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SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


FORM 10-Q


(Mark One)

     
x   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
     
For the quarterly period ended March 31, 2003
     
OR
     
o   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
     
For the transition period from      to      

0-49813
(Commission file number)


MARINER HEALTH CARE, INC.

(Exact name of registrant as specified in its charter)


     
Delaware
(State or other jurisdiction of
incorporation or organization)
  74-2012902
(I.R.S. Employer
Identification No.)
     
One Ravinia Drive, Suite 1500
Atlanta, Georgia

(Address of principal executive offices)
  30346
(Zip code)

(678) 443-7000
(Registrant’s telephone number, including area code)


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

     Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).     Yes   x    No   o

     There were 20,000,000 shares of Common Stock of the registrant outstanding as of May 12, 2003.

     Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Section 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court.     Yes   x    No   o



 


TABLE OF CONTENTS

PART I
ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
ITEM 4. CONTROLS AND PROCEDURES
PART II
ITEM 1. LEGAL PROCEEDINGS
ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
ITEM 5. OTHER INFORMATION
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
EX-99.1 CERTIFICATION 906-CEO C. CHRISTIAN WINKLE
EX-99.2 CERTIFICATION 906-CFO MICHAEL E. BOXER


Table of Contents

TABLE OF CONTENTS

             
        Page
       
Part I   FINANCIAL INFORMATION    
Item 1.   Condensed Consolidated Financial Statements     1  
Item 2.   Management’s Discussion and Analysis of Financial Condition and Results of Operations     16  
Item 3.   Quantitative and Qualitative Disclosures About Market Risk     26  
Item 4.   Controls and Procedures     28  
Part II OTHER INFORMATION        
Item 1.   Legal Proceedings     29  
Item 2.   Changes in Securities and Use of Proceeds     29  
Item 3.   Defaults Upon Senior Securities     29  
Item 4.   Submission of Matters to a Vote of Security Holders     29  
Item 5.   Other Information     29  
Item 6.   Exhibits and Reports on Form 8-K     29  

 


Table of Contents

PART I

ITEM 1.          CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

MARINER HEALTH CARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
(unaudited)

                         
          Reorganized Company     Predecessor Company
         
   
          Three Months Ended     Three Months Ended
          March 31, 2003     March 31, 2002
         
   
Net revenue
  $ 431,777       $ 454,619  
                 
Costs and expenses
                 
 
Operating expenses
    375,435         391,556  
 
General and administrative
    41,503         41,479  
 
Depreciation and amortization
    8,723         8,901  
 
   
       
 
   
Total costs and expenses
    425,661         441,936  
 
   
       
 
Operating income
    6,116         12,683  
                 
Other income (expenses)
                 
 
Interest expense (contractual interest for the three months ended March 31, 2002 was $36,067)
    (8,283 )       (990 )
 
Interest income
    828         782  
 
Reorganization items
            (48,496 )
 
Other
    (50 )       54  
 
   
       
 
Loss from continuing operations before income taxes
    (1,389 )       (35,967 )
Income tax benefit
    (557 )        
 
   
       
 
Loss from continuing operations
    (832 )       (35,967 )
Discontinued operations
                 
 
Gain on sale of discontinued pharmacy operations, net of income taxes of $2,400 and $0
    3,600         21,386  
 
   
       
 
Net income (loss)
  $ 2,768       $ (14,581 )
 
   
       
 
Earnings (loss) per share — basic and diluted
                 
 
Loss from continuing operations
  $ (0.04 )     $ (0.49 )
 
Gain on sale of discontinued pharmacy operations
    0.18         0.29  
 
   
       
 
 
Net income (loss) per share
  $ 0.14       $ (0.20 )
 
   
       
 
Weighted-average number of common and common equivalent shares outstanding
                 
   
Basic and diluted
    20,000         73,688  
 
   
       
 

The accompanying notes are an integral part of these financial statements.

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Table of Contents

MARINER HEALTH CARE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(dollars in thousands, except share amounts)

                     
        March 31, 2003   December 31, 2002
       
 
        (unaudited)        
ASSETS
               
Current assets
               
 
Cash and cash equivalents
  $ 47,430     $ 38,618  
 
Receivables, net of allowance for doubtful accounts of $75,492 and $72,996
    279,418       264,092  
 
Inventories
    7,413       7,405  
 
Prepaid expenses and other current assets
    33,260       27,542  
 
 
   
     
 
   
Total current assets
    367,521       337,657  
 
Property and equipment, net of accumulated depreciation of $35,195 and $26,427
    574,294       567,260  
Reorganization value in excess of amounts allocable to identifiable assets
    201,388       201,388  
Goodwill, net of accumulated amortization of $970 and $970
    6,797       6,797  
Restricted investments
    29,034       38,693  
Other assets
    28,239       26,943  
 
 
   
     
 
   
Total assets
  $ 1,207,273     $ 1,178,738  
 
 
   
     
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities
               
 
Current maturities of long-term debt
  $ 9,753     $ 9,793  
 
Accounts payable
    69,190       48,417  
 
Accrued compensation and benefits
    82,647       68,444  
 
Accrued insurance obligations
    31,847       28,650  
 
Other current liabilities
    56,185       65,787  
 
 
   
     
 
   
Total current liabilities
    249,622       221,091  
 
Long-term debt, net of current maturities
    473,528       474,969  
Long-term insurance reserves
    193,491       195,562  
Other liabilities
    15,824       14,044  
Minority interest
    3,644       4,677  
 
 
   
     
 
   
Total liabilities
    936,109       910,343  
 
Stockholders equity
               
 
Preferred stock, $.01 par value; 10,000,000 shares authorized; none issued or outstanding
           
 
Common stock, $.01 par value; 80,000,000 shares authorized; 20,000,000 shares issued and outstanding
    200       200  
 
Warrants to purchase common stock
    935       935  
 
Capital in excess of par value
    358,977       358,977  
 
Accumulated deficit
    (89,280 )     (92,048 )
 
Accumulated other comprehensive income
    332       331  
 
 
   
     
 
   
Total stockholders’ equity
    271,164       268,395  
 
 
   
     
 
   
Total liabilities and stockholders’ equity
  $ 1,207,273     $ 1,178,738  
 
 
   
     
 

The accompanying notes are an integral part of these financial statements.

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MARINER HEALTH CARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(dollars in thousands)
(unaudited)

                         
          Reorganized Company     Predecessor Company
         
   
          Three Months Ended     Three Months Ended
          March 31, 2003     March 31, 2002
         
   
Cash flows from operating activities
                 
 
Net income (loss)
  $ 2,768       $ (14,581 )
 
Adjustments to reconcile net income (loss) to net cash provided by operating activities
                 
     
Depreciation and amortization
    8,723         8,901  
     
Equity earnings/minority interest
    50         (54 )
     
Reorganization items
            48,496  
     
Provision for bad debts
    4,052         13,035  
     
Income tax benefit
    (557 )        
     
Gain on sale of discontinued pharmacy operations
    (3,600 )       (21,386 )
 
Changes in operating assets and liabilities
                 
     
Receivables
    (22,218 )       (11,517 )
     
Inventories
    (8 )       (426 )
     
Prepaid expenses and other current assets
    (5,718 )       5,079  
     
Accounts payable
    20,773         (409 )
     
Accrued liabilities and other current liabilities
    7,166         (1,060 )
 
Changes in long-term insurance reserves
    (2,071 )       10,010  
 
Other
    (599 )       (2,970 )
 
 
   
       
 
Net cash provided by operating activities from continuing operations before reorganization items
    8,761         33,118  
 
 
   
       
 
Payment of reorganization items, net
    (1,343 )       (10,132 )
 
 
   
       
 
Cash flows from investing activities
                 
   
Purchases of property and equipment
    (15,757 )       (9,819 )
   
Proceeds from sale of property, equipment and other assets
    6,132         90,253  
   
Restricted investments
    9,660         (3,851 )
   
Insurance proceeds
    2,840          
   
Other
            69  
 
 
   
       
 
Net cash (utilized) provided by investing activities
    2,875         76,652  
 
 
   
       
 
Cash flows from financing activities
                 
   
Repayment of long-term debt
    (1,481 )       (92,247 )
   
Payment of deferred financing fees
            (500 )
 
 
   
       
 
Net cash utilized by financing activities
    (1,481 )       (92,747 )
 
 
   
       
 
Increase in cash and cash equivalents
    8,812         6,891  
Cash and cash equivalents, beginning of period
    38,618         213,740  
 
 
   
       
 
Cash and cash equivalents, end of period
  $ 47,430       $ 220,631  
 
 
   
       
 

The accompanying notes are an integral part of these financial statements.

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Table of Contents

MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

NOTE 1          NATURE OF BUSINESS

Reporting Entity

Mariner Health Care, Inc. and its subsidiaries (collectively, the “Company”) provide post-acute healthcare services, primarily through the operation of skilled nursing facilities (“SNFs”). All references to the “Company” herein are intended to include the operating subsidiaries through which the services described herein are directly provided. At March 31, 2003, the Company’s significant operations consisted of 297 nursing facilities, including 289 SNFs and eight stand alone assisted living facilities and apartments (“ALFs”), in 23 states with 35,419 licensed beds and significant concentrations of facilities and beds in five states and several metropolitan markets. Included in the total SNFs are nine managed SNFs with 1,245 licensed beds. At March 31, 2003, the Company also operated 13 owned, leased or managed long-term acute care hospitals (“LTACs”) in four states with 683 licensed beds.

Nursing home services represents the Company’s only reportable operating segment (see Note 9 for financial information about the Company’s reportable segments).

Emergence from Bankruptcy

On March 25, 2002, the United States Bankruptcy Court for the District of Delaware (the “Bankruptcy Court”) approved the Company’s second amended and restated joint plan of reorganization filed on February 1, 2002 (including all modifications thereof and schedules and exhibits thereto, the “Joint Plan”). On May 13, 2002 (the “Effective Date”), the Company and substantially all of its subsidiaries emerged from proceedings under chapter 11 of title 11 (“Chapter 11”) of the United States Code (the “Bankruptcy Code”) pursuant to the terms of the Joint Plan. In connection with its emergence from bankruptcy, the Company changed its name to Mariner Health Care, Inc.

Discontinued Operations

In October 2001, the Company received the approval of the Bankruptcy Court to sell its institutional pharmacy services business (the “APS Division”). The Company consummated the sale of the APS Division on January 6, 2002. Accordingly, the results of the APS Division have been treated as a discontinued operation in accordance with accounting principles generally accepted in the United States (see Note 5).

NOTE 2          BASIS OF PRESENTATION

The accompanying unaudited condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”). Certain information and disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States have been condensed or omitted pursuant to such rules and regulations. Accordingly, these financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto for the year ended December 31, 2002 included in the Company’s Annual Report on Form 10-K filed with the SEC. In the opinion of management, the financial information included herein reflects all adjustments considered necessary for a fair presentation of interim results and, except for the items described in Note 3, all such adjustments are of a normal and recurring nature. Operating results for interim periods are not necessarily indicative of the results that may be expected for the entire year.

