UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
FORM 10-Q
[ X ] Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the quarterly period ended June 30, 2003
or
[ ] Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Commission File Number: 0-49663
SUN HEALTHCARE GROUP, INC.
Delaware 85-0410612
(State of Incorporation) (I.R.S. Employer Identification No.)
18831 Von Karman, Suite 400
Irvine, CA 92612
(949) 255-7100
(Address and telephone number of Registrant)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding twelve months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past ninety days. Yes x No
oIndicate by check mark whether the Registrant is an accelerated filer (as defined in Rule 12b-2 of the Act). Yes x No
o Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Section 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court.
Yes x
No
As of August 11, 2003, there were 10,021,574 shares of the Registrant's $.01 par value Common Stock outstanding.
1
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Index
Form 10-Q for the Quarter Ended June 30, 2003
Page |
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PART I. FINANCIAL INFORMATION |
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Item 1. |
Consolidated Financial Statements: |
||
Consolidated Balance Sheets |
|||
Reorganized Company - as of June 30, 2003 (unaudited) |
3-4 | ||
Reorganized Company - as of December 31, 2002 |
3-4 | ||
Consolidated Statements of Operations |
|||
Reorganized Company - for the three months ended June 30, 2003 (unaudited) |
5 | ||
Reorganized Company - for the three months ended June 30, 2002 (unaudited) |
5 | ||
Reorganized Company - for the six months ended June 30, 2003 (unaudited) |
6 | ||
Reorganized Company - for the four months ended June 30, 2002 (unaudited) |
6 | ||
Predecessor Company - for the two months ended February 28, 2002 |
6 | ||
Consolidated Statements of Cash Flows |
|||
Reorganized Company - for the six months ended June 30, 2003 (unaudited) |
7 | ||
Reorganized Company - for the four months ended June 30, 2002 (unaudited) |
7 | ||
Predecessor Company - for the two months ended February 28, 2002 |
7 | ||
Notes to the Consolidated Financial Statements |
8-21 | ||
Item 2. |
Management's Discussion and Analysis of Financial Condition and Results of Operations |
22-34 | |
Item 3. |
Quantitative and Qualitative Disclosure About Market Risk |
34-35 | |
Item 4. |
Controls and Procedures |
35 | |
|
|||
|
|
36 |
|
Item 3. |
Defaults Upon Senior Securities |
36 | |
Item 4. |
Submission of Matters to a Vote of Security Holders |
36 | |
Item 6. |
Exhibits and Reports on Form 8-K |
36-37 | |
Signature |
38 |
2
PART I. FINANCIAL INFORMATION
ITEM 1. CONSOLIDATED FINANCIAL STATEMENTS
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
ASSETS
(in thousands)
Reorganized Company |
|||
June 30, 2003 |
December 31, 2002 |
||
(unaudited) |
(Note 1) |
||
Current assets: |
|||
Cash and cash equivalents |
$ 19,482 |
$ 21,013 |
|
Accounts receivable, net of allowance for doubtful accounts of |
|
|
|
Inventories, net |
6,314 |
21,846 |
|
Other receivables, net of allowance of $724 at June 30, 2003 |
|
|
|
Assets held for sale |
46,946 |
6,333 |
|
Restricted cash |
79,162 |
76,739 |
|
Prepaids and other assets |
6,816 |
12,437 |
|
Total current assets |
349,034 |
371,059 |
|
Property and equipment, net |
62,828 |
67,714 |
|
Notes receivable, net of allowance of $5,255 at June 30, |
|
|
|
Goodwill, net |
3,894 |
3,894 |
|
Other assets, net |
26,772 |
31,662 |
|
Total assets |
$ 443,420 |
$ 475,835 |
|
============= |
============ |
See accompanying notes.
3
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS (CONTINUED)
LIABILITIES AND STOCKHOLDERS' DEFICIT
(in thousands except per share data)
Reorganized Company |
||||
June 30, 2003 |
December 31, 2002 |
|||
(unaudited) |
(Note 1) |
|||
Current liabilities: |
||||
Current portion of long-term debt |
$ 114,114 |
$ 124,183 |
||
Accounts payable |
50,552 |
63,728 |
||
Accrued compensation and benefits |
58,910 |
66,723 |
||
Accrued self-insurance obligations |
97,433 |
116,010 |
||
Income taxes payable |
13,239 |
12,700 |
||
Liabilities held for sale |
11,313 |
- |
||
Other accrued liabilities |
73,171 |
61,959 |
||
Total current liabilities |
418,732 |
445,303 |
||
Accrued self-insurance obligations, net of current portion |
100,571 |
65,876 |
||
Long-term debt, net of current portion |
65,224 |
72,040 |
||
Unfavorable lease obligations |
47,161 |
56,526 |
||
Other long-term liabilities |
7,441 |
23,028 |
||
Total liabilities |
639,129 |
662,773 |
||
Commitments and contingencies |
||||
Minority interest |
280 |
280 |
||
Stockholders' deficit: |
||||
Preferred stock of $.01 par value, authorized |
|
|
||
Common stock of $.01 par value, authorized |
|
|
|
|
Additional paid-in capital |
268,893 |
253,375 |
||
Accumulated deficit |
(462,821 |
) |
(437,986 |
) |
(193,829 |
) |
(184,518 |
) |
|
Less: |
||||
Unearned Compensation |
(2,160 |
) |
(2,700 |
) |
Total stockholders' deficit |
(195,989 |
) |
(187,218 |
) |
Total liabilities and stockholders' deficit |
$ 443,420 |
$ 475,835 |
||
|
=========== |
=========== |
See accompanying notes.
4
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands except per share data)
Reorganized Company |
|||||
For the Three Months |
For the Three Months |
||||
(Unaudited) |
(Unaudited) |
||||
Total net revenues |
$ 282,594 |
$ 283,082 |
|||
Costs and expenses: |
|||||
Operating costs |
263,995 |
259,266 |
|||
Corporate general and administrative |
15,520 |
25,323 |
|||
Depreciation and amortization |
1,933 |
3,869 |
|||
Provision for losses on accounts receivable |
4,098 |
1,300 |
|||
Interest, net |
6,499 |
3,747 |
|||
Gain on sale of assets, net |
(4,226 |
) |
(951 |
) |
|
Restructuring costs |
4,411 |
- |
|||
Total costs and expenses |
292,230 |
292,554 |
|||
Loss before income taxes and discontinued operations |
(9,636 |
) |
(9,472 |
) |
|
Income taxes |
240 |
244 |
|||
Loss before discontinued operations |
(9,876 |
) |
(9,716 |
) |
|
Discontinued operations: |
|||||
(Loss) income from discontinued operations |
(1,352 |
) |
6,753 |
||
Loss on disposal of discontinued operations, net |
(324 |
) |
- |
||
(Loss) income from discontinued operations |
(1,676 |
) |
6,753 |
||
Net loss |
$ (11,552 |
) |
$ (2,963 |
) |
|
================== |
================== |
||||
Net loss per common and common equivalent share: |
|||||
Basic and diluted |
|||||
Loss before discontinued operations |
$ (.98 |
) |
$ (.97 |
) |
|
(Loss) income from discontinued operations |
(.17 |
) |
.67 |
||
Net loss |
$ (1.15 |
) |
$ (.30 |
) |
|
================== |
================== |
||||
Weighted average number of common and common |
|||||
Basic and diluted |
10,060 |
10,000 |
|||
================== |
================== |
See accompanying notes.
5
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)
|
Predecessor |
||||||
For the Six |
For the Four |
| |
For the Two |
||||
(unaudited) |
(unaudited) |
| |
(Note 1) |
||||
| |
|||||||
Total net revenues |
$ 558,167 |
$ 379,924 |
| |
$ 301,846 |
|||
| |
|||||||
Costs and expenses: |
| |
||||||
Operating costs |
520,922 |
347,366 |
| |
285,116 |
|||
Corporate general and administrative |
36,459 |
33,445 |
| |
15,862 |
|||
Depreciation and amortization |
4,048 |
5,507 |
| |
4,465 |
|||
Provision for losses on accounts receivable |
6,358 |
3,543 |
| |
417 |
|||
Interest, net (contractual interest expense of $23,730 |
|
|
| |
|
|||
Gain on sale of assets, net |
(4,453 |
) |
(3,040 |
) |
| |
- |
|
Restructuring costs |
6,229 |
- |
| |
- |
|||
| |
|||||||
Total costs and expenses |
580,640 |
391,761 |
| |
308,532 |
|||
|
| |
||||||
Loss before reorganization costs, income taxes, |
|
|
|
|
| |
|
|
Reorganization costs, net |
- |
- |
| |
(1,483 |
) |
||
| |
|||||||
Loss before income taxes, discontinued operations |
|
|
|
|
| |
|
|
Income taxes |
490 |
317 |
| |
147 |
|||
| |
|||||||
Loss before discontinued operations and |
|
|
|
|
| |
|
|
| |
|||||||
Discontinued operations: |
| |
||||||
(Loss) income from discontinued operations |
(1,881 |
) |
9,993 |
| |
(1,569 |
) |
|
Gain (loss) on disposal of discontinued operations, net |
9 |
- |
| |
(6,070 |
) |
||
(Loss) income from discontinued operations |
(1,872 |
) |
9,993 |
| |
(7,639 |
) |
|
| |
|||||||
Loss before extraordinary item |
(24,835 |
) |
(2,161 |
) |
| |
(12,989 |
) |
Extraordinary gain on extinguishment of debt, net |
- |
- |
| |
1,498,360 |
|||
| |
|||||||
Net (loss) income |
$ (24,835 |
) |
$ (2,161 |
) |
| |
$ 1,485,371 |
|
============ |
============= |
| |
============ |
||||
Net (loss) income per common and common equivalent share: |
| |
||||||
Basic and diluted |
| |
||||||
Loss before discontinued operations and extraordinary item |
$ (2.29 |
) |
$ (1.22) |
| |
$ (.09 |
) |
|
(Loss) income from discontinued operations |
(.18 |
) |
1.00 |
| |
(.12 |
) |
|
Extraordinary item |
- |
- |
| |
24.53 |
|||
| |
|||||||
Net (loss) income |
$ (2.47 |
) |
$ (.22 |
) |
| |
$ 24.32 |
|
============ |
============ |
| |
============ |
||||
Weighted average number of common and common |
| |
||||||
| |
|||||||
Basic and diluted |
10,040 |
10,000 |
| |
61,080 |
|||
============ |
============ |
| |
============ |
See accompanying notes.
6
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
|
Predecessor |
||||||
Cash flows from operating activities: |
For the Six |
For the Four |
| |
For the Two |
|||
(unaudited) |
(unaudited) |
| |
(Note 1) |
||||
Net (loss) income |
$ (24,835 |
) |
$ (2,161 |
) |
| |
$ 1,485,371 |
|
Adjustments to reconcile net (loss) income to net cash provided by |
| |
||||||
Extraordinary gain on extinguishment of debt, net |
- |
- |
| |
(1,498,360 |
) |
||
Reorganization costs (gain), net |
- |
- |
| |
(1,483) |
|||
Depreciation and amortization |
5,870 |
8,614 |
| |
4,465 |
|||
Amortization of favorable and unfavorable lease intangibles |
(4,929 |
) |
- |
| |
- |
||
Provision for losses on accounts receivable |
10,305 |
5,287 |
| |
417 |
|||
Gain on sale of assets, net |
(4,453 |
) |
(3,040 |
) |
| |
- |
|
(Gain) loss on disposal of discontinued operations, net |
(9 |
) |
- |
| |
6,070 |
||
Restricted stock compensation |
540 |
- |
| |
- |
|||
Other, net |
660 |
(1,762 |
) |
| |
716 |
||
Changes in operating assets and liabilities: |
| |
||||||
Accounts receivable, net |
17,139 |
(2,214 |
) |
| |
(7,368 |
) |
|
Inventories, net |
573 |
967 |
| |
(473 |
) |
||
Other receivables, net |
(1,422 |
) |
(948 |
) |
| |
819 |
|
Restricted cash |
(2,423 |
) |
- |
| |
(4,430 |
) |
|
Prepaids and other assets |
4,039 |
(952 |
) |
| |
(2,391 |
) |
|
Accounts payable |
(4,903 |
) |
(6,468 |
) |
| |
(8,601 |
) |
Accrued compensation and benefits |
(6,339 |
) |
(3,388 |
) |
| |
(1,792 |
) |
Accrued self-insurance obligations |
16,118 |
(2,657 |
) |
| |
(944 |
) |
|
Income taxes payable |
539 |
(668 |
) |
| |
693 |
||
Other accrued liabilities |
8,716 |
(8,267 |
) |
| |
(2,793 |
) |
|
Liabilities subject to compromise |
- |
- |
| |
10,865 |
|||
Unfavorable lease obligations |
- |
- |
| |
(101 |
) |
||
Other long-term liabilities |
373 |
(3,764 |
) |
| |
(2,004 |
) |
|
Minority interest |
- |
124 |
| |
362 |
|||
Net cash provided by (used for) operating activities before |
|
|
|
| |
|
|
|
Net cash paid for reorganization costs |
(8,240 |
) |
(7,401 |
) |
| |
(2,781 |
) |
Net cash provided by (used for) operating activities |
7,319 |
(28,698 |
) |
| |
(23,743 |
) |
|
| |
|||||||
Cash flows from investing activities: |
| |
||||||
Capital expenditures, net |
(10,443 |
) |
(11,784 |
) |
| |
(3,971 |
) |
Proceeds from sale of assets held for sale |
352 |
15,848 |
| |
- |
|||
Repayment of long-term notes receivable |
671 |
323 |
| |
168 |
|||
Other, net |
- |
1,983 |
| |
142 |
|||
Net cash (used for) provided by investing activities |
(9,420 |
) |
6,370 |
| |
(3,661 |
) |
|
| |
|||||||
Cash flows from financing activities: |
| |
||||||
Net (payments) borrowings under Revolving Credit Agreement |
4,144 |
(44,807 |
) |
| |
- |
||
Net (payments) borrowings under DIP Financing |
- |
- |
| |
(55,382 |
) |
||
Long-term debt borrowings |
- |
352 |
| |
112,988 |
|||
Long-term debt repayments |
(3,574 |
) |
(1,512 |
) |
| |
(13 |
) |
Principal payments on prepetition debt authorized by Bankruptcy Court |
- |
- |
| |
(7,966 |
) |
||
Other, net |
- |
- |
| |
(3,728 |
) |
||
Net cash provided by (used for) financing activities |
570 |
(45,967 |
) |
| |
45,899 |
||
Net (decrease) increase in cash and cash equivalents |
(1,531 |
) |
(68,295 |
) |
| |
18,495 |
|
Cash and cash equivalents at beginning of period |
21,013 |
69,144 |
| |
50,649 |
|||
Cash and cash equivalents at end of period |
$ 19,482 |
$ 849 |
| |
$ 69,144 |
|||
============ |
============= |
| |
============= |
See accompanying notes.
