-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WmT5UV04j4gTZY2YkKEFxenODk1rDXnNj5DlXGwXP8Jr/kd/68lfX0+pBcQgGB3z EfN6cbnVxt0s3JT3UdF9cQ== 0000904978-07-000027.txt : 20070308 0000904978-07-000027.hdr.sgml : 20070308 20070307215853 ACCESSION NUMBER: 0000904978-07-000027 CONFORMED SUBMISSION TYPE: 10-K PUBLIC DOCUMENT COUNT: 10 CONFORMED PERIOD OF REPORT: 20061231 FILED AS OF DATE: 20070308 DATE AS OF CHANGE: 20070307 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SUN HEALTHCARE GROUP INC CENTRAL INDEX KEY: 0000904978 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 850410612 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-12040 FILM NUMBER: 07679221 BUSINESS ADDRESS: STREET 1: 101 SUN AVENUE N E CITY: ALBUQUERQUE STATE: NM ZIP: 87109 BUSINESS PHONE: 5058213355 MAIL ADDRESS: STREET 1: 101 SUN LANE N E CITY: ALBUQERQUE STATE: NM ZIP: 87109 10-K 1 form10-k.htm FORM 10-K 2006 Form 10-K 2006


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
________________
FORM 10-K
(Mark One)
x    Annual Report Pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934
For the fiscal year ended December 31, 2006
OR
o    Transition Report Pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934
For the transition period from            to           

Commission file number 0-49663

SUN HEALTHCARE GROUP, INC.
(Exact name of registrant as specified in its charter)
Delaware
(State of Incorporation)
85-0410612
(I.R.S. Employer Identification No).
18831 Von Karman, Suite 400
Irvine, CA 92612
(949) 255-7100
(Address, including zip code, and telephone number of principal executive offices)

Securities registered pursuant to Section 12(b) of the Act: Common Stock, par value $.01 per share
 
Securities registered pursuant to Section 12(g) of the Act: None
 
     Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. 
oYes     xNo
 
     Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. 
oYes     xNo
 
     Indicate by check mark whether the registrant (1) has filed all reports required 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. 
xYes     oNo
 
     Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of the registrant's knowledge, in the definitive proxy statement incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. x
 
      Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of "accelerated filer and large accelerated filer" in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filero
Accelerated filerx
Non-accelerated filero

     Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).
oYes     xNo
     The aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the registrant's most recently completed second fiscal quarter was $248.7 million.

     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.
xYes     oNo
     On February 27, 2007, Sun Healthcare Group, Inc. had 42,897,822 outstanding shares of Common Stock, inclusive of 10,182 shares of treasury stock.

     Documents Incorporated by Reference: Part III of this Form 10-K incorporates information by reference from the Registrant’s definitive proxy statement for the 2007 Annual Meeting to be filed prior to April 30, 2007.

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
FORM 10-K

FOR THE FISCAL YEAR ENDED DECEMBER 31, 2006

INDEX
   
Page
PART I
   
     
Item 1.
Business
1
Item 1A.
Risk Factors
8
Item 1B.
Unresolved Staff Comments
13
Item 2.
Properties
13
Item 3.
Legal Proceedings
15
Item 4.
Submission of Matters to a Vote of Security Holders
15
     
PART II
   
     
Item 5.
Market for Registrant's Common Equity, Related Stockholder Matters and Issuer
 
 
Purchases of Equity Securities
16
Item 6.
Selected Financial Data
18
Item 7.
Management's Discussion and Analysis of Financial Condition and Results of
 
 
Operations
20
Item 7A.
Quantitative and Qualitative Disclosures About Market Risk
43
Item 8.
Financial Statements and Supplementary Data
44
Item 9.
Changes in and Disagreements With Accountants on Accounting and Financial
 
 
Disclosure
44
Item 9A.
Controls and Procedures
44
Item 9B.
Other Information
45
     
PART III
   
     
Item 10.
Directors, Executive Officers and Corporate Governance
46
Item 11.
Executive Compensation
46
Item 12.
Security Ownership of Certain Beneficial Owners and Management and Related
 
 
Stockholder Matters
46
Item 13.
Certain Relationships and Related Transactions and Director Independence
46
Item 14.
Principal Accounting Fees and Services
46
     
PART IV
   
     
Item 15.
Exhibits, Financial Statements and Schedules
47
     
Signatures
 
51
___________________
     References throughout this document to the Company, "we," "our," "ours" and "us" refer to Sun Healthcare Group, Inc. and its direct and indirect consolidated subsidiaries and not any other person.

