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 September 30, 2004
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
oIndicate 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
oAs of November 1, 2004, there were 15,327,928 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 September 30, 2004
Page |
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PART I. FINANCIAL INFORMATION |
|||
Item 1. |
Financial Statements: |
||
Consolidated Balance Sheets |
|||
As of September 30, 2004 (unaudited) and December 31, 2003 |
3-4 |
||
Consolidated Statements of Operations |
|||
For the three months ended September 30, 2004 and 2003 (unaudited) |
5 |
||
For the nine months ended September 30, 2004 and 2003 (unaudited) |
6 |
||
Consolidated Statements of Cash Flows |
|||
For the three months ended September 30, 2004 and 2003 (unaudited) and |
|||
for the nine months ended September 30, 2004 and 2003 (unaudited) |
7 |
||
Notes to the Consolidated Financial Statements |
8-27 |
||
Item 2. |
Management's Discussion and Analysis of Financial Condition and Results of Operations |
28-44 |
|
Item 3. |
Quantitative and Qualitative Disclosures About Market Risk |
45 |
|
Item 4. |
Controls and Procedures |
45 |
|
PART II. OTHER INFORMATION |
|||
Item 1. |
Legal Proceedings |
46 |
|
Item 6. |
Exhibits |
46 |
|
Signature |
47 |
2
PART I. FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
ASSETS
(in thousands)
September 30, 2004 |
December 31, 2003 |
||
(unaudited) |
(Note 1) |
||
Current assets: |
|||
Cash and cash equivalents |
$ 28,946 |
$ 25,574 |
|
Accounts receivable, net of allowance for doubtful accounts of |
|
|
|
Inventories, net |
3,574 |
3,695 |
|
Other receivables, net of allowance of $5,455 at September 30, 2004 |
|
|
|
Assets held for sale |
8,137 |
3,022 |
|
Restricted cash |
26,024 |
33,699 |
|
Prepaids and other assets |
8,885 |
4,742 |
|
Total current assets |
174,159 |
182,084 |
|
Property and equipment, net |
108,505 |
59,532 |
|
Notes receivable, net of allowance of $34 at September 30, |
|
|
|
Goodwill, net |
3,834 |
3,834 |
|
Restricted cash, non-current |
34,889 |
33,920 |
|
Other assets, net |
15,691 |
20,588 |
|
Total assets |
$ 337,736 |
$ 300,398 |
|
========== |
=========== |
See accompanying notes.
3
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS (CONTINUED)
LIABILITIES AND STOCKHOLDERS' DEFICIT
(in thousands, except share data)
September 30, 2004 |
December 31, 2003 |
|||
(unaudited) |
(Note 1) |
|||
Current liabilities: |
||||
Current portion of long-term debt |
$ 16,984 |
$ 24,600 |
||
Accounts payable |
36,689 |
46,339 |
||
Accrued compensation and benefits |
35,371 |
41,333 |
||
Accrued self-insurance obligations |
40,393 |
59,029 |
||
Income taxes payable |
15,010 |
14,470 |
||
Other accrued liabilities |
49,730 |
53,690 |
||
Total current liabilities |
194,177 |
239,461 |
||
Accrued self-insurance obligations, net of current portion |
143,410 |
138,072 |
||
Long-term debt, net of current portion |
91,044 |
54,278 |
||
Unfavorable lease obligations |
14,661 |
31,856 |
||
Other long-term liabilities |
2,827 |
3,129 |
||
Total liabilities |
446,119 |
466,796 |
||
Commitments and contingencies |
||||
Minority interest |
10,658 |
- |
||
Stockholders' deficit: |
||||
Preferred stock of $.01 par value, authorized |
|
|
||
Common stock of $.01 par value, authorized |
|
|
||
Additional paid-in capital |
334,646 |
272,889 |
||
Accumulated deficit |
(451,849 |
) |
(437,632 |
) |
(117,050 |
) |
(164,643 |
) |
|
Less: |
||||
Unearned compensation |
(1,991 |
) |
(1,755 |
) |
Total stockholders' deficit |
(119,041 |
) |
(166,398 |
) |
Total liabilities and stockholders' deficit |
$ 337,736 |
$ 300,398 |
||
|
========== |
========== |
See accompanying notes.
4
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)
For the |
For the |
|||
(unaudited) |
(unaudited) |
|||
Total net revenues |
$ 204,470 |
$ 203,429 |
||
Costs and expenses: |
||||
Operating salaries and benefits |
122,633 |
126,836 |
||
Self-insurance for workers' compensation and general and |
|
|
||
Other operating costs |
42,356 |
40,450 |
||
Facility rent expense |
9,738 |
9,910 |
||
General and administrative expenses |
13,387 |
17,082 |
||
Depreciation and amortization |
2,871 |
1,827 |
||
Provision for losses on accounts receivable |
2,062 |
1,727 |
||
Interest, net |
2,397 |
4,084 |
||
Restructuring costs, net |
328 |
4,092 |
||
Loss on sale of assets, net |
1,537 |
729 |
||
Total costs and expenses |
208,704 |
215,233 |
||
Loss before income taxes and discontinued operations |
(4,234 |
) |
(11,804 |
) |
Income tax expense |
- |
175 |
||
Loss before discontinued operations |
(4,234 |
) |
(11,979 |
) |
Discontinued operations: |
||||
Loss from discontinued operations, net |
(3,177 |
) |
(5,965 |
) |
(Loss) gain on disposal of discontinued operations, net |
(3,680 |
) |
57,054 |
|
(Loss) income on discontinued operations |
(6,857 |
) |
51,089 |
|
Net (loss) income |
$ (11,091 |
) |
$ 39,110 |
|
Basic and diluted (loss) income per common and common |
|
|||
Loss before discontinued operations |
$ (0.28 |
) |
$ (1.19 |
) |
(Loss) income on discontinued operations, net |
(0.45 |
) |
5.08 |
|
Net (loss) income |
$ (0.73 |
) |
$ 3.89 |
|
========== |
========= |
|||
Shares used in computing (loss) income per common |
||||
Basic |
15,275 |
10,060 |
||
Diluted |
15,275 |
10,060 |
See accompanying notes.
5
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)
For the |
For the |
|||
(unaudited) |
(unaudited) |
|||
Total net revenues |
$ 619,609 |
$ 592,224 |
||
Costs and expenses: |
||||
Operating salaries and benefits |
367,658 |
363,947 |
||
Self-insurance for workers' compensation and general and |
31,518 |
|
||
Other operating costs |
128,513 |
113,927 |
||
Facility rent expense |
29,792 |
29,504 |
||
General and administrative expenses |
44,991 |
50,232 |
||
Depreciation and amortization |
6,330 |
5,486 |
||
Provision for losses on accounts receivable |
5,584 |
5,291 |
||
Interest, net |
6,354 |
14,726 |
||
Restructuring costs, net |
1,615 |
10,012 |
||
Loss (gain) on sale of assets, net |
1,162 |
(2,225 |
) |
|
Gain on extinguishment of debt, net |
(3,734 |
) |
- |
|
Total costs and expenses |
619,783 |
617,143 |
||
Loss before income taxes and discontinued operations |
(174 |
) |
(24,919 |
) |
Income tax (benefit) expense |
(1,122 |
) |
665 |
|
Income (loss) before discontinued operations |
948 |
(25,584 |
) |
|
Discontinued operations: |
||||
Loss from discontinued operations, net |
(12,746 |
) |
(18,509 |
) |
(Loss) gain on disposal of discontinued operations, net |
(2,418 |
) |
58,368 |
|
(Loss) income on discontinued operations |
(15,164 |
) |
39,859 |
|
Net (loss) income |
$ (14,216 |
) |
$ 14,275 |
|
Basic and diluted (loss) income per common and common |
||||
Income (loss) before discontinued operations |
$ 0.07 |
$ (2.55 |
) |
|
(Loss) income on discontinued operations, net |
(1.07 |
) |
3.97 |
|
Net (loss) income |
$ (1.00 |
) |
$ 1.42 |
|
========= |
========= |
|||
Shares used in computing (loss) income per common share: |
||||
Basic |
14,181 |
10,047 |
||
Diluted |
14,261 |
10,047 |
See accompanying notes.
6
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
For the |
For the |
|||||||
September 30, 2004 |
September 30, 2003 |
September 30, 2004 |
September 30, 2003 |
|||||
(unaudited) |
(unaudited) |
(unaudited) |
(unaudited) |
|||||
Cash flows from operating activities: |
||||||||
Net (loss) income |
$ (11,091 |
) |
$ 39,110 |
$ (14,216 |
) |
$ 14,275 |
||
Adjustments to reconcile net (loss) income to net cash provided |
||||||||
Gain on extinguishment of debt, net |
- |
- |
(3,734 |
) |
- |
|||
Depreciation |
1,926 |
72 |
3,383 |
3,957 |
||||
Amortization |
1,064 |
1,655 |
3,251 |
3,640 |
||||
Amortization of favorable and unfavorable lease intangibles |
(546 |
) |
(2,005 |
) |
(2,770 |
) |
(6,934 |
) |
Provision for losses on accounts receivable |
4,376 |
2,799 |
10,324 |
13,104 |
||||
Gain on disposal of discontinued operations, net |
3,680 |
(57,054 |
) |
2,418 |
(58,368 |
) |
||
Loss (gain) on sale of assets |
1,537 |
729 |
1,162 |
(2,225 |
) |
|||
Restricted stock and stock option compensation |
325 |
202 |
891 |
742 |
||||
Other, net |
118 |
31 |
1,253 |
497 |
||||
Changes in operating assets and liabilities: |
||||||||
Accounts receivable, net |
4,602 |
39,528 |
6,960 |
56,667 |
||||
Inventories, net |
(31 |
) |
228 |
(35 |
) |
801 |
||
Other receivables, net |
10,129 |
2,381 |
(506 |
) |
959 |
|||
Restricted cash |
5,007 |
(454 |
) |
8,636 |
(2,159 |
) |
||
Prepaids and other assets |
(5,100 |
) |
(623 |
) |
(7,142 |
) |
2,698 |
|
Accounts payable |
(2,150 |
) |
7,700 |
(13,880 |
) |
2,797 |
||
Accrued compensation and benefits |
(1,266 |
) |
(16,676 |
) |
(6,333 |
) |
(23,015 |
) |
Accrued self-insurance obligations |
(7,671 |
) |
(3,538 |
) |
(13,353 |
) |
12,580 |
|
Income taxes payable |
787 |
(138 |
) |
540 |
401 |
|||
Other accrued liabilities |
2,905 |
(15,804 |
) |
769 |
(7,088 |
) |
||
Other long-term liabilities |
- |
409 |
(261 |
) |
782 |
|||
Net cash provided by (used for) operating activities before |
|
|
|
|
|
|
|
|
Net cash paid for reorganization costs |
- |
(1,606 |
) |
(499 |
) |
(9,846 |
) |
|
Net cash provided by (used for) operating activities |
8,601 |
(3,054 |
) |
(23,142 |
) |
4,265 |
||
Cash flows from investing activities: |
||||||||
Capital expenditures, net |
(3,383 |
) |
(3,135 |
) |
(8,305 |
) |
(13,578 |
) |
Proceeds from sale of assets held for sale |
1,357 |
77,285 |
1,357 |
77,637 |
||||
Repayment of long-term notes receivable |
91 |
77 |
147 |
748 |
||||
Net cash (used for) provided by investing activities |
(1,935 |
) |
74,227 |
(6,801 |
) |
64,807 |
||
Cash flows from financing activities: |
||||||||
Net payments under Revolving Loan Agreement |
- |
(72,113 |
) |
(13,091 |
) |
(67,969 |
) |
|
Long-term debt repayments |
(896 |
) |
(776 |
) |
(5,860 |
) |
(4,350 |
) |
Net proceeds from issuance of common stock |
- |
- |
52,266 |
- |
||||
Net cash (used for) provided by financing activities |
(896 |
) |
(72,889 |
) |
33,315 |
(72,319 |
) |
|
Net increase (decrease) in cash and cash equivalents |
5,770 |
(1,716 |
) |
3,372 |
(3,247 |
) |
||
Cash and cash equivalents at beginning of period |
23,176 |
19,482 |
25,574 |
21,013 |
||||
Cash and cash equivalents at end of period |
$ 28,946 |
$ 17,766 |
$ 28,946 |
$ 17,766 |
||||
======= |
======= |
======= |
======= |
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 our direct and indirect consolidated subsidiaries. Beginning as of July 1, 2004, Sun Healthcare Group, Inc.'s financial statements also include the accounts of three partnerships, five limited liability companies and one sole proprietorship (collectively known as "Clipper"), each of which we own five percent or less of their voting interests, as a result of our application of FASB's Revised Interpretation No. 46 "Consolidation of Variable Interest Entities" ("FIN No. 46R"). See "Note 7 - Variable Interest Entities" for additional information concerning this accounting pronouncement. 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 direct and indirect c onsolidated 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 five principal business segments: (i) inpatient services, (ii) rehabilitation therapy services, (iii) medical staffing services, (iv) home health services and (v) laboratory and radiology services. Inpatient services represent the most significant portion of our business. As of September 30, 2004, we operated 106 long-term care facilities in 13 states.
Other Information
The accompanying unaudited consolidated financial statements have been prepared in accordance with our customary accounting practices and accounting principles generally accepted in the United States. In our opinion, the accompanying interim consolidated financial statements present fairly our financial position at September 30, 2004 and December 31, 2003, the consolidated results of our operations and the consolidated cash flows for the three and nine month periods ended September 30, 2004 and 2003, respectively. We believe that all adjustments are of a normal and recurring nature with the exception of the adjustments related to our application of FIN No. 46R. These statements are unaudited, and certain information and footnote disclosures normally included in our annual consolidated financial statements have been condensed or omitted, as permitted under the applicable rules and regulations. Readers of these statements should refer to our audited consolidat ed financial statements and notes thereto for the year ended December 31, 2003, which are included in our Annual Report on Form 10-K for the year ended December 31, 2003. The results of operations presented in the accompanying consolidated financial statements are not necessarily representative of operations for an entire year.
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, self-insurance obligations and loss accruals. Actual results could differ from those estimates.
Reclassification
Certain reclassifications of assets, liabilities, income and expense have been made to the prior period financial statements to conform to the 2004 financial statement presentation.
(2) Basis of Reporting and Current Operating Environment
For the nine months ended and as of September 30, 2004, our net loss was $14.2 million and our working capital deficit was $20.0 million. As of September 30, 2004, we had cash and cash equivalents of approximately $28.9 million, no balance outstanding under our revolving loan agreement and approximately $30.5 million of funds available for borrowing under our revolving loan agreement which expires September 5, 2005. We believe that our existing cash reserves and availability for borrowing under our loan agreement will provide sufficient funds for our operations, capital expenditures and regularly scheduled debt service payments through the next twelve months. We expect to extend our revolving loan agreement upon its expiration.