7
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(1) Nature of Business
References throughout this document to the Company include Sun Healthcare Group, Inc. and its consolidated subsidiaries. In accordance with the Securities and Exchange Commission's "Plain English" guidelines, this Quarterly Report on Form 10-Q has been written in the first person. In this document, the words "we," "our," "ours" and "us" refer to Sun Healthcare Group, Inc. and its consolidated subsidiaries and not any other person.
Business
We are a provider of long-term, subacute and related specialty healthcare services in the United States. We operate through three principal business segments: (i) inpatient services (ii) rehabilitation therapy services, and (iii) home health services. Inpatient services represents the most significant portion of our business. As of June 30, 2003, we operated 157 long-term care facilities in 20 states and provided rehabilitation and pharmaceutical services to both company-operated and non-affiliated facilities. We sold our pharmaceutical services operations in July 2003.
Reorganization
On February 6, 2002, the United States Bankruptcy Court for the District of Delaware (the "Bankruptcy Court") approved our Plan of Reorganization that was filed with the Bankruptcy Court on November 7, 2001. On February 28, 2002, we emerged from proceedings under Chapter 11 of Title 11 of the United States Code (the "Bankruptcy Code") pursuant to the terms of our Plan of Reorganization.
We operated our business as a debtor-in-possession subject to the jurisdiction of the Bankruptcy Court from October 14, 1999 (the "Filing Date") until February 28, 2002. Accordingly, our consolidated financial statements prior to March 1, 2002 have been prepared in accordance with the American Institute of Certified Public Accountants Statement of Position 90-7, "Financial Reporting by Entities in Reorganization Under the Bankruptcy Code" ("SOP 90-7") and generally accepted accounting principles applicable to a going concern, which assume that assets will be realized and liabilities will be discharged in the normal course of business. The report of our independent auditors as of December 31, 2002 and for the ten month period then ended included a paragraph raising doubt as to our ability to continue as a going concern (see our Annual Report on Form 10-K for the year ended December 31, 2002).
In connection with our emergence from bankruptcy, we reflected the terms of the Plan of Reorganization in our consolidated financial statements by adopting the fresh-start accounting provisions of SOP 90-7. Under fresh-start accounting, a new reporting entity is deemed to be created and the recorded amounts of assets and liabilities are adjusted to reflect their estimated fair values. For accounting purposes, the fresh-start adjustments have been recorded in the consolidated financial statements as of March 1, 2002. Since fresh-start accounting materially changed the amounts previously recorded in our consolidated financial statements, a black line separates the post-emergence financial data from the pre-emergence data to signify the difference in the basis of preparation of the financial statements for each respective entity.
As used in this Form 10-Q, the term "Predecessor Company" refers to our operations for periods prior to March 1, 2002, while the term "Reorganized Company" is used to describe our operations for periods beginning March 1, 2002 and thereafter.
Comparability of Financial Information
The adoption of fresh-start accounting as of March 1, 2002 materially changed the amounts previously recorded in the consolidated financial statements of the Predecessor Company. With respect to reported operating results, we believe that business segment operating income of the Predecessor Company is generally comparable to that of the Reorganized Company. However, capital costs (rent, interest, depreciation and amortization) of the Predecessor Company that were based on pre-petition contractual agreements and historical costs are not comparable to those of the Reorganized Company. In addition, the results of operations and cash flows of the Predecessor Company for periods prior to March 1, 2002 generally are not comparable to those of the Reorganized Company.
8
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Other Information
The accompanying unaudited consolidated financial statements do not include all of the disclosures normally required by accounting principles generally accepted in the United States or those normally required in annual reports on Form 10-K.
The accompanying unaudited consolidated financial statements have been prepared in accordance with our customary accounting practices and accounting principles generally accepted in the United States. In the opinion of management, the accompanying interim consolidated financial statements present fairly our financial position at June 30, 2003 and December 31, 2002, the consolidated results of our operations and the consolidated cash flows for the six, four and two month periods ended June 30, 2003, June 30, 2002 and February 28, 2002, respectively. Management believes that all adjustments are of a normal and recurring nature. These statements are presented in accordance with the rules and regulations of the SEC. Accordingly, they are unaudited, and certain information and footnote disclosures normally included in our annual consolidated financial statements have been condensed or omitted, as permitted under the applicable rules and regulations. Readers of t hese statements should refer to our audited consolidated financial statements and notes thereto for the year ended December 31, 2002 and the two months ended February 28, 2002, which are included in our Annual Report on Form 10-K for the year ended December 31, 2002 and in our Current Report on Form 8-K filed on May 31, 2002. The results of operations presented in the accompanying consolidated financial statements are not necessarily representative of operations for an entire year. Certain amounts in the 2002 consolidated financial statements and notes thereto have been reclassified to conform to the 2003 presentation.
The consolidated balance sheet as of December 31, 2002 and the consolidated statements of operations and cash flows for the two months ended February 28, 2002 have been derived from the audited financial statements at these dates but do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements.
The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Significant estimates include determination of third-party payor settlements, allowances for doubtful accounts, asset impairments, self-insurance obligations and loss accruals. Actual results could differ from those estimates.
(2) Basis of Reporting and Current Operating Environment
Our consolidated financial statements as of June 30, 2003, and for the six month period then ended have been prepared under accounting principles generally accepted in the United States assuming that we will continue as a going concern. As noted in Note 1 above, the report of our independent auditors on our consolidated financial statements as of December 31, 2002 and for the ten month period then ended included a paragraph raising doubt as to our ability to continue as a going concern. We recorded a net loss of $24.8 million for the six month period ended June 30, 2003. We have negative working capital and a stockholders' deficit of $69.7 million and $196.0 million, respectively, at June 30, 2003. Our net loss was primarily the result of Medicare reimbursement decreases and increased costs for patient liability settlements. In addition, we are not in compliance with financial covenants on certain long-term debt obligations totaling $111.2 millio n at June 30, 2003 (see Notes 3 and 4). Accordingly, we have classified these debt obligations as current liabilities in the accompanying consolidated balance sheet as of June 30, 2003, resulting in a negative working capital position.
In January 2003, we initiated restructuring efforts, which include an attempt to restructure the portfolio of leases under which we operate most of our long-term care facilities. We are seeking to divest our under-performing facilities by transitioning operations of those facilities to new operators so that we will no longer be burdened by the losses generated by those facilities. We divested 60 skilled nursing facilities during the quarter ended June 30, 2003, and an additional 14 facilities between July 1, 2003 and July 31, 2003. Together with the 21 facilities divested during the quarter ended March 31, 2003, we have divested a total of 95 facilities as of July 31, 2003. As of July 31, 2003, we have identified approximately 30% of our remaining facilities that we would seek to transition to new operators. During the period of January 1, 2003 to June 30, 2003, we withheld approximately $22.5 million in accrued rent and mortgage payments on facilities that we identified for transfer to new operators. Through June 30, 2003, we were released from paying approximately $9.5 million of the withheld payments. The remaining amounts are classified as current obligations at June 30, 2003.
9
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
We currently do not have adequate liquidity or available sources of financing to meet our contractual obligations (including operating lease commitments) and to settle our other liabilities including those related to our prior year general and professional liabilities in 2003. If we are unable to generate sufficient cash flow levels, there is a substantial prospect that we, including our parent entity and/or one of more of its subsidiaries would be required to seek protection under the U.S. Bankruptcy Code. These factors raise substantial doubt about our ability to continue as a going concern.
In addition to our lease restructuring efforts, we have taken the following actions:
(a) |
completed the sale of our pharmaceutical services operations in July 2003 and continue to evaluate the opportunities to sell
our other ancillary businesses and other assets in order to improve our short-term liquidity position; |
(b) |
intensified collection efforts on older accounts receivable not included in the borrowing base under our Revolving Loan Agreement to improve cash flows and liquidity; |
(c) |
implemented more extensive efforts to reduce operating and overhead costs; and |
(d) |
commenced negotiations with financial institutions in an attempt to refinance our senior debt. |
As part of our restructuring efforts, we paid restructuring costs of $4.4 million during the three months ended June 30, 2003 comprised of $4.0 million of professional fees and $0.4 million in severance costs related to the termination of employees.
No assurance can be given that the actions discussed above, or any future actions taken by us, will improve our cash flows, liquidity availability or future operating prospects.
The consolidated financial statements as of June 30, 2003, and for the three and six month periods then ended, do not include any adjustments to reflect the possible future effects to the recoverability and classification of assets or the amounts and classification of liabilities that might result from the outcome of the uncertainty regarding our ability to continue as a going concern.
(3) Loan Agreements
On February 28, 2002, we entered into a Loan and Security Agreement with certain lenders, led by Heller Healthcare Finance, Inc. as collateral agent, and Citicorp USA, Inc., as administrative agent (the "Revolving Loan Agreement"). The Revolving Loan Agreement is a $150.0 million three-year revolving line of credit that is secured by our accounts receivable, inventory, equipment and other assets, a first priority pledge of the stock of our subsidiaries, other than those subsidiaries providing pharmaceutical services, and a second priority pledge of the pharmaceutical services subsidiaries. In connection with the sale of our pharmaceutical operations in July 2003, the lenders under our Revolving Loan Agreement reduced our $150.0 million revolving line to $75.0 million and reserved an additional $11.1 million against liquidity otherwise available thereunder. As agreed with the lenders under the Revolving Loan Agreement, we are paying interest (i) for Base Rate Loans at prime (or, if higher, the federal funds rate plus 0.5%) plus 3.5% (subject to certain adjustments) and (ii) for LIBOR Loans at the London Interbank Offered Rate plus 4.5% (subject to certain adjustments). The effective interest rate as of June 30, 2003 on borrowings under the Revolving Loan Agreement was approximately 6.7%. The weighted average borrowing interest rate for the three month period ended June 30, 2003 was 6.5%. Our borrowing availability under the Revolving Loan Agreement is limited to up to 85% of our net eligible accounts receivable and up to 50% of our net eligible inventory, but not to exceed $150.0 million, subject to the reductions and reserves noted above. The defined borrowing base as of June 30, 2003, was $93.2 million, net of specified reserves of $27.0 million, which includes a minimum availability reserve of $10.0 million. As of June 30, 2003, we had borrowed approximately $66.2 million and had issued approximately $24.7 million in letters of credit under the Revolving Loan Agreement, leaving approximately $2.3 million available to us for additional borrowing. On July 15, 2003, we paid $33.9 million of the outstanding balance under our Revolving Loan Agreement in connection with the closing of the sale of our pharmaceutical operations.
10
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
On February 28, 2002, we entered into a Term Loan and Note Purchase Agreement with certain lenders, led by U.S. Bank National Association as administrative and collateral agent (the "Term Loan Agreement," and together with the Revolving Loan Agreement, the "Loan Agreements"). We paid the Term Loan Agreement in full on July 15, 2003. See Note 12 - Subsequent Events. The Term Loan Agreement was comprised of a three-year $20.0 million term loan and a three-year $23.7 million original issue discount note (the "Discount Note") of which our borrowing capacity was limited to $20.0 million. Interest rates under the Term Loan Agreement were variable based upon either the lender's base rate (as defined) or LIBOR, plus applicable margins. The effective interest rate as of June 30, 2003 on borrowings under the Term Loan Agreement was approximately 9.0% inclusive of a rate of 2.7% for the Discount Note. We borrowed the maximum amount available under the Term Loan Agree ment, which was $40.0 million, and we made quarterly payments of principal of $0.8 million plus interest. The principal balance remaining on the Term Loan Agreement at June 30, 2003 was approximately $35.8 million.
For the quarter ended June 30, 2003, we were not in compliance with the following covenants under the Loan Agreements: indebtedness to EBITDA ratio, fixed charge coverage ratio and minimum operating cash flow. The lenders under the Term Loan Agreement asserted other covenant and substantive defaults. We can give no assurance that the lenders under the Revolving Loan Agreement will not seek to exercise their remedies, including but not limited to declaring amounts outstanding to be immediately due and payable, acting upon their security interests, and denying us the right to additional borrowing under the Revolving Loan Agreement.
We classified the Revolving Loan Agreement and the Term Loan Agreement totaling $102.0 million as current obligations as of June 30, 2003. The default interest rates under the Revolving Loan Agreement increase by 2.0% based on the rates in effect, which equate to default rates of 8.7% and 11.0%, respectively, as of June 30, 2003.
In connection with entering into the Loan Agreements, we incurred deferred financing costs of $3.5 million, which are amortized using the effective interest method over the lives of the Loan Agreements. Failure to amend and obtain waivers of the financial covenants may materially and adversely affect our financial position, results of operations and cash flows.