     SunBridge®, SunDance®, CareerStaff Unlimited® and related names are registered trademarks of Sun Healthcare Group, Inc. and its subsidiaries.
___________________

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
PART I

Item 1.  Business

Overview

We are a nationwide provider, through our subsidiaries, of long-term, sub-acute and related specialty healthcare services principally to the senior population in the United States. Our core business is providing inpatient services, primarily through 118 skilled nursing facilities, 13 assisted and independent living facilities, seven mental health facilities and three specialty acute care hospitals. At March 1, 2007, our facilities had 15,447 licensed beds, of which 14,726 were available for occupancy, located in 19 states. We also provide, through our subsidiaries, rehabilitation therapy services to affiliated and non-affiliated facilities and medical staffing and other ancillary services primarily to non-affiliated facilities and other third parties. For the year ended December 31, 2006, our total net revenues were $1,045.6 million.

In October 2006, we entered into an agreement to acquire Harborside Healthcare Corporation (“Harborside”), which, through its subsidiaries, operates 73 skilled nursing and two assisted living facilities. Of these facilities, 44 are owned. At March 1, 2007, Harborside’s facilities had 8,979 licensed beds, of which 8,843 were available for occupancy, located in ten states. Harborside provides inpatient and rehabilitation therapy services and other ancillary services with a geographic focus largely in the eastern United States. For the year ended December 31, 2006, Harborside had net revenues of $594.3 million. Upon closing of the proposed acquisition, which we currently expect will occur in the first half of 2007, we will become, through our subsidiaries, one of the nation’s largest long-term care providers with 216 facilities and 24,426 licensed beds, operating in 25 states. We believe this acquisition will:

Ø  
increase the scale of operations, thus leveraging our corporate and regional infrastructure;
Ø  
improve our payor mix with increased revenue derived from Medicare;
Ø  
increase our services to high-acuity patients, for whom we are reimbursed at higher rates;
Ø  
increase our percentage of owned skilled nursing facilities; and
Ø  
increase our presence in four states and expand into six contiguous states.

Industry

The demand for long-term healthcare services is being driven by the aging population, increased life expectancies and a decrease in the number of senior care facilities. As of July 1, 2005, there were approximately 5.1 million Americans aged 85 or older, or 1.7% of the population, according to the United States Census Bureau. This age group is projected to grow to over 6.1 million by 2010 and to approximately 7.3 million by 2020, or 2.2% of the projected population. Furthermore, the Centers for Medicare and Medicaid Services (CMS), a division of the Department of Health and Human Services, predict that spending on nursing homes will grow from $105.7 billion in 2002 to approximately $210.9 billion in 2016, representing an annual compounded growth rate of 5.1%. Despite this potential rise in demand for senior healthcare, there has been a noticeable, decreasing trend in the number of certified nursing homes. According to the American Health Care Association, the number of nursing facilities has declined from 17,014 (1,708,500 beds) in 1999 to 15,885 (1,719,114 beds) in December 2006. With no net increase in the number of available beds, we believe these demographic trends will create growth opportunities for the most efficient facility operators.

The growth in healthcare costs is also increasing at a faster rate than the available funding from government sponsored healthcare programs, including Medicaid and Medicare. In response, the U.S. government is increasingly adopting measures to encourage the use of the most cost-effective settings for treatment. Skilled nursing facilities, for which the staffing requirements and associated costs are significantly lower than those of acute-care hospitals or other acute-care facilities, are a primary beneficiary of this trend. As of January 1, 2006,
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Medicare reimbursement for skilled nursing providers was revised to better align reimbursement rates to patient acuity and the costs associated with these acuity levels. As a result, the resource utilization group classification system of 44 categories was expanded to 53 to include nine additional high-acuity categories. These nine new categories facilitate inpatient admittance of high-acuity patients to skilled nursing facilities, many of whom would have previously been admitted to higher cost, post-acute care settings, including long-term acute care facilities and inpatient rehabilitation facilities.