The Company emerged from bankruptcy effective May 1, 2002 for financial reporting purposes, at which time it adopted the provisions of fresh-start reporting in accordance with the American Institute of Certified Public Accountants Statement of Position 90-7, “Financial Reporting by Entities in Reorganization Under the Bankruptcy Code” (“SOP 90-7”). Under fresh-start reporting, a new entity is deemed to be created for financial reporting purposes. In adopting the requirements of fresh-start reporting as of May 1, 2002, the provisions of the Company’s Joint Plan were implemented, assets and liabilities were adjusted to their estimated fair values and the accumulated deficit for the Company’s subsidiaries that were part of the Chapter 11 cases was eliminated. The financial statements for all periods prior to May 1, 2002 reflect the financial position, results of operations and cash flows of

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

the Company’s predecessor entity (the “Predecessor Company”). The financial statements for the three months ended March 31, 2003, reflect the consolidated financial position, results of operations and cash flows of the reorganized entity (the “Reorganized Company”). Unless stated otherwise as the Predecessor Company or the Reorganized Company, all references to the Company include the operations of both the Predecessor Company and Reorganized Company.

Since fresh-start reporting materially changed the amounts previously recorded in the consolidated financial statements of the Predecessor Company, a black line signifying the difference in presentation separates the financial data pertaining to periods after the adoption of fresh-start reporting from the financial data pertaining to periods prior to the adoption of fresh-start reporting.

Between filing for protection under the Bankruptcy Code on January 18, 2000 (the “Petition Date”) and the Effective Date, the Company operated its business as a debtor-in-possession subject to the jurisdiction of the Bankruptcy Court. Accordingly, the Predecessor Company’s consolidated financial statements presented herein for periods prior to its emergence from bankruptcy are presented in conformity with SOP 90-7 and were prepared on a going concern basis, which assumes continuity of operations and realization of assets and settlement of liabilities and commitments in the normal course of business.

The Reorganized Company adopted the accounting policies of the Predecessor Company. In accordance with the fresh-start reporting provisions of SOP 90-7, the Reorganized Company also adopted changes in accounting principles that were required in the consolidated financial statements of the Reorganized Company within the twelve month period subsequent to the Effective Date.

Comparability of Financial Information

The adoption of fresh-start reporting as of May 1, 2002 materially changed the amounts previously recorded in the consolidated financial statements of the Predecessor Company. With respect to reported operating results, management believes that business segment operating income of the Predecessor Company is generally comparable to that of the Reorganized Company, excluding divested facilities. However, capital costs, such as interest, depreciation and amortization, of the Predecessor Company generally are not comparable to those of the Reorganized Company. In addition, the reported financial position and cash flows of the Predecessor Company generally are not comparable to those of the Reorganized Company.

In connection with the implementation of fresh-start reporting, the Company recorded a gain of approximately $1.2 billion from the restructuring of its debt in accordance with the provisions of the Joint Plan. Other significant adjustments also were recorded to reflect the provisions of the Joint Plan and the fair values of the assets and liabilities of the Reorganized Company. For accounting purposes, these transactions are reflected in the operating results of the Predecessor Company for the four months ended April 30, 2002.

Stock-Based Compensation

The Reorganized Company maintains two stock-based compensation plans that provide for the granting of stock options to the Company’s employees and outside directors with exercise prices not less than the fair market value of the shares at the date of grant. The Reorganized Company has stock option plans authorizing the grant of stock options to purchase up to 2,153,022 shares of common stock, par value $0.01 per share (the “New Common Stock”). At March 31, 2003, there were options to purchase 2,060,560 shares of common stock outstanding at exercise prices ranging from $3.00 to $20.12, all of which were equal to the fair market value of the common stock on the date of the grant. There were options to purchase 190,210 shares of New Common Stock exercisable at March 31, 2003.

The Predecessor Company had stock option plans for key employees and outside directors which authorized the granting of incentive stock options and nonqualified options. Upon the Company’s emergence from bankruptcy, all the Predecessor Company stock option plans and options granted were canceled.

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Table of Contents

MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

The Company accounts for stock options in accordance with Accounting Principles Board (“APB”) Opinion 25, “Accounting for Stock Issued to Employees,” and related interpretations. Accordingly, the Company recognizes no compensation expense for stock option grants. In accordance with Statement of Financial Accounting Standards (“SFAS”) No. 123, “Accounting for Stock-Based Compensation,” as amended by SFAS No. 148, “Accounting for Stock-Based Compensation – Transition and Disclosure, an Amendment of SFAS No. 123” (“SFAS 148”), the Company’s pro forma net income (loss) and earnings (loss) per share, assuming the election had been made to recognize compensation expense on stock-based awards, are as follows (in thousands of dollars, except per share amounts):

                     
      Reorganized Company     Predecessor Company
     
   
      Three Months Ended     Three Months Ended
      March 31, 2003     March 31, 2002
     
   
Net income (loss)
  $ 2,768       $ (14,581 )
 
Deduct: total stock-based employee compensation expense determined under fair value based methods for all awards, net of tax
    (858 )       (92 )
 
   
       
 
Pro forma net income (loss)
  $ 1,910       $ (14,673 )
 
   
       
 
Basic and diluted earnings per share
                 
 
As reported
  $ 0.14       $ (0.20 )
 
Pro forma
    0.10         (0.20 )

The Company uses the Black-Scholes model to determine the fair value of options on the date of the grant. The Black-Scholes model was developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable. In addition, option pricing models require the input of highly subjective assumptions including the expected stock price volatility. Because the Company’s stock options have characteristics significantly different from those of traded options, and because changes in the subjective input assumptions can materially affect the fair value estimate, in management’s opinion, the existing models do not necessarily provide a reliable single measure of the fair value of its stock options.

For purposes of pro forma disclosures of net income (loss) and earnings per share, the estimated fair value of the options is amortized to expense over the option’s vesting period. The following weighted-average assumptions were used:

                   
    Reorganized Company     Predecessor Company
   
   
    Three Months Ended     Three Months Ended
    March 31, 2003     March 31, 2002
   
   
Dividend yield
  0.0%     0.0%
Expected volatility
  0.51-0.68     0.42-1.21
Risk-free interest rate
  3.11%-4.70%     4.61%-6.11%
Expected life in years
  6     3-8
Weighted-average fair value
  9.96    

Recent Accounting Pronouncements

In April 2003, the Financial Accounting Standards Board (“FASB”) issued SFAS No. 149, “Amendment of Statement 133 on Derivative Instruments and Hedging Activities” (“SFAS 149”), which is effective for contracts entered into or modified after June 30, 2003 and for hedging relationships designated after June 30, 2003. The guideline should be applied prospectively. The Company believes the adoption of SFAS 149 will not have a material impact on its consolidated financial position, results of operations or cash flows.

In January 2003, FASB issued FASB Interpretation No. 46, “Consolidation of Variable Interest Entities.” This interpretation provides guidance with respect to the identification of variable interest entities and when the assets, liabilities, noncontrolling interests and results of operations of a variable interest entity need to be included in a company’s consolidated financial statements. This interpretation did not have a material impact on the consolidated financial position, results of operations or cash flows of the Company.

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

In December 2002, FASB issued SFAS 148, which provides alternative methods of transition for an entity that voluntarily changes to the fair value based method of accounting for stock-based employee compensation. The provisions of this statement were effective December 31, 2002. Management currently intends to continue to account for stock-based compensation under the intrinsic value method set forth in APB Opinion 25 “Accounting for Stock Issued to Employees,” and related interpretations. For this reason, the transition guidance of SFAS 148 did not have a material impact on the consolidated financial position, results of operations or cash flows. SFAS 148 does amend existing guidance with respect to required disclosures, regardless of the method of accounting used.

In November 2002, FASB issued FASB Interpretation No. 45, “Guarantor’s Accounting and Disclosure Requirements for Guarantees, Including Indirect Guarantees of Indebtedness of Others.” This interpretation elaborates on the disclosures to be made by a guarantor in its financial statements under certain guarantees that it has issued. It also clarifies that a guarantor is required to recognize, at the inception of a guarantee, a liability for the fair value of the obligation undertaken in issuing the guarantee. The disclosure requirements of this interpretation were effective as of December 31, 2002 and require disclosure of the nature of the guarantee, the maximum potential amount of future payments that the guarantor could be required to make under the guarantee, and the current amount of the liability, if any, for the guarantor’s obligations under the guarantee. The recognition requirements of this interpretation were effective beginning January 1, 2003. This interpretation did not have a material impact on the consolidated financial position, results of operations or cash flows.

Reclassifications

Certain prior year amounts have been reclassified to conform with the current period financial statement presentation.

Reorganization Items

In accordance with SOP 90-7, the Predecessor Company recorded all expenses incurred as a result of the bankruptcy filings as reorganization items. A summary of the principal categories of reorganization items for the three months ended March 31, 2002 follows (in thousands of dollars):

           
Professional fees
  $ 28,041  
DIP financing fees
    376  
Other reorganization costs
    7,783  
Net loss on divestitures
    12,775  
Interest earned on accumulated cash resulting from Chapter 11 filings
    (479 )
 
   
 
 
Reorganization items
  $ 48,496  
 
   
 

NOTE 3          FRESH-START REPORTING

In accordance with SOP 90-7, the Company adopted fresh-start reporting because holders of voting shares immediately before filing and confirmation of the Joint Plan received less than 50% of the voting shares of the emerging entity, and its reorganization value is less than its postpetition liabilities and allowed claims, as shown below (in thousands of dollars):

           
Postpetition liabilities
  $ 268,942  
Liabilities deferred pursuant to Chapter 11 proceedings
    2,167,277  
 
   
 
Total postpetition liabilities and allowed claims
    2,436,219  
Reorganization value
    816,800  
 
   
 
 
Excess of liabilities over reorganization value
  $ 1,619,419  
 
   
 

In adopting the requirements of fresh-start reporting, the Company engaged an independent financial advisor to assist in the determination of the reorganization value, or fair value, of the emerging entity. The independent

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

financial advisor determined an estimated reorganization value of approximately $816.8 million before considering any long-term debt or other obligations assumed in connection with the Joint Plan. This estimate was based upon various valuation methods, including discounted projected cash flow analysis, selected comparable market multiples of publicly traded companies and other applicable ratios and economic industry information relevant to the operations of the Company, as well as through negotiations with the various creditor parties in interest. The estimated total equity value of the Reorganized Company aggregating approximately $326.2 million was determined after taking into account the values of the obligations assumed in connection with the Joint Plan.

After consideration of the Company’s debt capacity and other capital structure considerations, such as industry norms, projected earnings to fixed charges, earnings before interest and taxes to interest, free cash flow to interest, free cash flow to debt service and other applicable ratios, and after extensive negotiations among parties in interest, it was agreed that the Company’s reorganization capital structure would be as follows (in thousands of dollars):

         
Postpetition current liabilities
  $ 268,942  
Senior Credit Facility-term loan
    212,000  
Second Priority Notes
    150,000  
Non-recourse indebtedness of subsidiary
    59,688  
Mortgage note payable and capital lease
    68,955  
Long-term insurance reserves
    177,270  
Other long-term liabilities
    26,246  
New Common Stock
    200  
Warrants to purchase New Common Stock
    935  
Capital in excess of par
    358,977  
Accumulated deficit
    (33,734 )
Accumulated other comprehensive loss
    (174 )
 
   
 
 
  $ 1,289,305  
 
   
 

The following reconciliation of the Predecessor Company’s consolidated balance sheet as of April 30, 2002 to that of the Reorganized Company as of May 1, 2002 was prepared to present the adjustments that give effect to the reorganization and fresh-start reporting.

The adjustments entitled “Reorganization” reflect the consummation of the Joint Plan, including the elimination of existing liabilities subject to compromise and consolidated stockholders’ deficit, and reflect the aforementioned $816.8 million reorganization value, which includes the establishment of $265.0 million of reorganization value in excess of amounts allocable to net identifiable assets.

