Consolidated Results
Total net revenue for the quarter ended June 30, 2008, was $454.2 million, up 5.6 percent compared to $430.0 million for the same period one year ago. On a normalized basis, income from continuing operations for the quarter ended June 30, 2008, was $11.1 million, up 44.2 percent compared to $7.7 million of normalized income from continuing operations for the same period one year ago. Normalized diluted earnings per share from continuing operations for the quarter ended June 30, 2008, was $0.25 compared to $0.18 for the same period one year ago.
(Dollars in thousands) Quarter Ended June 30, -------------------- 2008 2007 --------- --------- Revenue $ 454,192 $ 429,979 Depreciation and amortization 9,818 9,659 Interest expense, net 13,643 11,999 Income from continuing operations 12,727 10,634 (Loss) income from discontinued operations (3,042) 2,406 --------- --------- --------- --------- Net income $ 9,685 $ 13,040 ========= ========= --------- --------- Diluted earnings per share $ 0.22 $ 0.30 ========= ========= --------- --------- EBITDAR $ 63,430 $ 58,882 ========= ========= Margin - EBITDAR 14.0% 13.7% ========= ========= EBITDAR normalized $ 60,780 $ 53,791 ========= ========= Margin - EBITDAR normalized 13.4% 12.5% ========= ========= --------- --------- --------- --------- EBITDA $ 44,673 $ 38,020 ========= ========= Margin - EBITDA 9.8% 8.8% ========= ========= EBITDA normalized $ 42,023 $ 32,929 ========= ========= Margin - EBITDA normalized 9.3% 7.7% ========= ========= --------- --------- --------- --------- Income from continuing operations - normalized $ 11,137 $ 7,725 ========= ========= Diluted earnings per share - normalized $ 0.25 $ 0.18 ========= ========= --------- --------- --------- --------- Net income - normalized $ 7,873 $ 8,152 ========= ========= Diluted earnings per share - normalized $ 0.18 $ 0.19 ========= =========
Normalized results for the quarter ended June 30, 2008, include pre-tax adjustments for $3.0 million of income from adjustments of prior period self-insurance reserves ($0.4 million of which were related to discontinued operations). Normalized results for the quarter ended June 30, 2007, include pre-tax adjustments for $9.0 million of income from adjustments of prior period self-insurance reserves ($3.0 million of which were related to discontinued operations), a $0.9 million charge related to integration costs associated with the acquisition of Harborside Healthcare Corporation ("Harborside") and a $0.6 million charge associated with the refinancing of debt agreements.
On a normalized basis, comparing the quarter ended June 30, 2008, to the same period in 2007:
-- revenue increased $24.2 million, or 5.6 percent; -- EBITDAR increased $7.0 million, or 13.0 percent; -- EBITDAR margin improved 90 basis points to 13.4 percent; -- EBITDA increased $9.1 million, or 27.6 percent; -- EBITDA margin improved 160 basis points to 9.3 percent; and -- income from continuing operations increased $3.4 million, or 44.2 percent.
Commenting on the results, Richard K. Matros, chairman and chief executive officer of Sun, stated, "We continue to generate strong operating results and are achieving our goals regarding improving same store margins. Our second quarter produced our highest margins to date, and our margin growth continues to be one of the strongest in the industry. Our positive operating results were somewhat tempered by the severe flood damage to our center in Terre Haute, Indiana. I am very proud of how our employees quickly responded to this natural disaster to ensure a safe evacuation of all residents and employees from the center in a responsible and caring manner."
As a result of the flood damage, operating results for the Terre Haute center have been reclassified to discontinued operations for all periods presented, and a related $1.8 million pre-tax impairment charge was recorded in the quarter. In addition, during the quarter a lease of a Tennessee nursing center was not renewed. Operating results for this center have also been reclassified to discontinued operations for all periods presented. The combined quarterly impact of the reclassification of both the Terre Haute center and the Tennessee center on the previously reported 2007 second quarter was a $4.6 million decrease in revenue, a $0.8 million decrease in EBITDAR and a $0.7 million decrease in EBITDA.
On July 1, 2008, Sun received $9.5 million in cash proceeds from the sale of two stand-alone hospitals. The sale was recorded in the second quarter and resulted in a pre-tax loss of $2.7 million to discontinued operations.
Sun realized $3.2 million in synergies in the second quarter from the integration of Harborside's operations. To date, these synergies have aggregated $14.1 million. Management expects to complete the 2008 year by achieving synergies closer to its high-end estimate of $15.0 million.