(4) Long-Term Debt
As of June 30, 2003, the lender for one skilled nursing facility had asserted that we were in default of the mortgage and we have classified the mortgage totaling $9.3 million as a current obligation. Effective July 31, 2003, we transferred the property to the lenders in full settlement and satisfaction of the debt. See Notes 2 and 12.
In accordance with SOP 90-7, we did not pay any principal or accrue any interest on prepetition obligations between October 14, 1999 and February 28, 2002 except for amounts related to certain Industrial Revenue Bonds, a fully-secured mortgage, certain capital equipment leases and a nominal amount related to a promissory note. For the two months ended February 28, 2002, $23.7 million was not required to be paid.
Long-term debt consisted of the following as of the periods indicated (in thousands):
Reorganized Company |
||||
June 30, 2003 |
December 31, 2002 |
|||
Revolving Loan Agreement |
$ 66,167 |
$ 62,030 |
||
Term Loan Agreement |
35,800 |
37,480 |
||
Mortgage notes payable due at various dates through 2014, interest at |
|
|
|
|
Industrial Revenue Bonds |
7,735 |
7,915 |
||
Other long-term debt |
10,630 |
15,900 |
||
Total long-term debt |
179,338 |
196,223 |
||
Less amounts due within one year |
(114,114 |
) |
(124,183 |
) |
Long-term debt, net of current portion |
$ 65,224 |
$ 72,040 |
||
============ |
=========== |
11
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Long-term debt at June 30, 2003 and December 31, 2002 includes amounts owed under fully secured mortgage notes payable, certain Industrial Revenue Bonds and other debt.
The scheduled or expected maturities of long-term debt as of June 30, 2003 are as follows (in thousands):
Reorganized |
|
June 30, 2003 |
|
2003 |
$ 114,114 |
2004 |
36,998 |
2005 |
4,267 |
2006 |
5,335 |
2007 |
1,309 |
Thereafter |
17,315 |
$ 179,338 |
|
=========== |
(5) Assets Held for Sale
Long Lived Assets to be Disposed Of
Statement of Financial Accounting Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets ("SFAS No. 144"), requires that long-lived assets to be disposed of be measured at the lower of carrying amount or fair value less cost to sell, whether reported in continuing operations or in discontinued operations. Therefore, discontinued operations will no longer be measured at net realizable value or include amounts for operating losses that have not yet occurred. SFAS No. 144 also broadens the reporting of discontinued operations to include all components of an entity with operations that can be distinguished from the rest of the entity and that will be eliminated from the ongoing operations of the entity in a disposal transaction. Depreciation is discontinued once an asset is classified as held for sale. During the two month period ended February 28, 2002, the Predecessor Company presented the operating results of all facilit ies identified for sale or disposition in discontinued operations in the consolidated statement of operations. From March 1, 2002 through December 31, 2002, the Reorganized Company had a limited number of facilities disposed of or transferred to assets held for sale. These facilities' operating results are included in continuing operations and are immaterial to our consolidated financial position and results of operations. Due to our restructuring initiative in 2003, in the first quarter of 2003 we began to report our divested facilities as discontinued operations when the lease is terminated on a leased facility or after operations cease at that facility.
Discontinued Operations
During the six months ended June 30, 2003, we divested, primarily through lease terminations and transfers, 81 skilled nursing facilities in our Inpatient Services segment. The net revenues for the three and six months ended June 30, 2003 for these 81 facilities were $94.5 million and $236.9 million, respectively, and the net loss for the three and six months ended June 30, 2003 were $3.8 million and $7.2 million, respectively, and have been reported as discontinued operations. Also reported in discontinued operations are the net revenues for the three and four month period ended June 30, 2002 for these 81 facilities, which were $148.0 million and $198.9 million, respectively, and the net income for the three and four month period ended June 30, 2002 which was $2.9 million and $4.9 million, respectively. The operating results of these 81 facilities have not been reported as discontinued operations in the consolidated financi al statements of the Predecessor Company for the period ended February 28, 2002 because a new entity was deemed to be created upon emergence. The aggregate net (loss) gain on disposal during the three and six month period ended June 30, 2003 for these divestitures was approximately $(0.3) million and $9,000 recorded in gain (loss) on disposal of discontinued operations, net, in our June 30, 2003 consolidated statement of operations. Additionally, a gain of $4.2 million and $4.5 million, primarily associated with other asset sales was recorded in gain on sale of assets, net, in our 2003 consolidated statement of operations for the three and six months ended June 30, 2003, respectively.
12
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
On July 15, 2003, we sold the assets of our pharmaceutical services operations, including the assets of SunScript Pharmacy Corporation, to Omnicare, Inc. ("Omnicare"). The net revenues for the three and six months ended June 30, 2003 for our pharmaceutical services operations were $65.2 million and $130.0 million, respectively, including $10.8 million and $22.6 million of intersegment revenues, respectively. The net income for the three and six months ended June 30, 2003 was $2.5 million and $5.3 million, respectively, and has been reported as discontinued operations as our pharmaceutical services operations were held for sale as of June 30, 2003. Also reported in discontinued operations are the net revenues for the three and four month period ended June 30, 2002 for our pharmaceutical services operations, which were $60.9 million and $80.1 million, respectively, and the net income for the three and four month periods ended June 30, 2002 which was $3.9 million and $5.1 million, respectively. The operating results of our pharmaceutical services operations have not been reported as discontinued operations in the consolidated financial statements of the Predecessor Company for the period ended February 28, 2002 because a new entity was deemed to be created upon emergence.
Assets Held for Sale
As of June 30, 2003, assets held for sale consist of (i) assets of our pharmacy services segment valued at $39.5 million; (ii) five undeveloped parcels of land valued at $6.3 million and (iii) artwork valued at $1.1 million within our consolidated financial statements in our Other Operations and Corporate segments, respectively, all of which we expect to sell during 2003.
(6) Commitments and Contingencies
(a) Insurance
We self-insure for certain insurable risks, including general and professional liability, workers' compensation liability and employee health insurance liability through the use of self-insurance or retrospective and self-funded insurance policies and other hybrid policies, which vary by the states in which we operate. Provisions for estimated reserves, including incurred but not reported losses, are provided in the period of the coverage during which the event took place. These provisions are based on actuarial analyses, internal evaluations of the merits of individual claims and industry loss development factors. The methods of making such estimates and establishing the reserves are reviewed periodically, and any resulting adjustments are reflected in current operations. Claims are paid over varying periods, and future payments may be different than the estimated reserves. There exists a risk that any of the insurance companies we use may become insolvent and unable to fulfill their obligation to defend, pay or reimburse us when that obligation becomes due and a risk that the amounts funded to our programs of self-insurance may not be sufficient to respond to all claims asserted under those programs. Although we believe the companies we have purchased insurance from are solvent, in light of changes occurring in the insurance industry in recent years, we cannot be assured that they will remain solvent and able to fulfill their obligations.
Prior to January 1, 2000, the maximum loss exposure for the third-party insurance policies was $100,000 per claim for general and professional liability. For the years 2000, 2001 and 2002, we established a self-funded insurance program for general and professional liability claims up to a base amount of $1.0 million per claim and $3.0 million aggregate per location and obtained excess insurance for coverage above these levels. Commencing January 1, 2003, we established a self-funded insurance program for general and professional liability insurance claims up to a base amount of $10.0 million per claim, obtaining excess insurance above this level on a claims-made basis. An independent actuarial analysis is prepared yearly to determine the expected losses and reserves for general and professional liability under the per claim retention level, including incurred but not reported losses. We expect our next in dependent actuarial analysis will be completed in the third quarter of 2003. For the years 2000, 2001 and 2002, these reserves are provided on an undiscounted basis in the period that the event occurred. For the policy year 2003, reserves are provided on an undiscounted basis in the period that the claim was reported. As of June 30, 2003 and December 31, 2002, the reserves for such risks were $125.2 million and $108.0 million, respectively. We estimate our range of exposure at June 30, 2003 was $116.8 million to $142.8 million and that the range will decline over time as our lease divestiture program is completed. Provisions for such risks for the three and six month periods ended June 30, 2003 were $11.5 million and $28.1 million, respectively, of which $3.8 million and $11.4 million related to divested skilled nursing facilities, respectively, and are included in net (loss) income from discontinued operations. Our provision could be increased in the third quarter of 2003 and future periods based upon completion of the independent actuarial analysis. At June 30, 2003, we had approximately $6.2 million in pre-funded amounts restricted for payment of general and professional liability claims.
13
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
The majority of our workers' compensation risks are insured through insurance policies with third parties. Our reserves are estimated by independent actuaries beginning with the 2000 policy year and by company analysis using industry development factors for prior years. Effective with the policy period beginning January 1, 2002, we discount our workers' compensation reserves based on a 4% discount rate. The discounting of these policy periods resulted in a reduction to our reserves of $3.8 million. The provision for such risks, which includes accruals for insurance premiums and claims costs, for the three and six months ended June 30, 2003 were $8.8 million and $18.6 million, respectively, of which $2.2 million and $5.6 million related to divested skilled nursing facilities, respectively. We have recorded reserves of $63.9 million and $65.3 million, as of June 30, 2003 and December 31, 2002, respectively, and are included in net (loss) income from discontinued operations. We estimated our range of exposure at June 30, 2003 was $57.9 million to $70.8 million and that the range will decline over time as our lease divestiture program is completed. At June 30, 2003, we had approximately $70.5 million in pre-funded amounts restricted for payment of workers' compensation claims.
(b) Restricted Cash
Included in restricted cash in our consolidated balance sheet as of June 30, 2003 and December 31, 2002 is $79.2 million and $76.7 million, respectively, primarily related to our funding of self-insurance obligations. Other Assets, net, as of June 30, 2003 and December 31, 2002, includes $2.9 million and $3.6 million, respectively, of restricted cash maintained to repay a mortgage.
(7) Capital Stock
As of June 30, 2003, the Reorganized Company had issued approximately 9,745,998 shares of its common stock in connection with the extinguishment of the Predecessor Company's liabilities subject to compromise and 150,000 shares of its common stock pursuant to the 2002 Management Equity Incentive Plan. As of June 30, 2003, we expected to issue up to an additional 254,002 shares of our common stock to general unsecured creditors with claims of more than $50,000 in accordance with the provisions of the Plan of Reorganization. The fair value of the additional common stock expected to be issued is approximately $6.9 million valued at $27 per share by our reorganization plan and is recorded in other long-term liabilities in the June 30, 2003 consolidated balance sheet. On August 11, 2003, the closing price of our common stock on the Over-the Counter Bulletin Board was $3.35.
Reorganized Company Stock Option Plan
In February 2002, we adopted the 2002 Management Equity Incentive Plan, which allows for the issuance of up to 900,000 shares of our common stock. As of June 30, 2003, our officers held options to purchase 680,000 shares under this plan and we had issued 150,000 shares of common stock awards.
In March 2002, we adopted the 2002 Non-employee Director Equity Incentive Plan, which, as amended in August 2002, allows for the issuance of up to 160,000 options to purchase shares of our common stock. As of June 30, 2003, our directors held options to purchase 74,000 shares under this plan.
We account for stock-based compensation using the intrinsic value method prescribed in Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees," and related interpretations. Accordingly, compensation cost for stock options is measured as the excess, if any, of the quoted market price of our stock at the date of grant over the amount an employee must pay to acquire the stock.
As of June 30, 2003, we had outstanding options covering an aggregate of 754,000 shares of our common stock to our officers and directors at a strike price of $27 per share, which price was equal to or greater than the estimated market value at date of issuance. Of those options, 450,000 vest over a four-year period, with 20% vesting upon issuance and the remaining portion vesting ratably over the first four anniversary dates. The remaining 304,000 options vest 25% per year on the first four anniversary dates. All options expire in 2009.
Statement of Financial Accounting Standards No. 148, Accounting for Stock-Based Compensation - Transition and Disclosure ("SFAS No. 148"), issued on December 31, 2002, provides companies alternative methods to transitioning to Statement of Financial Accounting Standards No. 123, Stock-Based Compensation ("SFAS No. 123") fair value method of accounting for stock-based employee compensation, and amends certain disclosure requirements. SFAS No. 148 does not mandate fair value accounting for stock-based employee compensation, but does require all companies to meet the disclosure provisions. We currently do not recognize compensation expense for our stock option grants, which are issued at fair market value on the date of grant, and accounted for under the intrinsic value method. In order to adopt the recognition provisions of SFAS No. 148 on a prospective basis, we must make an election during the year ending December 31, 2003 to change to fair value accounting for stock options. We are continuing to evaluate the transition provisions of SFAS No. 148.
14
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Net (loss) income as reported includes amortization of unearned compensation of $0.2 million and $0.5 million for the three and six months ended June 30, 2003, respectively. For purposes of pro forma disclosures, the estimated fair market value of the stock options is amortized to expense over their respective vesting periods. The fair market value has been estimated at the date of grant using a Black-Scholes option pricing model. The following table summarizes our pro forma net (loss) income and diluted net (loss) income per share assuming we accounted for our stock option grants in accordance with SFAS No. 123, for the periods indicated (in thousands except per share amounts):
Reorganized Company |
||||
For The Three |
For The Three |
|||
Net loss as reported |
$ (11,552 |
) |
$ (2,963 |
) |
Compensation expense |
(125 |
) |
(104 |
) |
Net loss (pro forma) |
$ (11,677 |
) |
$ (3,067 |
) |
============= |
============= |
|||
Net loss per share: |
||||
Basic and diluted: |
||||
Net loss as reported |
$ (1.15 |
) |
$ (.30 |
) |
Compensation expense |
(.01 |
) |
(.01 |
) |
Net loss pro forma |
$ (1.16 |
) |
$ (.31 |
) |
============= |
============= |
|
Predecessor |
||||||
For The Six |
For The Four |
For The Two |
|||||
| |
|||||||
| |
|||||||
Net (loss) income as reported |
$ (24,835 |
) |
$ (2,161 |
) |
| |
$ 1,485,371 |
|
| |
|||||||
Compensation expense |
(461 |
) |
(136 |
) |
| |
- |
|
| |
|||||||
Net (loss) income (pro forma) |
$ (25,296 |
) |
$ (2,297 |
) |
| |
$ 1,485,371 |
|
============= |
============= |
| |
================== |
||||
Net (loss) income per share: |
| |
||||||
Basic and diluted: |
| |
||||||
Net (loss) income as reported |
$ (2.47 |
) |
$ (.22 |
) |
| |
$ 24.32 |
|
Compensation expense |
(.05 |
) |
(.01 |
) |
| |
- |
|
Net (loss) income pro forma |
$ (2.52 |
) |
$ (.23 |
) |
| |
$ 24.32 |
|
============= |
============= |
| |
================== |
(8) Earnings per Share
Basic net (loss) income per share is based upon the weighted average number of common shares outstanding during the period. The weighted average number of common shares in the three and six months ended June 30, 2003 include the common shares issued in connection with emergence and 254,002 common shares outstanding to be issued once the prepetition claims are finalized.