The adjustments entitled “Fresh-Start Adjustments” reflect the adoption of fresh-start reporting, including the adjustments to record property and equipment and identifiable intangible assets at their fair values. The assets and liabilities have been recorded at their estimated fair values. Management estimated the fair value of the Company’s assets and liabilities by using both independent appraisals and commonly used discounted cash flow valuation methods. The reorganization value on the Effective Date included in the Joint Plan was based upon various valuation methods, including discounted projected cash flows, and assumed continued increases in the Medicare reimbursement rates that expired on October 1, 2002.

Certain of the Company’s wholly owned subsidiaries and consolidated joint ventures did not file for protection under Chapter 11. The non-filing subsidiaries were not subject to the fresh-start reporting provisions under SOP 90-7 and, consequently, their balance sheets are reflected in the consolidated balance sheet at historical carrying value.

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

A reconciliation of fresh-start reporting recorded as of May 1, 2002 follows (in thousands of dollars):

                                               
          Predecessor                           Reorganized
          Company                           Company
         
             
          April 30,           Fresh-Start           May 1,
          2002   Reorganization   Adjustments   Reclassifications   2002
         
 
 
 
 
Current assets
                                       
   
Cash and cash equivalents
  $ 202,338     $ (111,078 )(a)   $     $     $ 91,260  
   
Receivables
    232,162       3,640 (b)                 235,802  
   
Inventories
    7,631                         7,631  
   
Other current assets
    28,918                         28,918  
   
 
   
     
     
     
     
 
     
Total current assets
    471,049       (107,438 )                 363,611  
Property and equipment, net
    416,369             160,353 (m)           576,722  
Reorganization value in excess of amounts allocable to identifiable assets
          264,954 (c)                 264,954  
Goodwill
    186,543             (179,746 )(n)           6,797  
Restricted investments
    34,054       16,453 (d)                 50,507  
Other assets
    29,251       5,924 (e)     (8,461 )(o)           26,714  
   
 
   
     
     
     
     
 
 
  $ 1,137,266     $ 179,893     $ (27,854 )   $     $ 1,289,305  
   
 
   
     
     
     
     
 
Current liabilities
                                       
   
Current maturities of long-term debt
  $     $     $     $ 6,220 (q)   $ 6,220  
   
Accounts payable
    54,100                         54,100  
   
Accrued compensation and benefits
    90,776                         90,776  
   
Accrued insurance obligations
    24,826                         24,826  
   
Other current liabilities
    110,229       7,162 (f)           (16,250 )(q)     101,141  
   
 
   
     
     
     
     
 
     
Total current liabilities
    279,931       7,162             (10,030 )     277,063  
Liabilities subject to compromise
    2,167,277       (2,167,277 )(g)                  
Long-term debt, net of current maturities
    59,688       430,955 (h)           (6,220 )(q)     484,423  
Long-term insurance reserves
    119,002       58,268 (i)                 177,270  
Other liabilities
    18,497             (10,402 )(o)     16,250 (q)     24,345  
   
 
   
     
     
     
     
 
 
    2,644,395       (1,670,892 )     (10,402 )           963,101  
Stockholders’ equity (deficit)
                                       
   
Reorganized Company common stock
          200 (j)                 200  
   
Predecessor Company common stock
    737       (737 )(k)                  
   
Reorganized Company warrants to purchase common stock
          935 (j)                 935  
   
Capital in excess of par value
    980,952       359,714 (j,k)           (981,689 )(r)     358,977  
   
Retained earnings (accumulated deficit)
    (2,488,644 )     1,490,673 (1)     (17,452 )(p)     981,689 (r)     (33,734 )
   
Accumulated other comprehensive loss
    (174 )                       (174 )
   
 
   
     
     
     
     
 
 
  $ 1,137,266     $ 179,893     $ (27,854 )   $     $ 1,289,305  
   
 
   
     
     
     
     
 

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

(a)   To record the payment of cash in connection with the discharge of indebtedness and settlement of prepetition liabilities according to the terms of the Joint Plan.
 
(b)    

         
Note (b1)
  $ 5,376  
Note (b2)
    (1,736 )
 
   
 
Total receivables reorganization adjustment(b)
  $ 3,640  
 
   
 

(b1)   To adjust the settlement receivable for Medicaid payors related to the Company’s settlement with various state Medicaid programs in connection with the Joint Plan.
 
(b2)   To write-off management fee receivables related to the settlement of certain contractual disputes with a leaseholder in connection with the Joint Plan.
 
(c)   To record the reorganized value of the Company in excess of amounts allocable to identified assets.
 
(d)   To record cash collateralization of various letters of credit required by the terms of the Joint Plan.
 
(e)   To record deferred financing costs incurred in connection with the Senior Credit Facility (as defined herein).
 
(f)   To record a liability for the settlement of unsecured claims according to the terms of the Joint Plan and to record payment of professional fees including success fees to bankruptcy advisors.
 
(g)   To record the discharge of liabilities subject to compromise according to the terms of the Joint Plan as follows:

         
Prepetition senior credit facilities and term loans
  $ 1,217,638  
Prepetition senior subordinated debt
    597,328  
Other prepetition debt
    134,708  
Accounts payable and other accrued liabilities
    169,897  
Accrued interest
    79,959  
Unamortized deferred financing costs
    (32,253 )
 
   
 
Total liabilities subject to compromise
  $ 2,167,277  
 
   
 

(h)   To record the issuance of the Term Loans (as defined herein) under the Senior Credit Facility, to record the issuance of the Second Priority Notes (as defined herein), and to record various mortgages and capital leases entered into or renegotiated pursuant to the terms of the Joint Plan.
 
(i)   To record estimated settlement of prepetition insurance claims previously accrued for as liabilities subject to compromise.
 
(j)   To record issuance of New Common Stock and warrants to purchase New Common Stock.
 
(k)   To eliminate the common stock of the Predecessor Company.
 
(l)    

         
Reorganization adjustment (a)
  $ (111,078 )
Reorganization adjustment (b)
    3,640  
Reorganization adjustment (c)
    264,954  
Reorganization adjustment (d)
    16,453  
Reorganization adjustment (e)
    5,924  
Reorganization adjustment (f)
    (7,162 )
Reorganization adjustment (g)
    2,167,277  
Reorganization adjustment (h)
    (430,955 )
Reorganization adjustment (i)
    (58,268 )
Reorganization adjustments (j)(k)
    (360,112 )
 
   
 
Total retained earnings (accumulated deficit) reorganization adjustment
  $ 1,490,673  
 
   
 

(m)   To adjust property and equipment to fair value and to write-off previously recorded accumulated depreciation.
 
(n)   To write-off historical goodwill of the Predecessor Company, excluding certain subsidiaries of the Company that were not part of the bankruptcy proceedings.
 
(o)   To write-off the Company’s leasehold rights and over-market lease valuation accounts.
 
(p)   To adjust property, equipment, goodwill, leasehold rights and over-market lease liabilities to fair value.
 
(q)   Entries to record the current and long-term classification of long-term debt and reorganization fees to be settled in subsequent periods.
 
(r)   Entry to close out Predecessor Company’s retained earnings to additional paid in capital according to the terms of the Joint Plan (the remaining accumulated deficit is related to certain subsidiaries that were not part of the Company’s bankruptcy proceedings).

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

Pro Forma Information

The condensed consolidated pro forma effect of the Joint Plan assuming that the Effective Date occurred on January 1, 2002 follows (in thousands of dollars, except per share amounts):

         
    Predecessor Company
   
    Three Months Ended
    March 31, 2002
   
Revenue
  $ 454,619  
 
   
 
Gain from continuing operations
  $ 3,265  
Gain on sale of discontinued pharmacy operations
    21,386  
 
   
 
Net income
  $ 24,651  
 
   
 
Earnings per share
       
Gain from continuing operations
  $ 0.16  
Gain on sale of discontinued pharmacy operations
    1.07  
 
   
 
Net income
  $ 1.23  
 
   
 

The condensed consolidated pro forma results exclude reorganization items recorded prior to May 1, 2002. The condensed consolidated pro forma results include estimates for depreciation expense, interest expense and the related income tax effect prior to May 1, 2002. The number of shares outstanding has also been adjusted. The condensed consolidated pro forma results are not necessarily indicative of the financial results that might have resulted had the Effective Date of the Joint Plan actually occurred on January 1, 2002.

NOTE 4          REVENUE

Net revenue is recorded based on estimated amounts due from patients and third-party payors for healthcare services provided, including anticipated settlements under reimbursement agreements with Medicare, Medicaid and other third-party payors, and is recognized in the period in which the services are provided. Revenue is recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid. Net revenue realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment. Estimated third-party payor settlements are recorded in the period the related services are rendered. The methods of making such estimates are reviewed periodically, and differences between the net amounts accrued and subsequent settlements or estimates of expected settlements are reflected in the current period results of operations.

The following is a summary of approximate net revenue by payor type for the periods indicated (in thousands of dollars):

                     
      Reorganized Company     Predecessor Company
     
   
      Three Months Ended     Three Months Ended
      March 31, 2003     March 31, 2002
     
   
Medicaid
  $ 205,357       $ 217,254  
Medicare
    146,435         156,839  
Private and other
    79,985         80,526  
 
   
       
 
 
Net revenue
  $ 431,777       $ 454,619  
 
   
       
 

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

NOTE 5          DIVESTITURES

Discontinued Operations

On January 6, 2002, the Company consummated the sale of its APS Division to Omnicare, Inc. and its wholly owned affiliate, APS Acquisition LLC (collectively, “Omnicare”). During the quarter ended December 31, 2001, the Company received the approval of the Bankruptcy Court to sell the APS Division, subject to an auction and overbidding process under the supervision of the Bankruptcy Court. As a result, an auction of the assets comprising the APS Division was held on December 4, 2001, at which time, following competitive bidding at the auction, Omnicare was determined to have made the highest and best bid for the assets of the APS Division. On December 5, 2001, the Bankruptcy Court approved the sale of the APS Division to Omnicare for a cash closing price of $97.0 million and up to $18.0 million in future payments, depending upon certain post-closing operating results of the APS Division. These payments, if earned, would be received in each of 2003, 2004 and 2005. During the three months ended March 31, 2003, the Company earned and received the first payment of $6.0 million. During the three months ended March 31, 2002, the Company realized a gain on the sale of the APS Division of $21.4 million. In April 2002, the Company recognized an additional gain of $7.7 million on the sale of the APS Division.

Other Divestitures

During the three months ended March 31, 2002, the Company completed the sale or divestiture of approximately ten owned or leased facilities and certain other assets, which resulted in a net loss of approximately $2.5 million and is included in net loss on divestitures within reorganization items. In addition, effective April 3, 2002, the Company divested itself of six facilities, which resulted in a net loss of approximately $10.3 million and is included in net loss on divestitures within reorganization items for the three months ended March 31, 2002 (see Note 2). These 16 facilities reported net revenue of approximately $10.6 million for the three months ended March 31, 2002.

