in connection with the financing that was paid directly from the debt funding which will be capitalized and amortized as debt issue costs. On September 29, 2006 the Company repaid $250,000 of this debenture. As a result $197,547 of the embedded conversion option liability was reclassified to additional paid-in capital, $7,111 of debt issue costs were expensed and $187,500 of debt discount was expensed. As of December 31, 2006, the Company has amortized $16,592 of debt issue costs. Debt discount is directly offset against the gross convertible debentures balance outstanding. As of December 31, 2006, the Company has amortized $437,500 of debt discount. The total debt discount will be amortized to interest expense over the life of the debt.

On May 5, 2006, pursuant to the Securities Purchase Agreement, the Company issued a three year convertible debenture totaling $1,000,000 to YA Global secured by all of the assets and property of the Company. The debenture accrues interest at a rate of 10% per year. The debentures are convertible at the holder’s option until the maturity date. The conversion price is equal to the lower of (i) $0.05 or (ii) 95% of the lowest volume weighted average price of the common stock for the 30 trading days immediately preceding the conversion date.

In connection with the May 5, 2006 issuance of the $1,000,000 convertible debenture, the Company recorded a contra liability of $100,000 by debiting debt discount. These $100,000 in costs are fees and expenses paid directly to the lender in connection with obtaining the debt funding. The Company also incurred additional expenses of $14,319 related to accountant and attorneys fees in connection with the financing that was paid directly from the debt funding which will be capitalized and amortized as debt issue costs. As of December 31, 2006, the Company has amortized $3,096 of debt issue costs. Debt discount is directly offset against the gross convertible debentures balance outstanding. As of December 31, 2006, the Company has amortized $212,892 of debt discount. The total debt discount will be amortized to interest expense over the life of the debt.

In conjunction with the Securities Purchase Agreement, the Company issued a five year warrant to YA Global to purchase 35,000,000 shares of common stock at an exercise price of $0.02. The warrants may be cashless exercised if the Registration Statement discussed below is not effective within 180 days.

The convertible debentures and warrants contain registration rights with filing and effectiveness deadlines and a liquidated damages provision. The registration statement must be filed within 60 days of the initial funding date of April 1, 2006 and must become effective within 120 of the initial funding date. If a deadline is not met, the Company shall accrue as liquidated damages, payable in cash or shares at the lender's option, 2% of the value of the convertible debentures for each 30-day period after the scheduled deadline as applicable. The Company must also maintain the registration statement effective until all the registrable securities have been sold by the lender (the "Registration Period"). As of December 31, 2006, the registration statement had not been declared effective. Accordingly, as of December 31, 2006, the Company has accrued $185,000 in accrued liquidated damages related to the filing.
 
F-42


The Company evaluated whether or not the secured convertible debentures contain embedded conversion options which meet the definition of derivatives under SFAS 133 “Accounting for Derivative Instruments and Hedging Activities” and related interpretations. The Company concluded that since the secured convertible debentures had a variable conversion rate, the Company could not guarantee it would have enough authorized shares pursuant to the criteria of EITF 00-19 and therefore the embedded conversion option must be accounted for as a derivative. In addition the liquidated damage penalty in the Registration Rights Agreement would cause derivative classification as the Company considers the registration rights agreement to be part of the convertible debentures contract both to be accounted for as a single unit considering the criteria EITF 05-4 “The Effects of a Liquidated Damages Clause on a Freestanding Financial Instrument Subject to EITF 00-19”. In addition, all prior existing non-employee options or warrants (950,000) must be classified as liabilities for the same reason. The Company recorded an embedded conversion options liability and warrant liability relating to 35,000,000 warrants at the April 1, 2006 funding date with a debt discount. In addition, $5,415 of the fair value of 950,000 existing warrants was reclassified to warrant liabilities from shareholders’ equity at the funding date.

In December 2006, the FASB issued FSP EITF 00-19-2, "Accounting for Registration Payments" which was effective immediately. This FSP amends EITF 00-19 to require potential registration payment arrangements be treated as a contingency pursuant to FASB Statement 5 rather than at fair value. We considered the effect of this standard on the above embedded conversion option and warrant classification as a liability and determined that the accounting would not have changed as a result of this standard; since the variable rate on the convertible debentures still cause derivative treatment and the liquidated damages liability had been recorded. Therefore, there was no effect of implementing this standard.
 