15
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Diluted net (loss) income per share is based upon the weighted average number of common shares outstanding during the period plus the number of incremental shares of common stock contingently issuable upon exercise of stock options and if dilutive, include the assumption that our restricted common stock of the Reorganized Company and convertible securities of the Predecessor Company were converted as of the beginning of the period. Net earnings are adjusted for the interest on the convertible securities, net of interest related to additional assumed borrowings to fund the cash consideration on conversion of certain convertible securities and the related income tax benefits. In periods of losses, diluted net loss per share is based upon the weighted average number of common shares outstanding during the period. As we had a net loss for the three and six months ended June 30, 2003, our stock options were anti-dilutive and therefore excluded from the weighted ave rage shares outstanding in calculating diluted loss per share. Options to purchase approximately 754,000 shares of common stock were outstanding for the six months ended June 30, 2003, but were not included in the computation of diluted earnings per share because the options' exercise price was greater than the average market price of the common stock.
(9) Income Taxes
The current provision for income taxes of $0.2 million for the three months ended June 30, 2003 and 2002, respectively, was based on estimated state income tax liabilities for these periods. These estimated state income tax liabilities resulted from the operations of profitable subsidiaries in states that do not allow combined, consolidated or unitary tax return filings. No overall tax benefits were recorded for these periods for federal purposes since the realization of tax benefits associated with our net operating loss carryforwards is uncertain.
(10) Other Events
(a) Litigation
On February 28, 2003, the Bureau of Medi-Cal Fraud and Elder Abuse (the "BMFEA"), which is a division of the Office of the Attorney General of the State of California, alleged that we have violated the terms of the Permanent Injunction and Final Judgement (the "PIFJ") we entered into during October 2001. Pursuant to the PIFJ, we are enjoined from engaging in violations of federal or state statutes or regulations governing the operation of health care facilities in the State of California. Among other things, the BMFEA alleged that our California facilities have had inadequate staffing, training and supervision. To remedy these alleged violations, the BMFEA has requested that we pay their costs of the investigation and to audit our operations in California, and, initially, requested a significant but unspecified cash penalty. We have continued our dialogue with the BMFEA and believe we have demonstrated that we are in fact in compliance with the PIFJ. It is not clear whether the BMFEA will assert that a material sum is due or payable and no estimate can be made of any amount that the BMFEA may ultimately seek. An adverse outcome in this matter could have a material adverse effect on our financial position, results of operations and cash flows. If the BMFEA does ultimately assert that we are in violation of the PIFJ, we intend to defend this matter vigorously
.In March and April 1999, class action lawsuits were filed against us and three individuals, who were at that time our officers, in the United States District Court for the District of New Mexico. These actions have been consolidated as In re Sun Healthcare Group, Inc. Securities and Litigation Master, File No. Civ. 99-269. The lawsuits allege, among other things, that we did not disclose material facts concerning the impact that changes to reimbursement for our skilled nursing facilities under Medicare's prospective payment system would have on our results of operations. The lawsuits seek compensatory damages and other relief for stockholders who purchased our common stock during the class-action period. Pursuant to an agreement among the parties, we were dismissed without prejudice in December 2000. In January 2002, the District Court dismissed the lawsuit with prejudice and entered judgment in favor of the remaining defendants. In February 2002, the plaintiffs filed a Motion to Amend the Judgment and to File an Amended Complaint. In April 2003, the plaintiffs' Motion was denied by the United States District Court for the District of New Mexico. In May 2003, the plaintiffs filed an appeal with the United States Court of Appeals for the Tenth Circuit. We intend to defend this matter vigorously.
We are a party to various other legal actions and administrative proceedings and are subject to various claims arising in the ordinary course of our business, including claims that our services have resulted in injury or death to the residents of our facilities, claims relating to employment and commercial matters. We have experienced an increasing trend in the number and severity of litigation claims asserted against us. We believe that this trend is endemic to the long-term care industry and is a result of the increasing number of large judgments, including large punitive damage awards, against long-term care providers in recent years, resulting in an increased aggressiveness, due to the heightened awareness by plaintiff's lawyers of potentially large recoveries. In certain states in which we have had significant operations, including California, insurance coverage for the risk of punitive damages arising from general and professional liability litigation may not be available due to state law public policy prohibitions. There can be no assurance that we will not be liable for punitive damages awarded in litigation arising in states for which punitive damage insurance coverage is not available.
16
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
We operate in industries that are extensively regulated. As such, in the ordinary course of business, we are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which may be non-routine. In addition to being subject to direct regulatory oversight of state and federal regulatory agencies, these industries are frequently subject to the regulatory supervision of fiscal intermediaries. If a provider is ever found by a court of competent jurisdiction to have engaged in improper practices, it could be subject to civil, administrative or criminal fines, penalties or restitutionary relief, and reimbursement authorities could also seek the suspension or exclusion of the provider or individual from participation in their program. We believe that there has been, and will continue to be, an increase in governmen tal investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations, whether currently asserted or arising in the future, could have a material adverse effect on our financial position, results of operations and cash flows.
We lease the majority of our facilities. In our effort to reduce our costs, in January 2003, we initiated our current restructuring efforts. Our ongoing efforts include an attempt to restructure the portfolio of leases under which we operate most of our long-term care facilities. We are seeking to divest our under-performing facilities by transitioning operations of facilities to new operators so that we will no longer be burdened by the losses generated by those facilities. We have withheld rent and mortgage payments for those facilities. We have negotiated and continue to negotiate with many of our landlords and mortgage holders in an effort to achieve consensual resolution of these issues. However, several landlords and mortgage holders have threatened to commence eviction or action seeking collection of damages. Additional actions seeking damages or other leasehold remedies may also be commenced. If landlords are unwilling to compromise their claims to a level we can afford, we may be forced to file bankruptcy. See Note 2 - Basis of Reporting and Current Operating Environment.
(11) Segment Information
We operate predominantly in the long-term healthcare industry. We are a provider of long-term, sub-acute and related ancillary care services to nursing home patients. Our reportable segments are strategic business units that provide different products and services. They are managed separately because each business has different marketing strategies due to differences in types of customers, different distribution channels and different capital resource needs.
As of June 30, 2003, due to the impact of reclassifying our pharmaceutical services operations to a discontinued operation, we have changed our segments and have restated our previously reported segments for the three and four month periods ended June 30, 2002 to be the following and the following summarizes the services provided by our reportable and other segments as of June 30, 2003:
Inpatient Services: This segment provides, among other services, inpatient skilled nursing and custodial services as well as rehabilitative, restorative and transitional medical services. We provide 24-hour nursing care in these facilities by registered nurses, licensed practical nurses and certified nursing aides. At June 30, 2003, we operated 157 long-term care facilities with 16,897 licensed beds as compared with 243 facilities with 27,571 licensed beds at June 30, 2002. As part of our restructuring efforts, we may divest approximately 35% of those 157 skilled nursing facilities, comprising approximately 5,914 licensed beds. See Note 12 - Subsequent Events.
Rehabilitation and Respiratory Therapy Services: This segment provides, among other services, physical, occupational, speech and respiratory therapy supplies and services to affiliated and nonaffiliated skilled nursing facilities. At June 30, 2003, this segment provided rehabilitation therapy services to 516 facilities, 344 of which are nonaffiliated and 172 were affiliated, as compared to 540 facilities at June 30, 2002, of which 316 were nonaffiliated and 224 were affiliated. This segment also provides early intervention therapy services. In March 2002, we sold substantially all of the assets of our respiratory therapy operation.
Home Health: This segment provides skilled nursing care, rehabilitation therapy and home infusion services through a home health company to more than 3,000 adult and pediatric patients in California and Ohio. Additionally, the segment operates three licensed pharmacies in California.
17
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Other Operations: This segment primarily includes temporary medical staffing services and software development and other ancillary services provided to affiliated and nonaffiliated facilities.
Corporate assets primarily consist of cash and cash equivalents, receivables from subsidiary segments, notes receivable and property and equipment.
We did not restate our segments for the two month period ended February 28, 2002 because a new entity was deemed to be created upon emergence. We previously operated the following segment:
Pharmaceutical Services: This segment provided pharmaceutical products primarily to affiliated and nonaffiliated long-term and sub-acute care facilities for such purposes as infusion therapy, pain management, antibiotic therapy and parenteral nutrition as well as providing consultant pharmacist services. This segment provided services to 664 facilities at June 30, 2003 compared with 665 facilities at June 30, 2002. Of the 664 facilities in 2003, 534 were nonaffiliated facilities and 130 were affiliated as compared to 452 nonaffiliated facilities and 213 affiliated facilities in 2002. In July 2003, we sold substantially all the assets of our pharmaceutical services operations. See Note 12 - Subsequent Events.
The following tables summarize, for the periods indicated, operating results and other financial information, by business segment (in thousands):
Segment Information (in thousands):
Services |
Rehabilitation and Respiratory Therapy Services |
|
|
|
|
|
||||||||
Reorganized Company June 30, 2003 |
||||||||||||||
Total net revenues |
$ 216,470 |
$ 45,341 |
$ 14,524 |
$ 28,293 |
$ 48 |
$ (22,082 |
) |
$ 282,594 |
||||||
Operating costs, corporate on accounts receivable |
|
|
|
|
|
|
|
|
||||||
Depreciation and amortization |
1,167 |
296 |
121 |
336 |
13 |
- |
1,933 |
|||||||
Interest, net |
767 |
(10 |
) |
- |
205 |
5,537 |
- |
6,499 |
||||||
Net segment income (loss) |
$ (1,212 |
) |
$ 4,231 |
$ 1,091 |
$ 457 |
$ (14,018 |
) |
$ - |
$ (9,451 |
) |
||||
====== |
======= |
======= |
===== |
===== |
====== |
====== |
||||||||
Intersegment revenues |
$ (162 |
) |
$ 18,198 |
$ - |
$ 4,046 |
$ - |
$ (22,082 |
) |
$ - |
|||||
Identifiable segment assets |
$ 222,077 |
$ 28,503 |
$ 12,908 |
$ 60,198 |
$ 484,451 |
$ (364,717 |
) |
$ 443,420 |
||||||
Segment capital expenditures |
$ 2,109 |
$ 37 |
$ 15 |
$ 633 |
$ 1,327 |
$ - |
$ 4,121 |
Services |
Rehabilitation and Respiratory Therapy Services |
|
|
|
|
|
||||||||
Reorganized Company June 30, 2002 |
||||||||||||||
Total net revenues |
$ 218,555 |
$ 43,776 |
$ 13,960 |
$ 31,989 |
$ 79 |
$ (25,277 |
) |
$ 283,082 |
||||||
Operating costs, corporate on accounts receivable |
|
|
|
|
|
|
|
|
||||||
Depreciation and amortization |
1,526 |
157 |
116 |
4 |
2,066 |
- |
3,869 |
|||||||
Interest, net |
517 |
(2 |
) |
(1 |
) |
195 |
3,038 |
- |
3,747 |
|||||
Net segment income (loss) |
$ (546 |
) |
$ 7,022 |
$ 1,065 |
$ 2,259 |
$ (20,223 |
) |
$ - |
$ (10,423 |
) |
||||
====== |
======= |
======= |
===== |
====== |
======= |
======= |
||||||||
Intersegment revenues |
$ (138 |
) |
$ 22,762 |
$ - |
$ 2,653 |
$ - |
$ (25,277 |
) |
$ - |
|||||
Identifiable segment assets |
$ 467,203 |
$ 83,396 |
$ 14,326 |
$ 150,092 |
$ 426,608 |
$ (366,502 |
) |
$ 775,123 |
||||||
Segment capital expenditures |
$ 4,769 |
$ 41 |
$ 84 |
$ 559 |
$ 2,652 |
$ - |
$ 8,105 |
18
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Services |
Rehabilitation and Respiratory Therapy Services |
|
|
|
|
|
||||||||
Reorganized Company June 30, 2003 |
||||||||||||||
Total net revenues |
$ 432,919 |
$ 90,769 |
$ 28,285 |
$ 54,989 |
$ 77 |
$ (48,872 |
) |
$ 558,167 |
||||||
Operating costs, corporate on accounts receivable |
|
|
|
|
|
|
|
|
||||||
Depreciation and amortization |
2,518 |
603 |
250 |
666 |
11 |
- |
4,048 |
|||||||
Interest, net |
1,560 |
(20 |
) |
- |
410 |
9,127 |
- |
11,077 |
||||||
Net segment income (loss) |
$ (1,579 |
) |
$ 9,843 |
$ 2,084 |
$ 260 |
$ (31,305 |
) |
$ - |
$ (20,697 |
) |
||||
====== |
======== |
======= |
===== |
===== |
======= |
======= |
||||||||
Intersegment revenues |
$ (300 |
) |
$ 40,750 |
$ - |
$ 8,422 |
$ - |
$ (48,872 |
) |
$ - |
|||||
Identifiable segment assets |
$ 222,077 |
$ 28,503 |
$ 12,908 |
$ 60,198 |
$ 484,451 |
$ (364,717 |
) |
$ 443,420 |
||||||
Segment capital expenditures |
$ 5,905 |
$ 113 |
$ 15 |
$ 956 |
$ 3,454 |
$ - |
$ 10,443 |
|||||||
Services |
Rehabilitation and Respiratory Therapy Services |
|
|
|
|
|
||||||||
Reorganized Company June 30, 2002 |
||||||||||||||
Total net revenues |
$ 294,083 |
$ 59,314 |
$ 18,542 |
$ 42,261 |
$ 79 |
$ (34,355 |
) |
$ 379,924 |
||||||
Operating costs, corporate on accounts receivable |
|
|
|
|
|
|
|
|
||||||
Depreciation and amortization |
2,122 |
279 |
156 |
153 |
2,797 |
- |
5,507 |
|||||||
Interest, net |
752 |
(1 |
) |
(1 |
) |
253 |
3,937 |
- |
4,940 |
|||||
Net segment income (loss) |
$ (1,817 |
) |
$ 9,669 |
$ 1,333 |
$ 2,631 |
$ (26,693 |
) |
$ - |
$ (14,877 |
) |
||||
====== |
======= |
======= |
===== |
===== |
======= |
======= |
||||||||
Intersegment revenues |
$ (184 |
) |
$ 30,995 |
$ - |
$ 3,544 |
$ - |
$ (34,355 |
) |
$ - |
|||||
Identifiable segment assets |
$ 467,203 |
$ 83,396 |
$ 14,326 |
$ 150,092 |
$ 426,608 |
$ (366,502 |
) |
$ 775,123 |
||||||
Segment capital expenditures |
$ 6,099 |
$ 51 |
$ 89 |
$ 696 |
$ 4,849 |
$ - |
$ 11,784 |
|||||||
|
Services |
Rehabilitation and Respiratory Therapy Services |
|
|
|
|
|
|||||||
Predecessor Company February 28, 2002 |
||||||||||||||
Total net revenues |
$ 227,906 |
$ 28,501 |
$ 41,101 |
$ 29,815 |
$ - |
$ (25,477 |
) |
$ 301,846 |
||||||
Operating costs, corporate on accounts receivable |
|
|
|
|
|
|
|
|
||||||
Depreciation and amortization |
1,847 |
253 |
566 |
382 |
1,417 |
- |
4,465 |
|||||||
Interest, net |
273 |
1 |
(2 |
) |
120 |
2,280 |
- |
2,672 |
||||||
Net segment income (loss) |
$ (1,332 |
) |
$ 3,375 |
$ 2,719 |
$ 808 |
$ (12,256 |
) |
$ - |
$ (6,686 |
) |
||||
===== |
====== |
======= |
===== |
===== |
====== |
======= |
||||||||
Intersegment revenues |
$ (92 |
) |
$ 15,755 |
$ 8,325 |
$ 1,489 |
$ - |
$ (25,477 |
) |
$ - |
|||||
Identifiable segment assets |
$ 430,847 |
$ 80,477 |
$ 115,259 |
$ 51,733 |
$ 514,167 |
$ (364,067 |
) |
$ 828,416 |
||||||
Segment capital expenditures |
$ 1,987 |
$ 38 |
$ 249 |
$ 124 |
$ 1,573 |
$ - |
$ 3,971 |
|||||||
19
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Measurement of Segment Income or Loss and Segment Assets
The accounting policies of the operating segments are the same as those described in the summary of significant accounting policies (see our 2002 Form 10-K filing - Note 1). We evaluate financial performance and allocate resources primarily based on income or loss from operations before income taxes, excluding any unusual items.