NOTE 6          COMPREHENSIVE INCOME

Comprehensive income (loss) includes net income (loss), as well as charges and credits to stockholders’ equity (deficit) not included in net income (loss). The components of comprehensive income (loss), net of income taxes, consist of the following (in thousands of dollars):

                   
    Reorganized Company     Predecessor Company
 
 
   
    Three Months Ended     Three Months Ended
    March 31, 2003     March 31, 2002
   
   
Net income (loss)
  $ 2,768       $ (14,581 )
Net unrealized loss on available-for-sale securities
    (1 )       (431 )
 
   
       
 
Comprehensive income (loss)
  $ 2,767       $ (15,012 )
 
   
       
 

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

NOTE 7          EARNINGS PER SHARE

The following table sets forth the computation of basic and diluted earnings per share for the periods indicated in accordance with SFAS No. 128, “Earnings per Share” (in thousands, except per share data):

                     
      Reorganized Company     Predecessor Company
     
   
      Three Months Ended     Three Months Ended
      March 31, 2003     March 31, 2002
     
   
Numerator for basic and diluted income (loss) per share
                 
 
Loss from continuing operations
  $ (832 )     $ (35,967 )
 
Discontinued operations
                 
 
       Gain on sale of discontinued pharmacy operations
    3,600         21,386  
 
 
   
       
 
 
Net income (loss)
  $ 2,768       $ (14,581 )
 
 
   
       
 
Denominator for basic income (loss) per share —
weighted-average shares
    20,000         73,688  
Effect of dilutive securities — stock options
             
 
 
   
       
 
Denominator for diluted income (loss) per share — adjusted weighted-average shares and assumed conversions
    20,000         73,688  
 
 
   
       
 
Earnings (loss) per share — basic and diluted
                 
        Loss from continuing operations
  $ (0.04 )     $ (0.49 )
 
Discontinued operations
                 
 
       Gain on sale of discontinued pharmacy operations
    0.18         0.29  
 
 
   
       
 
 
Net income (loss) per share
  $ 0.14       $ (0.20 )
 
 
   
       
 

The effect of dilutive securities for all periods presented has been excluded because the effect is antidilutive.

NOTE 8          CONTINGENCIES

From time to time, the Company has been party to various legal proceedings in the ordinary course of business. As is typical in the healthcare industry, the Company is and expects to remain subject to claims that its services have resulted in resident injury or other adverse effects. In addition, resident, visitor and employee injuries will also subject the Company to the risk of litigation. The healthcare industry in general continues to experience an increasing trend in the frequency and severity of litigation and claims.

On June 11, 2001, one of the Company’s prior liability insurance carriers, Royal Surplus Lines Insurance Company (“Royal”), commenced an adversary proceeding in the Bankruptcy Court, styled Royal Surplus Lines Insurance Company v. Mariner Health Group et al., Adversary Proceeding No. A-01-4626 (MFW). In its complaint, Royal sought among other things, declaratory judgments that it would not be required to insure some claims falling under two professional and general liability insurance (“PL/GL”) policies issued to one of the Company’s subsidiaries by Royal. One of the Company’s prior liability insurance carriers, Northfield Insurance Company (“Northfield”), moved to intervene in the Royal adversary proceeding on July 25, 2001. The Company did not oppose the motion to intervene, and it was subsequently granted.

Prior to the parties engaging in any significant discovery, they agreed to mediate the issues arising out of the Royal adversary proceeding. After the mediation, Royal agreed to dismiss its complaint without prejudice, the Company agreed to dismiss its counterclaim without prejudice, and Royal and the Company agreed to work together to resolve claims in an alternative dispute resolution procedure. Northfield did not agree to dismiss its complaint in intervention. Accordingly, Northfield and the Company are currently engaging in discovery.

In August 2002, the Company filed a complaint in the State Court of Fulton County, Georgia against PricewaterhouseCoopers, LLP (“PWC”) and several former officers of MHG (the “Individual Defendants”). The Fulton County action asserts claims for fraud and breach of fiduciary duty against the Individual Defendants and claims for fraud, professional negligence, negligent misrepresentation and aiding and abetting breach of fiduciary duty against PWC. Many of these claims arise from the July 1998 acquisition of MHG by Paragon Health Network,

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

Inc. (“Paragon”). Other claims arise from duties that the Company believes the Individual Defendants breached as officers of MHG and MPAN, Paragon’s successor following the MHG acquisition. In the Fulton County action, the Company is seeking actual damages, including compensatory, consequential and punitive damages in an amount to be determined at trial. Discovery is in the early stages.

In response to the action the Company commenced in Fulton County, the Individual Defendants filed an action in Chancery Court in Delaware in September 2002 styled Stratton et al. v. Mariner Health Care, Inc., United States Bankruptcy Court for the District of Delaware. Chapter 11 Case Nos. 00-00113 (MFW) and 00-00215 (MFW), Adversary Nos 02-5604 and 02-5606. In the Chancery Court action, the Individual Defendants generally claim they are not liable for the claims asserted in the Fulton County action and that the Company is contractually and statutorily obligated to indemnify them against the claims in the Fulton County action. The Company removed the Chancery Court action to the Bankruptcy Court. After removal, the Company answered the complaint and filed counterclaims. The Individual Defendants moved to remand the action back to the Chancery Court. The Company opposed the motion, which is pending.

After the Individual Defendants filed the Chancery Court action, the Company also filed an adversary proceeding in the Bankruptcy Court styled Mariner Health Care, Inc. v. Stratton et al., United States Bankruptcy Court for the District of Delaware, Chapter 11 Case Nos. 00-00113 (MFW) and 00-00215 (MFW), Adversary No. 02-05598 (consolidated with Adversary No. 02-05599). In this enforcement action (the “Enforcement Action”), the Company generally alleged that it does not have any obligation to indemnify the Individual Defendants. The Individual Defendants filed counterclaims generally alleging that the Company has an obligation to indemnify them against the claims in the Fulton County action and that the Company is estopped from asserting those claims. The Company moved to dismiss the Individual Defendants’ estoppel counterclaim. The Individual Defendants opposed the motion, and on April 10, 2003 the Bankruptcy Court granted the motion to dismiss.

After the Company filed the Fulton County action, former members of MHG’s board of directors filed an action in the Superior Court of Cobb County, Georgia against PWC and the Individual Defendants based on claims arising out of MHG’s acquisition of Convalesant Services, Inc. in 1995 because of the Individual Defendants’ and PWC’s alleged misrepresentations. This action is William R. Bassett, et al. v. PricewaterhouseCoopers, LLP, et al., Superior Court of Cobb County, Georgia, Case No. 02-1-8314-35. The plaintiffs in the Cobb County action seek damages in excess of $200 million. The Individual Defendants added the Company as a third-party defendant in the Cobb County action seeking to recover on indemnification claims similar to those made by them in the Chancery Court action, and which are now pending, and subject to resolution before the Bankruptcy Court in the Enforcement Action. The Cobb County action is in the early stages of discovery.

NOTE 9      SEGMENT INFORMATION

As previously disclosed, the Company has one reportable segment, nursing home services, which provides long-term healthcare through the operation of skilled nursing and assisted living facilities in the United States. The “Other” category includes the Company’s non-reportable segments, primarily its LTAC hospitals, corporate items not considered to be an operating segment and eliminations.

The Company primarily evaluates segment performance and allocates resources based on operating margin, which basically represents revenue less operating expenses. Operating margin does not include interest income, interest expense, reorganization items, income taxes or extraordinary items. Gains or losses on sales of assets and certain items, including impairment of assets, legal and regulatory matters and restructuring costs are also excluded from operating margin and not considered in the evaluation of segment performance. The Company does not have any intersegment revenue. Asset information by segment, including capital expenditures, and net income (loss) beyond operating margins are not provided to the Company’s chief operating decision maker.

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MARINER HEALTH CARE, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

The following tables summarize operating results by business segment, excluding the results of the APS Division, for the Reorganized Company for the three months ended March 31, 2003 and for the Predecessor Company for the three months ended March 31, 2002 (in thousands of dollars):

                         
    Nursing Home                
    Services   Other   Total
   
 
 
Reorganized Company
                       
Three Months Ended March 31, 2003
                       
Revenue from external customers
  $ 402,315     $ 29,462     $ 431,777  
Operating margin
    33,075       (18,235 )     14,840  
Depreciation and amortization
    7,883       840       8,723  

Predecessor Company
                       
Three Months Ended March 31, 2002
                       
Revenue from external customers
  $ 426,915     $ 27,704     $ 454,619  
Operating margin
    35,137       (13,553 )     21,584  
Depreciation and amortization
    8,046       855       8,901  

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

Overview

Mariner Health Care, Inc. through its operating subsidiaries, is one of the largest providers of long-term healthcare services in the United States, based on net revenue and the number of nursing homes owned, leased and managed. We provide these services primarily through the operation of skilled nursing facilities, or SNFs, and long-term acute care hospitals, or LTACs. As of March 31, 2003, we operated 297 owned, leased or managed facilities in 23 states, including 289 SNFs and eight stand along assisted living facilities and apartments, or ALFs, with 35,419 licensed beds, as well as 13 LTACs in four states with 683 licensed beds. Included in the total number of SNFs are nine managed SNFs with 1,245 licensed beds. As of March 31, 2003, we owned 192 of our facilities, and 13 of our facilities were leased under capital leases. We have significant facility concentrations in five states and several metropolitan markets. As used in this report, references to “we,” “us,” “our,” “Mariner” or similar terms include Mariner Health Care, Inc. and its operating subsidiaries.

Inpatient services provided at our SNFs, ALFs and LTACs are our primary service offering and have historically accounted for over 90% of our revenue and cash flows. Through our SNFs, we provide 24-hour care to patients requiring skilled nursing services, including assistance with activities of daily living, therapy and rehabilitation services. Our LTACs accommodate the relatively high acuity needs of patients discharged from short-term, acute-care hospitals when the patients’ condition warrants more intensive care than can be provided in a typical nursing facility.

Emergence from Bankruptcy and Fresh-Start Reporting

On May 13, 2002, or the Effective Date, we emerged from proceedings under chapter 11 of title 11 of the Bankruptcy Code pursuant to the terms of our second amended and restated joint plan of reorganization, filed with the Bankruptcy Court on February 1, 2002, including all modifications thereof and schedules and exhibits thereto, the Joint Plan. In connection with our emergence from bankruptcy, we changed our name to Mariner Health Care, Inc.

Upon our emergence from bankruptcy, we reflected the terms of the Joint Plan in our consolidated financial statements by adopting the principles of fresh-start reporting in accordance with the American Institute of Certified Public Accountants Statement of Position 90-7 “Financial Reporting by Entities in Reorganization Under the Bankruptcy Code,” or SOP 90-7. For accounting purposes, the adjustments for fresh-start reporting have been recorded as of May 1, 2002, the effective date of our Joint Plan for financial reporting purposes. Under fresh-start reporting, a new entity is deemed to be created for financial reporting purposes. In adopting the requirements of fresh-start reporting as of May 1, 2002, the provisions of the Joint Plan were implemented, assets and liabilities were adjusted to their estimated fair values and the accumulated deficit for our subsidiaries that were part of the Chapter 11 cases was eliminated.

Comparability of Financial Information

The adoption of fresh-start reporting as of May 1, 2002 materially changed the amounts previously recorded in our consolidated financial statements. With respect to operating results, we believe that the business segment operating income of Mariner before we emerged from bankruptcy, or the Predecessor Company, is generally comparable to that of Mariner after we emerged from bankruptcy, or the Reorganized Company, excluding facilities that have been divested. While there have been no material changes in our strategy or the operation of our business, capital costs of our Predecessor Company that were based on prepetition contractual agreements and historical costs are not comparable to those of the Reorganized Company as a result of the divestiture of under-performing facilities and the extinguishment of a significant amount of indebtedness. Rent expense of our Predecessor Company was partially derived from leases that were terminated before our emergence from bankruptcy and are not obligations of the Reorganized Company. Interest expense of our Predecessor Company was based upon the terms of our prepetition long-term debt obligations and was materially different from that of the Reorganized Company as a result of the extinguishment of debt in bankruptcy. Depreciation expense of our Predecessor Company was based upon the historical cost of property and equipment. Depreciation expense of the Reorganized Company is based upon the fair value of property and equipment as of May 1, 2002, adjusted for impairment recorded in the last three months of

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2002. For these reasons, the reported financial position and cash flows of our Predecessor Company generally are not comparable to those of the Reorganized Company.