8
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
For the three months ended September 30, 2004, the net cash increase was approximately $5.8 million. The increase was primarily due to:
- |
$5.8 million of collection of cost report settlements; |
- |
$5.0 million collections of receivables from divested facilities; |
- |
$2.2 million in other receivables; and |
- |
$1.4 million proceeds from the sale of a land parcel; offset by |
- |
$3.4 million for capital expenditures, primarily in our long-term care operations; and |
- |
$5.8 million for vendor payables and other accrued liabilities. |
For the nine months ended September 30, 2004, the net cash increase was approximately $3.4 million. The increase was comprised primarily of the $52.3 million of equity proceeds realized from the private equity placement and the collection of $15.6 million of accounts receivable of divested facilities, offset by:
- |
$14.9 million of general and professional liability settlements; |
a $13.1 million paydown of our revolving credit line as a result of our private equity placement; |
|
- |
$11.7 million of past-due vendor trade accounts payables; |
- |
$8.3 million of capital expenditures, primarily in our long-term care operations; |
- |
$5.9 million in debt repayment and other expenses primarily related to the refinance of six mortgages and other long-term debt repayments; |
- |
$5.1 million related to retention and operating bonus compensation; and |
- |
$4.5 million to other accrued liabilities. |
We have substantially completed our restructuring efforts, including the restructuring of the portfolio of leases under which we operate most of our long-term care facilities. Through September 30, 2004, we had divested 131 facilities and had identified five facilities that we would seek to transition to new operators. On October 31, 2004, we divested two of the remaining five facilities held for divestiture. During the 21 months ended September 30, 2004, we withheld approximately $28.5 million in accrued rent payments and $0.7 million of mortgage payments on facilities that we identified for transfer to new operators. As of September 30, 2004, we were released of our obligations to pay approximately $14.9 million of the withheld rent and $20.4 million of future mortgage debt. Of the remaining $13.6 million of withheld rent, (i) $2.2 million remains in other accrued liabilities and is related to divested buildings that do not have a release per a lease termi nation agreement, (ii) $8.0 million was paid in settlements with landlords, (iii) $2.9 million was offset by security deposits, reducing other assets, that were used toward unpaid rent, and (iv) $0.5 million was paid
for unsecured claims.(3) Loan Agreements
We have a Loan and Security Agreement with CapitalSource Finance LLC, as collateral agent, and certain other lenders (the "Revolving Loan Agreement") that expires on September 5, 2005. The Revolving Loan Agreement is a $75.0 million revolving line of credit that is secured by our accounts receivable, inventory, equipment and other assets, and the stock of our subsidiaries. Pursuant to the Revolving Loan Agreement, we are paying interest (i) for Base Rate Loans at the greater of (a) prime plus 1.0% or (b) 5.25%, and (ii) for LIBOR Loans at the greater of (a) the London Interbank Offered Rate plus 3.75% or (b) 5.25%. The effective interest rate as of September 30, 2004 on borrowings under the Revolving Loan Agreement was approximately 5.58%, however, no borrowings were outstanding on September 30, 2004. The weighted average borrowing interest rate for the period from January 1, 2004 through September 30, 2004 was 5.25%. Our
9
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
borrowing availability under the Revolving Loan Agreement is generally limited to up to eighty-five percent (85%) of the value of Eligible Receivables plus eighty-five percent (85%) of the value of Eligible Divested Company Receivables, but not to exceed $75.0 million. The defined borrowing base as of September 30, 2004 was $45.8 million, net of specified reserves of $14.0 million. The availability of amounts under our Revolving Loan Agreement is also subject to our compliance with certain financial ratios. As of September 30, 2004, we were in compliance with these ratios. We are also prohibited under our Revolving Loan Agreement from borrowing money from third parties without the prior consent of CapitalSource Finance. As of September 30, 2004, we had issued approximately $15.3 million in letters of credit, leaving approximately $30.5 million available to us for additional borrowing. In connection with entering into the Revolving Loan Agreement, we incurred deferred financing cost s of $2.6 million, which are amortized using the effective interest method over the life of the loan agreement. For the three and nine months ended September 30, 2004, we amortized $0.4 million and $1.4 million, respectively, of these deferred financing costs. In September 2004, $0.9 million of the deferred financing costs were refunded to us.
(4) Long-Term Debt
Long-term debt consisted of the following as of the dates indicated (in thousands):
September 30, 2004 |
December 31, 2003 |
|||
Revolving Loan Agreement |
$ - |
$ 13,091 |
||
Mortgage notes payable due at various dates through 2036, interest at rates |
|
|
|
|
Industrial Revenue Bonds |
6,995 |
7,450 |
||
Other long-term debt |
10,571 |
10,060 |
||
Total long-term debt |
108,028 |
78,878 |
||
Less amounts due within one year |
(16,984 |
) |
(24,600 |
) |
Long-term debt, net of current portion |
$ 91,044 |
$ 54,278 |
||
========== |
========== |
(1) |
Net of discount of $1.1 million. |
(2) |
Includes $51.8 million related to Clipper (see "Note 7 - Variable Interest Entities.") |
The scheduled or expected maturities of long-term debt as of September 30, 2004, were as follows (in thousands):
September 30, 2004 |
|
2005 |
$ 16,984 |
2006 |
20,666 |
2007 |
6,688 |
2008 |
2,773 |
2009 |
2,992 |
Thereafter |
59,031 |
$ 109,134 |
|
========== |
Included in the expected maturities of long-term debt are the following amounts related to the consolidation of Clipper (see "Note 7 - Variable Interest Entities"): $1,050, $1,144, $1,248, $1,354, $1,483, and $44,726, respectively, for 2005, 2006, 2007, 2008, 2009 and thereafter.
(5) Discontinued Operations
In accordance with the provisions of SFAS No. 144, the results of operations of the disposed assets and the gains (losses) related to these divestitures have been classified as discontinued operations, net of $0 income taxes, for all periods presented in the accompanying consolidated statements of operations.
10
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
Inpatient Services: During the nine months ended September 30, 2004, we divested four skilled nursing facilities in accordance with our restructuring plan. During the nine months ended September 30, 2003, we divested 114 skilled nursing facilities.
Pharmaceutical Services: In July 2003, we sold the assets of our pharmaceutical services operations, including the assets of SunScript Pharmacy Corporation, to Omnicare, Inc. We received cash proceeds of $75.0 million and the right to receive up to $15.0 million in additional purchase price held back by the purchaser, which amount is to be paid to us on or before July 15, 2005 subject to fulfillment of certain conditions.
Other Operations: In July 2004, we decided to divest BioPath, our California clinical laboratory and radiology operations. These operations were considered assets held for sale for the third quarter of 2004 and their net operating income (losses) were classified into discontinued operations for the three and nine months ended September 30, 2004 and 2003. See "Note 6 - Assets Held for Sale." On November 7, 2003, Shared Healthcare Systems, Inc. ("SHS"), a majority owned subsidiary, sold substantially all of its software development assets to Accu-Med Services of Washington LLC, a wholly-owned subsidiary of Omnicare, Inc., for approximately $5.0 million in proceeds at closing and up to $0.5 million to be paid in cash in December 2004. In addition, we sold our mobile radiology operations in Washington and Oregon for $0.2 million in October 2003.
The following tables set forth a summary of the discontinued operations for the periods presented (in thousands):
For the Three Months Ended September 30, 2004 |
||||||||||||
Inpatient Services |
Pharmaceutical |
|
|
Mobile |
|
|||||||
Net operating revenues |
$ 371 |
$ - |
$ 5,019 |
$ - |
$ - |
$ 5,390 |
||||||
====== |
====== |
====== |
====== |
====== |
====== |
|||||||
Pretax (loss) income |
$ (207 |
) |
$ (1 |
) |
$ (2,959 |
) |
$ - |
$ (10 |
) |
$ (3,177 |
) |
|
Gain (loss) on disposal of |
|
|
|
|
|
|
|
|
|
|
||
(Loss) income on discontinued |
|
) |
$ 8 |
$ (6,821 |
) |
$ - |
$ (10 |
) |
$ (6,857 |
) |
||
====== |
====== |
====== |
====== |
====== |
====== |
For the Three Months Ended September 30, 2003 |
||||||||||||
Inpatient Services |
Pharmaceutical |
BioPath |
SHS |
Mobile |
Total |
|||||||
Net operating revenues |
$ 49,260 |
$ 9,250 |
$ 6,490 |
$ 291 |
$ 148 |
$ 65,439 |
||||||
====== |
====== |
====== |
====== |
====== |
===== |
|||||||
Pretax (loss) income |
$ (5,539 |
) |
$ (781 |
) |
$ 278 |
$ 201 |
$ (124 |
) |
$ (5,965 |
) |
||
Gain (loss) on disposal of |
11,629 |
|
45,425 |
- |
- |
- |
57,054 |
|||||
Income (loss) on discontinued |
|
|
|
|
|
|
|
|
|
|
||
====== |
====== |
====== |
====== |
====== |
===== |
11
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
For the Nine Months Ended September 30, 2004 |
||||||||||||
Inpatient Services |
Pharmaceutical |
|
|
Mobile |
|
|||||||
Net operating revenues |
$ 5,735 |
$ - |
$ 11,569 |
$ - |
$ - |
$ 17,304 |
||||||
====== |
====== |
====== |
====== |
====== |
====== |
|||||||
Pretax (loss) income |
$ (2,007 |
) |
$ 766 |
$ (11,475 |
) |
$ (2 |
) |
$ (28 |
) |
$ (12,746 |
) |
|
Gain (loss) on disposal of |
|
|
|
|
|
|
|
|
|
|
||
Income (loss) on discontinued |
$ 3,885 |
|
$ (3,698 |
) |
$ (15,337 |
) |
$ 14 |
$ (28 |
) |
$ (15,164 |
) |
|
====== |
====== |
====== |
====== |
====== |
====== |
For the Nine Months Ended September 30, 2003 |
||||||||||||
Inpatient Services |
Pharmaceutical |
|
|
Mobile |
|
|||||||
Net operating revenues |
$ 443,723 |
$ 116,542 |
$ 17,472 |
$ 733 |
$ 566 |
$ 579,036 |
||||||
====== |
====== |
====== |
====== |
====== |
===== |
|||||||
Pretax (loss) income |
$ (22,398 |
) |
$ 4,771 |
$ 555 |
$ (1,070 |
) |
$ (367 |
) |
$ (18,509 |
) |
||
Gain (loss) on disposal of |
|
|
|
|
|
|
|
|
||||
(Loss) income on discontinued |
|
|
|
|
|
|
|
|
|
|
|
|
====== |
====== |
====== |
====== |
====== |
===== |
(6) Assets Held for Sale
As of September 30, 2004, assets held for sale consisted of (i) assets of BioPath Clinical Laboratories, Inc. ("BioPath"), a wholly-owned subsidiary with a fair value of $3.3 million, (ii) three undeveloped parcels of land and various office buildings valued at $4.1 million and (iii) artwork valued at $0.7 million. (See "Note 15 - Subsequent Events.")
We recognized a $1.4 million charge to loss on sale of assets associated with the write-down of a land and building held for sale in third quarter of 2004.
BioPath reported revenues of $5.0 million and $11.6 million for the three and nine month periods ended September 30, 2004, respectively, in discontinued operations. The net operating losses of $3.0 million and $11.5 million, respectively, for the same periods, were included in discontinued operations. Also included in discontinued operations were the net revenues of $6.5 million and $17.5 million and net operating income of $0.3 million and $0.6 million, for the three and nine month periods ended September 30, 2003, respectively.
(7) Variable Interest Entities
In December 2003, the FASB issued a revision to Interpretation No. 46, "Consolidation of Variable Interest Entities" ("FIN No. 46R"), which was originally issued in January 2003. FIN No. 46R provides guidance on the consolidation of certain entities when control exists through means other than ownership of voting (or similar) interests and was effective for public entities that have interests in variable interest entities commonly referred to as special purpose entities for the first reporting period that ends after March 15, 2004. FIN No. 46R requires consolidation by the majority holder of expected residual gains and losses of the activities of a variable interest entity ("VIE").
12
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
We currently own a five percent interest in each of eight limited liability companies and partnerships, each of which own one facility that we operate in New Hampshire. In April 2004, we entered into an agreement with the owners of the remaining interests in those eight entities, and with the sole proprietorship owner of a ninth entity which also owns a facility in New Hampshire that we operate (collectively known as "Clipper"). That agreement granted us options, exercisable sequentially over a period of seven years, pursuant to which we can acquire up to 100 percent of the ownership of those nine entities for an aggregate amount of up to approximately $10.7 million, subject to reduction in certain circumstances. The agreement also provides the owners the right to require us to purchase those ownership interests at the above described option prices. These put rights can be exercised for any options that have come due but which were not exercised by us up t o that point in time, but no later than December 31, 2010.
We have concluded that Clipper, as identified above, meets the definition of a VIE because we have agreements with the majority owners granting us the option to acquire, and the right of the owners to put to us 100% ownership of Clipper. Clipper's objective is to achieve rental income from the leasing of skilled nursing and assisted living facilities owned by Clipper. The debt of Clipper is collateralized by the fixed assets of the respective partnerships, limited liability companies and sole proprietorship. None of our assets serve as collateral on the Clipper debt and creditors do not have any general recourse against us.
As the primary beneficiary of the VIE, we consolidated Clipper beginning in the third quarter of 2004. This change will have no affect on previously reported net earnings. Our consolidated assets and liabilities increased approximately $45.9 million and $41.2 million, respectively, based upon the fair value of the assets and liabilities of Clipper, as of July 1, 2004. Upon consolidation, we eliminated our investment in Clipper. The following provides a summary of the balance sheet impact of Clipper upon consolidation as of September 30, 2004 (in thousands):
Current assets: |
||
Cash and cash equivalents |
$ 1,328 |
|
Other receivables |
263 |
|
Restricted cash - short term |
1,930 |
|
Prepaids and other assets |
176 |
|
|
||
Total current assets |
3,697 |
|
Property, plant and equipment, net: |
||
Land |
6,391 |
|
Buildings |
39,611 |
|
Building improvements |
2,253 |
|
Equipment |
108 |
|
Total |
48,363 |
|
Other assets, net |
(6,123 |
) |
Total assets |
$ 45,937 |
|
========= |
||
Current liabilities: |
||
Mortgages, short-term |
$ 881 |
|
Other accrued liabilities |
1,821 |
|
Total current liabilities |
2,702 |
|
Mortgages, long-term |
50,949 |
|
Unfavorable lease intangibles |
(12,478 |
) |
Other long-term liabilities |
2 |
|
Total long-term liabilities |
38,473 |
|
Total liabilities |
41,175 |
|
Minority interest |
10,658 |
|
13
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
Accumulated deficit |
(5,896 |
) |
|
Total liabilities and stockholders' deficit |
$ 45,937 |
||
========= |
We applied SFAS No. 141 "Business Combinations" ("SFAS No. 141") to consolidate Clipper. The following table summarizes the estimated fair values of the assets and liabilities assumed at the date of consolidation (in thousands.)