The following table summarizes the assets and liabilities recorded in conjunction with the issuance of the convertible debentures at the respective issuance dates:

   
Convertible Debenture Issued April 1, 2006
 
Convertible Debenture Issued May 5, 2006
 
Principal liability
   
1,000,000
   
1,000,000
 
Debt issue costs
   
37,923
   
14,319
 
Debt discount from lender fees
   
115,000
   
100,000
 
Debt discount from embedded conversion option
   
257,800
   
884,513
 
Debt discount from warrants issued with convertible debenture
   
627,200
   
-
 
Initial embedded convertible option liability
   
257,800
   
884,513
 
Initial warrant liability
   
627,200
   
-
 
Initial warrant liability reclassed from equity
   
5,415
   
-
 

The change in fair value recognized as other income (expense) of the embedded conversion option and warrant liabilities from the issuance dates to December 31, 2006 were $209,838 and $(139,245).
 
Note 15 Income Taxes
 
There was no income tax expense for the years ended December 31, 2006 due to the Company’s net losses and in 2005.
 
The Company’s tax expense differs from the “expected” tax expense for the years ended December 31, 2006 and 2005, (computed by applying the Federal Corporate tax rate of 34% to loss before taxes), as follows:

   
2006
 
2005
 
Computed “expected” tax expense (benefit)
 
$
(2,596,493
)
$
(305,673
)
State taxes net of Federal benefits
   
(276,815
)
 
(32,635
)
Other non-deductible items
   
3,733
   
96,539
 
Change in valuation allowance
   
2,869,676
   
241,769
 
Other
   
(102
)
     
   
$
-
 
$
-
 
 
F-43


The effects of temporary differences that gave rise to significant portions of deferred tax assets and liabilities at December 31, 2006 are as follows:

Deferred tax (assets)/liabilities:
       
Accrued vacation
 
$
(25,090
)
Depreciation
   
41,645
 
Reserve for bad debts
   
(232,204
)
Net operating loss carryforward
   
(2,957,674
)
Total gross deferred tax assets
   
(3,173,323
)
Less valuation allowance
   
3,173,323
 
Net deferred tax assets
 
$
-
 

During the year ended December 31, 2006, the Company reported a net loss which will increase the net operating loss carryforward. As a result, the Company did not record a current tax expense and adjusted its deferred tax expense accordingly.

The Company has a net operating loss carryforward of approximately $7,859,882 available to offset future taxable income expiring 2026. In addition, the Company has net operating loss carryforwards from the pre-merger tax filings of INFe that the company does not expect to materially realize as a result of certain provisions of the tax law, specifically Internal Revenue Code Section 382, that limit the net operating loss carryforwards available for use in any given year in the event of a significant change in ownership interest. As such, the Company did not record any portion of the pre-merger INFe net operating loss carryforward. Accordingly, all deferred tax assets created by net operating loss carryforwards are offset in their entirety by a deferred tax asset valuation allowance.

The valuation allowance at December 31, 2006 was $3,173,323. The net change in valuation allowance during the year ended December 31, 2006 was an increase of $2,869,677.
 
Note 16 Natural Disaster
 
On September 24, 2005, the Company suffered severe damage to our acute care hospital and health clinic in Cameron, Louisiana as a result of Hurricane Rita. The facilities and corresponding equipment have been deemed unsuitable for use in administering health care services. As a result, the Company recorded an impairment on fixed assets of $273,808 in 2005. The property and equipment were insured and the Company received the proceeds of the policies from the insurance companies. The Company recognized a gain, net of impairment, of $65,100 and $521,141 for the years ended December 31, 2006 and 2005, respectively, from the insurance proceeds.
 
Note 17 Subsequent Events

On January 1, 2007, the Company entered into an employment agreement with an individual to serve as its Chief Operating Officer. Compensation is set at $100,000 per annum. Additionally, this individual is entitled to a total of 10,000,000 shares of common stock vesting as follows; 2,000,000 shares on January 1, 2007, 3,000,000 shares on January 1, 2008 and 5,000,000 shares on January 1, 2009. The 2,000,000 shares were issued in March 2007. The Company valued the 10,000,000 shares at $200,000 based on the $0.02 per share quoted trading price at January 1, 2007, which will be amortized over the related requisite service periods.