Critical Accounting Policies and Estimates

General. The unaudited condensed consolidated financial statements are based on the application of critical accounting policies and estimates, which require management to make significant estimates and assumptions. There was no initial adoption of any accounting policies during the three months ended March 31, 2003 other than those listed under “Recent Accounting Pronouncements” in the notes to the accompanying unaudited condensed consolidated financial statements. We believe that some of the more critical judgment areas in the application of accounting policies that affect our financial condition and results of operations are estimates and assumptions pertaining to (a) revenue recognition, (b) collectibility of accounts receivable, (c) insurance and professional liability risks, (d) income taxes and (e) derivative market value.

Revenue Recognition. We have agreements with third-party payors that provide for payments to our SNFs. These payment arrangements may be based upon prospective rates, reimbursable costs, established charges, discounted charges or per diem payments. Revenue is reported at the estimated net realizable amounts from Medicare, Medicaid, other third-party payors and individual patients for services rendered. Retroactive adjustments that are likely to result from future examinations by third-party payors are accrued on an estimated basis in the period the related services are rendered and adjusted as necessary in future periods based on final settlements. There is at least a possibility that recorded estimates may change by a material amount. Consistent with healthcare industry accounting practices, changes to these third-party revenue estimates are recorded in the year of change or at the time the adjustment becomes known.

Collectibility of Accounts Receivable. Accounts receivable consist primarily of amounts due from the Medicare and Medicaid programs, other government programs, managed care health plans, commercial insurance companies and individual patients. Estimated provisions for doubtful accounts are recorded to the extent it is probable that a portion or all of a particular account will not be collected. In evaluating the collectibility of accounts receivable, we consider a number of factors, including the age of the accounts, changes in collection patterns, the composition of patient accounts by payor type, the status of ongoing disputes with third-party payors and general industry conditions. Changes in these estimates are charged or credited to the results of operations in the period of the change. If circumstances such as economic downturn, higher than expected defaults or denials, reduced collections or change in our payor mix change, our estimates of the recoverability of our receivables could be reduced by a material amount. Our provision for bad debts represented 0.9% and 2.9% of net revenue for the three months ended March 31, 2003 and 2002, respectively. Our allowance for doubtful accounts represented 21.3% and 21.7% of accounts receivable at March 31, 2003 and December 31, 2002, respectively.

Insurance and Professional Liability Risks. We currently purchase professional and general liability insurance, or PL/GL, through a third-party insurance company, maintaining an unaggregated $1.0 million self-insured retention per claim, except in Colorado, where we maintain first dollar coverage. Loss provisions for professional liability risks, including incurred but not reported losses, are provided on an undiscounted basis in the period of the related coverage. These provisions are based on internal and external evaluations of the merits of individual claims, analysis of claim history and independent actuarially determined estimates. The methods of making these estimates and establishing the resulting accrued liabilities are reviewed frequently by management with any material adjustments resulting from that review reflected in current earnings. Although management believes that the current provision for loss is adequate, the ultimate liability may be in excess of or less than the amounts recorded.

Accounting for Income Taxes. The provision for income taxes is based upon our estimate of taxable income or loss for each respective accounting period. We recognize 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 will result in taxable or deductible amounts in future years when the reported amounts of assets are recovered or liabilities are settled. We also recognize as deferred tax assets the future tax benefits from net operating and capital loss carry forwards.

We have limited operating experience as a Reorganized Company. Furthermore, there are significant uncertainties with respect to future Medicare payments to both our SNFs and LTACs that could affect materially the realization of

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some of our deferred tax assets. Accordingly, a valuation allowance is provided for deferred tax assets because the reliazability of the deferred tax assets is uncertain.

If all or a portion of the pre-reorganization deferred tax asset is realized in the future, or considered “more likely than not” to be realized by us, the reorganization intangible recorded in connection with fresh-start reporting will be reduced accordingly. If the reorganization intangible is eliminated in full, other intangible assets will then be reduced, with any excess treated as an increase to capital in excess of par value.

Derivative Market Value. We have non-recourse indebtedness of a subsidiary that includes an option to allow us to extend the term on the loan. This term-extending option meets the definition of an embedded derivative instrument according to the provisions of SFAS No. 133, “Accounting for Derivative Instruments and Hedging Activities.” Therefore, this derivative is accounted for as a purchased option, or more specifically a “payer swaption.” Fair value of the payer swaption should increase if interest rates rise because the probability of exercising this option at a future date increases. The payer swaption has been bifurcated from the related debt and recorded as an asset at its estimated fair market value of $3.2 million as of March 31, 2003.

An estimate of the fair value was determined using the Black model. The Black model is similar to the Black-Scholes model used for valuing stock options. This market value calculation is very sensitive to changes in interest rates and the estimate of the volatility of interest rates. An increase in these variables, with other variables held constant, will cause the value of the payer swaption to increase. Prior to maturity of the debt, at the option of the debtor, a wholly-owned subsidiary of ours, the debt can be prepaid only between February 1, 2005 and July 31, 2005 or six months prior to maturity. In the event the debt is prepaid, the payer swaption will become worthless and we will recognize an expense for the current market value.

Recent Accounting Pronouncements

In April 2003, the Financial Accounting Standards Board, or FASB, issued Statement of Financial Accounting Standards, or SFAS No. 149, “Amendment of Statement 133 on Derivative Instruments and Hedging Activities,” which is effective for contracts entered into or modified after June 30, 2003 and for hedging relationships designated after June 30, 2003. The guidance should be applied prospectively. We believe the adoption of SFAS No. 149 will not have a material impact on our consolidated financial position, results of operations or cash flows.

In January 2003, FASB issued FASB Interpretation No. 46, “Consolidation of Variable Interest Entities.” This interpretation provides guidance with respect to the identification of variable interest entities and when the assets, liabilities, noncontrolling interests and results of operations of a variable interest entity need to be included in a company’s consolidated financial statements. This interpretation is not expected to have a material impact on our consolidated financial position, results of operations or cash flows.

In December 2002, FASB issued SFAS No. 148, “Accounting for Stock-Based Compensation – Transition and Disclosures, and Amendment of SFAS No. 123.” As described above, SFAS No. 148 provides alternative methods of transition for an entity that voluntarily changes to the fair value based method of accounting for stock-based employee compensation. The provisions of this statement were effective December 31, 2002. Management currently intends to continue to account for stock-based compensation under the intrinsic value method set forth in Accounting Principles Board Opinion 25 and related interpretations. For this reason, the transition guidance of SFAS No. 148 does not have a material impact on our consolidated financial position, results of operations or cash flows. This statement does amend existing guidance with respect to required disclosures, regardless of the method of accounting used.

In November 2002, FASB issued FASB Interpretation No. 45, “Guarantor’s Accounting and Disclosure Requirements for Guarantees, Including Indirect Guarantees of Indebtedness of Others.” This interpretation elaborates on the disclosures to be made by a guarantor in its financial statements under certain guarantees that it has issued. It also clarifies that a guarantor is required to recognize, at the inception of a guarantee, a liability for the fair value of the obligation undertaken in issuing the guarantee. The disclosure requirements of this interpretation are effective and were adopted by us as of December 31, 2002, and require disclosure of the nature of any guarantee, the maximum potential amount of future payments that the guarantor could be required to make under the guarantee and the current amount of the liability, if any, for the guarantor’s obligations under the guarantee. The recognition

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requirements of this interpretation were effective beginning January 1, 2003. This interpretation did not have a material impact on our consolidated financial position, results of operations or cash flows.

Occupancy Data

We calculate aggregate occupancy percentages for all of our nursing facilities by dividing the total number of beds occupied by the total number of licensed beds available for use during the periods indicated. Licensed beds refer to the number of beds for which a license has been issued, which may vary in some instances from licensed beds available for use. The average occupancy rate for our nursing facilities was 86.0% for the three months ended March 31, 2003 and 86.4% for the three months ended March 31, 2002. We do not believe there is a consistent industry standard as to how occupancy is measured; for this reason, this information may not be comparable among long-term care providers. Occupancy percentages should not be relied upon alone to determine the profitability of a facility. Other factors affecting profitability include the sources of payment, terms of reimbursement and the acuity level for each of the patients in the facilities. The following table provides certain occupancy data for our nursing facilities as of the dates indicated.

                   
    Reorganized Company     Predecessor Company
   
   
    Three Months Ended     Three Months Ended
    March 31, 2003     March 31, 2002
   
   
Total average residents
    30,074         31,429  
Weighted-average licensed beds available for use
    34,976         36,391  
Weighted-average occupancy
    86.0 %       86.4 %

Sources of Revenue

Reimbursement rates from government sponsored programs, such as Medicare and Medicaid, are strictly regulated and subject to funding appropriations from federal and state governments. Ongoing efforts of third-party payors to contain healthcare costs by limiting reimbursement rates, limiting eligibility to participate in healthcare programs, increasing case management review and negotiating reduced contract pricing continue to affect our revenue and profitability. Changes in reimbursement rates, including the implementation of PPS, have adversely affected us, resulting in significantly lower Medicare revenue than we would have received under the previous cost-based payment methodology.

Reorganized Company Three Months Ended March 31, 2003 Compared to the Predecessor Company Three Months Ended March 31, 2002

Net Revenue. Net revenue totaled $431.8 million for the three months ended March 31, 2003, a decrease of $22.8 million, or 5.0%, compared to the three months ended March 31, 2002. After adjusting for the effect of the 27 facilities that were divested between January 1, 2002 to March 31, 2003, net revenue increased $5.5 million, or 1.3%, in the three months ended March 31, 2003 compared to the three months ended March 31, 2002.

Net revenue from nursing home services accounted for $402.3 million, or 93.2%, of total net revenue for the three months ended March 31, 2003 compared to $426.9 million, or 93.9%, of total net revenue for the three months ended March 31, 2002. Revenue was derived from the provision of routine and ancillary services and is a function of occupancy rates, payor mix and acuity levels of the patients in our facilities. The following table provides the percentage of our net patient revenue derived from the various sources of payment for the periods indicated.

                     
      Reorganized Company     Predecessor Company
     
   
      Three Months Ended     Three Months Ended
      March 31, 2003     March 31, 2002
     
   
Medicaid
    47.6 %       47.8 %
Medicare
    33.9 %       34.5 %
Private and other
    18.5 %       17.7 %
 
   
       
 
 
Net revenue
    100.0 %       100.0 %
 
   
       
 

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Net revenue from nursing home services decreased $24.6 million, or 5.8%; however, net revenue from nursing home services, excluding facilities that were divested, increased by $3.7 million, or 0.9%, to $402.3 million for the three months ended March 31, 2003 compared to $398.6 million for the three months ended March 31, 2002. This increase was the result of an average increase in revenue per patient day of $2.16, or 1.5%, partially offset by a slight decrease in the total number of patient days.