Current assets |
$ 3,397 |
|
Current liabilities (includes $0.9 million of short- |
|
|
Long-term debt |
50,949 |
|
Total liabilities assumed |
53,651 |
|
Minority interest |
10,658 |
|
Net assets |
$ 60,912 |
|
======== |
Upon consolidation, a $12.5 million unfavorable lease intangible related to the nine entities and recorded on our books prior to consolidation, was allocated against the $60.9 million basis of property, plant and equipment, and provided a consolidation value of $48.4 million. The allocation of the fair value is subject to refinement.
For the three and nine month periods ended September 30, 2004, the consolidation of Clipper included a charge to net income of $0.5 million comprised primarily of a $0.8 million credit to rent expense and a charge of $1.0 million and $0.3 million in interest and depreciation, respectively.
(8) 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. There is 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. In addition, in certain states in which we operate, state law prohibits insurance coverage for punitive damages arising from general and professional liability litigation, and we could be held liable for punitive damages in those states. Although we believe the companies we have purchased insurance from are solvent, in light of the dramatic changes occurring in the insurance industry in recent years, we cannot be assured that they will remain solvent and able to fulfill their obligations . Provisions for estimated reserves, including incurred but not reported losses, are provided in the period of the related coverage. These provisions are based on actuarial analyses, internal evaluations of the merits of individual claims, and industry loss development factors or lag analyses. The methods of making such estimates and establishing the resulting reserves are reviewed periodically, and any resulting adjustments are reflected in current earnings. Claims are paid over varying periods, and future payments may be different than the estimated reserves.
Prior to January 1, 2000, the maximum loss exposure with respect to the third-party insurance policies was $100,000 per claim for general and professional liability. Since January 2000, we have relied upon self-funded insurance programs for general and professional liability claims up to a base amount per claim and an aggregate per location, and we obtained excess insurance policies for claims above those amounts. The programs had the following self-insured retentions: (i) for events occurring from January 1, 2000 to December 31, 2002, $1.0 million per claim, and $3.0 million aggregate per location, (ii) for claims made in 2003, $10.0 million per claim with excess coverage above this level, and (iii) for claims made in 2004, $5.0 million per claim with excess coverage of $5.0 million above this level. An independent actuarial
14
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
analysis is prepared twice a year to determine the expected losses and reserves for estimated settlements for general and professional liability under the per claim retention level, including incurred but not reported losses. For the years 2000 through 2004, these reserves are provided on an undiscounted basis. We estimate our range of exposure at September 30, 2004 was approximately $105.8 million to $129.3 million. We anticipate that the range will decline over time as risks associated with facilities we no longer operate age past the applicable statute of limitations. The paid claims for the three months ended September 30, 2004 and 2003 were $5.6 million and $2.4 million, respectively, and $16.0 million and $13.3 million for the nine months ended September 30, 2004 and 2003, respectively.
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. At September 30, 2004, the discounting of these policy periods resulted in a reduction to our reserves of approximately $7.3 million. We estimate our range of exposure at September 30, 2004 was approximately $55.6 million to $68.0 million. The paid claims for each of the three months ended September 30, 2004 and 2003 were $4.6 million and $3.5 million, respectively, and $15.2 million and $19.2 million, respectively, for the nine months ended September 30, 2004 and 2003.
The provision for loss for insurance risks for the periods presented (in thousands):
For the |
For the |
|||||||
September 30, 2004 |
September 30, 2003 |
September 30, 2004 |
September 30, 2003 |
|||||
Professional Liability: |
||||||||
Continuing operations |
$ 6,277 |
$ 4,360 |
$ 18,257 |
$ 14,219 |
||||
Discontinued operations |
71 |
2,046 |
254 |
18,944 |
||||
$ 6,348 |
$ 6,406 |
$ 18,511 |
$ 33,163 |
|||||
========= |
========= |
========= |
========= |
|||||
Workers' Compensation: |
||||||||
Continuing operations |
$ 5,118 |
$ 4,136 |
$ 13,261 |
$ 12,024 |
||||
Discontinued operations |
25 |
1,776 |
79 |
12,464 |
||||
$ 5,143 |
$ 5,912 |
$ 13,340 |
$ 24,488 |
|||||
========= |
========= |
========= |
========= |
A summary of the assets and liabilities related to insurance risks at September 30, 2004 and December 31, 2003 were as indicated (in thousands):
|
September 30, 2004 |
| |
December 31, 2003 |
||||||||
Professional |
Workers' Compensation |
|
| |
Professional |
Workers' Compensation |
|
|||||
Assets (1): |
| |
||||||||||
Restricted cash |
|
| |
|||||||||
Current |
$ 3,080 |
$ 17,097 |
$ 20,177 |
| |
$ 5,025 |
$ 22,407 |
$ 27,432 |
||||
Non-current |
- |
31,780 |
31,780 |
| |
- |
31,002 |
31,002 |
||||
$ 3,080 |
$ 48,877 |
$ 51,957 |
| |
$ 5,025 |
$ 53,409 |
$ 58,434 |
|||||
======== |
======== |
======== |
| |
======== |
======== |
======== |
|||||
Liabilities (2): |
| |
||||||||||
Self-insurance liabilities |
| |
||||||||||
Short-term |
$ 19,319 |
$ 17,097 |
$ 36,416 |
| |
$ 30,740 |
$ 22,407 |
$ 53,147 |
||||
Long-term |
101,638 |
41,772 |
143,410 |
| |
90,960 |
47,112 |
138,072 |
||||
|
$ 120,957 |
$ 58,869 |
$ 179,826 |
| |
$ 121,700 |
$ 69,519 |
$ 191,219 |
||||
======== |
======== |
======== |
| |
======== |
======== |
======== |
|||||
15
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(1) |
Total restricted cash excluded $8,956 and $9,185 at September 30, 2004 and December 31, 2003, respectively, held for bank collateral, various mortgages, bond payments and a $1.9 million reserve for capital expenditures on HUD buildings. |
(2) |
Total self-insurance liabilities excluded $3,977 and $5,882 at September 30, 2004 and December 31, 2003, respectively, related to our health insurance liabilities. |
(b) Restricted Cash
Restricted cash, included in current assets, as of September 30, 2004 and December 31, 2003, was $26.0 million and $33.7 million, respectively, related to our funding of self insurance obligations and various escrow and bond commitments. Of the $26.0 million restricted as of September 30, 2004, $17.1 million was held for workers' compensation claim payments, $3.1 million was held for the payment of patient care liability claims and settlements, $3.9 million was held for bank collateral, various mortgages and bond payments and $1.9 million was held as a reserve for capital expenditures on HUD buildings. Of the $33.7 million restricted as of December 31, 2003, $22.4 million was held for workers' compensation claim payments, $5.0 million was held for the payment of patient care liability claims and settlements and $6.3 million was held for bank collateral, various mortgages and bond payments.
Non-current restricted cash as of September 30, 2004 and December 31, 2003 was $34.9 million and $33.9 million, respectively. Of the $34.9 million restricted as of September 30, 2004, $31.8 million was related to our funding of future workers' compensation self-insurance obligations and $3.1 million was maintained to repay a mortgage. Of the $33.9 million restricted as of December 31, 2003, $31.0 million was related to our funding of self-insurance obligations and $2.9 million was maintained to repay a mortgage.
(9) Capital Stock
(a) Common Stock
As of September 30, 2004, we had 15,320,766 shares of our common stock outstanding. These shares were issued as follows: 9,895,534 shares in connection with our emergence from proceedings under chapter 11 of title 11 of the United States Code, 240,000 shares pursuant to the 2004 Equity Incentive Plan, 4,425,232 shares in a private placement in February 2004, and 760,000 shares to Omega Healthcare Investors, Inc. ("Omega") upon Omega's exercise of its right to convert approximately $7.8 million of deferred base rent into our common stock. As of September 30, 2004, we expected to issue up to an additional 104,466 shares of our common stock to general unsecured creditors with claims of more than $50,000 in accordance with our Plan of Reorganization. The fair value of the additional common stock to be issued is approximately $2.8 million valued at $27.00 per share by our Plan of Reorganization and is recorded in other long-term liabilities in the September 30, 200 4 consolidated balance sheet. On November 1, 2004, the closing price of our common stock on Nasdaq was $7.85 per share.
(b) Warrants
In April 2002, we issued warrants to purchase approximately 500,000 shares of our common stock to the holders of our senior subordinated notes prior to emergence from bankruptcy. The warrants have a strike price of $76.00 per share and expire on February 27, 2005. The fair value of the warrants was estimated to be $1.8 million and was recorded in additional paid-in capital in the September 30, 2004 consolidated balance sheet.
In February 2004, in conjunction with our private equity offering, we issued warrants to purchase 2,017,897 shares of our common stock, of which 1,707,924 shares have a strike price of $12.65, 62,160 shares have a strike price of $12.82, and 247,813 shares have a strike price of $15.87. The warrants have an exercise period of five years.
(c) Stock Option Plans
In February 2002, we adopted the 2002 Management Equity Incentive Plan (the "2002 Plan"), which allowed for the issuance of up to 900,000 shares of our common stock. In March and May 2004, our Board of Directors and stockholders, respectively, amended and restated the 2002 Plan and renamed it as the 2004 Equity Incentive Plan (the "2004 Plan"). Under
16
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
the 2004 Plan, an additional 1.2 million shares are authorized for issuance as awards. As of September 30, 2004, our employees and directors held options to purchase 442,430 shares under this plan and we had issued 240,000 shares of restricted common stock and awarded 134,300 shares of stock units.
In March 2002, we adopted the 2002 Non-employee Director Equity Incentive Plan (the "Director Plan"), which, as amended in August 2002, allowed for the issuance of up to 160,000 options to purchase shares of our common stock. Upon the adoption of the 2004 Plan, the grant of further awards under the Director Plan was suspended so that no additional awards could be made under the Director Plan. As of September 30, 2004, our directors held options to purchase 60,000 shares under the Director Plan.
As of September 30, 2004, we had outstanding options covering an aggregate of 502,430 shares of our common stock to our employees and directors, of which 442,430 options were granted with a strike price of $6.85 per share and expire in 2011, 30,000 options were granted with a strike price of $11.25 per share and expire in 2011, and 30,000 options were granted with a strike price of $27.00 per share and expire in 2009. The strike prices were equal to or greater than the estimated market value at date of issuance. The options vest 25% per year on the first four anniversary dates.
On June 2, 2004, we canceled stock options to purchase an aggregate of 660,000 shares of common stock at an exercise price of $27.00 per share. The holders of the canceled options, who are all our employees, received the contingent right to receive a replacement stock option to be granted on or about December 3, 2004, with the replacement stock option covering the same number of shares as the canceled option and a per share exercise price equal to the market price of a share of our stock on the date of grant of the new stock option.
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 ("APB No. 25"), 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. 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, prescribed in APB No. 25.
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.
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 income and diluted net 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):
For the |
For the |
|||||||
September 30, 2004 |
September 30, 2003 |
September 30, 2004 |
September 30, 2003 |
|||||
Net (loss) income as reported (1) |
$ (11,091 |
) |
$ 39,110 |
$ (14,216 |
) |
$ 14,275 |
||
Stock option compensation expense, |
|
|
|
|
|
|
|
|
Pro Forma net (loss) income |
$ (11,228 |
) |
$ 38,981 |
$ (14,627 |
) |
$ 13,884 |
||
======= |
======== |
======== |
======= |
|||||
Net (loss) income per share: |
||||||||
Basic and diluted: |
||||||||
Net (loss) income as reported |
$ (0.73 |
) |
$ 3.89 |
$ (1.00 |
) |
$ 1.42 |
||
Stock option compensation expense, |
|
|
|
|
|
|
|
|
Pro Forma net (loss) income |
$ (0.74 |
) |
$ 3.88 |
$ (1.03 |
) |
$ 1.38 |
||
======= |
======== |
======== |
======= |
17 SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(1) |
Includes total charges to our consolidated statements of income related to restricted stock grants for the three and nine months ended September 30, 2004 of $0.3 million and $0.9 million, respectively, and $0.2 million and $0.7 million, respectively, for the three and nine months ended September 30, 2003. |
The Black-Scholes option valuation model was developed for use in estimating the fair value of traded options, which have no vesting restrictions and are fully transferable. In addition, option valuation models require the input of highly subjective assumptions including the expected stock price volatility. Since our stock options have characteristics significantly different from those of traded options, and changes in the subjective input assumptions can materially affect the fair value estimate, in our opinion, the existing models do not necessarily provide a reliable single measure of the fair value of its employee stock options.
On October 13, 2004, the FASB concluded that Statement of Financial Accounting Standards No. 123R, "Share-Based Payment" ("SFAS No. 123R") which would require all companies to measure compensation cost for all share-based payments (including employee stock options) at fair value, would be effective for public companies for interim or annual periods beginning after June 15, 2005. Retroactive application of the requirements of SFAS No. 123R to the beginning of the fiscal year that includes the effective date would be permitted, but not required. Early adoption of SFAS No. 123R is encouraged. We are currently assessing the potential impact on our financial condition and results of operations from the adoption of SFAS No. 123R.
(10) Earnings per Share
Basic net income (loss) per share is based upon the weighted average number of common shares outstanding during the period. The weighted average number of common shares for the three and nine months ended September 30, 2004 include the common shares issued in connection with emergence from bankruptcy, 104,466 common shares outstanding to be issued once the prepetition claims are finalized, the common shares issued in connection with our private placement in February 2004, the common shares issued to Omega, and the common shares issued as common stock awards. See "Note 9 - Capital Stock."
The diluted calculation of income (loss) per common share includes the dilutive effect of warrants, stock options and non-vested restricted stock. However, in periods of losses, diluted net loss per share is based upon the weighted average number of common shares outstanding during the period.
(11) Income Taxes
The provision for income taxes is based upon our estimate of taxable income or loss for each respective accounting period. We recognized an asset or liability for the deferred tax consequences of temporary differences between the tax bases of assets and liabilities and their reported amounts in the financial statements. These temporary differences would result in taxable or deductible amounts in future years when the reported amounts of the assets are recovered or liabilities are settled. We also recognized as deferred tax assets the future tax benefits from net operating loss ("NOL"), capital loss, and tax credit carryforwards. A valuation allowance was provided for deferred tax assets as it is more likely than not that some portion or all of the net deferred tax assets will not be realized.