Business Segments

We currently operate through various direct and indirect subsidiaries that engage in the following three principal business segments:

Ø  
inpatient services, primarily skilled nursing facilities;
Ø  
rehabilitation therapy services; and
Ø  
medical staffing services.

Inpatient services.    As of December 31, 2006, we operated 141 long-term care facilities (consisting of 118 skilled nursing facilities, 13 assisted and independent living facilities, seven mental health facilities and three specialty acute care hospitals) in 19 states with 15,447 licensed beds through SunBridge Healthcare Corporation (“SunBridge”) and other subsidiaries. Our skilled nursing facilities provide services that include daily nursing, therapeutic rehabilitation, social services, housekeeping, dietary and administrative services for individuals requiring certain assistance for activities in daily living. Several of our skilled nursing facilities also contain wings dedicated to the care of residents afflicted with Alzheimer’s disease. Our assisted living facilities provide services that include minimal nursing assistance, housekeeping, dietary, laundry and administrative services for individuals requiring minimal assistance for activities in daily living. Our independent living facilities provide services that include security, housekeeping, dietary and limited laundry services for individuals requiring no assistance for activities in daily living. Our mental health facilities provide a range of inpatient and outpatient services for adults and children through specialized treatment programs. Our specialty acute care hospitals provide rehabilitation, long-term acute care and geriatric behavioral health services. We also provide hospice services, including palliative care, social services, pain management and spiritual counseling, through our subsidiary, SolAmor Hospice, Inc. (“SolAmor”), in three states for individuals facing end of life issues. We generated 84.1% of our net revenues through inpatient services in 2006.

Rehabilitation therapy services. We provide rehabilitation therapy services through SunDance Rehabilitation Corporation ("SunDance"). SunDance provides a broad array of rehabilitation therapy services, including speech pathology, physical therapy and occupational therapy. As of December 31, 2006, SunDance provided rehabilitation therapy services to 382 facilities in 32 states, 295 of which were operated by nonaffiliated parties. Net revenues generated through rehabilitation therapy services were 11.4% of our net revenues in 2006.

Medical staffing services.  We are a national provider of temporary medical staffing through CareerStaff Unlimited, Inc. ("CareerStaff"). For the year ended December 31, 2006, CareerStaff derived 60.8% of its revenues from hospitals and other providers, 22.8% from skilled nursing facilities, 8.2% of its revenues from schools and 8.2% from prisons. CareerStaff provides (i) licensed therapists skilled in the areas of physical, occupational and speech therapy, (ii) nurses, (iii) pharmacists, pharmacist technicians and medical imaging technicians, (iv) physicians, and (v) related medical personnel. We generated 8.3% of our net revenues through medical staffing services in 2006.

Competition

Our business is competitive. The nature of competition within the inpatient services industry varies by location. We compete with other inpatient facilities based on key factors such as the number of facilities in the local
2

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
market, the types of services available, quality of care, reputation, age and appearance of each facility and the cost of care in each locality. Increased competition in the future could limit our ability to attract and retain residents or to expand our business.

We also compete with other companies in providing rehabilitation therapy services, and medical staffing services, and in employing and retaining qualified nurses, therapists and other medical personnel. The primary competitive factors for the ancillary services markets are quality of services, charges for services and responsiveness to customer needs.

Competitive Strengths

We believe the following strengths will allow us to continue to improve our operations and profitability:

National footprint.    Our core inpatient services business operates 141 facilities in 19 states as of December 31, 2006. We also provide rehabilitation therapy services to 382 facilities in 32 states and medical staffing services in 28 states. With our acquisition of Harborside, we will operate through 216 inpatient facilities in 25 states. Our current operations, together with those we are acquiring from Harborside, will enable us to realize the benefits of economies of scale, purchasing power and increased year over year, operating efficiencies. Furthermore, our geographic diversity helps to mitigate our risk associated with fluctuating state regulatory changes related to Medicaid reimbursement.

Core inpatient business.    Our inpatient business has achieved consistent revenue and earnings growth by expanding our services and increasing our focus on integrated skilled nursing care and rehabilitation therapy services to attract high-acuity patients. In each quarter since January 2005, when compared to the prior year’s quarter, we have increased the percentage of our revenues derived from Medicare, in both patient count and revenue dollars, while maintaining inpatient occupancy rates above industry averages.