These increases in revenue were partially offset by a $8.8 million decrease in revenue in the three months ended March 31, 2003 due to the impact of the October 1, 2002 expiration of certain temporary increases in the Medicare reimbursement rates, referred to as the Medicare Reimbursement Cliff. We estimate that the impact of the Medicare Reimbursement Cliff could result in a loss of revenue and operating income of up to approximately $37.0 million in 2003 and annually thereafter, assuming no further legislative relief and a consistent patient census.

Costs and Expenses. Costs and expenses for the three months ended March 31, 2003 were $425.7 million, a decrease of $16.2 million, or 3.7%, compared to $441.9 million of costs and expenses for the three months ended March 31, 2002. After adjusting for the costs and expenses of facilities that have been divested, costs and expenses for the three months ended March 31, 2003 were $425.7 million, an increase of $15.8 million, or 3.9%, compared to $409.9 million of costs and expenses for the three months ended March 31, 2002.

The increase in costs and expenses after adjusting for divested facilities was attributable to an increase in operating expenses, which were partially offset by a decrease in the provision for bad debts. Operating expenses for the three months ended March 31, 2003 were $375.4 million, a decrease of $16.2 million, or 4.1%, compared to $391.6 million for the three months ended March 31, 2002. After adjusting for the operating expenses of facilities that have been divested, operating expenses for the three months ended March 31, 2003 were $375.4 million, an increase of $12.7 million, or 3.5%, compared to $362.7 million of operating expenses for the three months ended March 31, 2002. The increase in operating expenses was primarily due to a higher Medicare census and rising acuity levels for the patients in the facilities.

Operating Income. Operating income for the three months ended March 31, 2003 was $6.1 million, compared to operating income of $12.7 million for the three months ended March 31, 2002, a decrease of $6.6 million, or 52.0%. After adjusting for divested facilities, operating income for the three months ended March 31, 2003 was $6.1 million, while operating income was $16.4 million for the three months ended March 31, 2002, a decrease of $10.3 million, or 62.8%. The decrease in operating income resulted from the net effect of the 1.3% increase in net revenue and the 3.9% increase in costs and expenses explained above.

Interest Expense. Interest expense for the three months ended March 31, 2003 was $8.3 million. Interest expense for the three months ended March 31, 2002 was $1.0 million, an increase of $7.3 million. The increase in interest expense was due to our new capital structure upon emergence from bankruptcy.

Reorganization Items. Reorganization items, which consisted of income, expenses and other gains and losses incurred as a result of the bankruptcy filings, resulted in a $48.5 million loss for the three months ended March 31, 2002, which consisted primarily of $28.0 million in professional fees and a $12.8 million of net loss on divestitures of certain facilities and other assets. There were no reorganization items reflected in our results of operations in the comparable three month period ended March 31, 2003 since we emerged from bankruptcy effective on May 13, 2002.

Discontinued Operation. During the three months ended December 31, 2001, we received the approval of the Bankruptcy Court to sell our institutional pharmacy services business, or the APS Division, subject to an auction and overbidding process under the supervision of the Bankruptcy Court. Following competitive bidding at the auction, Omnicare Inc. and its affiliates, collectively referred to as Omnicare, were determined to have made the highest and best bid for the assets of the APS Division. On December 5, 2001, the Bankruptcy Court approved the sale of the APS Division to Omnicare for a cash closing price of $97.0 million, subject to adjustments as provided in the purchase agreement, and up to $18.0 million in future payments, depending upon post-closing operating results of the APS Division, which, if earned, would be received in each of 2003, 2004 and 2005. On January 6, 2002, we completed the sale and realized a gain of $21.4 million, net of applicable income taxes, which is reflected as discontinued operations. In the first quarter of 2003, we earned and received $6.0 million from Omnicare, which was recorded net of applicable income taxes, or a $3.6 million gain, which is reflected as discontinued operations.

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Income Taxes. We recorded $1.8 million of income tax expense on income generated in the three months ended March 31, 2003. Of this amount, $2.4 million of income tax expense was allocable to the gain on sale of discontinued pharmacy operations, and is reported net of the gain on the statement of operations. The remaining $0.6 million of income tax benefit is allocable to the losses generated from continuing operations. We had sufficient tax loss carry forwards to offset current period income. However, the income tax benefit of utilizing pre-emergence deferred tax assets is first applied to reduce reorganization value recorded in connection with fresh-start reporting pursuant to SOP 90-7 as the tax loss deferred tax asset had a valuation allowance recorded against it at the Effective Date. No tax provision was recorded for the three months ended March 31, 2002 as the loss carry forwards were offset with a valuation allowance because we believe the deferred tax asset would not be recognizable under the “more likely than not” standard.

Liquidity and Capital Resources of the Company

                                             
        Payments due by Period
       
        Total   Less Than 1 Year   1-3 Years   4-5 Years   After 5 Years
       
 
 
 
 
Contractual obligations
                                       
 
Long-term debt
                                       
   
Term Loans
  $ 209,880     $ 2,120     $ 4,240     $ 4,240     $ 199,280  
   
Second priority notes
    150,000                         150,000  
   
Non-recourse indebtedness of subsidiary
    59,688                         59,688  
   
Mortgage notes payable
    11,383       154       352       419       10,458  
   
Capital leases
    52,330       7,479       25,085       8,756       11,010  
 
Operating leases
    184,173       34,365       54,748       34,903       60,157  
 
Other
    2,144       145       246       156       1,597  
 
   
     
     
     
     
 
Total contractual obligations
  $ 669,598     $ 44,263     $ 84,671     $ 48,474     $ 492,190  
 
   
     
     
     
     
 
                                             
        Amount of Commitment Expiration per Period
       
        Total   Less Than 1 Year   1-3 Years   4-5 Years   After 5 Years
       
 
 
 
 
Commercial commitments
                                       
 
Letters of credit
  $ 22,563     $ 22,563     $     $     $  
 
Guarantees
    5,100                         5,100  
       
 
 
 
 
Total commercial commitments
  $ 27,663     $ 22,563     $     $     $ 5,100  
       
 
 
 
 

Working Capital and Cash Flows

At March 31, 2003, we had working capital of $117.9 million and cash and cash equivalents of $47.4 million, compared to working capital of $116.6 million and cash and cash equivalents of $38.6 million at December 31, 2002. For the three months ended March 31, 2003, net cash provided by operating activities of continuing operations before reorganization items was $8.8 million. Net cash provided by operating activities of continuing operations before reorganization items was $33.1 million for the three months ended March 31, 2002.

Purchases of property and equipment were $15.8 million for the three months ended March 31, 2003 and $9.8 million for the three months ended March 31, 2002, both of which were financed through internally generated funds. Capital expenditures for the three months ended March 31, 2003 included $3.9 million related to certain facilities that were damaged by floods for which insurance proceeds of $2.9 million were received in the three months ended March 31, 2003. Our operations require capital expenditures for renovations of existing facilities in order to continue to meet regulatory requirements, upgrade facilities for the treatment of sub-acute patients, accommodate the addition of specialty medical services and improve the physical appearance of facilities for marketing purposes. In addition, capital expenditures are required for completion of certain facility expansions, new construction projects and supporting non-nursing home operations.

We anticipate spending a portion of our planned capital expenditures for the twelve months ending December 31, 2003 to complete additions to our information systems, which include a new centralized clinical billing function and enhancements to other accounting and human resource systems. Some of the costs associated with these enhancements may qualify as capital expenditures in accordance with American Institute of Certified Public

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Accountants Statement of Position 98-1, “Accounting for the Costs of Computer Software Developed or Obtained for Internal Use.”

During the three months ended March 31, 2002, we received net proceeds from the disposition of assets of $90.3 million, which primarily related to the sale of the APS Division.

During the three months ended March 31, 2003, we made aggregate principal repayments of long-term debt of $1.5 million. During the three months ended March 31, 2002, we made aggregate principal repayments of prepetition long-term debt of $92.2 million.

We believe that our cash generated from operations, together with available borrowings under or Senior Credit Facility, are sufficient to fund our working capital needs for the foreseeable future.

Capital Resources

Senior Credit Facility. Effective March 31, 2003, we amended our $297.0 million Senior Credit Facility with a syndicate of lenders (the “Senior Credit Facility”). This amendment, among other things, adjusted the terms of the financial covenants for the two year period through December 31, 2004 and increased our interest rates.

Outstanding loans under the Senior Credit Facility bear interest, at our election, using either a base rate or eurodollar rate, plus an applicable margin which ranges from 2.25%-3.25% for base rate loans and 3.25%-4.25% for eurodollar rate loans. These margins are subject to quarterly adjustment depending upon our total debt leverage ratio. Within the range indicated above, adjustments may increase or reduce the applicable margins, as the case may be.

Borrowings under a $212.0 million six-year term loan facility (the “Term Loans”) were used to fund our obligations under the Joint Plan and to pay in cash all or a portion of certain claims of prepetition senior credit facility lenders and mortgage lenders. At March 31, 2003, the interest rate was 4.63% and $209.9 million in borrowings that were outstanding on the Term Loans. Additional amounts cannot be borrowed under the Term Loans. The Term Loans amortize in quarterly installments at a rate of 0.25% of the original principal balance, or $0.5 million, payable on the last day of each fiscal quarter beginning June 30, 2002, and mature on May 13, 2008. The Term Loans can be prepaid at our option without penalty or premium. In addition, the Term Loans are subject to mandatory prepayment in certain events such as some asset or securities sales or our receipt of certain insurance proceeds.

The Term Loans are also subject to annual mandatory prepayment to the extent of 75% of our consolidated excess cash flow. Any mandatory prepayment of our Term Loans will reduce our remaining financial flexibility by reducing our available cash balance. While we are currently unable to quantify the extent to which this will affect our future operations, it is possible that it will make it more difficult or impossible for us to fund future operations, which could impair our operating results.

Borrowings under an $85.0 million revolving credit facility (the “Revolving Credit Facility”) may be used for general corporate purposes, including working capital and permitted acquisitions. Usage under the Revolving Credit Facility, which matures on May 13, 2007, is subject to a borrowing base based upon both a percentage of our eligible accounts receivable and a percentage of the real property collateral value of substantially all of our SNFs. No borrowings were outstanding under the Revolving Credit Facility as of March 31, 2003; however, approximately $22.6 million of letters of credit issued under the Revolving Credit Facility were outstanding on that date. Also as of March 31, 2003, $62.4 million remained available for future borrowings.

The Senior Credit Facility is guaranteed by substantially all of our subsidiaries and is secured by liens and security interests on substantially all of our real property and personal property assets. In addition to those described above, covenants negotiated in the Senior Credit Facility restrict our ability to borrow funds in the event we maintain a cash book balance in excess of $25.0 million and also require us to maintain compliance with certain financial and non-financial covenants, including minimum fixed charge coverage ratios, minimum consolidated adjusted EBITDA (as defined in the Senior Credit Facility), maximum total leverage and senior leverage ratios, as well as maximum capital expenditures.

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Second Priority Notes. The principal amount of newly issued secured debt in the amount of $150.0 million (the “Second Priority Notes”) bear interest at a 3-month LIBOR, adjusted quarterly, plus 550 basis points. At March 31, 2003, the interest rate payable under the Second Priority Notes was 6.9%. The Second Priority Notes mature on May 13, 2009, and are subject to redemption without premium or penalty at any time, at our option. The Indenture covering these notes includes affirmative and negative covenants customary for similar financings, including, restrictions on additional indebtedness, liens, restricted payments, investments, asset sales, affiliate transactions and the creation of unrestricted subsidiaries. Liens and security interests in the same collateral as that pledged to secure the Senior Credit Facility secure these obligations. However, the liens and security interests benefiting the Second Priority Note holders and trustee rank immediately junior in priority behind the liens and security interests securing the Senior Credit Facility.