On February 28, 2007, Pacer Health Management Corporation of Georgia (“Pacer-GA”), a wholly-owned subsidiary of the Company, entered into an agreement to acquire Family Medical Associates, a multi-specialty physician's clinic and imaging center in Greensboro, Georgia. The purchase price is to be $1.1763 million, which consists of issuing 250,000 shares of Class B common stock of Pacer-GA, with a fair market value of $200,000; loans payable of $173,944; and the assumption of a bank loan of $794,599.
 
F-44


We have not authorized any dealer, salesperson or other person to provide any information or make any representations about Pacer Health Corporation except the information or representations contained in this Prospectus. You should not rely on any additional information or representations if made.
 
   

 
   
This Prospectus does not constitute an offer to sell, or a solicitation of an offer to buy any securities:
 
o   except the common stock offered by this Prospectus;
 
o   in any jurisdiction in which the offer or solicitation is not authorized;
 
o   in any jurisdiction where the dealer or other salesperson is not qualified to make the offer or solicitation;
 
o   to any person to whom it is unlawful to make the offer or solicitation; or
 
o   to any person who is not a United States resident or who is outside the jurisdiction of the United States.
 
The delivery of this Prospectus or any accompanying sale does not imply that:
 
o   there have been no changes in the affairs of Pacer Health Corporation after the date of this Prospectus; or
 
o   the information contained in this Prospectus is correct after the date of this Prospectus.

PROSPECTUS

 
 
 
46,593,323 Shares of Common Stock
 
 
 
Pacer Health Corporation
 
 
 
 
 
 
______________, 2007
   

 
   
Until _________, 2007, all dealers effecting transactions in the registered securities, whether or not participating in this distribution, may be required to deliver a Prospectus. This is in addition to the obligation of dealers to deliver a Prospectus when acting as underwriters.
 
 

 
PART II
 
INFORMATION NOT REQUIRED IN PROSPECTUS
 
ITEM 24. INDEMNIFICATION OF DIRECTORS AND OFFICERS
 
Our Articles of Incorporation (as amended) include an indemnification provision under which we have agreed to indemnify directors and officers of Pacer from and against certain claims arising from or related to future acts or omissions as a director or officer of Pacer. Insofar as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers and controlling persons of Pacer pursuant to the foregoing, or otherwise, Pacer has been advised that in the opinion of the SEC such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable.
 
ITEM 25. OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION
 
The following table sets forth estimated expenses expected to be incurred in connection with the issuance and distribution of the securities being registered. Pacer will pay all expenses in connection with this offering.
 
Securities and Exchange Commission Registration Fee
 
$
14
 
Printing and Engraving Expenses
 
$
2,500
 
Accounting Fees and Expenses
 
$
15,000
 
Legal Fees and Expenses
 
$
50,000
 
Miscellaneous
 
$
17,486
 
         
TOTAL
 
$
85,000
 

Item 27. Recent Sales Of Unregistered Securities
 
Amount of Shares Issued
 
Date Issued
 
Issued To
 
Price/Purpose
2,000,000
 
1/7/04
 
J. Scafidi
 
Price- $0.021 per share
(In settlement of prior consulting services on business development)
             
476,190
 
1/7/04
 
Newbridge Securities Corporation
 
Price- $0.021 per share
(Placement Agent fee)
             
318,822,903
 
1/8/04
 
R. Gonzalez
 
Conversion of preferred stock
             
1,600,000
 
1/27/04
 
J. Dodrill
 
Price- $0.02 per share
(In settlement of preacquisition legal fees liability)
             
25,000
 
1/28/04
 
V. Blanco
 
Price- $0.02 per share
(satisfaction of loan)
             
2,000,000
 
2/4/04
 
D. Byrns
 
Price- $0.021 per share
(pursuant to an employment agreement)
             
50,000
 
2/9/04
 
J. Stanger
 
Price- $0.025 per share
(in accordance with consulting agreement for patient billing consulting)
 