The following tables reconcile net segment loss to consolidated loss before income taxes, discontinued operations and extraordinary item:
|
||||
For the Three |
For the Three |
|||
Net segment loss |
$ (9,451 |
) |
$ (10,423 |
) |
Restructuring costs |
4,411 |
- |
||
Gain on sale of assets, net |
(4,226 |
) |
(951 |
) |
Loss before income taxes and discontinued operations |
$ (9,636 |
) |
$ (9,472 |
) |
========== |
========== |
|
Predecessor |
||||||
For the Six |
For the Four |
For the Two |
|||||
| |
|||||||
Net segment loss |
$ (20,697 |
) |
$ (14,877 |
) |
| |
$ (6,686 |
) |
Restructuring costs |
6,229 |
- |
| |
- |
|||
Gain on sale of assets, net |
(4,453 |
) |
(3,040 |
) |
| |
- |
|
Reorganization costs, net |
- |
- |
| |
(1,483 |
) |
||
Loss before income taxes, |
|
|
|
|
| |
|
|
========= |
========= |
| |
========== |
(12) Subsequent Events
On July 15, 2003, we sold the assets of our pharmaceutical services subsidiaries, including SunScript Pharmacy Corporation, to Omnicare. We received $75.0 million in proceeds on July 15, 2003 and we may receive up to an additional $15.0 million on or before July 15, 2005. We used the proceeds of the sale to pay our Term Loan Agreement in full and to partially reduce our borrowings on the Revolving Loan Agreement.
During the period of July 1, 2003 to July 31, 2003, we divested 14 long-term care facilities. The net revenues and net loss for the six month period ended June 30, 2003 for these 14 facilities were approximately $75.8 million and $2.7 million, respectively. Our rehabilitation therapy operations earned intersegment revenues of $3.6 million by providing services to these facilities during the six month period ended June 30, 2003. The net revenues and net loss for the four month periods ended June 30, 2002 for these 14 facilities were approximately $51.0 million and $0.5 million, respectively. Intersegment revenues earned by our rehabilitation therapy operations were $3.4 million for the same four month period. The operating results of these 14 divestitures will be reported as discontinued operations for all periods presented of the Reorganized Company, beginning with the third quarter of 2003.
On August 4, 2003, we sold one of our undeveloped parcels of land, held for sale as of June 30, 2003, for $1.1 million.
As of July 31, 2003, we operated 143 long-term care facilities with 14,848 licensed beds. As part of our restructuring efforts, we may divest approximately 30% of those facilities.
20
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
During the period of July 1, 2003 to July 31, 2003, we withheld approximately $2.5 million accrued rent and mortgage payments with respect to facilities that we may divest.
In late July 2003, we implemented a retention compensation program to address the need to retain our key employees during our restructuring process. The program covers over 300 employees and provides them with additional compensation upon fulfillment of specified restructuring goals. The program is anticipated to cost less than $6.0 million in total, even if all of the restructuring goals are fulfilled. Retention payments will be paid in three installments during the remainder of the restructuring period, with the final payment to come due upon completion of the restructuring.
21
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
ITEM 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
Forward Looking Statements; Factors That Will Affect Our Future Financial Condition and Results of Operations
References throughout this document to the Company include Sun Healthcare Group, Inc. and its consolidated subsidiaries. In accordance with the Securities and Exchange Commission's "Plain English" guidelines, this Quarterly Report on Form 10-Q has been written in the first person. In this document, the words "we," "our," "ours" and "us" refer to Sun Healthcare Group, Inc. and its consolidated subsidiaries and not any other person.
Information provided in this Form 10-Q contains "forward-looking" information as that term is defined by the Private Securities Litigation Reform Act of 1995 (the "Act"). All statements regarding our expected future financial position, results of operations, cash flows, liquidity, financing plans, lease restructuring initiative, business strategy, budgets, projected costs and capital expenditures, competitive position, growth opportunities, plans and objectives of management for future operations and words such as "anticipate," "believe," "plan," "estimate," "expect," "intend," "may" and other similar expressions are forward-looking statements. The forward-looking statements are qualified in their entirety by these cautionary statements, which are being made pursuant to the provisions of the Act and with the intention of obtaining the benefits of the "safe harbor" provisions of the Act. We caution investors that any forward-looking statements made by us are not guarantees of future performance and that actual results may differ materially from those in the forward-looking statements as a result of various factors, including, but not limited to, those set forth below and those referred to under the caption "Additional Business Risks" section of our Annual Report on Form 10-K for the fiscal year ended December 31, 2002:
Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements as a result of, but not limited to, the following factors:
- |
we currently do not have adequate liquidity or available sources of financing to meet our contractual obligations (including operating lease commitments) and settle our other liabilities. If we are unable to generate sufficient cash flows, there is a substantial prospect that we, including one or more of our subsidiaries would be required to seek protection under the U.S. Bankruptcy Code; |
- |
we are in default under our Revolving Loan Agreement; |
- |
we may not be able to continue as a going concern and our auditors have expressed doubt as to our ability to do so; |
- |
in January and February 2003, we ceased making payments on leases and mortgages for a majority of the long-term care facilities that we operated at the time; |
- |
we may not be able to restructure successfully our business operations to create a sustainable positive cash flow; |
- |
our Medicare reimbursements materially and adversely decreased after September 30, 2002 and our Medicare and Medicaid reimbursements could materially and adversely decrease in the future; |
- |
national and local economic conditions could affect our availability and cost of labor, utilities and supplies; |
- |
government regulations and changes in regulations governing the healthcare industry, including our compliance with such regulations, could have an adverse impact to us; |
- |
we have liabilities and other claims asserted against us, including patient care liabilities (see "Note 10 - Other Events"); |
- |
we operate in a competitive environment; |
- |
we may have difficulty recruiting and retaining qualified employees; |
- |
we have negative working capital and a significant stockholders' deficit; |
- |
our costs for providing workers' compensation and health insurance continue to increase; and |
- |
we continue to be self-insured for workers' compensation, health insurance and general and professional liability. |
22
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Overview
Current Liquidity. For the six months ended June 30, 2003, our net loss was $24.8 million. At July 30, 2003, we had cash and cash equivalents of $9.1 million and borrowing availability under our Revolving Loan Agreement of $12.0 million after taking into account the $11.1 million increase to our reserves imposed by the lenders under our Revolving Loan Agreement in connection with the sale of our pharmacy operations. That availability resulted, in part, from our ceasing to pay rent on certain of our facilities pursuant to restructuring efforts and the sale of the pharmacy services operation in July 2003, as described below. The report of our independent auditors on our consolidated financial statements as of December 31, 2002 and for the ten month period then ended included a paragraph raising doubt as to our ability to continue as a going concern (see our Annual Report on Form 10-K for the year ended December 31, 2002). Our restructuring efforts are likely to require at least six to nine months to complete. We will need additional liquidity during the next few months and may be required to sell additional assets during that period in order to have sufficient liquidity to operate our business as we complete the restructuring. We cannot assure that we will be able to complete sales of our assets on a timely basis and at reasonable prices to provide sufficient liquidity to complete the restructuring. It is likely that if we are unable to complete such sales or otherwise obtain additional funding, we would commence bankruptcy proceedings. We can give n o assurance that in such event we will be able to create or sustain any value for our common stock. Even if we are able to successfully complete a restructuring, there can be no assurance that we would be able to continue as a going concern, and might still need to commence bankruptcy proceedings.
Defaults under Revolving Loan Agreement. We are not in compliance with certain financial covenants in our Revolving Loan Agreement. The lenders under the Revolving Loan Agreement have continued lending to us in spite of the defaults, although they have reserved their rights to seek to exercise their remedies contained in the Revolving Loan Agreement. We cannot assure you that those lenders will refrain from seeking to exercise their remedies, potentially including declaring all loan amounts outstanding to be immediately due and payable, acting upon their security interests, denying us the right to additional borrowing under the Revolving Loan Agreement and other remedies. It is likely that under those circumstances we would commence bankruptcy proceedings. We have classified the Revolving Loan Agreement as a current obligation at June 30, 2003 and our liquidity remains an ongoing concern for us.
Defaults under Leases and Mortgages. In our effort to reduce our costs, in January 2003, we initiated new restructuring efforts. Our ongoing efforts include an attempt to restructure the portfolio of leases under which we operate most of our long-term care facilities. We are seeking to divest our under-performing facilities by transitioning operations of those facilities to new operators so that we will no longer be burdened by the loss generated by those facilities. During the period January 1, 2003 to June 30, 2003, we divested 81 facilities. We are currently attempting to transition approximately 35% of our remaining long-term care facilities to new operators. During the period January 1, 2003 to June 30, 2003, we withheld payment of approximately $22.5 million in accrued rent and mortgage payments on facilities that we identified for transfer to new operators and have been released of our obligation to pay $9.5 million of those rents and mortgage payments. We are continuing to withhold certain rent and mortgage payments on facilities identified for transfer. We cannot predict the extent to which landlords not receiving rent will seek to assert leasehold or other damages during the restructuring period. If the landlords aggressively pursue and obtain back rent and other damages, we will likely be required to commence bankruptcy proceedings prior to the completion of our restructuring. We can give no assurance that in such event we will be able to create or sustain any value for our common stock.
2003 Restructuring. Our goal is to restructure our business so that we can fund our operations and working capital requirements while remaining a significant provider of skilled nursing and other long-term care facilities. We will also seek to reduce our overhead and other expenses significantly, commensurate with reducing the size of our long-term care facility portfolio. Although we have had encouraging discussions and are making progress with many landlords from whom we are seeking to obtain rent concessions or facility lease terminations, and have reached agreements in principle or final agreements with several of our landlords, no assurance can be given that we will be successful in our restructuring efforts.
23
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Unless we are able to generate substantial cash flow from operations and/or raise cash from asset sales or additional financing, our current available cash and borrowing capacity will be insufficient to fund our ongoing operations. Even if our restructuring allows us to create a sustainable positive cash flow from our operations, a bankruptcy filing may, nonetheless, be required to restructure outstanding obligations and claims against us. Under any circumstance, it is not certain whether we can create or sustain any value for our common stock.