Inpatient Business
For its core inpatient business, on a normalized basis comparing the quarter ended June 30, 2008, to the same period in 2007:
Quarter ended June 30, 2008:
-- revenue increased $21.8 million, or 5.7 percent, to $402.9 million from $381.1 million; -- net segment EBITDAR increased $5.9 million, or 9.1 percent, to $71.3 million from $65.4 million; -- net segment EBITDAR margin for 2008 was 17.7 percent compared to 17.2 percent in 2007; -- net segment EBITDA increased $8.1 million, or 18.1 percent, to $52.9 million from $44.8 million; -- net segment EBITDA margin for 2008 was 13.1 percent compared to 11.8 percent in 2007; -- net segment income increased $7.2 million, or 21.2 percent, to $40.9 million from $33.7 million; -- rehabilitation RUGS utilization increased 180 basis points to 84.2 percent as a percent of total Medicare days; and -- Rehabilitation Extensive Service (REX) days as a percent of total Medicare days increased 190 basis points to 39.3 percent.
The revenue gain of $21.8 million in the quarter was primarily attributed to an:
-- $11.2 million increase in Medicare revenue due principally to Medicare part A rate growth of 8.2 percent, customer base growth, and part B volume growth; -- $8.4 million increase in managed care/commercial insurance revenue due principally to an increased customer base; -- $1.3 million increase in Medicaid revenue resulting from rate improvement of $7.5 million or 4.3 percent partially offset by a $6.2 million impact from a decrease in customer base; and -- $0.9 million increase in private revenue due principally to improved rates.
Matros also stated, "I am pleased with the shift in acuity we continue to experience in our skilled nursing beds. Our skilled mix at quarter end was 20.5 percent, our highest to date. Skilled mix growth and Rehab Recovery Suites(TM) continue to be our primary growth drivers. Compared with the same quarter prior year, our overall dependency on Medicaid declined by 220 basis points to 44.8 percent, our lowest percentage of Medicaid revenues reported to date."
Ancillary Businesses
For its rehabilitation and staffing services ancillary businesses, comparing the quarter ended June 30, 2008, to the same period in 2007:
-- revenue increased $6.2 million, or 10.2 percent, to $66.5 million from $60.3 million; -- EBITDA increased $0.7 million, or 14.5 percent, to $5.3 million from $4.6 million; and -- EBITDA margin for 2008 was 8.0 percent, up 30 basis points compared to a margin of 7.7 percent in 2007.
Conference Call
Sun's senior management will hold a conference call to discuss the Company's 2008 second-quarter operating results on Thursday, Aug. 7, 2008, at 10 a.m. Pacific / 1 p.m. Eastern. To listen to the conference call, dial (888) 656-7420 and refer to Sun Healthcare Group. A recording of the call will be available from 4 p.m. Eastern on Aug. 7, 2008, until midnight Eastern on Aug. 14, 2008, by calling (888) 203-1112 and using access code 6346558.
About Sun Healthcare Group, Inc.
Sun Healthcare Group, Inc., with executive offices in Irvine, California, owns SunBridge Healthcare Corporation and other affiliated companies that operate long-term and postacute care centers in many states. In addition, the Sun Healthcare Group family of companies provides therapy through SunDance Rehabilitation Corporation, hospice services through SolAmor Hospice and medical staffing through CareerStaff Unlimited, Inc.
Statements made in this release that are not historical facts are "forward-looking" statements (as defined in the Private Securities Litigation Reform Act of 1995) that involve risks and uncertainties and are subject to change at any time. These forward-looking statements may include, but are not limited to, statements containing words such as "anticipate," "believe," "plan," "estimate," "expect," "hope," "intend," "may" and similar expressions. Factors that could cause actual results to differ are identified in the public filings made by the company with the Securities and Exchange Commission and include changes in Medicare and Medicaid reimbursements; our ability to maintain the occupancy rates and payor mix at our long-term care centers; potential liability for losses not covered by, or in excess of, our insurance; the effects of government regulations and investigations; the significant amount of our indebtedness, covenants in our debt agreements that may restrict our activities and our ability to incur more indebtedness; our ability to integrate the operations of Harborside Healthcare Corporation and realize anticipated synergies; increasing labor costs and the shortage of qualified healthcare personnel; and our ability to receive increases in reimbursement rates from government payors to cover increased costs. More information on factors that could affect our business and financial results are included in our public filings made with the Securities and Exchange Commission, including our Annual Report on Form 10-K and Quarterly Reports on Forms 10-Q, copies of which are available on Sun's web site, www.sunh.com.
The forward-looking statements involve known and unknown risks, uncertainties and other factors that are, in some cases, beyond our control. We caution investors that any forward-looking statements made by Sun are not guarantees of future performance. We disclaim any obligation to update any such factors or to announce publicly the results of any revisions to any of the forward-looking statements to reflect future events or developments.