II-1


Amount of Shares Issued
 
Date Issued
 
Issued To
 
Price/Purpose
50,000,000
 
2/10/04
 
Butterworth Investments
 
Price- $0.022 per share
(acquisition of the operations of South Cameron Memorial Hospital in Cameron, LA)
             
1,000,000
 
2/23/04
 
J. Getter
 
Price- $0.029 per share
(in accordance with consulting agreement for business development services)
             
600,000
 
3/29/04
 
J. Stanger
 
Price- $0.018 per share
(in accordance with consulting agreement for patient billing consulting)
             
200,000
 
6/7/04
 
G. Williams, J. Peterson
 
Price- $0.025 per share
(in accordance with consulting agreement for website consulting)
             
2,000,000
 
10/11/04
 
J. Chi
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
40,000
 
10/11/04
 
T. Vidal
 
Price- $0.044 per share
(pursuant to an employment agreement)
             
8,000,000
 
3/8/05
 
D. Byrns
 
Price- $0.021 per share
(pursuant to an employment agreement)
             
112,350
 
5/23/05
 
GEI Enterprises LLC
 
Price- $0.02 (per rental agreement)
             
100,000
 
6/8/05
 
M. Llano
 
Price- $0.03 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
3,000,000
 
7/5/05
 
J. Chi
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
100,000
 
7/6/05
 
M. Llano
 
Price- $0.024 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
50,000
 
8/11/05
 
M. Llorente
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
8/11/05
 
E. Marini
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
8/11/05
 
A. Jurado
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
8/11/05
 
E. Pantaleon
 
Price- $0.02 per share
(Director’s fees)
 
II-2


Amount of Shares Issued
 
Date Issued
 
Issued To
 
Price/Purpose
100,000
 
8/22/05
 
M. Llano
 
Price- $0.021 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
66,667
 
11/10/05
 
M. Llorente
 
Price- $0.015 per share
(Director’s fees)
             
66,667
 
11/10/05
 
E. Marini
 
Price- $0.015 per share
(Director’s fees)
             
66,667
 
11/10/05
 
A. Jurado
 
Price- $0.015 per share
(Director’s fees)
             
66,667
 
11/10/05
 
E. Pantaleon
 
Price- $0.015 per share
(Director’s fees)
             
300,000
 
11/14/05
 
M. Llano
 
Price- $0.015 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
3,000,000
 
11/15/05
 
T. Vidal
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
100,000
 
12/14/05
 
M. Llano
 
Price- $0.015 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
100,000
 
1/9/06
 
M. Llano
 
Price- $0.02 per share
(in accordance with consulting agreement for serving as Interim Vice-President of Finance)
             
5,000,000
 
7/21/06
 
J. Chi
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
40,000
 
8/9/06
 
M. Llorente
 
Price- $0.025 per share
(Director’s fees)
             
40,000
 
8/9/06
 
E. Marini
 
Price- $0.025 per share
(Director’s fees)
             
40,000
 
8/9/06
 
A. Jurado
 
Price- $0.025 per share
(Director’s fees)
             
40,000
 
8/9/06
 
E. Pantaleon
 
Price- $0.025 per share
(Director’s fees)
             
2,000,000
 
9/30/06
 
T. Vidal
 
Price- $0.015 per share
(pursuant to an employment agreement)
             
52,632
 
11/13/06
 
M. Llorente
 
Price- $0.019 per share
(Director’s fees)
             
52,632
 
11/13/06
 
E. Marini
 
Price- $0.019 per share
(Director’s fees)
             
52,632
 
11/13/06
 
A. Jurado
 
Price- $0.019 per share
(Director’s fees)
 
II-3


Amount of Shares Issued
 
Date Issued
 
Issued To
 
Price/Purpose
52,632
 
11/13/06
 
E. Pantaleon
 
Price- $0.019 per share
(Director’s fees)
             
2,000,000
 
3/19/07
 
J. Vincent
 
Price- $0.02 per share
(pursuant to an employment agreement)
             
50,000
 
3/19/07
 
M. Llorente
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
3/19/07
 
E. Marini
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
3/19/07
 
A. Jurado
 
Price- $0.02 per share
(Director’s fees)
             
50,000
 
3/19/07
 
E. Pantaleon
 
Price- $0.02 per share
(Director’s fees)
             
5,769,331
 
7/2/07
 
YA Global Investments, L.P. (f/k/a Cornell Capital Partners, L.P.)
 