There is no provision for income taxes for the three months ended September 30, 2004. The current provision for income taxes of $0.2 million for the three months ended September 30, 2003 was based on estimated state income tax liability for that period. The current benefit for income taxes of $1.1 million for the nine months ended September 30, 2004 consisted of $1.4 million of IRS refunds received due to NOL carrybacks less $0.3 million of estimated state income tax liability for this period. The current provision for income taxes of $0.7 million for the nine months ended September 30, 2003 was based on estimated state income tax liability for that period. 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 other than for refunds received were recorded for these periods for federal income tax purpos es since the realization of NOL carryforwards is uncertain.
In connection with our emergence from bankruptcy on February 28, 2002, we realized a gain on the extinguishment of debt of approximately $1.5 billion. This gain was not taxable since the gain resulted from our reorganization under the Bankruptcy Code. However, pursuant to Section 108 of the Internal Revenue Code, we were required as of the beginning of
18
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
our 2003 taxable year to reduce certain tax attributes, including (a) NOL and capital loss carryforwards, (b) certain tax credits, and (c) tax bases in assets, in an amount equal to such gain on extinguishment.
After considering the reduction in tax attributes discussed above, we have federal NOL carryforwards of $1.1 billion with expiration dates from 2004 through 2024. Various subsidiaries have state NOL carryforwards totaling $1.2 billion with expiration dates through the year 2024. In addition, we have capital loss carryforwards of $272.6 million, of which $10.1 million, $260.4 million and $2.1 million will expire in 2004, 2006, and 2007, respectively. Our alternative minimum tax credit carryforward of $4.3 million has no expiration date. Our $7.2 million of other tax credit carryforwards will expire in years 2004 through 2022.
Internal Revenue Code Section 382 imposes a limitation on the use of a company's NOL carryforwards and other losses when the company has an ownership change. In general, an ownership change occurs when shareholders owning 5% or more of a "loss corporation" (a corporation entitled to use NOL or other loss carryovers) have increased their ownership of stock in such corporation by more than 50 percentage points during any 3-year testing period beginning on the first day following the change date for an earlier ownership change. The annual base Section 382 limitation is calculated by multiplying the loss corporation's value at the time of the ownership change times the greater of the long-term tax-exempt rate determined by the IRS in the month of the ownership change or the two preceding months.
Our reorganization under the Bankruptcy Code effective February 28, 2002, constituted an ownership change under Section 382 of the Internal Revenue Code. Therefore, the use of any of our losses and tax credits generated prior to that date which remain after attribute reduction are subject to the limitations described in Section 382. Our application of the rules under Section 382 and Section 108 is subject to challenge upon IRS review. A successful challenge could significantly impact our ability to utilize deductions, losses and tax credits generated prior to 2003.
We have had significant changes in the ownership of our stock since our emergence from bankruptcy as a result of changes in the holdings of our 5% or more stockholders and our private placement of common stock and accompanying warrants. A second ownership change has not yet occurred. However, future acquisitions and/or capital needs may necessitate the issuance of additional shares which could trigger such a change. In addition, subsequent changes in the holdings of current or future 5% or more shareholders could result in a second ownership change. The resulting base Section 382 limitation that would be imposed on us upon a second ownership change to limit the use of our tax attributes for federal income tax purposes would depend on our value at that time as calculated under the applicable Treasury Regulations.
(12) Other Events
(a) Litigation
In February 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 violated the terms of the Permanent Injunction and Final Judgment (the "PIFJ") entered in during October 2001. Those allegations were reiterated in correspondence we received from the BMFEA in October 2004. 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 requested that we pay their costs of the investigation and to audit our operations in California, and, initially, requested an unspecified cash penalty. We believe that we are in compliance with the PIFJ; however, it no w appears probable that the BMFEA will ultimately initiate proceedings against us to assert a violation. We are unable to determine any action that the BMFEA might take if a court were to find that we have violated the PIFJ nor can we estimate any amount that the BMFEA may ultimately seek or the remedies that court may ultimately award against us, or the cost to us resulting from an adverse outcome in this matter. An adverse outcome in these matters could have a material adverse effect on our financial position, results of operations and cash flows. We intend to defend this matter vigorously.
In January 2004, 12 care givers, now former employees of SunBridge Care and Rehab for Escondido-East, were arraigned on charges brought by the California Attorney General with respect to allegations that care given to an elderly woman resident was deficient. The court dismissed all charges against the twelve defendants in June 2004. In September
19
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
2004, the California Attorney General refiled misdemeanor charges against the same defendants. SunBridge Care and Rehab for Escondido-East is a skilled nursing facility in Escondido, California that is operated by Care Enterprises West, an indirect subsidiary of Sun Healthcare Group, Inc. Neither Sun Healthcare Group, Inc. nor Care Enterprises West has been charged with any wrongdoing.
On June 1, 2004, we commenced a declaratory relief action in the Orange County, California Superior Court in which Steadfast Insurance Company, American International Group ("AIG") and certain of AIG's subsidiaries are parties. The action seeks, among other things, a judicial determination that the carrier providing coverage under our excess/umbrella insurance policy for the 2000 through 2002 policy years is obligated to provide first dollar insurance coverage for those three policy years pursuant to the terms of the excess/umbrella policy. That policy provides that the excess/umbrella policy continues in force as underlying insurance upon exhaustion of the underlying primary insurance policy. If we prevail in this action, such a judicial determination would eliminate a portion of our self-insured liabilities for general and professional liability claims. We can give no assurances that we will in fact prevail and, accordingly, our financial state ments reflect no positive adjustment for the drop down of the excess/umbrella coverage asserted in this litigation.
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 significant operations, including California, insurance coverage for the risk of punitive damages arising from general and professional liability litigation is ge nerally not available due to state law public policy prohibitions. There can be no assurance that we will not be liable for punitive damages awarded in litigation arising in states for which punitive damage insurance coverage is not available.
We operate in industries that are extensively regulated. As such, in the ordinary course of business, we are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are or have been and/or may in the future 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 co ntinue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations, whether currently asserted or arising in the future, could have a material adverse effect on our financial position, results of operations and cash flows.
(b) Reimbursement Matters
In the ordinary course of business, fiscal intermediaries and Medicaid agencies examine cost reports filed by our skilled nursing facilities. If, as a result of any such examination, it is concluded that overpayments were made, we would be held financially responsible for such overpayments. At this time we are unable to predict the outcome of any existing or future examinations.
During a routine compliance audit of a division of SunAlliance, our laboratory and radiology services subsidiary that has estimated annual revenues of approximately $45.0 million, we discovered billing problems related to a 2003 billing system conversion. A revenue adjustment of approximately $3.3 million for the prior year was recorded in March 2004 of which $2.4 million related to a revenue overpayment. See "Note 6 - Assets Held for Sale" and "Note 15 - Subsequent Events."
(13) Segment Information
We operate predominantly in the long-term care segment of the healthcare industry. We are a provider of long-term, sub-acute and related ancillary care services to nursing home patients.
20
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
The following summarizes the services provided by our reportable and other segments:
Inpatient Services: This segment provides, through SunBridge Healthcare Corporation and other of our direct and indirect subsidiaries (collectively "SunBridge"), 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 aids. At September 30, 2004, we operated 106 long-term care facilities (consisting of 89 skilled nursing facilities, six mental health facilities, eight assisted living facilities and three specialty acute care hospitals) with 10,826 licensed beds as compared with 124 facilities with 12,544 licensed beds at September 30, 2003.
Rehabilitation Therapy Services: This segment provides, through SunDance Rehabilitation Corporation ("SunDance"), physical, occupational and speech therapy services to affiliated and nonaffiliated skilled nursing facilities. At September 30, 2004, this segment provided services to 401 facilities, of which 311 were nonaffiliated and 90 were affiliated, as compared to 477 facilities at September 30, 2003, of which 364 were nonaffiliated and 113 were affiliated.
Medical Staffing Services: This segment provides temporary medical staffing, primarily through CareerStaff Unlimited, Inc. ("CareerStaff"). For the nine months ended September 30, 2004, CareerStaff derived approximately 17% of its revenues from schools and governmental agencies, 53% from hospitals and other providers and 30% from skilled nursing facilities. CareerStaff provides (i) licensed therapists skilled in the areas of physical, occupational and speech therapy, (ii) nurses, (iii) pharmacists, pharmacist technicians and medical imaging technicians and (iv) related medical personnel. As of September 30, 2004, CareerStaff had 33 division offices, which provided temporary therapy and nursing staffing services in major metropolitan areas and 3 division offices, which specialized in the placement of temporary traveling therapists and nurses in smaller cities and rural areas.
Home Health Services: This segment provides skilled nursing care, rehabilitation therapy and home infusion services to adult and pediatric patients in California and Ohio through SunPlus Home Health Services, Inc. ("SunPlus"). SunPlus also operates three licensed pharmacies in California.
Laboratory and Radiology Services: This segment provides mobile radiology and medical laboratory services in Arizona, Colorado and Massachusetts to skilled nursing facilities, primarily through SunAlliance Healthcare Services, Inc. ("SunAlliance"). See "Note 15 - Subsequent Events."
Corporate assets primarily consist of cash and cash equivalents, receivables from subsidiary segments, notes receivable and property and equipment.
Our reportable segments are strategic business units that provide different products and services. They are managed separately, among other reasons, because each business has different marketing strategies due to differences in types of customers, different distribution channels and different capital resource needs.
21
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
The following tables summarize, for the periods indicated, operating results and other financial information, by business segment:
For the Three Months Ended September 30, 2004
Segment Information (in thousands):
|
|
Rehabilitation |
Medical |
Home |
Laboratory and |
|
|
|
|
||||||||||||||||||
Total net revenues |
$ |
147,842 |
$ |
32,100 |
$ |
13,915 |
$ |
14,887 |
$ |
4,700 |
$ |
2 |
$ |
(8,976 |
) |
$ |
204,470 |
$ |
5,390 |
||||||||
Operating salaries and benefits |
76,168 |
22,985 |
10,819 |
9,983 |
2,678 |
- |
- |
122,633 |
4,021 |
||||||||||||||||||
Self insurance for workers' |
|
|
|
|
|
|
|
|
|
||||||||||||||||||
Other operating costs |
41,476 |
5,717 |
982 |
1,699 |
1,457 |
1 |
(8,976 |
) |
42,356 |
1,783 |
|||||||||||||||||
General and administrative expenses |
3,068 |
964 |
828 |
220 |
109 |
8,198 |
- |
13,387 |
3 |
||||||||||||||||||
Provision for losses on accounts |
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
Segment operating income (loss) |
$ |
16,432 |
$ |
1,722 |
$ |
997 |
$ |
2,205 |
$ |
(444 |
) |
$ |
(8,275 |
) |
$ |
- |
$ |
12,637 |
$ |
(2,827 |
) |
||||||
Facility rent expense |
8,818 |
176 |
188 |
465 |
91 |
- |
- |
9,738 |
234 |
||||||||||||||||||
Depreciation and amortization |
2,419 |
45 |
45 |
141 |
73 |
148 |
- |
2,871 |
119 |
||||||||||||||||||
Interest, net |
1,756 |
21 |
- |
2 |
- |
618 |
- |
2,397 |
(3 |
) |
|||||||||||||||||
Net segment income (loss) |
$ |
3,439 |
$ |
1,480 |
$ |
764 |
$ |
1,597 |
$ |
(608 |
) |
$ |
(9,041 |
) |
$ |
- |
$ |
(2,369 |
) |
$ |
(3,177 |
) |
|||||
===== |
====== |
====== |
====== |
====== |
===== |
====== |
====== |
====== |
|||||||||||||||||||
Intersegment revenues |
$ |
(151 |
) |
$ |
8,407 |
$ |
675 |
$ |
- |
$ |
45 |
$ |
- |
$ |
(8,976 |
) |
$ |
- |
$ |
- |
|||||||
Identifiable segment assets |
$ |
183,834 |
$ |
27,784 |
$ |
10,543 |
$ |
11,372 |
$ |
4,996 |
$ |
459,384 |
$ |
(360,462 |
) |
$ |
337,451 |
$ |
285 |
||||||||
Segment capital expenditures |
$ |
2,459 |
$ |
76 |
$ |
2 |
$ |
30 |
$ |
60 |
$ |
634 |
$ |
- |
$ |
3,261 |
$ |
122 |
The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, restructuring costs, net, loss on sale of assets, net, income taxes and discontinued operations.
The term "net segment income (loss)" is defined as earnings before restructuring costs, net, loss on sale of assets, net, income taxes and discontinued operations.
22
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
For the Three Months Ended September 30, 2003
Segment Information (in thousands):
|
Rehabilitation |
Medical |
Home |
Laboratory and Radiology |
|
|
|
|
|||||||||||||||||||
Total net revenues |
$ |
139,616 |
$ |
38,757 |
$ |
16,290 |
$ |
13,748 |
$ |
4,807 |
$ |
8 |
$ |
(9,797 |
) |
$ |
203,429 |
$ |
65,439 |
||||||||
Operating salaries and benefits |
74,608 |
27,779 |
11,632 |
10,137 |
2,688 |
(8 |
) |
- |
126,836 |
38,724 |
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||
Other operating costs |
37,721 |
7,088 |
2,569 |
1,591 |
1,269 |
9 |
(9,797 |
) |
40,450 |
22,854 |
|||||||||||||||||
General and administrative expenses |
3,751 |
848 |
539 |
169 |
- |
11,775 |
- |
17,082 |
1,216 |
||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Segment operating income (loss) |
$ |
15,077 |
$ |
2,609 |
$ |
1,065 |
$ |
1,265 |
$ |
585 |
$ |
(11,763 |
) |
$ |
- |
$ |
8,838 |
$ |
(2,249 |
) |
|||||||
Facility rent expense |
8,964 |
196 |
262 |
407 |
81 |
- |
- |
9,910 |
3,700 |
||||||||||||||||||
Depreciation and amortization |
1,545 |
298 |
17 |
121 |
66 |
(220 |
) |
- |
1,827 |
(100 |
) |
||||||||||||||||
Interest, net |
781 |
(8 |
) |
- |
- |
- |
3,311 |
- |
4,084 |
104 |
|||||||||||||||||
Net segment income (loss) |
$ |
3,787 |
$ |
2,123 |
$ |
786 |
$ |
737 |
$ |
438 |
$ |
(14,854 |
) |
$ |
- |
$ |
(6,983 |
) |
$ |
(5,953 |
) |
||||||
===== |
===== |
====== |
====== |
====== |
===== |
====== |
====== |
====== |
|||||||||||||||||||
Intersegment revenues |
$ |
(149 |
) |
$ |
8,651 |
$ |
1,219 |
$ |
- |
$ |
76 |
$ |
- |
$ |
(9,797 |
) |
$ |
- |
$ |
- |
|||||||
Identifiable segment assets |
$ |
138,372 |
$ |
32,201 |
$ |
11,748 |
$ |
12,740 |
$ |
4,282 |
$ |
478,165 |
$ |
(365,723 |
) |
$ |
311,785 |
$ |
29,037 |
||||||||
Segment capital expenditures |
$ |
1,689 |
$ |
117 |
$ |
68 |
$ |
312 |
$ |
272 |
$ |
510 |
$ |
- |
$ |
2,968 |
$ |
167 |
The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, restructuring costs, net, loss on sale of assets, net, income taxes and discontinued operations.