Quality of care and strong brand image.    We have industry-leading initiatives to provide a high quality of care to our patients. These initiatives have resulted in third-party recognition for our quality of care and clinical services and a reduction in the size and number of our patient liability claims. Similarly, we have been able to attract an increased number of high-acuity patients, maintain a high occupancy rate and develop an effective referral network of patients.

Ancillary businesses support our inpatient services and provide diversification.    Our rehabilitation therapy business complements our core inpatient business and is particularly attractive to high-acuity patients who require more intensive and medically complex care. Our rehabilitation business has demonstrated the ability to grow organically and partner with non-affiliated skilled and assisted living facilities in delivering efficient and effective rehabilitation services to customers in 32 states. Our medical staffing business, which primarily services non-affiliated providers, derives a majority of its revenues from its placement of therapists. We are currently seeking to leverage the core competencies of our medical staffing business to benefit our inpatient and rehabilitation businesses. These ancillary businesses diversify our revenue base and improve our payor mix. Our proposed acquisition of Harborside will increase the scale of our existing ancillary services and provide additional growth through several new services.
 
Infrastructure in place to leverage growth.    We have an established corporate and regional infrastructure in place to leverage our growth. In December 2005, we acquired Peak Medical Corporation (“Peak”), a regional operator of 56 inpatient facilities with 5,264 licensed beds in seven states. We successfully integrated that acquisition by combining corporate infrastructures, including the consolidation of billing and technology platforms. For the year ended December 31, 2006, our corporate overhead as a percentage of revenues was 4.8%, compared to 6.2% for the year ended December 31, 2005, a period that only included Peak results of operations for one month.
3

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Experienced management team with a proven track record.    We have a strong and committed management team that has substantial industry knowledge and a proven track-record of operations success in the long-term care industry. Our chief executive officer, our chief financial officer and the chief operating officer of our operating subsidiaries have over 75 years of cumulative healthcare experience. Our management team has successfully acquired and integrated numerous acquisitions and we believe this experience positions us well to continue to successfully implement our growth and integration strategies.

Business Strategy

We intend to build on our competitive strengths to grow our business and strengthen our position as a nationwide provider of senior healthcare services by achieving the following objectives:

Continue our inpatient growth.    We intend to increase our inpatient revenue and profitability by maintaining high occupancy rates and by continuing to focus on attracting more high-acuity and Medicare patients. We are currently implementing this strategy by focusing on our clinical and case management. In addition, we are developing relationships with key referral sources and creating specialty Medicare and Alzheimer units within our facilities to meet unique clinical needs within a community. We plan to take advantage of our marketing infrastructure and brand image to attract new patients and to expand our referral and customer bases.

Seek growth in our ancillary businesses.    We intend to continue to develop and grow our ancillary businesses, which provide us with diversified revenue sources, favorable payor mix and growth opportunities. We will continue to focus on our rehabilitation therapy business, a key driver of our Medicare services and revenues, by improving labor productivity and operating profitability and eliminating less profitable third-party contracts. We recently acquired a hospice business and intend to expand that business to provide hospice services to more of our facilities and other non-affiliated facilities in our local markets. The proposed acquisition of Harborside will also expand our ancillary service offerings. We believe that by continuing to grow our ancillary services, we will be able to capture a greater share of the healthcare expenditures in our key markets.

Increase operational efficiency and leverage our existing platform.    We will continue to focus on improving operating efficiency without compromising our high quality of care. We plan to reduce costs and enhance efficiency through various methods, including:
Ø  
reduce labor and billing expenses through technological advances and operational improvements that allow management to more efficiently allocate employees;
Ø  
reduce overhead through process improvement initiatives and frequent re-examination of costs;
Ø  
continue to improve therapist productivity in our rehabilitation services business;
Ø  
control litigation expense by focusing on risk management; and
Ø  
monitor and analyze the operations and profitability of individual business units.

Complete successful integration of Harborside.     We have successfully completed the integration of the Peak acquisition and our focus will be on the successful integration of the proposed acquisition of Harborside, which we currently expect will close in the first half of 2007. We have an established, experienced and dedicated team that effectively integrated Peak’s operations and will manage the integration of Harborside.