Price- $0.0052 per share
(Redemption of convertible debenture)
             
200,000
 
7/25/07
 
M. Llorente
 
Price- $0.01 per share
(Director’s fees)
             
200,000
 
7/25/07
 
E. Marini
 
Price- $0.01 per share
(Director’s fees)
             
200,000
 
7/25/07
 
A. Jurado
 
Price- $0.01 per share
(Director’s fees)
             
200,000
 
7/25/07
 
E. Pantaleon
 
Price- $0.01 per share
(Director’s fees)
 
On July 2, 2007, YA Global converted $30,000 of debt into 5,769,331 shares of common stock. The conversion was pursuant to a Securities and Purchase Agreement dated April 1, 2006, which has since been repaid.
 
On July 6, 2007, the Company entered into a Securities Purchase Agreement pursuant to which (a) the Company issued to YA Global a two (2) year convertible debenture in the principal amount of $3,500,000; (b) the Company issued to YA Global, on August 29, 2007, a two (2) year convertible debenture totaling $1,500,000 to YA Global secured by all of the assets and property of the Company; and (c) the Company will issue a third secured convertible debenture in the principal amount of $500,000 upon the effectiveness of this Registration Statement for an aggregate purchase price of $5,500,000. The debentures accrue interest at a rate of thirteen percent (13%) per year and are convertible at the holder’s option until the maturity date. The conversion price is $0.02. At maturity, Pacer has the option to either pay the holder the outstanding principal balance and accrued interest or to convert the debentures into shares of common stock at a conversion price equal to the lower of $0.02 or eighty percent (80%) of the volume weighted average price for the fifteen (15) days immediately preceding the conversion date. Pacer has the right to redeem all or a portion of the debenture upon three (3) business days’ notice by paying to YA Global one-hundred seven and one-half percent (107.5%) of the amount redeemed plus accrued interest. These debentures are secured by substantially all of the Company’s assets as well as 430,422,903 shares of Pacer common stock pledged by our Chief Executive Officer, Rainier Gonzalez, pursuant to that certain Insider Pledge and Escrow Agreement, dated July 6, 2007.
 
On April 1, 2006, the Company issued a warrant to YA Global to purchase 35,000,000 shares of Pacer’s common stock at an exercise price of $0.02. On July 6, 2007, YA Global received a five (5) year warrant to purchase 100,000,000 shares of Pacer’s common stock at an exercise price of $0.02 per share. The warrant was issued in connection with the purchase of the convertible debentures by YA Global. YA Global also received additional warrants, with various expiration dates, to purchase 120,000,000 shares of Pacer’s common stock at exercise prices ranging from $0.02 to $0.03 per share in connection with the Securities Purchase Agreement and the issuance of the convertible debentures to YA Global.
 
With respect to the sale of unregistered securities referenced above, all transactions were exempt from registration pursuant to Section 4(2) of the Securities Act and Regulation D promulgated under the Securities Act. In each instance, the purchaser had access to sufficient information regarding Pacer so as to make an informed investment decision. More specifically, Pacer had a reasonable basis to believe that each purchaser was an “accredited investor” as defined in Regulation D of the Securities Act and otherwise had the requisite sophistication to make an investment in Pacer’s securities.
 
II-4

 
ITEM 27. EXHIBITS
 
Exhibit No.
 
Description
 
Location
2.1
 
Merger Agreement, dated July 26, 2003, between among others, Infe, Inc. and Pacer Health Corporation
 
Incorporated by reference to Exhibit 99.1 to Form 8-K filed on July 3, 2003
         
2.2
 
Asset Purchase Agreement dated April 14, 2003 between Pacer Health Corporation and AAA Medical Center, Inc.
 
Incorporated by reference to Exhibit 2.2 to Form 10-QSB filed on October 20, 2003
         
2.3
 
Promissory Note, Amendment No. 1, Entered Into By Pacer Health Corporation in Favor of AAA Medical Center, Inc. dated June 23, 2003 between Infe, Inc. and Daniels Corporate Advisory Company, Inc.
 