Emergence from Chapter 11 Bankruptcy Proceedings. On February 28, 2002, we emerged from proceedings under Chapter 11 of the Bankruptcy Code pursuant to the terms of the Plan of Reorganization. From October 14, 1999 until February 28, 2002, we operated our businesses as a debtor-in-possession subject to the jurisdiction of the Bankruptcy Court. Accordingly, our consolidated financial statements prior to March 1, 2002 have been prepared in accordance with SOP 90-7 and generally accepted accounting principles applicable to a going concern, which assume that assets will be realized and liabilities will be discharged in the normal course of business.
In connection with our emergence from bankruptcy, we reflected the terms of the Plan of Reorganization in our consolidated financial statements by adopting the fresh-start accounting provisions of SOP 90-7. Under fresh-start accounting, a new reporting entity is deemed to be created and the recorded amounts of assets and liabilities are adjusted to reflect their estimated fair values. For accounting purposes, we have recorded the fresh-start adjustments in the consolidated financial statements as of March 1, 2002. Since fresh-start accounting materially changed the amounts previously recorded in our consolidated financial statements, a black line separates the post-emergence financial data from the pre-emergence data to signify the difference in the basis of preparation of the financial statements for each respective entity.
Comparability of Financial Information
With respect to reported operating results, management believes that business segment operating results of the Predecessor Company are generally comparable to that of the Reorganized Company. However, capital costs (rent, interest, depreciation and amortization) of the Predecessor Company that were based on pre-petition contractual agreements and historical costs are not comparable to those of the Reorganized Company. In addition, the reported financial position and cash flows of the Predecessor Company for periods prior to March 1, 2002 generally are not comparable to those of the Reorganized Company.
We recorded an extraordinary gain of $1,498.4 million from the restructuring of our debt in accordance with the provisions of the Plan of Reorganization. Other significant adjustments also were recorded to reflect the provisions of the Plan of Reorganization and the fair values of the assets and liabilities of the Reorganized Company as of February 28, 2002. For accounting purposes, these transactions have been reflected in the operating results of the Predecessor Company for the two months ended February 28, 2002.
Regulatory and Reimbursement Matters
We provide long-term care, rehabilitation therapy, home health nursing and infusion care and other healthcare services and we are engaged in industries that are extensively regulated. As such, in the ordinary course of business, our operations are continuously subject to federal and state legislation and regulatory scrutiny, supervision and control. We entered into a corporate integrity agreement (the "CIA") with the United States Department of Health and Human Services Office of Inspector General in July 2001. The agreement officially took effect on February 28, 2002. Under the terms of the agreement, we implemented further internal controls with respect to our quality of care standards and Medicare and Medicaid billing, reporting and claims submission processes and engaged an independent third party to act as quality monitor and Independent Review Organization under the CIA.
We derive approximately 24% of our revenues from Medicare and 46% from Medicaid. Medicare reimburses our skilled nursing facilities under a prospective payment system ("PPS") for inpatient Medicare Part A covered services. PPS was adopted pursuant to the Balanced Budget Act of 1997 (the "1997 Act"). Under PPS, facilities are paid a predetermined amount per patient, per day, based on the anticipated costs of treating patients, and such amount is determined by classifying each patient into one of 44 resource utilization groups ("RUG"). The nursing home industry came under financial pressure as a result of the implementation of PPS and other 1997 Act provisions. As a result, Congress enacted The Balanced Budget Refinement Act of 1999 ("BBRA") and the Medicare, Medicaid and SCHIP Benefits Improvement Act of 2000 ("BIPA") to provide some relief to the industry. The BBRA and BIPA required four Medicare "add-on" payments: a 4% increase in per diem rates; a 16.7% increase in the nursing component of each RUG; a 20% increase for certain categories of high cost, medically complex patients; and a 6.7% increase for rehabilitation RUGs.
24
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
On September 30, 2002, two of the add-on provisions of the Medicare payment regulations expired: the 4% add-on for all patient categories in the RUG system and the 16.7% add-on for nursing related costs. We estimate that our Medicare revenues decreased by approximately $6.8 million and $15.5 million ($36.98 per patient day) for the three and six month periods ended June 30, 2003, respectively. Approximately $1.2 million and $4.3 million of these decreases related to the 81 inpatient facilities we divested over the same periods, respectively. We cannot predict whether these add-ons will be restored. In addition to the elimination of the add-ons, CMS provided a 2.6% market basket increase in payments to skilled nursing facilities for the 2003 Federal fiscal year (October 1, 2002-September 30, 2003). For the period of January 1, 2003 to June 30, 2003, we estimate that the market basket increase resulted in approximately $4.0 million ($9.49 per patient day) in revenue, $1.1 million of which related to the 81 inpatient facilities we divested over the same period. The net result of the expiration of the add-ons and the market basket increase is an estimated Medicare revenue decrease of approximately $5.0 million and $11.5 million ($27.49 per patient day) for the three and six months ended June 30, 2003, respectively.
On August 4, 2003 CMS published a final rule in the Federal Register to update payments rates for fiscal year 2004 (October 1, 2003-September 30, 2004) by providing for a 3% increase of the annual update to the market basket, and an additional 3.26% market basket increase to correct the underestimate of the market basket forecast in prior years. We estimate the combined increases could result in an additional $19.90 per patient day for our skilled nursing facilities.
The remaining two add-on payments, the 6.7% increase for patients requiring intense rehabilitation and a 20.0% increase for patients requiring complex medical care, were scheduled to expire on the earlier of September 30, 2003 or at such time as CMS completes the case mix refinements. However, CMS published in the August 4, 2003 Federal Register their decision to extend the expiration date, as research is not sufficiently advanced at the present time to implement refinements this year, thus leaving the current classification system in place for fiscal year 2004. The refinements are intended to ensure nursing homes are fairly and accurately reimbursed for taking care of medically complex patients. Although the add-ons will expire when these refinements are implemented, it is expected that the add-ons will be replaced by new payment rates that are not known at this time. If the add-ons expire and are not replaced by new payment rates, we estimate that our per beneficiary per diems would decrease by approximately $26.31 per patient day. The loss of these add-ons would have a material adverse effect on our financial position, results of operations and cash flows.
Medicare Part B payments are generally adjusted annually, effective upon the calendar year beginning January 1 and ending December 31. On December 31, 2002, CMS issued a final rule providing a 4.4% decrease to the payment fee, effective on March 1, 2003. However, the federal spending bill for fiscal 2003 allowed CMS to revise the figures used in the statutory formula and increase the update from a negative 4.4% to a positive 1.6%.
The 1997 Act also implemented a restriction applicable to Medicare Part B payments that would limit the amount of reimbursements we receive for rehabilitation therapy. BBRA and BIPA placed a moratorium on that limitation that expired on June 30, 2003. However, to address issues arising in litigation in Federal Court, CMS elected to delay the implementation of the limits to a new implementation date of September 1, 2003. We estimate the application of the limitation will reduce our rehabilitation therapy services' revenue by approximately $4.4 million and our inpatient services revenue by $0.5 million for the four months ended December 31, 2003, based upon the number of long-term care facilities we currently operate and our current level of Medicare Part B services.
We estimate our home health services Medicare revenues will decrease $2.1 million (approximately 5.9%) due to legislation enacted on October 2002 for the 2003 Federal fiscal year. On June 30, 2003 CMS announced a 3.3% increase in Medicare payment rates to home health agencies for the 2004 Federal fiscal year, which we estimate will increase annual Medicare revenues $1.2 million for the Federal fiscal year beginning October 1, 2003. Additionally, as non-affiliated healthcare providers that are serviced by our ancillary services operations, including our rehabilitative services, laboratory and radiology operations, are negatively affected by reduced reimbursements to their operations, we could experience negative trends in customer credit-worthiness, lengthened payment cycles, increased exposure to loss on accounts receivable and reductions in our ancillary services business.
In a notice of proposed rulemaking issued on February 10, 2003, CMS proposed a significant change for the reimbursement of Medicare Part A bad debts. The proposal would subject all providers to a 30% reduction in Medicare Part A bad debt reimbursement. CMS proposes to implement the reduction incrementally over a three year period to mitigate its impact: 10% for cost reporting periods beginning October 1, 2003, 20% for cost reporting periods beginning October 1, 2004, and 30% for cost reporting years beginning October 1, 2005 and thereafter. Based upon the estimated Medicare bad debts that we will claim on our 2002 cost reports, we estimate that our Medicare revenues would decrease by approximately $1.29 per patient day in 2004, $2.59 per patient day in 2005 and $3.88 per patient day in 2006 if the proposed changes are implemented.
25
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
The recent economic downturn has had a detrimental affect on state revenues. Historically these budget pressures have translated into reductions in state spending. Given that Medicaid outlays are a significant component of state budgets, we expect continuing cost containment pressures on Medicaid outlays for nursing homes and pharmacy services in the states in which we operate. Previously proposed reductions of Medicaid reimbursement in California have not been instituted. It is not certain whether the reductions will be imposed in the future.
Critical Accounting Policies Update
We self-insure for certain insurable risks, including general and professional liability, workers' compensation liability and employee health insurance liability through the use of self-insurance or retrospective and self-funded insurance policies and other hybrid policies, which vary by the states in which we operate. Provisions for estimated reserves, including incurred but not reported losses, are provided in the period of the coverage during which the event took place. These provisions are based on actuarial analyses, internal evaluations of the merits of individual claims and industry loss development factors. The methods of making such estimates and establishing the reserves are reviewed periodically, and any resulting adjustments are reflected in current operations. Claims are paid over varying periods, and future payments may be different than the estimated reserves. There exists a risk that any of the insurance companies we use may become insolvent an d unable to fulfill their obligation to defend, pay or reimburse us when that obligation becomes due and a risk that the amounts funded to our programs of self-insurance may not be sufficient to respond to all claims asserted under those programs. Although we believe the companies we have purchased insurance from are solvent, in light of changes occurring in the insurance industry in recent years, we cannot be assured that they will remain solvent and able to fulfill their obligations.
Prior to January 1, 2000, the maximum loss exposure for the third-party insurance policies was $100,000 per claim for general and professional liability. For the years 2000, 2001 and 2002, we established a self-funded insurance program for general and professional liability claims up to a base amount of $1.0 million per claim and $3.0 million aggregate per location and obtained excess insurance for coverage above these levels. Commencing January 1, 2003, we established a self-funded insurance program for general and professional liability insurance claims up to a base amount of $10.0 million per claim, obtaining excess insurance above this level on a claims-made basis. An independent actuarial analysis is prepared yearly to determine the expected losses and reserves for general and professional liability under the per claim retention level, including incurred but not reported losses. We expect our next in dependent actuarial analysis will be completed in the third quarter of 2003. For the years 2000, 2001 and 2002, these reserves are provided on an undiscounted basis in the period that the event occurred. For the policy year 2003, reserves are provided on an undiscounted basis in the period that the claim was reported. As of June 30, 2003 and December 31, 2002, the reserves for such risks were $125.2 million and $108.0 million, respectively. We estimate our range of exposure at June 30, 2003 was $116.8 million to $142.8 million and that the range will decline over time as our lease divestiture program is completed. Provisions for such risks for the three and six month periods ended June 30, 2003 were $11.5 million and $28.1 million, respectively, of which $3.8 million and $11.4 million related to divested skilled nursing facilities, respectively, and are included in net (loss) income from discontinued operations. Our provision could be increased in the third quarter of 2003 and future periods based upon completion of the independent actuarial analysis. At June 30, 2003, we had approximately $6.2 million in pre-funded amounts restricted for payment of general and professional liability claims.
The majority of our workers' compensation risks are insured through insurance policies with third parties. Our reserves are estimated by independent actuaries beginning with the 2000 policy year and by company analysis using industry development factors for prior years. Effective with the policy period beginning January 1, 2002, we discount our workers' compensation reserves based on a 4% discount rate. The discounting of these policy periods resulted in a reduction to our reserves of $3.8 million. The provision for such risks, which includes accruals for insurance premiums and claims costs, for the three and six months ended June 30, 2003 were $8.8 million and $18.6 million, respectively, of which $2.2 million and $5.6 million related to divested skilled nursing facilities, respectively, and are included in net (loss) income from discontinued operations. We have recorded reserves of $63.9 million and $65.3 million, as of June 30, 2003 and December 31, 2002, respectively. We estimated our range of exposure at June 30, 2003 was $57.9 million to $70.8 million and that the range will decline over time as our lease divestiture program is completed. At June 30, 2003, we had $70.5 million in pre-funded amounts restricted for payment of workers' compensation claims.