Employees and Labor Relations

As of December 31, 2006, we and our subsidiaries had approximately 19,350 full-time and part-time employees. Of this total, there were approximately 15,000 employees in our long-term and sub-acute care operations, 2,300 employees in the rehabilitation therapy services operations, 1,750 employees in the medical staffing business, and 300 employees at the corporate and regional offices.
4

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
As of December 31, 2006, SunBridge operated 18 facilities with union employees. Approximately 1,894 of our employees (9.6% of all of our employees) who worked in long-term care facilities in Alabama, California, Georgia, Massachusetts, Montana, Ohio, Tennessee, Washington and West Virginia were covered by collective bargaining contracts. Collective bargaining agreements covering approximately 655 of these employees (3.3% of all our employees) have expired or will expire in 2007 and are, or will be, subject to renegotiation with the unions.
 
Federal and State Regulatory Oversight

The healthcare industry is extensively regulated. In the ordinary course of business, our operations are continuously subject to federal, state and local regulatory scrutiny, supervision and control. This often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. Various laws, including anti-kickback, anti-fraud and abuse provisions codified under the Social Security Act, prohibit certain business practices and relationships that might affect the provision and cost of healthcare services reimbursable under Medicare and Medicaid, as more fully described below. Sanctions for violating these anti-kickback, anti-fraud and abuse provisions include criminal penalties, civil sanctions, fines and possible exclusion from government programs such as Medicare and Medicaid. If a facility is decertified by CMS or a state as a Medicare or Medicaid provider, the facility will not thereafter be reimbursed for caring for residents that are covered by Medicare and Medicaid, and the facility would be forced to care for such residents without being reimbursed or to transfer such residents.

Our skilled nursing facilities and hospital facilities are currently licensed under applicable state law, and are certified or approved as providers under the Medicare and Medicaid programs. State and local agencies survey all skilled nursing facilities on a regular basis to determine whether such facilities are in compliance with governmental operating and health standards and conditions for participation in government sponsored third-party payor programs. From time to time, we receive notice of noncompliance with various requirements for Medicare/Medicaid participation or state licensure. We review such notices for factual correctness, and based on such reviews, either take appropriate corrective action and/or challenge the stated basis for the allegation of noncompliance. Where corrective action is required, we work with the reviewing agency to create mutually agreeable measures to be taken to bring the facility or service provider into compliance. Under certain circumstances, the federal and state agencies have the authority to take adverse actions against a facility or service provider, including the imposition of monetary fines, bans on admissions, civil monetary penalties and the decertification of a facility or provider from participation in the Medicare and/or Medicaid programs or licensure revocation. When appropriate, we vigorously contest such sanctions. Challenging and appealing notices or allegations of noncompliance can require significant legal expenses and management attention.

Various states in which we operate facilities have established minimum staffing requirements or may establish minimum staffing requirements in the future. Our ability to satisfy such staffing requirements depends upon our ability to attract and retain qualified healthcare professionals, including nurses, certified nurse’s assistants and other staff. Failure to comply with such minimum staffing requirements may result in the imposition of fines or other sanctions.

Most states in which we operate have statutes which require that, prior to the addition or construction of new nursing home beds, the addition of new services or certain capital expenditures in excess of defined levels, we first must obtain a CON, which certifies that the state has made a determination that a need exists for such new or additional beds, new services or capital expenditures. The certification process is intended to promote quality health care at the lowest possible cost and to avoid the unnecessary duplication of services, equipment and facilities.

We are subject to federal and state laws that govern financial and other arrangements between healthcare providers. These laws often prohibit certain direct and indirect payments or fee-splitting arrangements between
5

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
healthcare providers that are designed to induce the referral of patients to, or the recommendation of, a particular provider for medical products and services. These laws include:
-
the “anti-kickback” provisions of the Medicare and Medicaid programs, which prohibit, among other things, knowingly and willfully soliciting, receiving, offering or paying any remuneration (including any kickback, bribe or rebate) directly or indirectly in return for or to induce the referral of an individual to a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part under Medicare or Medicaid; and
-
the “Stark laws” which prohibit, with limited exceptions, the referral of patients by physicians for certain services, including physical therapy and occupational therapy, to an entity in which the physician has a financial interest.