EBITDA and EBITDAR as used in this press release, and EBITDAM and EBITDARM as used in the accompanying tables, which are non-GAAP financial measures, are each reconciled to net income (loss) in the accompanying tables. In addition, the normalizing adjustments to EBITDA, EBITDAR, pre-tax income and income from continuing operations discussed in this press release and shown in the accompanying tables are non-GAAP adjustments.
Any documents filed by Sun with the SEC may be obtained free of charge at the SEC's web site at www.sec.gov. In addition, investors and stockholders of Sun may obtain free copies of the documents filed with the SEC by contacting Sun's investor relations department at (505) 468-2341 (TDD users, please call (505) 468-4458) or by sending a written request to Investor Relations, Sun Healthcare Group, Inc. 101 Sun Avenue N.E., Albuquerque, N.M. 87109. You may also read and copy any reports, statements and other information filed by Sun with the SEC at the SEC public reference room at Room 1580, 100 F Street, N.E., Washington, D.C. 20549. Please call the SEC at (800) SEC-0330 or visit the SEC's web site for further information.
SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS (in thousands, except share data) June 30, December 31, 2008 2007 ------------ ------------ ASSETS Current assets: Cash and cash equivalents $ 68,369 $ 55,832 Restricted cash 34,850 37,365 Accounts receivable, net 201,587 188,882 Prepaid expenses and other assets 28,902 13,290 Assets held for sale 4,218 9,924 Deferred tax assets 33,268 35,354 ------------ ------------ Total current assets 371,194 340,647 Property and equipment, net 587,432 585,972 Intangible assets, net 54,640 57,044 Goodwill 324,277 324,277 Restricted cash, non-current 3,281 3,829 Deferred tax assets 45,707 51,892 Other assets 6,317 10,165 ------------ ------------ Total assets $ 1,392,848 $ 1,373,826 ============ ============ LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable $ 51,379 $ 52,836 Accrued compensation and benefits 59,118 61,956 Accrued self-insurance obligations, current 46,423 48,646 Income taxes payable 3,397 3,000 Liabilities held for sale 78 3,181 Other accrued liabilities 60,822 58,002 Current portion of long-term debt and capital lease obligations: Company obligations 11,325 28,480 Clipper partnerships 859 825 ------------ ------------ Total current liabilities 233,401 256,926 Accrued self-insurance obligations, net of current portion 108,578 106,534 Long-term debt and capital lease obligations, net of current portion: Company obligations 669,843 651,403 Clipper partnerships 48,120 48,560 Unfavorable lease obligations, net 17,282 18,960 Other long-term liabilities 47,820 44,717 ------------ ------------ Total liabilities 1,125,044 1,127,100 Minority interest 1,167 470 Stockholders' equity: Preferred stock of $.01 par value, authorized 10,000,000 shares, no shares were issued and outstanding as of June 30, 2008 and December 31, 2007 - - Common stock of $.01 par value, authorized 125,000,000 shares, 43,197,359 and 43,016,042 shares issued and outstanding as of June 30, 2008 and December 31, 2007, respectively 432 430 Additional paid-in capital 602,457 600,199 Accumulated deficit (333,708) (351,970) Accumulated other comprehensive loss, net (2,544) (2,403) ------------ ------------ 266,637 246,256 ------------ ------------ Total liabilities and stockholders' equity $ 1,392,848 $ 1,373,826 ============ ============ SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES CONSOLIDATED INCOME STATEMENTS (in thousands, except per share data) For the For the Three Months Three Months Ended Ended June 30, June 30, 2008 2007 ------------ ------------- (unaudited) (unaudited) Total net revenues $ 454,192 $ 429,979 ------------ ------------- Costs and expenses: Operating salaries and benefits 253,498 242,021 Self-insurance for workers' compensation and general and professional liability insurance 11,892 7,959 Operating administrative costs 12,944 10,497 Other operating costs 93,354 89,922 Center rent expense 18,757 20,862 General and administrative expenses 16,111 17,297 Depreciation and amortization 9,818 9,659 Provision for losses on accounts receivable 2,963 3,401 Interest, net of interest income of $569 and $1,136, respectively 13,643 11,999 Loss on sale of assets, net - 3 Total costs and expenses 432,980 413,620 ------------ ------------- Income before income taxes and discontinued operations 21,212 16,359 Income tax expense 8,485 5,725 ------------ ------------- Income from continuing operations 12,727 10,634 ------------ ------------- Discontinued operations: (Loss) income from discontinued