Non-Recourse Indebtedness of Unrestricted Subsidiary. Professional Health Care Management, Inc., or PHCMI, a wholly owned subsidiary of ours, is the borrower under an approximately $59.7 million mortgage loan from Omega Healthcare Investors, Inc., or Omega , that was restructured as part of the Chapter 11 cases. The loan, or the Omega Loan, bears interest at a rate of 11.57% per annum, is guaranteed by all the subsidiaries of PHCMI and is secured by liens and security interests on all or substantially all of the real property and personal property of PHCMI and its subsidiaries, or the PHCMI Entities, including nine SNFs located in Michigan and three others in North Carolina, collectively referred to as the Omega Facilities. Omega is also entitled to receive an annual amendment fee equal to 25% of the free cash flow from the Omega Facilities.

The Omega Loan provides for interest only payments until its scheduled maturity on August 31, 2010. The maturity date of the Omega Loan may be extended at PHCMI’s option until August 31, 2021. Prior to maturity, the Omega Loan is not subject to prepayment without the consent of Omega except (a) between February 1, 2005 and July 31, 2005, at 103% of par, and (b) within six months prior to the scheduled maturity date, at par, in each case plus accrued and unpaid interest.

The Omega Loan constitutes non-recourse indebtedness to the rest of the legal entities of Mariner excluding PHCMI. None of the MHC Entities have guaranteed the Omega Loan or pledged assets to secure the Omega Loan, other than the pledge of PHCMI’s issued and outstanding capital stock. In addition, none of the PHCMI Entities have guaranteed either the Senior Credit Facility or the Second Priority Notes, nor have they pledged their assets for those indebtednesses. The Omega Loan restricts the extent to which PHCMI can incur other indebtedness, including intercompany indebtedness from PHCMI’s shareholders.

Other Factors Affecting Liquidity and Capital Resources. Due to the impact of the Medicare Reimbursement Cliff, we are currently receiving a lower rate of Medicare reimbursement for services provided after September 30, 2002 than we did before that date. The remaining increases in Medicare reimbursement for high-acuity patients provided for under the Medicare Balanced Budget Refinement Act of 1999, and the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 are expected to terminate when the Centers for Medicare & Medicaid Services, or CMS, implements a resource utilization group refinement. CMS recently announced that it was delaying the implementation of any further refinements to the reimbursement rates until October 1, 2004, at the earliest. Based solely on the impact of the Medicare Reimbursement Cliff, and not accounting for other factors, such as pending refinements to the Medicare reimbursement system, potential Medicaid cuts and increased labor costs more fully described below, and assuming that additional mitigating legislation is not enacted by Congress and our patient census remains stable, the Medicare Reimbursement Cliff resulted in a loss of revenue of $8.8 million for the quarter ended March 31, 2003. The Medicare Reimbursement Cliff is expected to result in a loss of revenue of $28.2 million in the last nine months of 2003 and up to approximately $37.0 million annually, thereafter. The impact, and expected continued impact, of the Medicare Reimbursement Cliff is expected to materially adversely affect our cash flows for the indefinite future.

We also are reimbursed for services, such as rehabilitation therapy services, provided to SNF patients under the Medicare Part B benefit. The Balanced Budget Act of 1997, or the Balanced Budget Act, changed the reimbursement methodology for Medicare Part B therapy services from cost based to fee screen payments. It also imposed annual limits per beneficiary of $1,500 for physical therapy and speech language pathology combined and $1,500 for occupational therapy. Subsequent moratoria on imposition of the therapy limits expired on December 31, 2002; however, CMS instructed Medicare contractors to continue to pay claims without limits until they developed a system to monitor the volume of services provided to beneficiaries. The per beneficiary limits are to be imposed beginning July 1, 2003 and will be $1,590 for physical therapy and speech language pathology combined and $1,590 for occupational therapy through the end of calendar year 2003. New limits will be established for calendar year

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2004 and will be adjusted by a Medicare economic index. We are unable to quantify whether the reinstatement of limits on reimbursement for Part B therapy services will have an impact on our business or the extent of the possible impact, as this will be a function of the number of patients receiving therapy and the level of therapy they require.

Upon our emergence from bankruptcy, we had ten Medicare fiscal intermediaries through which Medicare claims were paid and cost reports were filed and settled. In order to streamline the Medicare billing and cost reporting process, we requested that all of our facilities be converted to one fiscal intermediary, Mutual of Omaha, or Mutual, starting with Medicare years beginning after September 30, 2002. The primary dates for conversion were October 1, 2002, January 1, 2003 and April 1, 2003. Due to reasons beyond our control, such as the disparity between the Mutual billing system and those of the other fiscal intermediaries, delays in Mutual receiving Tie-In Notices from CMS approving them as the fiscal intermediary for some facilities and issues with respect to paying for patients who were at a facility prior to its conversion to Mutual, the October 1, 2002 and January 1, 2003 conversions have resulted in a slow-down in cash collections for services rendered to Medicare patients. We estimate that we are currently owed approximately $10.0 million from Mutual for Medicare services previously rendered. We are working closely with Mutual to resolve the slow-down in collections. Failure to reach a satisfactory resolution of the slow-down in cash collections from Mutual could have an adverse effect on our liquidity.

The Balanced Budget Act also repealed the federal payment standard for Medicaid reimbursement levels for hospitals and nursing facilities. By repealing this standard, the Balanced Budget Act removed previously existing impediments on the ability of states to reduce their Medicaid reimbursement levels. Many states in which we maintain significant operations are proposing and/or have implemented reductions in their Medicaid reimbursement levels or decreased the ability to become eligible for Medicaid benefits. These modifications could materially adversely affect our revenue.

Due to a decrease in the number of people entering the nursing profession and an increased demand for nurses in the healthcare industry, we have experienced, and are continuing to experience, a significant increase in our labor costs over the course of the last year in certain markets in which we maintain operations. While this has not yet had a material adverse effect on our operations, there can be no assurance that further increases in nursing staff wages will not have such an effect. We have also experienced, and are continuing to experience, increased staffing requirements in order to maintain compliance with various Medicare and Medicaid programs. We anticipate that the nursing staff shortage will accelerate, especially in light of a demographic review indicating that a significant percentage of people engaged in the nursing profession are nearing retirement age with no significant group of nursing staff candidates to fill anticipated vacancies.

Insurance related costs in the long-term care industry continue to rise at a dramatic rate. This primarily includes PL/GL, workers’ compensation and directors and officers liability programs. Significant increases in the frequency and severity of PL/GL claims also continues. Insurance markets have responded to this significant increase by severely restricting the availability of PL/GL insurance coverage. As a result of these changes, fewer companies are engaged in insuring long-term care companies for PL/GL losses, and those that do offer insurance coverage do so at a very high cost. These increases have already had an adverse effect on our operations. No assurance can be given that our PL/GL costs will not continue to rise, or that PL/GL coverage will be available to us in the future. In the event that PL/GL insurance coverage becomes cost prohibitive to maintain, or unavailable in some markets, we may be forced to re-evaluate our continued operations in those markets.

In some states in which we have significant operations, insurance coverage for the risk of punitive damages arising from PL/GL claims and/or litigation may not, in certain cases, be available due to state law prohibitions or limitations of availability. We cannot assure you that we will not be liable for punitive damage awards that are either not covered by, or are in excess of, our insurance policy limits. We also believe that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Insurance is not available to cover such losses, and any adverse determination in a legal proceeding or governmental investigation, whether currently asserted or arising in the future, could have a material adverse effect on our financial condition.

Due to the rising cost and limited availability of PL/GL insurance, we currently purchase excess PL/GL liability insurance only and maintain an unaggregated $1.0 million self-insured retention per claim, in all states except Colorado, where we maintain first dollar coverage. Additionally, we currently self insure the first $0.5 million of

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each employee injury claim. Because we are largely self-insured on both of these programs, there is no limit on the maximum number of claims or amount for which we can be liable in any policy period. Although we base our loss estimates on independent actuarial analyses using the information we have to date, the amount of the losses could exceed our estimates. In the event our actual liability exceeds our estimates for any given period, our results of operations and financial condition could be materially adversely impacted.

Loss provisions in our financial statements for self-insured programs are provided on an undiscounted basis in the relevant period. These provisions are based on internal and external evaluations of the merits of individual claims and analysis of claims history. The external analysis is completed by a certified actuary with extensive experience in the long-term care industry. The methods of determining these estimates and establishing the resulting accrued liabilities are reviewed frequently by our management with any material adjustments resulting therefrom being reflected in current earnings. Although we believe our provisions for self-insured losses in our financial statements are adequate, the ultimate liability may be more or less than the amounts recorded. In the event the provision for loss reflected in our financial statements is inadequate, our financial condition and results of operations may be materially adversely affected.

We maintain two captive insurance subsidiaries to provide for reinsurance obligations under workers’ compensation, PL/GL and automobile liability for losses that occurred prior to April 1, 1998. These obligations are funded with long-term, fixed income investments, which are not available to satisfy other obligations.

We anticipate an increase in employee benefits expenses throughout the 2003 fiscal year due to the rising cost of employee health insurance. The higher cost of insurance is due to an increase in the participation rate among employees, an increase in the cost of insurance per employee and an increase in the total number of employees.

We have significant rent obligations relating to our leased facilities. Total rent expense was $11.6 million and $11.8 million for the three months ended March 31, 2003 and three months ended March 31, 2002, respectively.

The Health Insurance Portability and Accountability Act of 1996 established privacy regulations to improve the efficiency and effectiveness of the health care system by standardizing the electronic transmission of certain administrative and financial transactions. HIPAA seeks to protect the security and privacy of identifiable health information for individual patients. HIPAA regulations require that electronic transactions, claims information, plan eligibility, referral certification and authorization, claims status, plan enrollment and disenrollment and payment and remittance advice, be transmitted electronically and uniformly. This new method of submitting information, including payment information, to our fiscal intermediaries is required under HIPAA to be implemented on October 16, 2003. While we believe that we and the Medicare program will be HIPAA compliant by such date, there is a significant risk that many of the state Medicaid programs from which we receive Medicaid reimbursement will not, particularly in light of the budget deficits many of them are facing.

In the event that a state is unable to process our HIPAA compliant requests for payment, our liquidity could be adversely affected. We are in the process of evaluating the extent of the problem, and program testing of the new data submission requirements began on April 16, 2003. Following October 16, 2003, it will be a violation of HIPAA to submit data in any format other than that prescribed by HIPAA. We are in the process of developing contingency plans to address this potential issue, but no assurance can be given that our liquidity will not be adversely affected following the October 16, 2003 implementation of the new HIPAA electronic transactions and code sets standards if the state Medicaid programs are not compliant.

Impact of Inflation

The healthcare industry is labor intensive. Wages and other labor-related costs are especially sensitive to inflation. Increases in wages and other labor-related costs as a result of inflation or the increase in minimum wage requirements without a corresponding increase in Medicaid and Medicare reimbursement rates would, and have, adversely impacted us. In some of our markets there is a labor shortage that could have an adverse effect upon our ability to attract or retain sufficient numbers of skilled and unskilled personnel at reasonable wages. Accordingly, rising wage rates have had an adverse effect on us in some of our markets.