26
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Results of Operations
The following table sets forth the amount and percentage of certain elements of total net revenues in continuing operations for the periods presented (in thousands):
For the Three Months Ended June 30, |
For the Six Months Ended June 30, |
||||||||||||||||
|
| |
|
Reorganized |
||||||||||||||
2003 |
2002 |
| |
2003 |
2002 |
|||||||||||||
Inpatient Services |
$ 216,470 |
76.6% |
$ 218,555 |
77.2% |
| |
$ 432,919 |
77.6% |
$ 523,056 |
76.7% |
||||||||
Rehabilitation and Respiratory Therapy Services |
|
|
|
|
| |
|
|
|
|
|
|||||||
Home Health Services |
14,524 |
5.1% |
13,960 |
4.9% |
| |
28,285 |
5.0% |
27,371 |
4.0% |
||||||||
Other Operations |
28,293 |
10.0% |
31,989 |
11.3% |
| |
54,989 |
9.9% |
101,533 |
14.9% |
||||||||
Corporate |
48 |
-% |
79 |
-% |
| |
77 |
-% |
79 |
-% |
||||||||
Intersegment Eliminations |
(22,082 |
) |
(7.8)% |
(25,277 |
) |
(8.9)% |
| |
(48,872 |
) |
(8.8)% |
(59,832 |
) |
(8.7)% |
||||
| |
|||||||||||||||||
Total net revenues |
$ 282,594 |
100% |
$ 283,082 |
100% |
| |
$ 558,167 |
100% |
$ 681,770 |
100% |
||||||||
======= |
===== |
======= |
==== |
| |
======== |
==== |
======= |
===== |
The following table sets forth the amount of net segment income (losses) for the periods presented (in thousands):
For the Three Months Ended June 30, |
| |
For the Six Months Ended June 30, |
||||||||
|
| |
|
Reorganized Company and Predecessor Company Combined |
|||||||
2003 |
2002 |
| |
2003 |
2002 |
||||||
Inpatient Services |
$ (1,212 |
) |
$ (546 |
) |
| |
$ (1,579 |
) |
$ (3,034 |
) |
|
Rehabilitation and Respiratory Therapy |
|
|
| |
|
|
|||||
Home Health Services |
1,091 |
1,065 |
| |
2,084 |
1,617 |
|||||
Other Operations |
457 |
2,259 |
| |
260 |
5,434 |
|||||
Corporate |
(14,018 |
) |
(20,223 |
) |
| |
(31,305 |
) |
(38,770 |
) |
|
| |
||||||||||
Net segment (losses) income |
$ (9,451 |
) |
$ (10,423 |
) |
| |
$ (20,697 |
) |
$ (21,563 |
) |
|
========= |
========= |
| |
======== |
========= |
The net segment income (loss) amounts detailed above do not include the following items: gain (loss) on sale of assets, net; restructuring costs; reorganization costs, net; income taxes; loss (income) from discontinued operations, and extraordinary gain on extinguishment of debt. These amounts totaled approximately $2.1 million and $(7.5) million for the three months ended June 30, 2003 and 2002, respectively, and totaled approximately $4.1 million and $(1,504.8) million for the six months ended June 30, 2003 and 2002.
In accordance with SOP 90-7, items of expense or income that are incurred or realized by us because we were in reorganization are classified as reorganization costs in our consolidated statements of operations. As a result, net segment income (loss) do not include interest earned subsequent to the Filing Date on cash accumulated because we are not paying our prepetition obligations. Gain on sale of assets and professional fees related to the reorganization incurred subsequent to the Filing Date are excluded from net segment income (loss) which is consistent with their treatment prior to the Filing Date.
27
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
The following table presents the percentage of total net revenues represented by certain items for us for the periods presented:
Reorganized Company |
||||
For the Three |
For the Three |
|||
Total net revenues |
100.0 |
% |
100.0 |
% |
Costs and expenses: |
||||
Operating costs |
93.4 |
% |
91.6 |
% |
Corporate general and administrative |
5.5 |
% |
8.9 |
% |
Depreciation and amortization |
0.7 |
% |
1.4 |
% |
Provision for losses on accounts receivable |
1.4 |
% |
0.4 |
% |
Interest, net |
2.3 |
% |
1.3 |
% |
Gain on sale of assets, net |
(1.5 |
)% |
(0.3 |
)% |
Restructuring costs |
1.6 |
% |
- |
% |
Total costs, expenses and gains before reorganization costs, |
|
|
|
|
Losses before reorganization costs, income taxes and |
|
|
|
|
Income taxes |
- |
% |
0.1 |
% |
(Loss) income from discontinued operations |
(0.6 |
)% |
2.4 |
% |
Net loss |
(4.0 |
)% |
(1.0 |
)% |
========= |
========== |
28
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
|
Reorganized Company |
|||
For the Six |
For the Six |
|||
Total net revenues |
100.0 |
% |
100.0 |
% |
Costs and expenses: |
||||
Operating costs |
93.3 |
% |
92.8 |
% |
Corporate general and administrative |
6.5 |
% |
7.2 |
% |
Depreciation and amortization |
0.7 |
% |
1.5 |
% |
Provision for losses on accounts receivable |
1.1 |
% |
0.6 |
% |
Interest, net |
2.0 |
% |
1.1 |
% |
Gain on sale of assets, net |
(0.8 |
)% |
(0.5 |
)% |
Restructuring costs |
1.1 |
% |
- |
% |
Total costs and expenses before reorganization |
|
|
|
|
Loss before reorganization costs, net, income taxes, |
|
|
|
|
Reorganization costs, net |
- |
% |
0.2 |
% |
Income taxes |
(0.1 |
)% |
- |
% |
(Loss) income on discontinued operations |
(0.3 |
)% |
0.3 |
% |
Extraordinary item |
- |
% |
219.8 |
% |
Net (loss) income |
(4.3 |
)% |
217.6 |
% |
=========== |
========== |
Three Months Ended June 30, 2003 Compared to Three Months Ended June 30, 2002
Results of Operations
We reported a net loss for the second quarter of 2003 of $11.6 million compared to net loss of $3.0 million for the second quarter of 2002. The net loss for the second quarter of 2003 included restructuring costs of $4.4 million, a gain on assets held for sale of $4.2 million and a loss from discontinued operations of $1.7 million.
The net loss for the 2002 period included income from discontinued operations of $6.8 million and a $1.0 million gain on assets held for sale.
Net Revenues
Total Company net revenues were $282.6 million for the second quarter of 2003 compared to $283.1 million for the same period in 2002. The decrease in net operating revenues was primarily due to the following:
- |
a $9.3 million decrease due to 2002 dispositions in our inpatient operations, offset in part, by: |
- |
a $5.1 million increase in our inpatient services revenues, on a same store basis; |
- |
a $2.1 million increase due to the acquisition of one skilled nursing facility in March 2003; and |
- |
a $1.6 million increase in our therapy rehabilitation operations due to growth in our early intervention therapy services operations. |
29
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
The $5.1 million increase in our inpatient services revenues, on a same store basis, resulted from:
- |
a $7.4 million increase in Medicaid revenue primarily due to higher reimbursement rates; and |
- |
a $1.6 million increase in commercial insurance revenue due to higher census. |
These increases were partially offset by: |
|
- |
a $2.7 million net decrease in Medicare, primarily due to a reduction in Medicare reimbursements of $6.8 million, which was partially offset by an improvement in Medicare census of $2.3 million, a market basket increase of $1.8 million and increased Medicare Part B rates of $0.3 million; and |
- |
a $1.6 million decrease in private revenues primarily due to a decrease in private census. |
Operating Expenses, Corporate General and Administrative Expenses and Provision for Losses on Accounts Receivable
We reported operating expenses, general and administrative expenses, and provision for losses on accounts receivable of $283.6 million during the second quarter of 2003 compared to $285.9 million during the second quarter of 2002. Included in operating expenses is rent expense. For the quarter ended June 30, 2003, rent expense associated with our inpatient services operations was approximately $15.4 million compared to $19.4 million for the three months ended June 30, 2002, reflecting a decrease of approximately $4.0 million quarter to quarter due to 2002 dispositions. On a same store basis in the quarter to quarter comparison, rent expense decreased approximately $3.5 million to $15.3 million compared to $18.8 million in 2002. The decrease of approximately $2.3 million in total operating and general and administrative expenses was primarily due to a decrease of $9.4 million due to 2002 dispositions in our inpatient services operations, partly offset by the following:
- |
an increase of $6.2 million for same store operations within our inpatient services operations; and |
- |
a $0.7 million increase in operating costs in our rehabilitation therapy services segment due to increased therapist salaries caused by competition and growth in our early intervention operations. |
The increase in operating expenses for same store operations was due to the following items:
- |
an increase of $3.5 million in salaries and wages due to an increase in the weighted average wage rate and our efforts to improve staffing levels; |
- |
an increase in general and professional liability expense of $5.7 million driven by changes in our estimated potential liability coverages due to changes in the per claim retention from $1.0 million per claim in the 2002 policy year to $10.0 million per claim in the 2003 policy year; and |
- |
an increase of $3.0 million due to higher provider taxes. |
These increases were offset in part by : |
|
- |
decreased rent expense of $3.5 million caused by the impairment of certain lease intangibles recorded in the fourth quarter of 2002, and rent reductions for certain facilities; and |
- |
a decrease of $2.3 million in general and administrative expenses driven by overhead reductions. |
Interest Expense, net
Interest expense of $6.5 million was recorded in the second quarter of 2003 compared to $3.7 million in the second quarter of 2002. The increase of $2.8 million in interest was due primarily to the recognition of interest expense at a higher effective interest rate for our term loan and an increase in our weighted average borrowings for the three months ended June 30, 2003.
30
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Depreciation and Amortization
Depreciation and amortization expense decreased to $1.9 million for the second quarter of 2003 compared to $3.9 million for the second quarter of 2002. The decrease was attributable to decreases in property carrying amounts as a result of the impairments recorded in the fourth quarter of 2002.
Six Months Ended June 30, 2003 Compared to Six Months Ended June 30, 2002
Results of Operations
We reported a net loss for the six months ended June 30, 2003 of $24.8 million compared to net income of $1,483.2 million for the same period in 2002. Net income for the six months ended June 30, 2003 included restructuring costs of $6.2 million, a gain on sale of assets of $4.5 million and a loss on discontinued operations of $1.9 million.
Net income for the six months ended June 30, 2002 included the following favorable items:
- |
an extraordinary gain on extinguishment of debt of $1,498.4 million; |
- |
a gain on sale of assets of $3.0 million; |
- |
income from discontinued operations of $2.4 million; and |
- |
a gain from reorganization activities of $1.5 million. |
Net Revenues
Total Company net revenues were $558.2 million during the six months ended June 30, 2003 compared to $681.8 million for the same period in 2002. The decrease in net revenues of approximately $123.6 million for the six months ended June 30, 2003, as compared to the same period in 2002, consisted of the following:
- |
a $105.3 million decrease within our inpatient services operation, primarily due to the divestitures of 81 facilities and a decrease of $36.3 million in ancillary services due to the classification of our pharmaceutical operations as held for sale. The operating results of these 81 inpatient facilities and pharmaceutical operations have not been reported as discontinued operations in the consolidated financial statements of the Predecessor Company for the two month period ended February 28, 2002 because a new entity was deemed to be created upon emergence. These decreases were partially offset by: |
- |
an increase of $11.3 million due to facilities in our inpatient services operations which we operated during each of the six months ended June 30, 2003 and 2002 ("same store operations"); |
- |
a $2.8 million increase due to the acquisition of one skilled nursing facility in March 2003; |
- |
an increase of $2.4 million in our rehabilitation therapy services operations due to growth in our early intervention operations; and |
- |
an increase of $1.5 million in our other segment primarily from increased lab revenue. |
31
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
The increase in net revenues of $11.3 million from our inpatient services operations on a same store basis for the six months ended June 30, 2003, as compared to the same period in 2002, was primarily due to the following:
- |
an increase in Medicaid revenues of $13.9 million primarily due to higher reimbursement rates; and |
- |
an increase of $3.0 million in commercial revenue primarily due to higher census; |
These increases were offset in part by: |
|
- |
a decrease of $3.4 million primarily due to a decline in private revenue, resulting from a decrease in census; and |
- |
a $2.5 million net decrease in Medicare revenue, due to a reduction in Medicare rates of $15.5 million, which was partially offset by a market basket increase of $4.0 million, an increase of $8.8 million due to an improvement in Medicare census and higher Medicare Part B revenues of $0.3 million. |
Operating Expenses, Corporate General and Administrative Expenses and Provision for Losses on Accounts Receivable
We reported operating expenses, corporate general and administrative expenses and provision for losses on accounts receivable of $563.7 million during the six months ended June 30, 2003 compared to $685.7 million for the same period in 2002. Included in operating expenses, corporate general and administrative expenses is rent expense. For the six months ended June 30, 2003, rent expense for our inpatient services operations was approximately $32.9 million compared to $39.7 million for the same period ended June 30, 2002. On a same store basis in the six month comparison, rent expense decreased $5.0 million to $32.7 million compared to $37.7 million in 2002. The decrease of approximately $122.0 million in total corporate general and administrative expenses and provision for losses on accounts receivable consisted of the following:
- |
decreases of $105.0 million and $34.6 million due to the aforementioned 2002 dispositions in our inpatient and pharmaceutical operations, partially offset by: |
- |
an increase of $11.0 million due to same store operations in our inpatient services operations; and |
- |
an increase of $6.7 million in our therapy segment due to higher therapist salaries to remain competitive and also due to the growth of our early intervention operations. |
The increase in operating and administrative expenses of $11.0 million from same store operations in our inpatient services operations for the six months ended June 30, 2003, as compared to the same period in 2002 and was due primarily to the following:
- |
$7.3 million of additional wages and salaries due to an increase in our weighted average wage rate and our efforts to improve staffing levels; |
- |
an increase of $3.1 million in tax expenses caused by higher provider taxes under certain state and Medicaid programs; and |
- |
an increase in general and professional liability expense of $7.0 million driven by change in our estimated potential liability due to changes in the per claim retention from $1.0 million per claim in the 2002 policy year to $10.0 million per claim in the 2003 policy year. |
These increases were offset in part, by the following: |
|
- |
decreased rent expenses of $5.0 million primarily due to renegotiated rents for certain leases and lower lease intangible amortization; and |
- |
decreased general and administrative expenses of $4.3 million, net, as a result of our reductions in overhead. |
Interest Expense, Net
Interest expense, net, increased to $11.1 million for the six months ended June 30,2003, as compared to $7.6 million for the same period in 2002. Approximately $2.4 million of the increase was due to the recognition of interest expense at a higher effective interest rate for our term loan. The remaining $1.1 million of the increase was primarily attributed to the emergence from bankruptcy and the recognition of interest payables for our debt instruments. While we were under bankruptcy protection we did not record interest expense on essentially all of our prepetition debt. Had we not been under bankruptcy protection our interest expense, net for the six months ended June 30, 2002 would have been $31.3 million.