Incorporated by reference to Exhibit 2.3 to Form 10-QSB filed on October 20, 2003
         
3.1
 
Articles of Incorporation of Infocall Communications Corp.
 
Incorporated by reference to Exhibit 3(i) to Form 10-SB/12G filed on December 30, 1999.
         
3.2
 
Articles of Amendment to Articles of Incorporation of Infocall Communications Corp.
 
Incorporated by reference to Exhibit 3(i)(1) to Form 10-SB/12G filed on December 30, 1999.
         
3.3
 
Amended and Restated Articles of Incorporation of Infocall Communications Corp.
 
Incorporated by reference to Exhibit 3.4 to Form SB-2 filed on September 15, 2000
         
3.4
 
Certificate of Amendment to Certificate of Incorporation of Infe, Inc.
 
Incorporated by reference to Exhibit 1.1 to Form 10-QSB filed on October 15, 2001
         
3.5
 
Articles of Amendment to Articles of Incorporation of Infe, Inc.
 
Incorporated by reference to Exhibit 3.5 to Form 10-QSB filed on October 20, 2003
         
3.6
 
Articles of Amendment to Amended and Restated Articles of Incorporation of Infe, Inc.
 
Incorporated by reference to Exhibit 3.6 to Form SB-2 filed on January 16, 2004.
         
3.7
 
Bylaws of Infe, Inc.
 
Incorporated by reference to Exhibit 3.7 to Form SB-2 filed on January 16, 2004.
         
4.1
 
Specimen Stock Certificate
 
Incorporated by reference to Exhibit 4.1 to Form SB-2 filed on September 15, 2000.
         
10.1
 
Securities Purchase Agreement, dated effective July 6, 2007, by and between the Company and Cornell Capital Partners, LP
 
Incorporated by Reference to the Company’s Current Report on Form 8-K filed on July 16, 2007
         
10.2
 
Investor Registration Rights Agreement, dated effective July 6, 2007, by and between the Company and Cornell Capital Partners, LP
 
Incorporated by Reference to the Company’s Current Report on Form 8-K filed on July 16, 2007
         
10.3
 
Secured Convertible Debenture, dated effective July 6, 2007, issued to Cornell Capital Partners, LP
 
Incorporated by Reference to the Company’s Current Report on Form 8-K filed on July 16, 2007
         
10.4
 
Amended and Restated Security Agreement, dated effective July 6, 2007, by and between the Company and Cornell Capital Partners, LP
 
Incorporated by Reference to the Company’s Current Report on Form 8-K filed on July 16, 2007
         
10.5
 
Form of Subsidiary Security Agreement, dated effective July 6, 2007, by and between the Company and Cornell Capital Partners, LP
 
Incorporated by Reference to the Company’s Current Report on Form 8-K filed on July 16, 2007
         
10.6
 
Insider Pledge and Escrow Agreement, dated effective July 6, 2007, by and among Rainier Gonzalez, the Company, Cornell Capital Partners, LP and David Gonzalez, Esq.
 
Incorporated by Reference to the Company’s Current Report on Form 8-K filed on July 16, 2007
 
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10.7
 
Warrant, dated effective July 6, 2007, issued to Cornell Capital Partners, LP
 
Incorporated by Reference to the Company’s Current Report on Form 8-K filed on July 16, 2007
         
10.8
 
Irrevocable Transfer Agent Instructions, dated effective July 6, 2007, between and among the Company, Cornell Capital Partners, LP and Transfer Agent
 
Incorporated by Reference to the Company’s Current Report on Form 8-K filed on July 16, 2007
         
10.9
 
Purchase Agreement, dated September 29, 2006, by and between Pacer Holdings of Lafayette, Inc. and Southpark Holdings II, LLC
 
Incorporated by Reference to Exhibit 10.21 to Form 10-QSB/A filed on March 23, 2007
         
10.10
 
Promissory Note dated September 29, 2006 by and between Pacer Holdings of Lafayette, Inc. and Southpark Holdings II, LLC
 
Incorporated by Reference to Exhibit 10.22 to Form 10-QSB/A filed on March 23, 2007
         