The term "net segment income (loss)" is defined as earnings before restructuring costs, net, loss on sale of assets, net, income taxes and discontinued operations.
23
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
For the Nine Months Ended September 30, 2004
Segment Information (in thousands):
|
|
Rehabilitation |
Medical |
Home |
Laboratory and Radiology |
|
|
|
|
||||||||||||||||||
Total net revenues |
$ |
443,192 |
$ |
103,761 |
$ |
42,406 |
$ |
42,462 |
$ |
14,497 |
$ |
46 |
$ |
(26,755 |
) |
$ |
619,609 |
$ |
17,304 |
||||||||
Operating salaries and benefits |
224,817 |
71,955 |
32,864 |
30,025 |
7,996 |
1 |
- |
367,658 |
15,551 |
||||||||||||||||||
Self insurance for workers' |
|
|
|
|
|
|
|
|
|
||||||||||||||||||
Other operating costs |
121,270 |
17,780 |
3,191 |
4,995 |
4,296 |
2 |
(26,755 |
) |
124,779 |
8,258 |
|||||||||||||||||
General and administrative expenses |
8,871 |
2,618 |
2,428 |
684 |
336 |
30,054 |
- |
44,991 |
175 |
||||||||||||||||||
Provision for losses on accounts |
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||
Segment operating income (loss) |
$ |
57,673 |
$ |
9,197 |
$ |
2,937 |
$ |
4,848 |
$ |
638 |
$ |
(30,214 |
) |
$ |
- |
45,079 |
$ |
(11,751 |
) |
||||||||
Facility rent expense |
26,940 |
612 |
604 |
1,365 |
271 |
- |
- |
29,792 |
668 |
||||||||||||||||||
Depreciation and amortization |
4,876 |
216 |
137 |
443 |
219 |
439 |
- |
6,330 |
305 |
||||||||||||||||||
Interest, net |
3,418 |
16 |
2 |
33 |
(46 |
) |
2,931 |
- |
6,354 |
22 |
|||||||||||||||||
Net segment income (loss) |
$ |
22,439 |
$ |
8,353 |
$ |
2,194 |
$ |
3,007 |
$ |
194 |
$ |
(33,584 |
) |
$ |
- |
$ |
2,603 |
$ |
(12,746 |
) |
|||||||
===== |
====== |
====== |
====== |
====== |
===== |
====== |
====== |
====== |
|||||||||||||||||||
Intersegment revenues |
$ |
(449 |
) |
$ |
25,294 |
$ |
1,763 |
$ |
- |
$ |
147 |
$ |
(26,755 |
) |
$ |
- |
$ |
- |
$ |
- |
|||||||
Identifiable segment assets |
$ |
183,834 |
$ |
27,784 |
$ |
10,543 |
$ |
11,372 |
$ |
4,996 |
$ |
459,384 |
$ |
(360,462 |
) |
$ |
337,451 |
$ |
285 |
||||||||
Segment capital expenditures |
$ |
5,358 |
$ |
144 |
$ |
25 |
$ |
93 |
$ |
183 |
$ |
1,845 |
$ |
- |
$ |
7,648 |
$ |
657 |
The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, restructuring costs, net, loss on sale of assets, net, income taxes and discontinued operations.
The term "net segment income (loss)" is defined as earnings before restructuring costs, net, loss on sale of assets, net, income taxes and discontinued operations.
24
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
For the Nine Months Ended September 30, 2003
Segment Information (in thousands):
|
Rehabilitation |
Medical |
Home |
Laboratory and Radiology |
|
|
|
|
|||||||||||||||||||
Total net revenues |
$ |
413,619 |
$ |
112,950 |
$ |
47,226 |
$ |
42,033 |
$ |
14,698 |
$ |
85 |
$ |
(38,387 |
) |
$ |
592,224 |
$ |
579,036 |
||||||||
Operating salaries and benefits |
215,165 |
76,000 |
34,264 |
30,514 |
8,042 |
(38 |
) |
- |
363,947 |
300,976 |
|||||||||||||||||
Self insurance for workers' |
|
|
|
|
301 |
|
|
|
|
||||||||||||||||||
Other operating costs |
116,393 |
18,651 |
8,553 |
4,880 |
3,825 |
12 |
(38,387 |
) |
113,927 |
208,890 |
|||||||||||||||||
General and administrative expenses |
11,216 |
2,669 |
1,655 |
666 |
- |
34,026 |
- |
50,232 |
6,681 |
||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||
Segment operating income (loss) |
$ |
44,607 |
$ |
13,782 |
$ |
1,676 |
$ |
4,467 |
$ |
1,955 |
$ |
(33,903 |
) |
$ |
- |
$ |
32,584 |
$ |
23,268 |
||||||||
Facility rent expense |
26,655 |
588 |
736 |
1,275 |
250 |
- |
- |
29,504 |
38,733 |
||||||||||||||||||
Depreciation and amortization |
3,955 |
902 |
48 |
371 |
188 |
22 |
- |
5,486 |
2,111 |
||||||||||||||||||
Interest, net |
2,317 |
(26 |
) |
- |
- |
- |
12,435 |
- |
14,726 |
612 |
|||||||||||||||||
Net segment income (loss) |
$ |
11,680 |
$ |
12,318 |
$ |
892 |
$ |
2,821 |
$ |
1,517 |
$ |
(46,360 |
) |
$ |
- |
$ |
(17,132 |
) |
$ |
(18,188 |
) |
||||||
===== |
====== |
====== |
====== |
====== |
===== |
====== |
====== |
====== |
|||||||||||||||||||
Intersegment revenues |
$ |
(450 |
) |
$ |
31,439 |
$ |
6,641 |
$ |
- |
$ |
757 |
$ |
- |
$ |
(38,387 |
) |
$ |
- |
$ |
- |
|||||||
Identifiable segment assets |
$ |
138,372 |
$ |
32,201 |
$ |
11,748 |
$ |
12,740 |
$ |
4,282 |
$ |
478,165 |
$ |
(365,723 |
) |
$ |
311,785 |
$ |
29,037 |
||||||||
Segment capital expenditures |
$ |
4,157 |
$ |
234 |
$ |
120 |
$ |
334 |
$ |
468 |
$ |
3,969 |
$ |
- |
$ |
9,282 |
$ |
4,296 |
The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, restructuring costs, net, gain on sale of assets, net, income taxes and discontinued operations.
The term "net segment income (loss)" is defined as earnings before restructuring costs, net, gain on sale of assets, net, income taxes and discontinued operations.
25
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
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 2003 Form 10-K filing - Note 3). We evaluate financial performance and allocate resources primarily based on income or loss from operations before income taxes, excluding any unusual items.
The following table reconciles net segment income (loss) to consolidated income (loss) before income taxes and discontinued operations:
For the |
For the |
|||||||
September 30, 2004 |
September 30, 2003 |
September 30, 2004 |
September 30, 2003 |
|||||
Net segment (loss) income |
$ (2,369 |
) |
$ (6,983 |
) |
$ 2,603 |
$ (17,132 |
) |
|
Restructuring costs |
(328 |
) |
(4,092 |
) |
(1,615 |
) |
(10,012 |
) |
(Loss) gain on sale of assets, |
|
|
|
|
|
|
|
|
Loss before income taxes and |
|
|
|
|
|
|
|
|
=========== |
=========== |
=========== |
=========== |
(14) Restructuring Costs
We commenced our restructuring in January 2003 and substantially completed the restructuring in the fourth quarter of 2003. We expect to complete the remaining restructuring by the end of 2004. We adopted Statement of Financial Accounting Standards No. 146, Accounting for Costs Associated with Exit or Disposal Activities ("SFAS No. 146"), for all divestiture activities initiated after December 31, 2002. Under SFAS No. 146, there are four major types of costs associated with our restructuring: one-time termination benefits, contract termination, facility consolidation and professional fees. We have recognized these expenses in the income statement line "restructuring costs, net" as they are incurred. All of the costs are under the Corporate reportable segment. We have no liability account associated with this restructuring activity because all of the related expenses were paid when incurred. The following table sets forth the costs related to t he restructuring activity in detail (in thousands).
|
Three |
Nine |
Cumulative |
Total Expected |
|
|
|
|
|
One-time termination benefits |
$ 71 |
$ 282 |
$ 1,206 |
$ 1,281 |
Contract terminations (4) |
71 |
71 |
4,955 |
4,955 |
Facility consolidation |
- |
- |
122 |
122 |
Professional fees |
186 |
1,262 |
10,009 |
10,159 |
Total |
$ 328 |
$ 1,615 |
$ 16,292 |
$ 16,517 |
|
========= |
========= |
========= |
========= |
|
|
|
|
|
(1) Amount incurred in the period |
||||
(2) Cumulative amount incurred for restructuring period to date |
||||
(3) Aggregate amount expected to be incurred during entire restructuring |
||||
(4) Included costs related to the termination of bank loans |
(15) Subsequent Events
During the period of October 1, 2004 to October 31, 2004, we divested two long-term care facilities. The net revenues and net operating losses for the nine month period ended September 30, 2004 for these two facilities were approximately $4.4 million and $2.8 million, respectively. Our rehabilitation therapy operations earned intersegment revenues of $0.2 million by providing services to these facilities during the nine month period ended September 30, 2004. The net revenues
26
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
and net operating losses for the nine month period ended September 30, 2003 for these two facilities were approximately $4.9 million and $0.6 million, respectively. Intersegment revenues earned by our rehabilitation therapy operations were $0.2 million for the same nine month period. The operating results of these two divestitures will be reported as discontinued operations for all periods presented beginning with the fourth quarter of 2004.
On November 1, 2004, BioPath Clinical Laboratories, Inc., a subsidiary of Sun, sold its clinical laboratory and radiology operations located in California for $0.5 million in cash and a $2.8 million promissory note. Those operations contributed net revenues of $5.0 million and net operating losses of $3.0 million to Sun's laboratory and radiology services segment for the third quarter of 2004 and net revenues of $11.6 million and net operating losses of $11.5 million for the first nine months of 2004. Net revenues and net operating losses for the three and nine month periods were reported as discontinued operations.
On November 1, 2004, SunPlus Home Health Services, Inc., a subsidiary of Sun, acquired a small home healthcare agency in southern California.
27
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 direct and indirect consolidated subsidiaries. In accordance with the Securities and Exchange Commission's "Plain English" guidelines, this Annual 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 direct and indirect 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 elsewhere herein. We do not intend, and undertake no obligation, to update our forward-looking statements to reflect future events or circumstances.
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:
- |
The financial performance of our facilities is dependent in part on Medicare and Medicaid reimbursements which could materially and adversely decrease in the future; |
- |
We continue to be self-insured for workers' compensation, health insurance and general and professional liability, and our costs associated with such insurances continue to be material and may increase; |
- |
We have patient care and other claims asserted against us (See "Note 12 - Other Events"); |
- |
The Bureau of Medi-Cal Fraud and Elder Abuse ("the BMFEA") continues to allege that we have violated the terms of the October 2001 Permanent Injunction and Final Judgment (See "Note 12 - Other Events"); |
- |
We are regularly scrutinized by governmental agencies with respect to the operation of our healthcare facilities and our compliance with numerous government regulations; our failure to comply with such regulations would have an adverse impact on us (See "Note 12 - Other Events"); |
- |
We operate in a competitive environment; |
- |
It is difficult to recruit and retain qualified employees in the long-term care industry; and |
- |
The financial performance of our facilities is dependent in part on the occupancy percentages of the facilities, and there can be no assurance that our average occupancy percentage will remain at current levels. |
See "Item 1 - Business" for a discussion of various circumstances affecting us, in particular, governmental regulations and other operating factors relating to the healthcare industry and the risk factors inherent in them. The risks and uncertainties described above and under "Item 1 - Business" are not the only ones facing us. You should carefully consider the risks described herein before making any investment decision to buy securities of Sun Healthcare Group, Inc. There may be additional material risks that we do not presently know of or that we currently expect to be immaterial. If any of the foregoing risks or the risks described below actually occur, our business, financial position, results of operations and cash flows could be materially adversely affected. In that case, the trading price of our common stock could decline, and you may lose all or part of your investment. Given these risks and uncertainties, we can give no assurances that these forwa rd-looking statements will, in fact, transpire and, therefore, caution investors not to place undue reliance on them.
28
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Overview
Current Liquidity.
For the nine months ended and as of September 30, 2004, our net loss was $2.4 million and our working capital deficit was $20.0 million.For the three months ended September 30, 2004, the net cash increase was approximately $5.8 million. The increase was primarily due to:
- |
$5.8 million of collection of cost report settlements; |
- |
$5.0 million collections of receivables from divested facilities; |
- |
$2.2 million in other receivables; and |
- |
$1.4 million proceeds from the sale of a land parcel; offset by |
- |
$3.4 million for capital expenditures, primarily in our long-term care operations; and |
- |
$5.8 million for vendor payables and other accrued liabilities. |
For the nine months ended September 30, 2004, the net cash increase was approximately $3.4 million. The increase was comprised primarily of the $52.3 million of equity proceeds realized from the private equity placement and the collection of $15.6 million of accounts receivable of divested facilities, offset by:
- |
$14.9 million of general and professional liability settlements; |
- |
a $13.1 million paydown of our revolving credit line as a result of our private equity placement; |
- |
$11.7 million of past-due vendor trade accounts payables; |
- |
$8.3 million of capital expenditures, primarily in our long-term care operations; |
- |
$5.9 million in debt repayment and other expenses primarily related to the refinance of six mortgages and other long-term debt repayments; |
- |
$5.1 million related to retention and operating bonus compensation; and |
- |
$4.5 million to other accrued liabilities. |
On February 20, 2004, we completed a private placement of our common stock and warrants to purchase common stock to investors. We received net proceeds of approximately $52.3 million in the private placement. We sold approximately 4.4 million shares of our common stock, and warrants to purchase approximately 2.0 million shares of our common stock (inclusive of warrants paid to the placement agent). The price paid by investors was $12.70 per unit, except for 155,400 units sold at $12.87 per unit. Each unit consisted of one share of common stock and a warrant to purchase 0.4 shares of common stock with a warrant exercise period of five years.
As of November 1, 2004, we had cash and cash equivalents of approximately $23.4 million and approximately $31.5 million of funds available for borrowing under our revolving senior loan agreement. We believe that our existing cash reserves and availability for borrowing under our loan agreement will provide sufficient funds for our operations, capital expenditures and regularly scheduled debt service payments through the next twelve months.