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Cautionary Statements

Statements contained in this quarterly report that are not historical facts may be forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Any such forward-looking statements reflect our beliefs and assumptions and are based on information currently available to us. Forward-looking statements are only predictions and involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements, or industry results, to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. For additional information regarding factors that may cause our results of operations to differ materially from those presented herein, please see “Risk Factors” contained in our annual report on Form 10-K for the fiscal year ended December 31, 2002.

You can identify forward-looking statements as those that are not historical in nature, particularly those that use terminology such as “may,” “will,” “should,” “expect,” “anticipate,” “contemplate,” “estimate,” “believe,” “plan,” “project,” “predict,” “potential” or “continue,” or the negative of these, or similar terms. In evaluating these forward-looking statements, you should consider the following factors, as well as others contained in our public filings from time to time, which may cause our actual results to differ materially from any forward-looking statement:

    our existing and future indebtedness;
 
    changes in Medicare, Medicaid and certain private payors’ reimbursement levels;
 
    existing government regulations and changes in, or the failure to comply with, governmental regulations;
 
    the ability to control costs and implement measures designed to enhance operating efficiencies;
 
    legislative proposals for health care reform;
 
    competition;
 
    the ability to attract and retain qualified personnel at a reasonable cost;
 
    changes in current trends in the cost and volume of general and professional liability claims;
 
    possible investigations or proceedings against us initiated by states or the federal government;
 
    state regulation of the construction or expansion of health care providers;
 
    litigation;
 
    unavailability of adequate insurance coverage on reasonable terms; and
 
    an increase in senior debt or reduction in cash flow upon our purchase or sale of assets.

Any subsequent written or oral forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by the cautionary statements set forth or referred to above, as well as the risk factors contained in our annual report on Form 10-K for the fiscal year ended December 31, 2002. Except as required by law, we disclaim any obligation to update such statements or to publicly announce the result of any revisions to any of the forward-looking statements contained herein to reflect future events or developments.

ITEM 3.   QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Market risk is the risk of loss arising from adverse changes in market rates and prices, such as interest rates, foreign currency exchange rates and commodity prices. Our primary exposure to market risk is interest rate risk associated with borrowings under our Senior Credit Facility and interest payments on our Second Priority Notes, each of which bear interest based on variable rates. If market interest rates rise, so will our required interest payments on these borrowings.

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General Interest Rate Risk

The following discussion of our exposure to interest rate risk has been prepared using assumptions considered reasonable in light of information currently available to us. Given the unpredictability of interest rates as well as other factors, actual results could differ materially from those projected.

At March 31, 2003, we had exposure to interest rate risk related to changes in LIBOR, which affects the interest paid on our variable rate borrowings and the fair value of our fixed rate borrowings. The following table provides information about our financial instruments that are sensitive to changes in interest rates, including principal cash flows and related weighted-average interest rates by expected maturity for the periods indicated (dollars in thousands):

                                                                   
      Expected Maturities                
     
          Fair Value at
      Year 1   Year 2   Year 3   Year 4   Year 5   Thereafter   Total   March 31, 2003
     
 
 
 
 
 
 
 
Liabilities
                                                               
Long-term debt, including amounts due in one year
                                                               
 
Fixed rate
  $ 7,633     $ 6,763     $ 18,674     $ 7,927     $ 1,248     $ 81,156     $ 123,401     $ 126,378  
 
Average interest rate
    9.3 %     9.4 %     9.6 %     10.2 %     10.5 %     10.6 %                
 
Variable rate
  $ 2,120     $ 2,120     $ 2,120     $ 2,120     $ 2,120     $ 349,280     $ 359,880     $ 359,880  

The interest rates on the variable rate portions of our long-term debt vary. Loans under the Senior Credit Facility bear interest, at our election, using LIBOR or a eurodollar rate, plus a margin that ranges from 2.25%-3.25% for base rate loans and 3.25%-4.25% for eurodollar rate loans. The Second Priority Notes bear interest at 3-month LIBOR, reset quarterly, plus 550 basis points. While we do not currently employ interest rate hedges, we are in the process of evaluating alternatives for the conversion of some or all of our indebtedness from variable rate to fixed rate, as required by our Senior Credit Facility. These alternatives may include entering into interest rate swap arrangements, refinancing existing variable rate debt with fixed rate debt or managing the mix of our long-term variable and fixed rate borrowings. We cannot assure you that any of these alternatives will successfully hedge our interest rate risk, and adverse changes in market interest rates could have a material adverse effect on our financial condition.

Derivative Instrument

PHCMI is the borrower under an approximately $59.7 million mortgage loan from Omega that was restructured as part of the Chapter 11 cases. The Omega Loan bears interest at a rate of 11.57% per annum and provides for interest-only payments until its scheduled maturity on August 31, 2010. The maturity date of the Omega Loan may be extended at PHCMI’s option until August 31, 2021. This term-extending option meets the definition of an embedded derivative instrument. This derivative is accounted for as a purchased option, or more specifically a “payer swaption.” The fair market value of the payer swaption was bifurcated from the Omega Loan and recorded as an asset with a current market value of $3.2 million on March 31, 2003. Prior to maturity, the Omega Loan can not be prepaid without the consent of Omega except between February 1, 2005 and July 31, 2005, at 103% of par, or within six months prior to the scheduled maturity date, at par, in each case plus accrued and unpaid interest. In the event the debt is prepaid, the payer swaption will become worthless and we will recognize an expense for the current market value.

The current market value was determined using the Black model. The selection of this model is subjective and we believe it gives an accurate estimate of the fair value for this derivative instrument. Like all models used to estimate the fair value of a transaction of this nature, the resulting market value is very sensitive to changes in the assumptions. The assumptions used in the model as of March 31, 2003 were as follows: 11.57% strike price; 7.4 years until the swap begins; 11 year term of the swap; notional value of $59.7 million; standard deviation of the forward rate 14.3%; and market par yield plus 500 basis points. The market value calculation is most sensitive to changes in the standard deviation of the forward rate and the market par yield (both the change in the level of interest rates and the shape of the interest rate curve). An increase in these variables, with other variables held constant, will cause the value of the payer swaption to increase.

We do not purchase or hold any derivative financial instruments for trading purposes.

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ITEM 4.   CONTROLS AND PROCEDURES

We currently have in place systems relating to disclosure controls and procedures with respect to the accurate and timely recording, processing, summarizing and reporting of information required to be disclosed in our Exchange Act reports. We periodically review and evaluate these disclosure controls and procedures systems to ensure this information is accumulated and communicated to management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions about required disclosure. In completing our review and evaluation in connection with the preparation of this quarterly report within 90 days prior to the date of the report, management necessarily applied its judgment in assessing the costs and benefits of these controls and procedures which, by their nature, can provide only reasonable assurance regarding management’s control objectives.

Also, in connection with the audit of our financial statements for the fiscal year ended December 31, 2002, our independent auditor reported to senior management and the audit committee that they concluded we had, during the period covered by that audit, an insufficient number of corporate accounting personnel with the appropriate experience for their responsibilities and the accurate assessment and application of accounting principles. Since our emergence from bankruptcy, we have been addressing and continue to address this issue through the hiring of additional qualified accounting and finance personnel. Notwithstanding the foregoing, the Chief Executive Officer and Chief Financial Officer believe our internal controls and procedures are effective, in all material respects. There have been no significant changes in our internal controls or in other factors that could significantly affect our internal controls, other than the hiring of additional personnel, which we will continue to do. We understand the SEC may be promulgating additional rules relating to internal controls. We cannot provide assurance that our current internal controls will not change in the future to reflect potential new rules of the SEC.

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PART II

     
ITEM 1.   LEGAL PROCEEDINGS
     
    Not applicable.
     
ITEM 2.   CHANGES IN SECURITIES AND USE OF PROCEEDS
     
    Not applicable.
     
ITEM 3.   DEFAULTS UPON SENIOR SECURITIES
     
    Not applicable.
     
ITEM 4.   SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
     
    Not applicable.
     
ITEM 5.   OTHER INFORMATION
     
    Not applicable.
     
ITEM 6.   EXHIBITS AND REPORTS ON FORM 8-K

(a)     Exhibits

     
Exhibit    
Number   Description of Exhibit

 
99.1   Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
99.2   Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002


(b)     Reports on Form 8-K

          Not Applicable.

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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

         
        MARINER HEALTH CARE, INC.
 
    By:   /s/ C. Christian Winkle
       
        C. Christian Winkle
President and Chief Executive Officer
         
Date: May 12, 2003        

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.

         
Signature   Title   Date
         
/s/ C. Christian Winkle

C. Christian Winkle
  President, Chief Executive Officer and Director (Principal Executive Officer)   May 12, 2003
 
/s/ Michael E. Boxer

Michael E. Boxer
  Executive Vice President and Chief Financial Officer (Principal
Financial Officer)
  May 12, 2003
 
/s/ William C. Straub

William C. Straub
  Senior Vice President, Controller, Chief Accounting Officer (Principal Accounting Officer)   May 12, 2003

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CERTIFICATION

I, C. Christian Winkle, certify that:

1.   I have reviewed this quarterly report on Form 10-Q of Mariner Health Care, Inc.;
 
2.   Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this quarterly report;
 
3.   Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this quarterly report;
 
4.   The registrant’s other certifying officers and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have:

  a)   designed such disclosure controls and procedures to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this quarterly report is being prepared;
 
  b)   evaluated the effectiveness of the registrant’s disclosure controls and procedures as of a date within 90 days prior to the filing date of this quarterly report (the “Evaluation Date”); and
 
  c)   presented in this quarterly report our conclusions about the effectiveness of the disclosure controls and procedures based on our evaluation as of the Evaluation Date.

5.   The registrant’s other certifying officers and I have disclosed, based on our most recent evaluation, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent function):

  a)   all significant deficiencies in the design or operation of internal controls which could adversely affect the registrant’s ability to record, process, summarize and report financial data and have identified for the registrant’s auditors any material weaknesses in internal controls; and
 
  b)   any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal controls; and

6.   The registrant’s other certifying officers and I have indicated in this quarterly report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of our most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.

     
           Date: May 12, 2003    
     
    /s/ C. Christian Winkle
   
    C. Christian Winkle
President and
Chief Executive Officer (Principal
Executive Officer)

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CERTIFICATION

I, Michael E. Boxer, certify that:

1.   I have reviewed this quarterly report on Form 10-Q of Mariner Health Care, Inc.;
 
2.   Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this quarterly report;
 
3.   Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this quarterly report;
 
4.   The registrant’s other certifying officers and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have:

  a)   designed such disclosure controls and procedures to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this quarterly report is being prepared;
 
  b)   evaluated the effectiveness of the registrant’s disclosure controls and procedures as of a date within 90 days prior to the filing date of this quarterly report (the “Evaluation Date”); and
 
  c)   presented in this quarterly report our conclusions about the effectiveness of the disclosure controls and procedures based on our evaluation as of the Evaluation Date.

5.   The registrant’s other certifying officers and I have disclosed, based on our most recent evaluation, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent function):

  a)   all significant deficiencies in the design or operation of internal controls which could adversely affect the registrant’s ability to record, process, summarize and report financial data and have identified for the registrant’s auditors any material weaknesses in internal controls; and
 
  b)   any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal controls; and

6.   The registrant’s other certifying officers and I have indicated in this quarterly report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of our most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.

     
           Date: May 12, 2003    
     
    /s/ Michael E. Boxer
   
    Michael E. Boxer
Executive Vice President and
Chief Financial Officer (Principal
Financial Officer)

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