operations, net of related taxes (1,235) 2,059 (Loss) gain on disposal of discontinued operations, net of related taxes (1,807) 347 ------------ ------------- (Loss) income from discontinued operations, net (3,042) 2,406 ------------ ------------- Net income $ 9,685 $ 13,040 ============ ============= Basic income per common and common equivalent share: Income from continuing operations $ 0.29 $ 0.25 (Loss) income from discontinued operations, net (0.07) 0.05 ------------ ------------- Net income $ 0.22 $ 0.30 ============ ============= Diluted income per common and common equivalent share: Income from continuing operations $ 0.29 $ 0.24 (Loss) income from discontinued operations, net (0.07) 0.06 ------------ ------------- Net Income $ 0.22 $ 0.30 ============ ============= Weighted average number of common and common equivalent shares outstanding: Basic 43,188 42,993 Diluted 43,928 43,735 SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES CONSOLIDATED INCOME STATEMENTS (in thousands, except per share data) For the For the Six Months Six Months Ended Ended June 30, June 30, 2008 2007 ------------ ------------ (unaudited) (unaudited) Total net revenues $ 907,757 $ 689,701 ------------ ------------ Costs and expenses: Operating salaries and benefits 509,913 392,985 Self-insurance for workers' compensation and general and professional liability insurance 26,862 18,059 Operating administrative costs 24,883 18,086 Other operating costs 187,453 141,272 Center rent expense 37,412 34,136 General and administrative expenses 32,696 30,131 Depreciation and amortization 19,462 13,530 Provision for losses on accounts receivable 6,312 5,488 Interest, net of interest income of $1,114 and $2,325, respectively 28,074 14,061 (Gain) loss on sale of assets, net (76) 10 Total costs and expenses 872,991 667,758 ------------ ------------ Income before income taxes and discontinued operations 34,766 21,943 Income tax expense 13,906 7,680 ------------ ------------ Income from continuing operations 20,860 14,263 ------------ ------------ Discontinued operations: (Loss) income from discontinued operations, net of related taxes (729) 2,703 Loss on disposal of discontinued operations, net of related taxes (1,869) (3) ------------ ------------ (Loss) income from discontinued operations, net (2,598) 2,700 ------------ ------------ Net income $ 18,262 $ 16,963 ============ ============ Basic income per common and common equivalent share: Income from continuing operations $ 0.48 $ 0.33 (Loss) income from discontinued operations, net (0.06) 0.06 ------------ ------------ Net income $ 0.42 $ 0.39 ============ ============ Diluted income per common and common equivalent share: Income from continuing operations $ 0.47 $ 0.33 (Loss) income from discontinued operations, net (0.06) 0.06 ------------ ------------ Net Income $ 0.41 $ 0.39 ============ ============ Weighted average number of common and common equivalent shares outstanding: Basic 43,122 42,951 Diluted 44,034 43,761 SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) For the For the Three Months Three Months Ended Ended June 30, June 30, 2008 2007 ------------ ------------ (unaudited) (unaudited) Cash flows from operating activities: Net income $ 9,685 $ 13,040 Adjustments to reconcile net income to net cash provided by operating activities, including discontinued operations: Depreciation and amortization 9,883 9,809 Amortization of favorable and unfavorable lease intangibles (488) (196) Provision for losses on accounts receivable 3,210 3,737 Loss (gain) on sale of assets, including discontinued operations, net 1,807 (347) Impairment charge for discontinued operation 1,800 - Stock-based compensation expense 1,368 943 Deferred taxes 6,442 - Minority interest 590 50 Other 79 (111) Changes in operating assets and liabilities, net of acquisitions: Accounts receivable (3,951) (7,187) Restricted cash 3,058 896 Prepaid expenses and other assets (1,856) 15,312 Assets and liabilities held for sale (516) - Accounts payable (1,528) (2,918) Accrued compensation and benefits (4,020) 7,875 Accrued self-insurance obligations (2,130) (5,982) Income taxes payable 1,121 4,961 Other accrued liabilities (10,173) 14,452 Other long-term liabilities 3,676 (3,571) ------------ ------------ Net cash provided by operating activities 18,057 50,763 ------------ ------------ Cash flows from investing activities: Capital expenditures (10,223) (7,705) Purchase of leased real estate (727) (30,236) Proceeds from sale of assets held for sale 180 2,251 Acquisitions (6) (368,515) Accrued acquisition costs, net - 3,585 ------------ ------------ Net cash used for investing activities (10,776) (400,620) ------------ ------------ Cash flows from financing activities: Net borrowings under Credit Agreement - 5,000 Principal payments of long-term debt and capital lease obligations (22,115) (4,651) Borrowings under long-term debt and capital lease obligations 20,290 327,000 Proceeds from issuance of common stock 31 92 Distribution of partnership equity - (255) Release of third-party collateral - 25,640 Distribution of minority interest - (57) Deferred financing costs - (18,045) ------------ ------------ Net cash (used for) provided by financing activities (1,794) 334,724 ------------ ------------ Net increase (decrease) in cash and cash equivalents 5,487 (15,133) Cash and cash equivalents at beginning of period 62,882 99,670 ------------ ------------ Cash and cash equivalents at end of period $ 68,369 $ 84,537 ============ ============ SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) For the For the Six Months Six Months Ended Ended June 30, June 30, 2008 2007 ------------ ------------ (unaudited) (unaudited) Cash flows from operating activities: Net income $ 18,262 $ 16,963 Adjustments to reconcile net income to net cash provided by operating activities, including discontinued operations: Depreciation and amortization 19,600 13,765 Amortization of favorable and unfavorable lease intangibles (991) (409) Provision for losses on accounts receivable 6,511 6,260 Loss (gain) on sale of assets, including discontinued operations, net 1,792 13 Impairment charge for discontinued operation 1,800 - Stock-based compensation expense 2,333 1,694 Deferred taxes 8,271 - Minority interest 697 50 Other 79 (112) Changes in operating assets and liabilities, net of acquisitions: Accounts receivable (19,452) (9,237) Restricted cash 3,063 1,617 Prepaid expenses and other assets (7,190) 9,291 Assets and liabilities held for sale (1,044) - Accounts payable (3,126) (6,843) Accrued compensation and benefits (2,906) 6,209 Accrued self-insurance obligations (179) (6,828) Income taxes payable 1,591 7,387 Other accrued liabilities (3,645) 15,681 Other long-term liabilities 5,355 (3,167) ------------ ------------ Net cash provided by operating activities 30,821 52,334 ------------ ------------ Cash flows from investing activities: Capital expenditures (16,139) (14,955) Purchase of leased real estate (727) (30,236) Proceeds from sale of assets held for sale 3,957 5,489 Acquisitions (313) (368,515) Accrued acquisition costs, net - 3,585 ------------ ------------ Net cash used for investing activities (13,222) (404,632) ------------ ------------ Cash flows from financing activities: Net borrowings under Credit Agreement - 5,006 Principal payments of long-term debt and capital lease obligations (25,199) (34,798) Borrowings under long-term debt and capital lease obligations 20,290 327,000 Proceeds from issuance of common stock 70 665 Distribution of partnership equity (223) (511) Release of third-party collateral - 25,640 Distribution of minority interest - (57) Deferred financing costs - (18,045) ------------ ------------ Net cash (used for) provided by financing activities (5,062) 304,900 ------------ ------------ Net increase (decrease) in cash and cash equivalents 12,537 (47,398) Cash and cash equivalents at beginning of period 55,832 131,935 ------------ ------------ Cash and cash equivalents at end of period $ 68,369 $ 84,537 ============ ============ SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES RECONCILIATION OF NET INCOME TO EBITDA(M) and EBITDAR(M) (in thousands) For the For the Three Months Three Months Ended Ended June 30, 2008 June 30, 2007 ------------- ------------- (unaudited) (unaudited) Total net revenues $ 454,192 $ 429,979 ------------- ------------- Net income $ 9,685 $ 13,040 ------------- ------------- Income from continuing operations 12,727 10,634 Income tax expense 8,485 5,725 Loss on sale of assets, net - 3 Net segment income $ 21,212 $ 16,362 Interest, net 13,643 11,999 Depreciation and amortization 9,818 9,659 ------------- ------------- EBITDA $ 44,673 $ 38,020 Center rent expense 18,757 20,862 ------------- ------------- EBITDAR $ 63,430 $ 58,882 Operating administrative costs 12,944 10,497 General and administrative expenses 16,111 17,297 ------------- ------------- Total operating and general and admin expenses 29,055 27,794 EBITDAM $ 73,728 $ 65,814 EBITDARM $ 92,485 $ 86,676 EBITDA is defined as earnings before income (loss) on discontinued operations, income taxes, loss (gain) on sale of assets, net, interest, net, depreciation and amortization. EBITDAM is defined as EBITDA before operating and general and administrative expenses. EBITDAR is defined