Restructuring. We have substantially completed our restructuring efforts, including the restructuring of the portfolio of leases under which we operate most of our long-term care facilities. Through September 30, 2004, we had divested 131 facilities and had identified five facilities that we would seek to transition to new operators. During the 21 months ended September 30, 2004, we withheld approximately $28.5 million in accrued rent payments and $0.7 million of mortgage
29
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
payments on facilities that we identified for transfer to new operators. As of September 30, 2004, we were released of our obligations to pay approximately $14.9 million of the withheld rent and $20.4 million of future mortgage debt. Of the remaining $13.6 million of withheld rent, (i) $2.2 million remains in other accrued liabilities and is related to divested buildings that do not have a release per a lease termination agreement, (ii) $8.0 million was paid in settlements with landlords, (iii) $2.9 million was offset by security deposits, reducing other assets, that were used toward unpaid rent, and (iv) $0.5 million was paid
for unsecured claims.Regulatory and Reimbursement Matters
Medicare. 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. The amount to be paid is determined by classifying each patient into one of 44 resource utilization group ("RUG") categories that are based upon each patient's acuity level.
In 1999 and 2000, add-on payments were implemented to restore substantial Medicare funding to skilled nursing facilities and other healthcare providers that was originally eliminated by the 1997 Act. Two of those add-ons remain in place today: a 6.7% increase for patients requiring intense rehabilitation and a 20.0% increase for patients requiring complex medical care. These two add-ons are scheduled to expire when the Centers for Medicare and Medicaid Services ("CMS") releases refinements to the current RUG payment system. On July 30, 2004, CMS announced that the current RUG payment system would remain in place for the 2005 fiscal year, thus leaving the current classification system and add-ons in place for fiscal year 2005 (October 1, 2004 - September 30, 2005). When the refinements are implemented, the add-ons may 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 per beneficiary per diems would decrease by approximately $24.76 per patient day. For the three and nine months ended September 30, 2004, we generated approximately $2.5 million and $7.7 million, respectively, in revenues related to these two add-ons. The loss of those revenues if the add-ons were to expire would have a material adverse effect on our financial position, results of operations and cash flows.
CMS issued two increases in nursing facility rates effective October 1, 2003: a 3.0% increase of the annual update to the market basket and an additional 3.3% market basket increase to correct the underestimate of the market basket forecast in prior years. We estimate our Medicare revenues increased approximately $2.0 million ($19.86 per patient day) and $6.1 million ($19.65 per patient day), respectively, for the three and nine months ended September 30, 2004, as a result of the combined increases. On July 30, 2004 CMS issued notice to increase the market basket 2.8% effective October 1, 2004, which when taken into consideration with the Federal wage index adjustments will be 3.0%. We estimate our Medicare revenues will increase approximately $3.9 million ($9.85 per patient day) for the period beginning October 1, 2004 through September 30, 2005 as a result of the increase.
CMS proposed a significant change for the reimbursement of Medicare Part A bad debts that 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 year beginning October 1, 2003, 20% for cost reporting year beginning October 1, 2004, and 30% for cost reporting years beginning October 1, 2005 and thereafter. We are unable to predict when, or if, the proposal will be implemented. If the proposal had been implemented to commence in 2004 we estimate that our Medicare revenues would decrease by approximately $0.7 million ($1.89 per patient day) in 2004, $1.4 million ($3.77 per patient day) in 2005, and $2.1 million ($5.66 per patient day) in 2006.
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, referred to as therapy caps. The Balanced Budget Refinement Act of 1999 ("BBRA") and the Medicare, Medicaid and SCHIP Benefits Improvement Act of 2000 ("BIPA") placed a moratorium on the therapy caps. The moratorium was lifted during the period of September 1, 2003 to December 7, 2003. However, the Medicare Prescription Drug, Improvement and Modernization Act of 2003 re-enacted the moratorium on the therapy caps effective December 8, 2003 through December 31, 2005. For the period in which the moratorium was not in place (September 1, 2003 to December 7, 2003), we estimate the application of the therapy cap reduced rehabilitation therapy services' revenue by $4.7 million and our inpatient services' revenue by $0.4 million. The implement ation of the therapy caps would have a material adverse effect on our financial position, results of operations and cash flows.
30
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Medicare Part B payments are generally adjusted annually, effective upon the calendar year beginning January 1 and ending December 31. The federal spending bill for fiscal 2003 allowed CMS to provide a 1.6% increase to the payment fee. The Medicare Prescription Drug, Improvement and Modernization Act of 2003 authorized a 1.5% increase for calendar year 2004, which we estimate resulted in increased revenues for the three and nine months ended September 30, 2004 of $0.1 million and $0.4 million, respectively. On August 5, 2004 CMS published proposed payment rates for calendar year 2005 that will result in a 1% rate reduction to rehabilitation therapy services. We estimate that our revenues will decrease $0.5 million if the proposed rules become final.
Our home health Medicare payment rates increased 3.3% for October 1, 2003 to December 31, 2004, which we estimate increased our Medicare revenues for the three and nine months ended September 30, 2004 by $0.3 million and $0.9 million, respectively. On October 22, 2004 CMS published final payment rates for the period beginning January 1, 2005 and ending December 31, 2005 that we estimate will increase annual revenues $0.8 million (2.1%). Additionally, as nonaffiliated healthcare providers that are serviced by our ancillary services operations, including our rehabilitative, and 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.
Medicaid. Medicaid is a state-administered program financed by state funds and federal matching funds. The program provides for medical assistance to the indigent and certain other eligible persons. Although administered under broad federal regulations, states are given flexibility to construct programs and payment methods. Each state in which we operate nursing facilities has its own unique Medicaid reimbursement program. Accordingly, these programs differ in many respects from state to state.
Most state Medicaid programs use cost based reimbursement systems that will reimburse a nursing facility for reasonable costs it incurs in providing care to its patients subject to a threshold. In some states, cost based reimbursement is subject to retrospective adjustment. In other states, such adjustments may be made through future reimbursement rates paid to the nursing facility. Some states may reimburse nursing facilities based upon cost from a prior base year, adjusted for inflation. Nine of the thirteen states we currently operate in make payments to us based upon patient acuity.
Several states that we operate in impose a provider tax against nursing homes as a method of increasing federal matching funds paid to those states for Medicaid. Those states that have imposed the provider tax have used the matching funds to increase Medicaid reimbursement rates paid to nursing homes, although the amount of the increase varies by state. CMS has recently approved provider taxes in Georgia, North Carolina and New Hampshire and is considering the approval of a provider tax in California. Georgia and Washington implemented a provider tax program and increased their Medicaid rates on July 1, 2003. CMS approved Georgia's provider tax on April 6, 2004 and Washington's provider tax is pending CMS' approval. North Carolina's provider tax program was approved by CMS on April 5, 2004, which resulted in Medicaid rate increases retroactive to October 1, 2003. New Hampshire passed provider tax legislation on June 15, 2004 that qualified under CMS guidelin es for Federal matching funds. The amounts of the increase in Medicaid revenues, the provider tax expenses, and the net revenues recognized related thereto for continuing operations, for the three and nine months ended September 30, 2004, are set forth below (in millions):
|
| |
|
| |
Net Result of |
||||||||||
For the Three |
For the Nine |
| |
For the Three |
For the Nine |
| |
For the Three |
For the Nine |
|||||||
Georgia |
$ 1.6 |
$ 4.7 |
| |
$ 0.6 |
$ 2.0 |
| |
$ 1.0 |
$ 2.7 |
||||||
Washington |
$ 0.3 |
$ 0.8 |
| |
$ 0.2 |
$ 0.6 |
| |
$ 0.1 |
$ 0.2 |
||||||
North Carolina |
$ 1.4 |
$ 5.4 |
| |
$ 0.4 |
$ 1.6 |
| |
$ 1.0 |
$ 3.8 |
||||||
New Hampshire |
$ 0.7 |
$ 1.9 |
| |
$ 0.4 |
$ 1.2 |
| |
$ 0.3 |
$ 0.7 |
If CMS approves California's provider tax, we estimate our net Medicaid revenues will increase $1.6 million (4.5%) for August 1, 2004 through July 31, 2005 and $4.4 million (12.4%) for August 1, 2005 through July 31, 2006 above current (September 2004) revenues.
31
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Other Reimbursement Matters. Net revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment by payors during the settlement process. Under cost-based reimbursement plans, payors may disallow, in whole or in part, requests for reimbursement based on determinations that certain costs are not reimbursable or reasonable or because additional supporting documentation is necessary. We recognize revenues from third-party payors and accrue estimated settlement amounts in the period in which the related services are provided. We estimate these settlement balances by making determinations based on our prior settlement experience and our understanding of the applicable reimbursement rules and regulations. The majority of Medicaid balances are settled two to three years following the provision of services. There can be no assurance that we will not be required to negatively adjust future earnings as a result of settlements w ith payors.
Federal and state governments continue to focus on methods to curb spending on healthcare programs such as Medicare and Medicaid. This focus has not been limited to skilled nursing facilities, but includes other services provided by us, such as therapy services. We cannot at this time predict the extent to which these proposals will be adopted or, if adopted and implemented, what effect, if any, such proposals will have on us. Efforts to impose reduced coverage, greater discounts and more stringent cost controls by government and other payors are expected to continue.
Furthermore, government programs are subject to statutory and regulatory changes, retroactive rate adjustments, administrative rulings and government funding restrictions, all of which may materially affect the rate of payment to our facilities and our therapy services business. There can be no assurance that payments under governmental programs will remain at levels comparable to present levels or will be adequate to cover the costs of providing services to patients eligible for assistance under such programs. Significant decreases in utilization and changes in reimbursement could have a material adverse effect on our financial condition, results of operations, and cash flows including the possible impairment of certain assets.
Critical Accounting Policies Update
We self-insure for the majority of our 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. There is also 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. In addition, in certain states in which we operate, state law prohibits insurance coverage for punitive damages arising from general and professional liability litigation, and we could be held liable for punitive damages in those states. Although we believe the companies we have purchased insurance from are solvent, in light of the dramatic changes occurring in the insurance industry in recent years, we cannot be assured that they will remain solvent and able to fulfill their obl igations. Provisions for estimated reserves, including incurred but not reported losses, are provided in the period of the related coverage. These provisions are based on actuarial analyses, internal evaluations of the merits of individual claims, and industry loss development factors or lag analyses. The methods of making such estimates and establishing the resulting reserves are reviewed periodically, and any adjustments resulting there from are reflected in current earnings. Claims are paid over varying periods, and future payments may be different than the estimated reserves.
Results of Operations
The following table sets forth the amount and percentage of certain elements of total net revenues for continuing operations for the periods presented (in thousands):
32
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
For the |
For the |
||||||||||||||
Three Months Ended |
Nine Months Ended |
||||||||||||||
September 30, 2004 |
September 30, 2003 |
September 30, 2004 |
September 30, 2003 |
||||||||||||
Inpatient Services |
$ 147,842 |
72.3% |
$ 139,616 |
68.6% |
$ 443,192 |
71.5% |
$ 413,619 |
69.8% |
|||||||
Rehabilitation Therapy Services |
32,100 |
15.7% |
38,757 |
19.1% |
103,761 |
16.8% |
112,950 |
19.1% |
|||||||
Medical Staffing Services |
13,915 |
6.8% |
16,290 |
8.0% |
42,406 |
6.8% |
47,226 |
8.0% |
|||||||
Home Health Services |
14,887 |
7.3% |
13,748 |
6.8% |
42,462 |
6.9% |
42,033 |
7.1% |
|||||||
Laboratory and Radiology Services |
4,700 |
2.3% |
4,807 |
2.3% |
14,497 |
2.3% |
14,698 |
2.5% |
|||||||
Corporate |
2 |
0.0% |
8 |
0.0% |
46 |
0.0% |
85 |
0.0% |
|||||||
Intersegment Eliminations |
(8,976 |
) |
(4.4)% |
(9,797 |
) |
(4.8)% |
(26,755 |
) |
(4.3)% |
(38,387 |
) |
(6.5)% |
|||
Total Net Revenues |
$ 204,470 |
100% |
$ 203,429 |
100% |
$ 619,609 |
100% |
$ 592,224 |
100% |
|||||||
====== |
==== |
====== |
==== |
====== |
==== |
======= |
==== |
Inpatient services revenues for long-term care, subacute care and assisted living services include revenues billed to patients for therapy, medical staffing, and laboratory and radiology services provided by our affiliated operations. The following table sets forth a summary of the intersegment revenues for the periods presented (in thousands):
For the |
For the |
|||||||
September 30, 2004 |
September 30, 2003 |
September 30, 2004 |
September 30, 2003 |
|||||
Inpatient Services |
$ (151 |
) |
$ (149 |
) |
$ (449 |
) |
$ (450 |
) |
Rehabilitation Therapy Services |
8,407 |
8,651 |
25,294 |
31,439 |
||||
Medical Staffing Services |
675 |
1,219 |
1,763 |
6,641 |
||||
Laboratory and Radiology Services |
45 |
76 |
147 |
757 |
||||
Total Affiliated Revenue |
$ 8,976 |
$ 9,797 |
$ 26,755 |
$ 38,387 |
||||
======== |
======== |
======= |
======== |
The following table sets forth the amount of net segment income (loss) for the periods presented (in thousands):
For the |
For the |
|||||||
September 30, 2004 |
September 30, 2003 |
September 30, 2004 |
September 30, 2003 |
|||||
Inpatient Services |
$ 3,439 |
$ 3,787 |
$ 22,439 |
$ 11,680 |
||||
Rehabilitation Therapy Services |
1,480 |
2,123 |
8,353 |
12,318 |
||||
Medical Staffing Services |
764 |
786 |
2,194 |
892 |
||||
Home Health Services |
1,597 |
737 |
3,007 |
2,821 |
||||
Laboratory and Radiology Services |
(608 |
) |
438 |
194 |
1,517 |
|||
Net segment income before Corporate |
6,672 |
7,871 |
36,187 |
29,228 |
||||
Corporate |
(9,041 |
) |
(14,854 |
) |
(33,584 |
) |
(46,360 |
) |
Net segment (loss) income |
$ (2,369 |
) |
$ (6,983 |
) |
$ 2,603 |
$ (17,132 |
) |
|
======== |
======== |
======== |
======== |
The following table presents the percentage of total net revenues represented by certain items for the periods presented:
33
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
|
For the Three Months Ended |
|||
September 30, 2004 |
September 30, 2003 |
|||
Total net revenues |
100% |
100% |
||
Costs and expenses: |
||||
Operating salaries and benefits |
60.0% |
62.3% |
||
Self insurance for workers' compensation and general and professional |
|
|
||
Other operating costs |
20.7% |
19.9% |
||
Facility rent expense |
4.8% |
4.9% |
||
General and administrative expenses |
6.4% |
8.4% |
||
Depreciation and amortization |
1.4% |
0.9% |
||
Provision for losses on accounts receivable |
1.0% |
0.8% |
||
Interest, net |
1.2% |
2.0% |
||
Restructuring costs, net |
0.2% |
2.0% |
||
Loss on sale of assets, net |
0.8% |
0.4% |
||
Total costs, expenses and gains before income taxes and |
102.1% |
105.8% |
||
Loss before income taxes and discontinued operations |
(2.1)% |
(5.8)% |
||
Income tax expense |
0.0% |
0.1% |
||
(Loss) income on discontinued operations |
(3.3)% |
25.1% |
||
Net (loss) income |
(5.4)% |
19.2% |
||
======== |
======== |
The following table presents the percentage of total net revenues represented by certain items for the periods presented:
For the Nine Months Ended |
||||||
September 30, 2004 |
September 30, 2003 |
|||||
Total net revenues |
100% |
100% |
||||
Costs and expenses: |
||||||
Operating salaries and benefits |
59.3% |
61.5% |
||||
Self insurance for workers' compensation and general and |
|
|
||||
Other operating costs |
20.7% |
19.2% |
||||
Facility rent expense |
4.8% |
5.0% |
||||
General and administrative expenses |
7.3% |
8.5% |
||||
Depreciation and amortization |
1.0% |
0.9% |
||||
Provision for losses on accounts receivable |
0.9% |
0.9% |
||||
Interest, net |
1.0% |
2.5% |
||||
Restructuring costs, net |
0.3% |
1.7% |
||||
Gain on sale of assets, net |
0.2% |
(0.4)% |
||||
Gain on extinguishment of debt, net |
(0.6)% |
0.0% |
||||
Total costs, expenses and gains before income taxes and |
|
|
34
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Loss before income taxes and discontinued operations |
0.0% |
(4.2)% |
||
Income tax (benefit) expense |
(0.1)% |
0.1% |
||
(Loss) income on discontinued operations |
(2.4)% |
6.7% |
||
Net (loss) income |
(2.3)% |
2.4% |
||
========= |
========= |
The following discussions of the "Three Months Ended September 30, 2004 compared to the Three Months Ended September 30, 2003" and the "Nine Months Ended September 30, 2004 compared to the Nine Months Ended September 30, 2003" are based on the financial information presented in "Note 13 - Segment Information" in our consolidated financial statements.