32
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Depreciation and Amortization
Depreciation and amortization expense decreased to $4.0 million for the six months ended June 30, 2003, as compared to $10.0 million for the same period in 2002. The decrease was attributable to decreases in property carrying amounts as a result of the impairment recorded in the fourth quarter of 2002.
Income Taxes
The income tax provision for all periods presented relates to the operations of profitable subsidiaries in states that do not allow combined, consolidated or unitary tax filings. No overall tax benefit was recorded for this period for federal purposes since the realization of tax benefits associated with our net operating loss carryforwards is uncertain.
Liquidity and Capital Resources
On February 28, 2002, we entered into a Loan and Security Agreement with certain lenders, led by Heller Healthcare Finance, Inc. as collateral agent, and Citicorp USA, Inc., as administrative agent (the "Revolving Loan Agreement"). The Revolving Loan Agreement is a $150.0 million three-year revolving line of credit that is secured by our accounts receivable, inventory, equipment and other assets, a first priority pledge of the stock of our subsidiaries, other than those subsidiaries providing pharmaceutical services, and a second priority pledge of the pharmaceutical services subsidiaries. In connection with the sale of our pharmaceutical operations, completed in July 2003, the lenders under our Revolving Loan Agreement reduced our $150.0 million revolving line to $75.0 million and reserved an additional $11.1 million against liquidity otherwise available thereunder. As agreed with the lenders under the Revolving Loan Agreement, we are paying int erest (i) for Base Rate Loans at prime (or, if higher, the federal funds rate plus 0.5%) plus 3.5% (subject to certain adjustments) and (ii) for LIBOR Loans at the London Interbank Offered Rate plus 4.5% (subject to certain adjustments). The effective interest rate as of June 30, 2003 on borrowings under the Revolving Loan Agreement was approximately 6.7%. The weighted average borrowing interest rate for the three month period ended June 30, 2003 was 6.5%. Our borrowing availability under the Revolving Loan Agreement is limited to up to 85% of our net eligible accounts receivable and up to 50% of our net eligible inventory, but not to exceed $150.0 million, subject to the reductions and reserves noted above. The defined borrowing base as of June 30, 2003, was $93.2 million, net of specified reserves of $27.0 million, which includes a minimum availability reserve of $10.0 million. As of June 30, 2003, we had borrowed approximately $66.2 million and had issued approximately $24.7 million in letters of credi t under the Revolving Loan Agreement, leaving approximately $2.3 million available to us for additional borrowing. On July 15, 2003, we paid $33.9 million of the outstanding balance under our Revolving Loan Agreement in connection with the closing of the sale of our pharmaceutical operations.
On February 28, 2002, we entered into a Term Loan and Note Purchase Agreement with certain lenders, led by U.S. Bank National Association as administrative and collateral agent (the "Term Loan Agreement," and together with the Revolving Loan Agreement, the "Loan Agreements"). We paid the Term Loan Agreement in full on July 15, 2003. See Note 12 - Subsequent Events. The Term Loan Agreement was comprised of a three-year $20.0 million term loan and a three-year $23.7 million original issue discount note (the "Discount Note") of which our borrowing capacity was limited to $20.0 million. Interest rates under the Term Loan Agreement were variable based upon either the lender's base rate (as defined) or LIBOR, plus applicable margins. The effective interest rate as of June 30, 2003 on borrowings under the Term Loan Agreement was approximately 9.0% inclusive of a rate of 2.7% for the Discount Note. We borrowed the maximum amount available under the Term Loan Agree ment, which was $40.0 million, and we made quarterly payments of principal of $0.8 million plus interest. The principal balance remaining on the Term Loan Agreement at June 30, 2003 was approximately $35.8 million.
For the quarter ended June 30, 2003, we were not in compliance with the following covenants under the Loan Agreements: indebtedness to EBITDA ratio, fixed charge coverage ratio and minimum operating cash flow. The lenders under the Term Loan Agreement asserted other covenant and substantive defaults. We can give no assurance that the lenders under the Revolving Loan Agreement will not seek to exercise their remedies, including but not limited to declaring amounts outstanding to be immediately due and payable, acting upon their security interests, and denying us the right to additional borrowing under the Revolving Loan Agreement.
33
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
We classified the Revolving Loan Agreement and the Term Loan Agreement totaling $102.0 million as current obligations as of June 30, 2003. The default interest rates under the Revolving Loan Agreement increase by 2.0% based on the rates in effect, which equate to default rates of 8.7% and 11.0%, respectively, as of June 30, 2003.
In connection with entering into the Loan Agreements, we incurred deferred financing costs of $3.5 million, which are amortized using the effective interest method over the lives of the Loan Agreements. Failure to amend and obtain waivers of the financial covenants may materially and adversely affect our financial position, results of operations and cash flows.
We have initiated restructuring efforts, which include an attempt to restructure the portfolio of leases under which we operate most of our long-term care facilities. We are seeking to divest under-performing facilities by transitioning operations of those facilities to new operators so that we will no longer be burdened by the losses generated by those facilities. Through June 30, 2003, we have divested 81 facilities and have identified approximately 35% of our facilities that we would seek to transition to new operators if we are unable to obtain satisfactory rent concessions on the facilities. During the period of January 1, 2003 to June 30, 2003, we withheld approximately $30.3 million in accrued rent and mortgage payments on facilities that we identified for transfer to new operators. We have also classified one mortgage as a current obligation. We can give no assurance that the landlords and lenders will not seek to exercise their remedies under thei r respective leases and mortgages, including the potential acceleration of the principal and interest and/or forcing an involuntary bankruptcy. Additionally we will be required to compute outstanding interest under the mortgages using a rate of 18%, which represents the default rate of interest.
At June 30, 2003, we had a working capital deficit of $69.7 million and cash and cash equivalents of $19.5 million as compared to a working capital deficit of $74.2 million and cash and cash equivalents of $21.0 million at December 31, 2002. The increase in working capital is due to changes in the amount due under the Revolving Loan Agreement, Term Loan Agreement and the elimination of one mortgage.
For the six months ended June 30, 2003, net cash provided by operating activities was approximately $7.3 million. The net cash provided by operating activities for the six months ended June 30, 2003 is primarily from the withholding of rent related to facilities we intend to divest and from our continuing efforts to reduce costs. Net cash used for operating activities for the four months ended June 30, 2002 was approximately $28.7 million. For the two months ended February 28, 2002, net cash used for operating activities was approximately $23.7 million.
We incurred capital expenditures of $4.1 million, $10.4 million, $11.8 million and $4.0 million for the three months ended June 30, 2003, for the six months ended June 30, 2003, for the four months ended June 30, 2002 and for the two months ended February 28, 2002, respectively. Expenditures related primarily to improvements at existing facilities and routine capital expenditures.
On February 28, 2002, we delivered a promissory note to the United States of America as part of our settlement agreement with the federal government and $9.0 million remains outstanding under the note. The promissory note is payable as follows: $1.0 million on February 28, 2004; $2.0 million on February 28, 2005; and $3.0 million on each of February 28, 2006 and 2007. Interest under the promissory note is based upon the weekly average one-year constant maturity treasury yield. The effective interest rate as of June 30, 2003 was approximately 2.2%.
We continue to negotiate settlements of bankruptcy claims for periods prior to October 14, 1999 that were filed by various State Medicaid agencies. We expect to pay in excess of approximately $3.5 million to the State Medicaid agencies to resolve these claims. The payments are expected to be made partly in cash, partly with promissory notes and potentially as set-offs against reimbursements payable to us.
ITEM 3. Quantitative and Qualitative Disclosures about Market Risk
Our Revolving Loan Agreement is sensitive to changes in interest rates.
The Revolving Loan Agreement is a $150.0 million three-year revolving line of credit. Our borrowing availability under the Revolving Loan Agreement is limited to up to 85% of our net eligible accounts receivable and up to 50% of our net eligible inventory, but not to exceed $150.0 million, net of specified reserves of $27.0 million , which includes a minimum availability reserve of $10.0 million. As agreed with the lenders, under the Revolving Loan Agreement, we are paying interest (i) for base loans at prime (or, if higher, the federal funds rate plus 0.5%) plus 3.5% (subject to certain adjustments) and (ii) for the Libor loans at the London Interbank Offered Rate plus 4.5% (subject to certain adjustments). For each additional percentage point increase in the LIBOR, assuming an outstanding balance of $100.0 million, the we will incur additional interest expense of approximately $1.0 million annually.
34
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
The default interest rate under the Revolving Loan Agreement increases by 2.0% based on the rates in effect, which equates to a default rate of 8.7% as of June 30, 2003.
ITEM 4. Controls and Procedures
Our management, including our Chief Executive Officer (who also serves as Chairman of the Board) and Chief Financial Officer, conducted an evaluation of the effectiveness of disclosure controls and procedures as of the end of the period covered by this report pursuant to the Exchange Act Rule 13a-15(e). Disclosure controls and procedures are designed to ensure that information required to be disclosed in our periodic reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission's rules and forms. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures are effective. There have been no significant changes that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting during the period covered by this report.& nbsp; We remain vigilant in our ongoing examination of our internal control over financial reporting and continue to make enhancements.
35
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
Information with respect to this item is found in "Note 10 - Other Events" and is incorporated by reference herein.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
The Loan Agreements require us to maintain certain financial ratios and spending limits, including fixed charge coverage ratios, minimum operating cash flows, tangible net worth and capital expenditure limits as defined in the Loan Agreements.
For the quarter ended June 30, 2003, we were not in compliance with the following covenants: indebtedness to EBITDA ratio, fixed charge coverage ratio and minimum operating cash flow. The lenders under the Term Loan Agreement also asserted other covenant and substantive defaults. We can give no assurance that the lenders will not seek to exercise their remedies, including but not limited to declaring amounts outstanding to be immediately due and payable, acting upon their security interests, and denying us the right to additional borrowing under the Revolving Loan Agreement.
We have classified the Revolving Loan Agreement and the Term Loan Agreement totaling $102.0 million as current obligations as of June 30, 2003. The default interest rates under the Revolving Loan Agreement and the Term Loan Agreement increase by 2.0% based on the rates in effect which equate to default rates of 8.7% and 11.0%, respectively, as of June 30, 2003. The Term Loan Agreement was paid on July 15, 2003. See Footnote 3 - Loan Agreements.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
(a) |
The annual meeting of our stockholders was held on June 17,
2003. |
||
(b) |
John W. Adams, Gregory S. Anderson, Richard K. Matros, John F. Nickoll, Sanjay H. Patel, Bruce C. Vladeck, Steven L. Volla and Milton J. Walters were elected to a one-year term on the Board of Directors that will expire at the Annual Meeting of Stockholders in 2004. Each nominee for director received 6,393,699 votes in his favor and 1,089 votes withheld. |
||
(c) |
The matters voted at the meeting and the results were as follows: |
||
1. |
Ratification of the appointment of Ernst & Young LLP as our independent public accountants for the
fiscal year ended December 31, 2003. |
||
For |
Against |
Abstain |
|
(d) |
Not applicable. |
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
(a) |
Exhibits |
10.1 |
Asset Purchase Agreement by and among Omnicare, Inc., SunScript Pharmacy Corporation, Advantage Health Services, Inc., HoMed Convalescent, Inc., SunScript Medical Services, Inc. and First Class Pharmacy, Inc. dated as of June 15, 2003. |
31.1 |
Section 302 Sarbanes-Oxley Certification by Chief Executive Officer |
31.2 |
Section 302 Sarbanes-Oxley Certification by Chief Financial Officer |
32.1 |
Section 906 Sarbanes-Oxley Certification by Chief Executive Officer |
32.2 |
Section 906 Sarbanes-Oxley Certification by Chief Financial Officer |
36 SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
|
|
(b) |
Reports on Form 8-K |
1. |
Report dated April 23, 2003, and filed on April 23, 2003, to file our press release that disclosed a settlement of certain landlord-asserted defaults on long-term care facility leases. |
2. |
Report dated May 20, 2003, and filed on May 21, 2003, to file our press release that disclosed our first quarter results. |
3. |
Report dated May 22, 2003, and filed on May 22, 2003, to file our press release that disclosed that our term loan lenders accelerated the debt and scheduled a foreclosure sale. |
4. |
Report dated May 29, 2003, and filed on May 30, 2003, to file our press release that disclosed the execution of an agreement with our term lenders to cancel a scheduled foreclosure sale. |
5. |
Report dated June 17, 2003, and filed on June 17, 2003, to file our press release that disclosed the execution of a purchase agreement to sell our pharmacy operations to Omnicare, Inc. |
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
SIGNATURE
Pursuant to the requirements of the Securities and Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
SUN HEALTHCARE GROUP, INC.
Date: August 13, 2003
By: /s/ Kevin W. Pendergest |
Kevin W. Pendergest |
Chief Financial Officer |
38
EXHIBIT 31.1
CERTIFICATION PURSUANT TO
SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002
I, Richard K. Matros, certify that:
1. I have reviewed this quarterly report on Form 10-Q of Sun Healthcare Group, Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:
a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
c) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and
5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's board of directors (or persons performing the equivalent functions):
a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and
b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.
Date: August 13, 2003 |
/s/ Richard K. Matros |
Richard K. Matros |
39
EXHIBIT 31.2
CERTIFICATION PURSUANT TO
SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002
I, Kevin W. Pendergest, certify that:
1. I have reviewed this quarterly report on Form 10-Q of Sun Healthcare Group, Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:
a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
c) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and
5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's board of directors (or persons performing the equivalent functions):
a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and
b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.
Date: August 13, 2003 |
/s/ Kevin W. Pendergest |
Kevin W. Pendergest |
40