False claims are prohibited pursuant to criminal and civil statutes. Criminal provisions prohibit filing false claims or making false statements to receive payment or certification under Medicare or Medicaid or failing to refund overpayments or improper payments. Civil provisions prohibit the knowing filing of a false claim or the knowing use of false statements to obtain payment. Suits alleging false claims can be brought by individuals, including employees and competitors.
 
We are also subject to regulations under the privacy and security provisions of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). The privacy rules provide for, among other things, (i) giving consumers the right and control over the release of their medical information, (ii) the establishment of boundaries for the use of medical information, and (iii) civil or criminal penalties for violation of an individual’s privacy rights.

These privacy regulations apply to “protected health information,” which is defined generally as individually identifiable health information transmitted or maintained in any form or medium, excluding certain education records and student medical records. The privacy regulations limit a provider’s use and disclosure of most paper, oral and electronic communications regarding a patient’s past, present or future physical or mental health or condition, or relating to the provision of healthcare to the patient or payment for that healthcare.

The security regulations require us to ensure the confidentiality, integrity, and availability of all electronic protected health information that we create, receive, maintain or transmit. We must protect against reasonably anticipated threats or hazards to the security of such information and the unauthorized use or disclosure of such information.  

Compliance Process

Our compliance program, referred to as the “Compliance Process,” was initiated in 1996. It has evolved as the requirements of federal and private healthcare programs have changed.  We entered into a Corporate Integrity Agreement (the “CIA”) with the Health and Human Services/Office of Inspector General (“HHS/OIG”) in July 2001.  It became effective on February 28, 2002 and terminated on February 28, 2007.  Notwithstanding the termination of the CIA, certain obligations under the CIA will continue until HHS/OIG completes its review of our final report under the CIA, which we expect to submit in May 2007. 

We consented to the terms of a Permanent Injunction and Final Judgment entered in California state court on October 3, 2001, and we further consented to a revised Permanent Injunction and Final Judgment entered on September 14, 2005 (“PIFJ”). The PIFJ, which resulted from investigations by the Bureau of Medi-Cal Fraud and Elder Abuse of the Office of the California Attorney General and applies to our California facilities, requires compliance with certain clinical practices which are substantially consistent with existing law and our current practices, and imposes staffing requirements and specific training obligations. The PIFJ also requires us
6

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
to issue to the State of California annual reports documenting our compliance efforts. A breach of the PIFJ could subject us to substantial monetary penalties.
 
There are seven principal elements to the Compliance Process:

Written Policies, Procedures and Standards of Conduct.    Our business lines have extensive policies and procedures (“P&Ps”) modeled after applicable laws, regulations, government manuals and industry practices and customs. The P&Ps govern the clinical, reimbursement, and operational aspects of each subsidiary. To emphasize adherence to our P&Ps, we publish and distribute a Code of Conduct and an employee handbook.   

Designated Compliance Officer and Compliance Committee.    We have a Corporate Compliance Officer whose responsibilities include, among other things: (i) overseeing the Compliance Process; (ii) overseeing compliance with the PIFJ, and functioning as the liaison with the external monitors and federal government on matters related to the Compliance Process and PIFJ; (iii) reporting to our board of directors, the Compliance Committee of our board of directors, and senior corporate managers on the status of the Compliance Process; and (iv) overseeing the coordination of a comprehensive training program which focuses on the elements of the Compliance Process and employee background screening process. We also maintain a Corporate Compliance Committee, which includes the Chief Executive Officer, Chief Financial Officer, General Counsel, Chief Operating Officer of our operating subsidiaries, Senior Vice President of Human Resources, and the Chief Compliance and Risk Officer. This Committee meets regularly to discuss compliance-related issues. Compliance matters are also reported to the Compliance Committee of our board of directors on a regular basis. The Compliance Committee is comprised solely of independent directors.

Effective Training and Education.    Every employee, director and officer is trained on the Compliance Process and Code of Conduct. All California administrators are trained on the PIFJ, as required. Training also occurs for appropriate employees in applicable provisions of the Medicare and Medicaid laws, fraud and abuse prevention, clinical standards, and practices, and claim submission and reimbursement P&Ps.

Effective Lines of Communication.    Employees are encouraged to report issues of concern without fear of retaliation using a Four Step Reporting Process, which includes the toll-free “Sun Quality Line.” The Four Step Reporting Process encourages employees to discuss clinical, ethical, or financial concerns with supervisors and local management since these individuals will be most familiar with the laws, regulations, and policies that impact their concern. The Sun Quality Line is an always-available option that may be used for anonymous reporting if the employee so chooses. Reported concerns are internally reviewed and proper follow-up is conducted.