10.11
 
Asset Purchase Agreement, dated September 29, 2006, by and among Health Systems real Estate, Inc., Greene County Nursing Center, LLC and Pacer Health Management Corporation of Georgia
 
Incorporated by Reference to Exhibit 10.23 to Form 10-QSB/A filed on March 23, 2007
         
10.12
 
Lease, dated September 29, 2006, by and between Health Systems Real Estate, Inc. and Pacer Health Management Corporation of Georgia
 
Incorporated by Reference to Exhibit 10.24 to Form 10-QSB/A filed on March 23, 2007
         
10.13
 
Bill of Sale, dated September 29, 2006, by and between Health Systems Real Estate, Inc. and Pacer Health Management Corporation of Georgia
 
Incorporated by Reference to Exhibit 10.25 to Form 10-QSB/A filed on March 23, 2007
         
10.14
 
Assignment and Assumption Agreement For Resident Trust Funds, dated September 29, 2006, by and between Pacer Health Management Corporation of Georgia and Greene County Nursing Center, LLC
 
Incorporated by Reference to Exhibit 10.26 to Form 10-QSB/A filed on March 23, 2007
         
10.15
 
Assignment and Assumption Agreement, dated September 29, 2006, by and among Pacer Health Management Corporation of Georgia, Health Systems Real Estate, Inc. and Greene County Nursing Center, LLC
 
Incorporated by Reference to Exhibit 10.27 to Form 10-QSB/A filed on March 23, 2007
         
10.16
 
Interim Reimbursement Letter, dated September 29, 2006, from Greene County Nursing Center, LLC to Pacer Health Management Corporation of Georgia
 
Incorporated by Reference to Exhibit 10.28 to Form 10-QSB/A filed on March 23, 2007
         
10.17
 
Letter of Intent between Revival Healthcare, Inc. and Registrant dated December 9, 2003.
 
Incorporated by reference to Exhibit 10.10 to Form SB-2 filed on January 16, 2004.
         
10.18
 
Management and Acquisition Agreement, dated February 2, 2004, by and between Pacer Health Management Corporation and Camelot Specialty Hospital of Cameron, LLC.
 
Incorporated by reference to Form 8-K filed on February 11, 2004.
         
10.19
 
Asset Purchase Agreement, dated March 22, 2004, by and between Pacer Health Management Corporation and Camelot Specialty Hospital of Cameron, L.L.C.
 
Incorporated by Reference to Form 8-K filed on April 5, 2004
         
10.20
 
Hospital Operating Lease Agreement, dated December 31, 2006 and effective as of December 31, 2006, by and among Pacer Health Management Corporation of Kentucky, Knox Hospital Corporation and The County of Knox, Kentucky
 
Incorporated by Reference to Exhibit 10.1 in the Company’s Current Report on Form 8-K as filed with the SEC on January 12, 2007
         
10.21
 
Securities Purchase Agreement dated as of July 6, 2007, by and between the Company and Cornell Capital Partners, L.P.
 
Incorporated by Reference to Form 8-K filed on July 6, 2007.
 
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10.22
 
Convertible Debenture, dated as of July 6, 2007, issued by the Company to Cornell Capital Partners, L.P.
 
Incorporated by Reference to Form 8-K filed on July 6, 2007.
         
10.23
 
Warrant, dated as of July 6, 2007, issued by the Company to Cornell Capital Partners, L.P.
 
Incorporated by Reference to Form 8-K filed on July 6, 2007.
         
10.24
 
Security Agreement, dated as of July 6, 2007, by and between the Company, the Company’s subsidiaries made a party thereto and Cornell Capital Partners, L.P.
 
Incorporated by Reference to Form 8-K filed on July 6, 2007.
         
10.25
 
Pledge & Escrow Agreement, dated as of July 6, 2007, by and between the Pledgors named therein, David Gonzalez, Esq. as escrow agent and Cornell Capital Partners, L.P.
 
Incorporated by Reference to Form 8-K filed on July 6, 2007.
         
10.26
 
Registration Rights Agreement, dated as of July 6, 2007, by and between the Company and Cornell Capital Partners, L.P.
 