as EBITDA before facility rent expense. EBITDARM is defined as EBITDAR before operating and general and administrative expenses. EBITDA, EBITDAM, EBITDAR and EBITDARM are used by management to evaluate financial performance and resource allocation for each entity within the operating units and for the Company as a whole. EBITDA, EBITDAM, EBITDAR and EBITDARM are commonly used as analytical indicators within the healthcare industry and also serve as measures of leverage capacity and debt service ability. EBITDA, EBITDAM, EBITDAR and EBITDARM should not be considered as measures of financial performance under generally accepted accounting principles. As the items excluded from EBITDA, EBITDAM, EBITDAR and EBITDARM are significant components in understanding and assessing financial performance, EBITDA, EBITDAM, EBITDAR and EBITDARM should not be considered in isolation or as alternatives to net income (loss), cash flows generated by or used in operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as indicators of financial performance or liquidity. Because EBITDA, EBITDAM, EBITDAR and EBITDARM are not measurements determined in accordance with U.S. generally accepted accounting principles and are thus susceptible to varying calculations, EBITDA, EBITDAM, EBITDAR and EBITDARM as presented may not be comparable to other similarly titled measures of other companies. SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES RECONCILIATION OF NET INCOME TO EBITDA(M) and EBITDAR(M) (in thousands) For the For the Six Months Six Months Ended Ended June 30, 2008 June 30, 2007 ------------ ------------- (unaudited) (unaudited) Total net revenues $ 907,757 $ 689,701 ------------ ------------- Net income $ 18,262 $ 16,963 ------------ ------------- Income from continuing operations 20,860 14,263 Income tax expense 13,906 7,680 (Gain) loss on sale of assets, net (76) 10 Net segment income $ 34,690 $ 21,953 Interest, net 28,074 14,061 Depreciation and amortization 19,462 13,530 ------------ ------------- EBITDA $ 82,226 $ 49,544 Center rent expense 37,412 34,136 ------------ ------------- EBITDAR $ 119,638 $ 83,680 Operating administrative costs 24,883 18,086 General and administrative expenses 32,696 30,131 ------------ ------------- Total operating and general and admin expenses 57,579 48,217 EBITDAM $ 139,805 $ 97,761 EBITDARM $ 177,217 $ 131,897 EBITDA is defined as earnings before income (loss) on discontinued operations, income taxes, loss (gain) on sale of assets, net, interest, net, depreciation and amortization. EBITDAM is defined as EBITDA before operating and general and administrative expenses. EBITDAR is defined as EBITDA before facility rent expense. EBITDARM is defined as EBITDAR before operating and general and administrative expenses. EBITDA, EBITDAM, EBITDAR and EBITDARM are used by management to evaluate financial performance and resource allocation for each entity within the operating units and for the Company as a whole. EBITDA, EBITDAM, EBITDAR and EBITDARM are commonly used as analytical indicators within the healthcare industry and also serve as measures of leverage capacity and debt service ability. EBITDA, EBITDAM, EBITDAR and EBITDARM should not be considered as measures of financial performance under generally accepted accounting principles. As the items excluded from EBITDA, EBITDAM, EBITDAR and EBITDARM are significant components in understanding and assessing financial performance, EBITDA, EBITDAM, EBITDAR and EBITDARM should not be considered in isolation or as alternatives to net income (loss), cash flows generated by or used in operating, investing or financing activities or other financial statement data presented in the consolidated financial statements as indicators of financial performance or liquidity. Because EBITDA, EBITDAM, EBITDAR and EBITDARM are not measurements determined in accordance with U.S. generally accepted accounting principles and are thus susceptible to varying calculations, EBITDA, EBITDAM, EBITDAR and EBITDARM as presented may not be comparable to other similarly titled measures of other companies. SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES RECONCILIATION OF NET SEGMENT INCOME (LOSS) TO EBITDA(M) and EBITDAR(M) ($ in thousands) For the Three Months Ended June 30, 2008 (unaudited) Rehabil- Elimina- itation Medical tion of Inpatient Therapy Staffing Other & Affiliated Consol- Services Services Services Corp Seg Revenue idated -------- -------- -------- -------- -------- -------- Nonaffiliated revenue $402,945 $ 21,142 $ 30,096 $ 9 $ - $454,192 Affiliated revenue - 14,462 794 - (15,256) - -------- -------- -------- -------- -------- -------- Total