Internal Monitoring and Auditing.    Our Compliance Process puts internal controls in place to meet the following objectives effectively: (i) accuracy of claims, reimbursement submissions, cost reports and source documents; (ii) provision of patient care, services, and supplies as required by applicable standards and laws; (iii) accuracy of clinical assessment and treatment documentation; and (iv) implementation of the PIFJ (e.g., background checks, licensing and training). Each business line monitors and audits compliance with P&Ps and other standards to ensure that the objectives listed above are met. Data from these internal monitoring and auditing systems are analyzed and acted upon through a quality improvement process. We have designated the subsidiary presidents and each member of the operations management team as Compliance Liaisons. Each Compliance Liaison is responsible for making certain that all requirements of the Compliance Process are completed at the operational level for which the Compliance Liaison is responsible.

Enforcement of Standards.    Our policies, the Code of Conduct and the employee handbook as well as all associated training materials clearly indicate that employees who violate our standards will be subjected to discipline. Sanctions range from oral warnings to suspensions and/or to termination of employment. We have also adopted a proactive approach to offset the need for punitive measures. First, we have implemented
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
employee background review practices that surpass industry standards. Second, as noted above, we devote significant resources to employee training. Finally, we have adopted a performance management program intended to make certain that all employees are aware of what duties are expected of them and understand that compliance with policies, procedures, standards and laws related to job functions is required.
 
Responses to Detected Offenses and Development of Corrective Actions.    Correction of detected misconduct or a violation of our policies is the responsibility of every manager. As appropriate, a manager is expected to develop and implement corrective action plans and monitor whether such actions are likely to keep a similar violation from occurring in the future.

General Information

Sun Healthcare Group, Inc. was incorporated in 1993. Our principal executive offices are located at 18831 Von Karman, Suite 400, Irvine, CA 92612, and our telephone number is (949) 255-7100. We maintain a website at www.sunh.com. Through the "About Our Company," "Investor Information" and “Securities and Exchange Commission (“SEC") Filings” links on our website, we make available free of charge, as soon as reasonably practicable after such information has been filed or furnished to the SEC, each of our filings with the SEC, including our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (“Exchange Act”).

Item 1A. Risk Factors

Information provided in this Annual Report on Form 10-K ("Annual Report") contains "forward-looking" information as that term is defined by the Private Securities Litigation Reform Act of 1995 (the "Act"). All statements regarding our expected future financial position, results of operations, cash flows, liquidity, financing plans, business strategy, budgets, the impact of changes in government reimbursement programs, projected costs and capital expenditures, competitive position, growth opportunities, plans and objectives of management for future operations and words such as "anticipate," "believe," "plan," "estimate," "expect," "intend," "may" and other similar expressions are forward-looking statements. The forward-looking statements are qualified in their entirety by these cautionary statements, which are being made pursuant to the provisions of the Act and with the intention of obtaining the benefits of the "safe harbor" provisions of the Act. We caution investors that any forward-looking statements made by us are not guarantees of future performance and that actual results may differ materially from those in the forward-looking statements as a result of various factors, including, but not limited to, those set forth below and elsewhere herein. We do not intend, and undertake no obligation, to update our forward-looking statements to reflect future events or circumstances.

Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements as a result of, but not limited to, the factors set forth below. You should carefully consider the risks described herein. There may be additional risks of which we are presently unaware or that we currently deem immaterial.

Healthcare reform legislation or regulatory action may adversely affect our business.