Incorporated by Reference to Form 8-K filed on July 6, 2007.
         
10.27
 
Irrevocable Transfer Agent Instructions, dated as of July 6, 2007, by and among the Company, Cornell Capital Partners, L.P., David Gonzalez ,Esq. as escrow agent and Computershare Transfer Company, Inc., as transfer agent
 
Incorporated by Reference to Form 8-K filed on July 6, 2007.
         
14.1
 
Code of Ethics
 
Incorporated by Reference to Form 10-KSB filed on April 14, 2004.
         
23.1
 
Consent of Independent Registered Public Accounting Firm
 
Provided herewith.
 
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ITEM 28. UNDERTAKINGS
 
The undersigned Registrant hereby undertakes:
 
(1) To file, during any period in which it offers or sells securities, a post-effective amendment to this Registration Statement to:
 
(i)  Include any Prospectus required by Section 10(a)(3) of the Securities Act;
 
(ii)  Reflect in the Prospectus any facts or events which, individually or together, represent a fundamental change in the information set forth in the Registration Statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of securities offered would not exceed that which was registered) and any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of Prospectus filed with the Commission pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more than a 20% change in the maximum aggregate offering price set forth in the “Calculation of Registration Fee” table in the effective Registration Statement;
 
(iii)  Include any additional or changed information on the plan of distribution.
 
(2) For determining liability under the Securities Act, the Company will treat each such post-effective amendment as a new registration statement of the securities offered, and the offering of such securities at that time to be the initial bona fide offering.
 
(3) To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.
 
(4) For determining liability of the undersigned small business issuer under the Securities Act to any purchaser in the initial distribution of the securities, the undersigned small business issuer undertakes that in a primary offering of securities of the undersigned small business issuer pursuant to this Registration Statement, regardless of the underwriting method used to sell the securities to the purchaser, if the securities are offered or sold to such purchaser by means of any of the following communications, the undersigned small business issuer will be a seller to the purchaser and will be considered to offer or sell such securities to such purchaser:
 
Any preliminary Prospectus or Prospectus of the undersigned small business issuer relating to the offering required to be filed pursuant to Rule 424;
 
Any free writing Prospectus relating to the offering prepared by or on behalf of the undersigned small business issuer or used or referred to by the undersigned small business issuer;
 
The portion of any other free writing Prospectus relating to the offering containing material information about the undersigned small business issuer or its securities provided by or on behalf of the undersigned small business issuer; and
 
Any other communication that is an offer in the offering made by the undersigned small business issuer to the purchaser.
 
Insofar as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers and controlling persons of the small business issuer pursuant to the foregoing provisions, or otherwise, the small business issuer has been advised that in the opinion of the Commission such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable.
 
In the event that a claim for indemnification against such liabilities (other than the payment by the small business issuer of expenses incurred or paid by a director, officer or controlling person of the small business issuer in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the small business issuer will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act and will be governed by the final adjudication of such issue.
 
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SIGNATURES
 
In accordance with the requirements of the Securities Act, the Company certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form SB-2 and authorized this Registration Statement to be signed on our behalf by the undersigned, on August 29, 2007.
 
     
 
PACER HEALTH CORPORATION
 
 
 
 
 
 
August 29, 2007
By:   /s/ Rainier Gonzalez
 
Rainier Gonzalez, Chief Executive Officer and President
 
     
August 29, 2007
By:   /s/ J. Antony Chi
 
J. Antony Chi, Chief Financial Officer and Principal Accounting Officer
 
Pursuant to the requirements of the Securities Act, this Registration Statement has been duly signed by the following persons on behalf of the registrant and in the capacities and on the dates indicated
 
     
August 29, 2007
By:   /s/ Rainier Gonzalez
   
Rainier Gonzalez, Director
     
     
August 29, 2007
By:   /s/ Eric Pantaleon, M.D.
   
Eric Pantaleon, M.D., Director
     
     
August 29, 2007
By:   /s/ Alfredo Jurado
   
Alfredo Jurado, Director
     
     
August 29, 2007
By:   /s/ Marcello Llorente
   
Marcello Llorente, Director
     
     
August 29, 2007
By:   /s/ Eugene Marini
   
Eugene Marini, Director

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