revenue 402,945 35,604 30,890 9 (15,256) 454,192 Net segment income (loss) $ 43,516 $ 2,562 $ 2,456 $(27,322) $ - $ 21,212 Interest, net 3,263 - (8) 10,388 - 13,643 Depreciation and amortization 8,769 132 200 717 - 9,818 -------- -------- -------- -------- -------- -------- EBITDA $ 55,548 $ 2,694 $ 2,648 $(16,217) $ - $ 44,673 Center rent expense 18,418 99 240 - - 18,757 -------- -------- -------- -------- -------- -------- EBITDAR $ 73,966 $ 2,793 $ 2,888 $(16,217) $ - $ 63,430 Operating and general and administrative expenses 10,382 1,515 1,047 16,111 - 29,055 -------- -------- -------- -------- -------- -------- EBITDAM $ 65,930 $ 4,209 $ 3,695 $ (106) $ - $ 73,728 EBITDARM $ 84,348 $ 4,308 $ 3,935 $ (106) $ - $ 92,485 EBITDA margin 13.8% 7.6% 8.6% 9.8% EBITDAM margin 16.4% 11.8% 12.0% 16.2% EBITDAR margin 18.4% 7.8% 9.3% 14.0% EBITDARM margin 20.9% 12.1% 12.7% 20.4% SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES RECONCILIATION OF NET SEGMENT INCOME (LOSS) TO EBITDA(M) and EBITDAR(M) ($ in thousands) For the Six Months Ended June 30, 2008 (unaudited) Rehabil- Elimina- itation Medical tion of Inpatient Therapy Staffing Other & Affiliated Consol- Services Services Services Corp Seg Revenue idated -------- -------- -------- -------- -------- -------- Nonaffiliated revenue $805,121 $ 42,851 $ 59,764 $ 21 $ - $907,757 Affiliated revenue - 28,752 1,328 - (30,080) - -------- -------- -------- -------- -------- -------- Total revenue 805,121 71,603 61,092 21 (30,080) 907,757 Net segment income (loss) $ 81,425 $ 4,690 $ 4,388 $(55,813) $ - $ 34,690 Interest, net 6,582 (1) (9) 21,502 - 28,074 Depreciation and amortization 17,405 258 395 1,404 - 19,462 -------- -------- -------- -------- -------- -------- EBITDA $105,412 $ 4,947 $ 4,774 $(32,907) $ - $ 82,226 Center rent expense 36,739 185 488 - - 37,412 -------- -------- -------- -------- -------- -------- EBITDAR $142,151 $ 5,132 $ 5,262 $(32,907) $ - $119,638 Operating and general and administrative expenses 19,891 3,132 1,858 32,698 - 57,579 -------- -------- -------- -------- -------- -------- EBITDAM $125,303 $ 8,079 $ 6,632 $ (209) $ - $139,805 EBITDARM $162,042 $ 8,264 $ 7,120 $ (209) $ - $177,217 EBITDA margin 13.1% 6.9% 7.8% 9.1% EBITDAM margin 15.6% 11.3% 10.9% 15.4% EBITDAR margin 17.7% 7.2% 8.6% 13.2% EBITDARM margin 20.1% 11.5% 11.7% 19.5% SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES RECONCILIATION OF NET SEGMENT INCOME (LOSS) TO EBITDA(M) and EBITDAR(M) ($ in thousands) For the Three Months Ended June 30, 2007 (unaudited) Rehabil- Elimina- itation Medical tion of Inpatient Therapy Staffing Other & Affiliated Consol- Services Services Services Corp Seg Revenue idated -------- -------- -------- -------- -------- -------- Nonaffiliated revenue $381,145 $ 20,789 $ 28,018 $ 27 $ - $429,979 Affiliated revenue - 10,332 1,201 - (11,533) - -------- -------- -------- -------- -------- -------- Total revenue 381,145 31,121 29,219 27 (11,533) 429,979 Net segment income (loss) $ 39,663 $ 2,281 $ 2,057 $(27,639) $ - $ 16,362 Interest, net 2,493 - (1) 9,507 - 11,999 Depreciation and amortization 8,598 135 194 732 - 9,659 -------- -------- -------- -------- -------- -------- EBITDA $ 50,754 $ 2,416 $ 2,250 $(17,400) $ - $ 38,020 Center rent expense 20,579 53 230 - - 20,862 -------- -------- -------- -------- -------- -------- EBITDAR $ 71,333 $ 2,469 $ 2,480 $(17,400) $ - $ 58,882 Operating and general and administrative expenses 8,457 1,245 794 17,298 - 27,794 -------- -------- -------- -------- -------- -------- EBITDAM $ 59,211 $ 3,661 $ 3,044 $ (102) $ - $ 65,814 EBITDARM $ 79,790 $ 3,714 $ 3,274 $ (102) $ - $ 86,676 EBITDA margin 13.3% 7.8% 7.7% 8.8% EBITDAM margin 15.5% 11.8% 10.4% 15.3% EBITDAR margin 18.7% 7.9% 8.5% 13.7% EBITDARM margin 20.9% 11.9% 11.2% 20.2% SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES RECONCILIATION OF NET SEGMENT INCOME (LOSS) TO EBITDA(M) and EBITDAR(M) ($ in thousands) For the Six Months Ended June 30, 2007 (unaudited) Rehabil- Elimina- itation Medical tion of Inpatient Therapy Staffing Other & Affiliated Consol- Services Services Services Corp Seg Revenue idated -------- -------- -------- -------- -------- -------- Nonaffiliated revenue $596,433 $ 41,469 $ 51,765 $ 34 $ - $689,701 Affiliated revenue - 20,594 1,388 - (21,982) - -------- -------- -------- -------- -------- -------- Total revenue 596,433 62,063 53,153 34 (21,982) 689,701 Net segment income (loss) $ 55,335 $ 3,708 $ 3,470 $(40,560) $ - $ 21,953 Interest, net 4,976 10 14 9,061 - 14,061 Depreciation and amortization 11,747 251 364 1,168 - 13,530 -------- -------- -------- -------- -------- -------- EBITDA $ 72,058 $ 3,969 $ 3,848 $(30,331) $ - $ 49,544 Center rent expense 33,604 103 429 - - 34,136 -------- -------- -------- -------- -------- -------- EBITDAR $105,662 $ 4,072 $ 4,277 $(30,331) $ - $ 83,680 Operating and general and administrative expenses 13,763 2,502 1,820 30,132 - 48,217 -------- -------- -------- -------- -------- -------- EBITDAM $ 85,821 $ 6,471 $ 5,668 $ (199) $ - $ 97,761 EBITDARM $119,425 $ 6,574 $ 6,097 $ (199) $ - $131,897 EBITDA margin 12.1% 6.4% 7.2% 7.2% EBITDAM margin 14.4% 10.4% 10.7% 14.2% EBITDAR margin 17.7% 6.6% 8.0% 12.1% EBITDARM margin 20.0% 10.6% 11.5% 19.1% SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES PRO FORMA WITH HARBORSIDE CONSOLIDATED INCOME STATEMENTS (in thousands, except per share data) PRO FORMA WITH AS REPORTED HARBORSIDE For the For the Six Months Six Months Ended Ended June 30, June 30, 2008 2007 ------------ ------------ (unaudited) (unaudited) Total net revenues $ 907,757 $ 850,600 ------------ ------------ Costs and expenses: Operating salaries and benefits 509,913 481,179 Self-insurance for workers' compensation and general and professional liability insurance 26,862 22,114 Operating administrative costs 24,883 21,079 Other operating costs 187,453 179,664 Center rent expense 37,412 41,090 General and administrative expenses 32,696 35,527 Depreciation and amortization 19,462 18,230 Provision for losses on accounts receivable 6,312 13,388 Interest, net of interest income of $1,114 and $2,640, respectively 28,074 18,653 (Gain) loss on sale of assets, net (76) 10 ------------ ------------ Total costs and expenses 872,991 830,934 ------------ ------------ Income before income taxes and discontinued operations 34,766 19,666 Income tax expense 13,906 6,860 ------------ ------------ Income from continuing operations 20,860 12,806 ------------ ------------ Discontinued operations: (Loss) income from discontinued operations, net of related taxes (729) 2,293 Loss on disposal of discontinued operations, net of related taxes (1,869) (3) ------------ ------------ (Loss) income from discontinued operations, net (2,598) 2,290 ------------ ------------ Net income $ 18,262 $ 15,096 ============ ============ Basic income per common and common equivalent share: Income from continuing operations $ 0.48 $ 0.30 (Loss) income from discontinued operations, net (0.06) 0.05 ------------ ------------ Net income $ 0.42 $ 0.35 ============ ============ Diluted income per common and common equivalent share: Income from continuing operations $ 0.47 $ 0.29 (Loss) income from discontinued operations, net (0.06) 0.05 ------------ ------------ Net Income $ 0.41 $ 0.34 ============ ============ Weighted average number of common and common equivalent shares outstanding: Basic 43,122 42,951 Diluted 44,034 43,761 Note: The pro forma table above and the pro forma table pages that follow were prepared as if the acquisition of Harborside Healthcare Corporation, which closed in April 2007, had occurred on January 1, 2007. SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES PRO FORMA WITH HARBORSIDE RECONCILIATION OF NET INCOME TO EBITDA(M) and EBITDAR(M) (in thousands) PRO FORMA WITH AS REPORTED HARBORSIDE For the For the Six Months Six Months Ended Ended June 30, June 30 2008 2007 ------------ ------------- (unaudited) (unaudited) Total net revenues $ 907,757 $ 850,600 ------------ ------------- Net income $ 18,262 $ 15,096 ------------ ------------- Income from continuing operations 20,860 12,806 Income tax expense 13,906 6,860 (Gain) loss on sale of assets, net (76) 10 ------------ ------------- Net segment income $ 34,690 $ 19,676 Interest, net 28,074 18,653 Depreciation and amortization 19,462 18,230 ------------ ------------- EBITDA $ 82,226 $ 56,559 Center rent expense 37,412 41,090 ------------ ------------- EBITDAR $ 119,638 $ 97,649 Operating administrative costs 24,883 21,079 General and administrative expenses 32,696 35,527 ------------ ------------- Total operating and general and admin expenses 57,579 56,606 EBITDAM $ 139,805 $ 113,165 EBITDARM $ 177,217 $ 154,255 EBITDA is defined as earnings before income (loss) on discontinued operations, income taxes, loss (gain) on sale of assets, net, interest, net, depreciation and amortization. EBITDAM is defined as EBITDA before operating and general and administrative expenses. EBITDAR is defined as EBITDA before facility rent expense. EBITDARM is defined as EBITDAR before operating and general and administrative expenses. EBITDA, EBITDAM, EBITDAR and EBITDARM are used by management to evaluate financial performanc

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