Three Months Ended September 30, 2004 Compared to Three Months Ended September 30, 2003
Results of Operations
We reported a net loss for the third quarter of 2004 of $11.1 million compared to net income of $39.1 million for the third quarter of 2003. Net revenues increased $1.1 million from $203.4 million for the three months ended September 30, 2003 to $204.5 million for the three months ended September 30, 2004.
The net loss for the 2004 period included:
- |
a $6.9 million loss on discontinued operations comprised of net losses of $3.0 million and a $3.9 million loss on disposal, that included an increase in the provision for losses on accounts receivable of $2.2 million, associated with the California clinical laboratory and radiology operations; |
- |
$2.4 million interest expense; |
- |
a $1.5 million loss on sale of assets associated with the write-down of a land and building held for sale; and |
- |
$0.3 million of restructuring costs. |
The net income for the 2003 period included:
- |
a $51.1 million gain on discontinued operations primarily due to a net $45.0 million gain related to the sale of our pharmaceutical operations and a $6.1 million gain related to the divestiture of 33 inpatient facilities; offset by |
- |
$4.1 million of interest charges; |
- |
$4.1 million of restructuring charges; |
- |
$1.8 million of depreciation and amortization charges; |
- |
$1.7 million of provision for losses on accounts receivable; and |
- |
a $0.7 million loss on sale of assets. |
Inpatient Services
Net revenues increased $8.2 million from approximately $139.6 million for the three months ended September 30, 2003 to approximately $147.8 million for the three months ended September 30, 2004. The increase in net revenues for the Inpatient Services segment was primarily the result of:
35
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
- |
an increase of $4.2 million in Medicare revenues due primarily to an October 1, 2003 rate increase and increased customer base; |
- |
an increase of $3.1 million in Medicaid revenues due to state rate increases driven by provider taxes and a more favorable case mix; and |
- |
an increase of $0.9 million in private and commercial insurance revenues due to rate increases. |
Operating salaries and benefits expenses increased $1.6 million to approximately $76.2 million for the three months ended September 30, 2004 from approximately $74.6 million for the three months ended September 30, 2003. The increase was primarily due to wage increases and an increase in labor hours associated with an increase in Medicare census, offset slightly with a decrease in health insurance costs.
Self-insurance for workers' compensation and general and professional liability insurance increased approximately $3.1 million from $7.0 million for the three months ended September 30, 2003 as compared to $10.1 million for the three months ended September 30, 2004. This increase was comprised of:
- |
a $2.0 million increase related to patient care liability costs; and |
- |
a $1.1 million increase related to workers' compensation insurance costs. |
Other operating costs increased approximately $3.8 million to $41.5 million for the three months ended September 30, 2004 from $37.7 million for the three months ended September 30, 2003. The increase was primarily due to:
- |
a $1.7 million increase in provider taxes for the three months ended September 30, 2004 as compared to the same period in 2003 due to the implementation of provider taxes in North Carolina and New Hampshire and an increase in provider tax rates in Georgia and Washington; |
- |
an increase of approximately $1.1 million primarily due to a $0.9 million recovery of legal fees in 2003; and |
- |
an increase of approximately $1.0 million due to increases in the cost of supplies and other purchased services related to patient care. |
Facility rent expense decreased approximately $0.2 million from $9.0 million for the three months ended September 30, 2003 to $8.8 million for the three months ended September 30, 2004 primarily due to contractually scheduled rent increases on existing leases, offset by the consolidation of Clipper.
General and administrative expenses decreased from approximately $3.8 million for the three months ended September 30, 2003 to approximately $3.1 million for the three months ended September 30, 2004. The $0.7 million decrease was primarily due to salaries and benefits expense for regional administrative and office personnel, utilities and supplies that were eliminated as part of the restructuring.
Depreciation and amortization increased $0.9 million to approximately $2.4 million for the three months ended September 30, 2004 from approximately $1.5 million for the three months ended September 30, 2003. The increase was primarily attributable to capital expenditures incurred for facility improvements and the additional depreciation and amortization expense associated with the consolidation of Clipper.
The provision for losses on accounts receivable decreased $0.8 million from approximately $1.4 million for the three months ended September 30, 2003 to approximately $0.6 million for the three months ended September 30, 2004 due to the collection of older receivables.
Net interest expense for the three months ended September 30, 2004 was approximately $1.7 million as compared to $0.8 million for the three months ended September 30, 2003. The $0.9 million increase was primarily due to the normal increase in interest expense related to debt amortization and the additional interest expense related to the consolidation of Clipper.
36
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Rehabilitation Therapy Services
Net revenues from continuing operations for the Rehabilitation Therapy Services segment decreased $6.7 million from approximately $38.8 million for the three months ended September 30, 2003 to approximately $32.1 million for the three months ended September 30, 2004. The decrease was primarily due to the decrease in nonaffiliated sales as a result of the lingering disruption of the sales cycle in 2004 due to the contemplated sale of a major component of the segment in late 2003.
Operating salaries and benefits expenses decreased $4.8 million to approximately $23.0 million for the three months ended September 30, 2004 from approximately $27.8 million for the three months ended September 30, 2003. The decrease was primarily driven by the reduction of employees and reorganization of the operating structure as a result of the impact of lower revenues.
Other operating costs, including self-insurance expenses for workers' compensation and professional liability coverage, decreased $1.8 million to $5.8 million for the three months ended September 30, 2004 from $7.6 million for the three months ended September 30, 2003. The decrease was primarily due to costs related to the reduction in staff in conjunction with the lower revenues experienced during the year.
Depreciation and amortization decreased $0.2 million from approximately $0.3 million for the three months ended September 30, 2003 to $0.1 million for the three months ended September 30, 2004. The decrease was primarily due to the reduction in property carrying values due to closures of administrative office locations in conjunction with the Inpatient Services divestitures during 2003 and the restructuring of operations in 2004.
The provision for losses on accounts receivable increased $0.7 million to approximately $0.6 million for the three months ended September 30, 2004 from a credit of $0.1 million for the three months ended September 30, 2003. The increase in expense for the three months ended September 30, 2004 was primarily due to bad debt recoveries in 2003 that did not reoccur in 2004.
Medical Staffing Services
Net revenues from the Medical Staffing Services segment decreased $2.4 million from approximately $16.3 million for the three months ended September 30, 2003 to approximately $13.9 million for the three months ended September 30, 2004. The decrease was primarily the result of:
- |
a decrease of approximately $1.8 million in nonaffiliated revenues due to decreased agency staff by hospitals and skilled nursing facilities, and |
- |
a decrease of approximately $0.4 million in affiliated revenues to our inpatient facilities. |
Operating salaries and benefits expenses were approximately $10.8 million for the three months ended September 30, 2004 as compared to approximately $11.6 million for the three months ended September 30, 2003, a decrease of approximately $0.8 million. The decrease was tied directly to the decrease in revenue.
Other operating expenses, which include contract staffing utilized to staff personnel shortages, decreased $1.6 million from $2.6 million for the three months ended September 30, 2003 to $1.0 million for the three months ended September 30, 2004. The decrease was primarily attributable to a decrease of $1.4 million in contract labor expense due to decreased usage by the affiliated inpatient facilities.
General and administrative expenses, which include regional costs related to the supervision of operations, increased $0.3 million from approximately $0.5 million for the three months ended September 30, 2003 to approximately $0.8 million for the three months ended September 30, 2004. The increase was primarily due to additional recruiting and retention costs associated with initiatives to attract new business and retain staff.
Home Health Services
37
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Net revenues from the Home Health Services segment increased approximately $1.2 million to $14.9 million for the three months ended September 30, 2004 from approximately $13.7 million for the three months ended September 30, 2003. The increase in revenues was comprised primarily of an increase in Medicare rates.
Operating salaries and benefits expenses decreased approximately $0.1 million to $10.0 million for the three months ended September 30, 2004 from approximately $10.1 million for the three months ended September 30, 2003. The decrease was primarily the result of a decrease in health insurance costs.
Laboratory and Radiology Services
Net revenues from the Laboratory and Radiology Services segment decreased $0.1 million from approximately $4.8 million for the three months ended September 30, 2003 to approximately $4.7 million for the three months ended September 30, 2004, due to a decrease in contracts our northeast laboratory operations.
Self-insurance for workers compensation and professional liability expenses increased approximately $0.3 million to $0.4 million for the three months ended September 30, 2004 from approximately $0.1 million for the three months ended September 30, 2003. The increase was primarily the result of an increase in workers compensation costs related to poor historical experiences, primarily in the laboratory division.
Other operating costs increased $0.2 million to $1.5 million for the three months ended September 30, 2004 from $1.3 million for the three months ended September 30, 2003. This increase was due primarily to an increase in contract labor staff usage within our radiology services division.
The provision for losses on accounts receivable increased $0.3 million from approximately $0.2 million for the three months ended September 30, 2003 to approximately $0.5 million for the three months ended September 30, 2004. The increase was primarily the result of an adjustment on the reserve for aged receivables due to lower than expected collections.
Corporate General and Administrative Departments
General and administrative costs not directly attributed to segments decreased $3.6 million to approximately $8.2 million for the three months ended September 30, 2004 from approximately $11.8 million for the three months ended September 30, 2003. The decrease was primarily due to:
- |
$1.7 million of retention payments related to the 2003 restructuring efforts that did not reoccur in 2004; |
- |
$1.0 million of excess bank service charges due to a recovery in September 2004 associated with the refinancing of our credit line in September 2003; and |
- |
a $0.9 million reduction of workers compensation insurance costs related to a smaller employee base as a result of corporate restructuring efforts in 2003. |
Interest Expense
Net interest expense not directly attributed to segments decreased $1.7 million from approximately $4.1 million for the three months ended September 30, 2003 to approximately $2.4 million for the three months ended September 30, 2004. The reduction was primarily due to the private placement of our common stock and warrants and the payoff of substantially all of the outstanding revolving loan balance.
Nine Months Ended September 30, 2004 Compared to Nine Months Ended September 30, 2003
We reported a net loss of $14.2 million for the first nine months of 2004 compared to a net income of $14.3 million for the first nine months of 2003. Net revenues increased $27.4 million from $592.2 million for the nine months ended September 30, 2003 to $619.6 million for the nine months ended September 30, 2004.
The net loss for the 2004 period was comprised of:
38
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
- |
a $15.2 million loss from discontinued operations comprised of: |
|
- |
net losses of $11.5 million associated with the California laboratory and radiology operations that included a prior year revenue adjustment of $3.3 million and a provision for loss adjustment of $3.4 million; and |
|
- |
a $3.9 million loss on disposal; |
|
- |
a $1.2 million loss on sale of assets. |
|
- |
$1.6 million of restructuring costs; offset by |
|
- |
a $3.7 million gain on extinguishment of debt associated with the refinance of six mortgages. |
The net income for the 2003 period included:
- |
a $39.9 million gain on discontinued operations that included a net $49.3 million gain related to the sale of our pharmaceutical operations discontinued operations, offset by a $9.5 million loss related to the divestiture of 131 inpatient facilities; and |
- |
a $2.2 million gain on sale of assets; offset by |
- |
$14.7 million of interest charges; |
- |
$10.0 million of restructuring charges; and |
- |
$0.7 million of income tax expense. |
Inpatient Services
Net revenues increased $29.6 million from approximately $413.6 million for the nine months ended September 30, 2003 to approximately $443.2 million for the nine months ended September 30, 2004. The increase in net revenues for the Inpatient Services division was primarily the result of:
- |
an increase of $13.5 million in Medicaid revenues due to state rate increases driven by provider taxes and a more favorable case mix; |
- |
an increase of $12.0 million in Medicare revenues due primarily to an October 1, 2003 rate increase and increased customer base; and |
- |
an increase of $3.7 million in private and commercial insurance revenues due to rate increases. |
Operating salaries and benefits expenses increased $9.6 million from approximately $215.2 million for the nine months ended September 30, 2003 to approximately $224.8 million for the nine months ended September 30, 2004. The increase was primarily due to wage increases and an increase in labor hours associated with the increase in Medicare revenues, offset by a decrease in health insurance costs.
Self-insurance for workers' compensation and general and professional liability insurance increased approximately $6.6 million to $28.6 million for the nine months ended September 30, 2004 as compared to $22.0 million for the nine months ended September 30, 2003. This increase was comprised of:
39
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
- |
a $4.3 million increase related to patient care liability costs, net of a reduction of $0.1 million related to prior periods; and |
- |
a $2.2 million increase related to workers' compensation costs, net of a reduction of $1.6 million related to prior periods. |
Other operating costs increased approximately $4.9 million to $121.3 million for the nine months ended September 30, 2004 from $116.4 million for the nine months ended September 30, 2003. The increase was primarily due to:
- |
a $4.9 million increase in provider taxes for the nine months ended September 30, 2004 as compared to the same period in 2003 due to the implementation of provider taxes in North Carolina and New Hampshire and an increase in provider tax rates in Georgia and Washington; |
- |
a $2.4 million increase in supplies, purchased services and utilities related to patient care; and |
- |
a $1.4 million increase in pharmacy costs due to increased Medicare utilization; offset by |
- |
a $3.7 million gain on extinguishment of debt associated with the refinance of six mortgages. |
Facility rent expense increased approximately $0.2 million from $26.7 million for the nine months ended September 30, 2003 to $26.9 million for the nine months ended September 30, 2004. The increase was primarily due to contractually scheduled rent increases on existing leases, offset by the consolidation of Clipper.
General and administrative expenses decreased from approximately $11.2 million for the nine months ended September 30, 2003 to approximately $8.9 million for the nine months ended September 30, 2004. The $2.3 million decrease was primarily due to salaries and benefits expense for regional administrative and office personnel, utility costs and supplies that were reduced as part of the restructuring.
Depreciation and amortization increased $0.9 million to approximately $4.9 million for the nine months ended September 30, 2004 from approximately $4.0 million for the nine months ended September 30, 2003. The increase was primarily attributable to capital expenditures incurred for facility improvements and expenses related to the consolidation of Clipper.
The provision for losses on accounts receivable decreased $7.7 million from approximately $4.2 million for the nine months ended September 30, 2003 to a net credit of approximately $3.5 million for the nine months ended September 30, 2004 due to the collection of older receivables.
Net interest expense for the nine months ended September 30, 2004 was approximately $3.4 million as compared to $2.3 million for the nine months ended September 30, 2003. The $ 1.1 million increase was primarily due to the consolidation of Clipper.
Rehabilitation Therapy Services
Net revenues from continuing operations for Rehabilitation Therapy Services decreased $9.1 million from approximately $112.9 million for the nine months ended September 30, 2003 to approximately $103.8 million for the nine months ended September 30, 2004. The decrease was primarily due to the decrease in non-affiliated sales as a result of the lingering disruption of the sale cycle in 2004 due to the contemplated sale of a major component of the segment in late 2003 and the loss of contracts.
Operating salaries and benefits expenses decreased $4.0 million to approximately $72.0 million for the nine months ended September 30, 2004 from approximately $76.0 million for the nine months ended September 30, 2003. The decrease was primarily driven by reductions in personnel related to the restructuring of operations in conjunction with the Inpatient services divestitures during 2003.
40
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
Other operating costs decreased $0.9 million to $17.8 million for the nine months ended September 30, 2004 from $18.7 million for the nine months ended September 30, 2003. The decrease was primarily due to the decrease in costs related to the restructuring of the operations after the contemplated sale of a major component of the segment was canceled.
Depreciation and amortization decreased $0.7 million to approximately $0.2 million for the nine months ended September 30, 2004 from approximately $0.9 million for the nine months ended September 30, 2003. The decrease was primarily due to the reduction in property carrying values due to closures of administrative office locations in conjunction with the Inpatient Services divestitures during 2003 and the discontinuance of depreciation expense charged for equipment that was sold.
The provision for losses on accounts receivable increased $1.7 million from approximately $0.3 million for the nine months ended September 30, 2003 to approximately $2.0 million for the nine months ended September 30, 2004. The increase in expense for the nine months ended September 30, 2004 was primarily due to bad debt recoveries in 2003 that did not occur in 2004.
Medical Staffing Services
Net revenues from Medical Staffing Services decreased $4.8 million from approximately $47.2 million for the nine months ended September 30, 2003 to approximately $42.4 million for the nine months ended September 30, 2004. The decrease was primarily the result of a decrease of approximately $4.9 million in affiliated revenues to our inpatient facilities due to decreased usage of agency staff by the ongoing inpatient services.
Operating salaries and benefits expenses were approximately $32.9 million for the nine months ended September 30, 2004 as compared to approximately $34.3 million for the nine months ended September 30, 2003, a decrease of approximately $1.4 million. The decrease was tied directly to the decrease in revenue.
Other operating expenses, which include contract staffing utilized to staff personnel shortages, decreased $5.4 million from $8.6 million for the nine months ended September 30, 2003 to $3.2 million for the nine months ended September 30, 2004. The decrease was primarily attributable to a decrease of $4.7 million in contract labor expense due to decreased usage by ongoing affiliated inpatient services facilities.
General and administrative expenses, which include regional costs related to the supervision of operations, increased $0.7 million from approximately $1.7 million for the nine months ended September 30, 2003 to approximately $2.4 million for the nine months ended September 30, 2004. The increase was primarily due to regional infrastructure costs associated with initiatives to attract new business.
Home Health Services
Net revenues from Home Health Services increased approximately $0.5 million to $42.5 million for the nine months ended September 30, 2004 from approximately $42.0 million for the nine months ended September 30, 2003. The increase in revenues was comprised primarily of a $0.6 million increase in Medicare rates.
Operating salaries and benefits expenses decreased approximately $0.5 million to $30.0 million for the nine months ended September 30, 2004 from approximately $30.5 million for the nine months ended September 30, 2003. The decrease is primarily the result of a decrease in health insurance costs.
The provision for losses on accounts receivable increased $0.3 million from approximately $0.1 million for the nine months ended September 30, 2003 to approximately $0.4 million for the nine months ended September 30, 2004. The increase was primarily the result of an adjustment on the reserve for aged receivables due to lower than expected collections.
Laboratory and Radiology Services
Net revenues from Laboratory and Radiology Services decreased $0.2 million from approximately $14.7 million for the nine months ended September 30, 2003 to approximately $14.5 million for the nine months ended September 30, 2004 due
41
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
to a decrease in revenues of $0.7 million due to loss of contracts offset by a $0.5 million increase in Medicare revenue driven primarily by rate increases.
Other operating costs increased $0.5 million to $4.3 million for the nine months ended September 30, 2004 from $3.8 million for the nine months ended September 30, 2003. The increase was driven primarily by a $0.6 million accrual for legal costs.
General and administrative expenses were approximately $0.3 million for the nine months ended September 30, 2004. These costs were included in operating costs for the same period in 2003.
The provision for losses on accounts receivable increased $0.2 million from approximately $0.6 million for the nine months ended September 30, 2003 to approximately $0.8 million for the nine months ended September 30, 2004. The increase was primarily the result of an adjustment recorded in the mobile radiology operations.
Corporate General and Administrative Departments
General and administrative costs not directly attributed to segments decreased $3.9 million from approximately $34.0 million for the nine months ended September 30, 2003 to approximately $30.1 million for the nine months ended September 30, 2004. The decrease was primarily due to infrastructure changes made during our 2003 restructuring efforts that reduced overhead and streamlined expenses offset by normal wage increases.
Interest Expense
Net interest expense not directly attributed to segments decreased $8.3 million from approximately $14.7 million for the nine months ended September 30, 2003 to approximately $6.4 million for the nine months ended September 30, 2004. The reduction was primarily due to the private placement of our common stock and warrants and the payoff of substantially all of the outstanding revolving loan balance.
Income Tax Expense
Income tax expense decreased $1.8 million to a benefit of $1.1 million for the nine months ended September 30, 2004 from an expense of $0.7 million for the nine months ended September 30, 2003. The decrease was primarily the result of IRS refunds received for NOL carrybacks.
Liquidity and Capital Resources
For the nine months ended and as of September 30, 2004, our net loss was $14.2 million and our working capital deficit was $20.0 million. As of September 30, 2004, we had cash and cash equivalents of approximately $28.9 million, no balance outstanding under our revolving loan agreement and approximately $30.5 million of funds available for borrowing under our revolving loan agreement which expires September 5, 2005. We believe that our existing cash reserves and availability for borrowing under our loan agreement will provide sufficient funds for our operations, capital expenditures and regularly scheduled debt service payments through the next twelve months. We expect to extend our revolving loan agreement upon its expiration.
On February 20, 2004, we completed a private placement of our common stock and warrants to purchase common stock to investors. We received net proceeds of approximately $52.3 million in the private placement. We sold approximately 4.4 million shares of our common stock, and warrants to purchase approximately 2.0 million shares of our common stock (inclusive of warrants paid to the placement agent). The price paid by investors was $12.70 per unit, except for 155,400 units sold at $12.87 per unit. Each unit consisted of one share of common stock and a warrant to purchase 0.4 shares of common stock with a warrant exercise period of five years.
For the three months ended September 30, 2004, the net cash increase was approximately $5.8 million. The increase was primarily due to:
- |
$5.8 million of collection of cost report settlements; |
42
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
- |
$5.0 million collections of receivables from divested facilities; |
- |
$2.2 million in other receivables; and |
- |
$1.4 million proceeds from the sale of a land parcel; offset by |
- |
$3.4 million for capital expenditures, primarily in our long-term care operations; and |
- |
$5.8 million for vendor payables and other accrued liabilities. |
For the nine months ended September 30, 2004, the net cash increase was approximately $3.4 million. The increase was comprised primarily of the $52.3 million of equity proceeds realized from the private equity placement and the collection of $15.6 million of accounts receivable of divested facilities, offset by:
- |
$14.9 million of general and professional liability settlements; |
- |
a $13.1 million paydown of our revolving credit line as a result of our private equity placement; |
- |
$11.7 million of past-due vendor trade accounts payables; |
- |
$8.3 million of capital expenditures, primarily in our long-term care operations; |
- |
$5.9 million in debt repayment and other expenses primarily related to the refinance of six mortgages and other long-term debt repayments; |
- |
$5.1 million related to retention and operating bonus compensation; and |
- |
$4.5 million to other accrued liabilities. |
We have a Loan and Security Agreement with CapitalSource Finance LLC, as collateral agent, and certain other lenders (the "Revolving Loan Agreement") that expires on September 5, 2005. The Revolving Loan Agreement is a $75.0 million revolving line of credit that is secured by our accounts receivable, inventory, equipment and other assets, and the stock of our subsidiaries. Pursuant to the Revolving Loan Agreement, we are paying interest (i) for Base Rate Loans at the greater of (a) prime plus 1.0% or (b) 5.25%, and (ii) for LIBOR Loans at the greater of (a) the London Interbank Offered Rate plus 3.75% or (b) 5.25%. The effective interest rate as of September 30, 2004 on borrowings under the Revolving Loan Agreement was approximately 5.58%, however, no borrowings were outstanding on September 30, 2004. The weighted average borrowing interest rate for the period from January 1, 2004 through September 30, 2004 was 5.25%. Our borrowing availability under the Revolving Loan Agreement is generally limited to up to eighty-five percent (85%) of the value of Eligible Receivables plus eighty-five percent (85%) of the value of Eligible Divested Company Receivables, but not to exceed $75.0 million. The defined borrowing base as of September 30, 2004 was $45.8 million, net of specified reserves of $14.0 million. The availability of amounts under our Revolving Loan Agreement is also subject to our compliance with certain financial ratios. We are also prohibited under our Revolving Loan Agreement from borrowing money from third parties without the prior consent of CapitalSource Finance. As of September 30, 2004, we were in compliance with these ratios. As of September 30, 2004, we had issued approximately $15.3 million in letters of credit, leaving approximately $30.5 million available to us for additional borrowing. In connection with entering into the Revolving Loan Agreement, we incurred deferred financing costs of $2.6 million, which are amortized using the effective interest method over the life of the loan agreement. For the three and nine months ended September 30, 2004, we amortized $0.4 million and $1.4 million, respectively, of these deferred financing costs. In September 2004, $0.9 million of the deferred financing costs were refunded to us.
We have substantially completed our restructuring efforts, including the restructuring of the portfolio of leases under which we operate most of our long-term care facilities. Through September 30, 2004, we had divested 131 facilities and had identified five facilities that we would seek to transition to new operators. During the 21 months ended September 30, 2004 we withheld approximately $28.5 million in accrued rent payments and $0.7 million of mortgage payments on facilities that we identified for transfer to new operators. Through September 30, 2004, we were released of our obligations to pay approximately $14.9 million of the withheld rent and $20.4 million of future mortgage debt. Of the remaining $13.6 million
43
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
of withheld rent, (i) $2.2 million remains in other accrued liabilities and is related to divested buildings that do not have a release per a lease termination agreement, (ii) $8.0 million was paid in settlements with landlords, (iii) $2.9 million was offset by security deposits, reducing other assets, that were used toward unpaid rent, and (iv) $0.5 million was paid for unsecured claims.
We incurred total net capital expenditures related primarily to improvements at existing facilities, as reflected in the segment reporting, of $3.4 million and $3.1 million for the three months ended September 30, 2004 and 2003, respectively, and $8.3 million and $13.6 million for the nine months ended September 30, 2004 and 2003, respectively. These capital expenditures include those related to discontinued operations of $0.1 million and $0.2 million for the three months ended September 30, 2004 and 2003, respectively and $0.7 million and $4.3 million for the nine months ended September 30, 2004 and 2003, respectively. There were no significant capital expenditures for divested facilities in 2004.
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 $8.0 million remains outstanding under the note. The outstanding payments coming due under the promissory note are payable as follows: $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 September 30, 2004 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. As of September 30, 2004, we expect to pay in excess of approximately $2.7 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 netted against reimbursements payable to us. We currently have $4.0 million reserved against our borrowing base relating to these payments.
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
ITEM 3. Quantitative and Qualitative Disclosures about Market Risk
For quantitative and qualitative disclosures about market risk, see Item 7A, "Quantitative and Qualitative Disclosures About Market Risk," of our annual report on Form 10-K for the year ended December 31, 2003. Our exposures to market risk have not changed materially since December 31, 2003.
ITEM 4. Controls and Procedures
As of the end of the period covered by this report, 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 our disclosure controls and procedures. 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. No change in our internal control over financial reporting occurred during the period covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
Pursuant to Section 404 of the Sarbanes-Oxley Act of 2002, we are reviewing our internal controls over financial reporting. As part of this process, we are implementing certain enhancements with respect to certain of those internal controls. Specifically, we are enhancing segregation of duties within information technology systems and further restricting system access. These matters have been discussed with our independent accountants, with our Audit Committee and with our Board of Directors. We expect that these enhancements will be in place by December 31, 2004.
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
Information with respect to this item is found in "Note 12 - Other Events" and is incorporated by reference herein.
ITEM 6. EXHIBITS
(a) Exhibits
31.1 |
Section 302 Sarbanes-Oxley Certification by Chief Executive Officer and Chief Financial Officer |
32.1 |
Section 906 Sarbanes-Oxley Certification by Chief Executive Officer and Chief Financial Officer |
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
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: November 8, 2004
By: /s/ Kevin W. Pendergest |
Kevin W. Pendergest |
Chief Financial Officer |
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