Our revenues are heavily dependent on payments under federal and state government programs. See “Management’s discussion and analysis of financial condition and results of operations—Revenues from Medicare, Medicaid and Other Sources.” In recent years, there have been numerous initiatives on the federal and state levels for comprehensive reforms affecting the payment for and availability of healthcare services. Aspects of certain of these initiatives, such as reductions in funding of the Medicare and Medicaid programs, potential changes in reimbursement regulations by CMS, enhanced pressure to contain healthcare costs by
8

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Medicare, Medicaid and other payors, greater state flexibility and additional operational requirements, could adversely affect us. In addition, we incur considerable administrative costs in monitoring the changes made within the program, determining the appropriate actions to be taken in response to those changes, and implementing the required actions to meet the new requirements and minimize the repercussions of the changes to our organization, reimbursement rates and costs. Also, different interpretations or enforcement of existing, new or amended laws and regulations could result in changes in our operations requiring capital expenditures and additional operating expenses. There can be no assurance as to the ultimate content, timing or effect of any healthcare reform legislation, nor is it possible at this time to estimate the impact of potential legislation on us. That impact may have an adverse effect on our financial condition, results of operations and cash flows. See “Management’s discussion and analysis of financial condition and results of operations—Revenues from Medicare, Medicaid and Other Sources.”

Possible changes in the case mix of residents and patients as well as payor mix and payment methodologies may significantly affect our profitability.

The sources and amount of our revenues are determined by a number of factors, including the licensed bed capacity and occupancy rates of our inpatient facilities, the mix of residents and patients and the rates of reimbursement among payors. Likewise, services provided by our ancillary businesses vary based upon payor and payment methodologies. Changes in the case mix of the residents and patients as well as payor mix among private pay, Medicare and Medicaid will significantly affect our profitability. Particularly, any significant increase in our Medicaid population could have a material adverse effect on our financial position, results of operations and cash flows, especially if states operating these programs continue to limit, or more aggressively seek limits on, reimbursement rates.

Our proposed acquisition of Harborside may be delayed or not be consummated.

We are required to obtain approvals from various governmental authorities before we can operate Harborside’s facilities in certain states. In addition, certain of Harborside’s leases and mortgage indebtedness contain provisions that provide for a default if there is a change of control of Harborside. We have received approval or confirmation of no required action from eight of the ten required states and expect to receive the remaining approval in the first half of 2007. In addition, we are in the process of obtaining consents from the U.S. Department of Housing and Urban Development and representatives of certain of Harborside’s landlords and mortgage lenders, but have not received all of such required consents. Closing of the acquisition cannot occur until such government approvals and third-party consents are received. We cannot give any assurance that such approvals and consents will be obtained or that the transaction will be completed. If the acquisition of Harborside is not completed because we are unable to obtain all required governmental approvals, we will be required to pay Harborside a termination fee of $8.7 million.

We may not be able to successfully integrate our proposed acquisition of Harborside or realize the potential benefits of the acquisition, which could cause our business to suffer.

We may not be able to combine successfully the operations of Harborside with our operations if the acquisition is completed and, even if such integration is accomplished, we may never realize the potential benefits of the acquisition. The integration of Harborside with our operations will also require significant attention from management and may impose substantial demands on our operational and financial resources, possibly reducing management’s ability to focus on other operations or other projects. Any delays or increased costs of combining the companies could adversely affect our operations, financial results and liquidity.
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
We will incur a significant amount of debt in connection with the proposed acquisition of Harborside.
 
Following the proposed acquisition of Harborside, we currently anticipate we will have indebtedness of approximately $682.0 million (in addition to a $50.0 million revolving credit facility for working capital and general corporate purposes, and a $40.0 million letter of credit facility), the proceeds of which will be used to pay the Harborside purchase price and to refinance certain of our indebtedness (including our Amended and Restated Loan and Security Agreement with CapitalSource Finance LLC and certain lenders (the “Revolving Loan Agreement”)) and certain indebtedness of Harborside. As such, we would have a significant amount of debt. Our indebtedness could have important consequences, such as requiring us to dedicate a substantial portion of our cash flows from operations to payments on our debt, limiting our ability to fund working capital, capital expenditures, acquisitions and other general corporate requirements and making us more vulnerable to general adverse economic and industry conditions.

We are subject to a number of lawsuits and rely primarily on self-funded insurance programs for general and professional liability claims against us.

Skilled nursing facility operators, including our inpatient services subsidiaries, are subject to lawsuits seeking to hold them liable for the negligent or other wrongful conduct of employees that result in injury or death to residents of the facilities. We currently have numerous patient care lawsuits pending against us, as well as other types of lawsuits, many of which relate to facilities that we no longer operate. Adverse determinations in legal proceedings or any governmental investigations that could lead to lawsuits, whether currently asserted or arising in the future, and any adverse publicity arising therefrom, could have a material adverse effect on our financial position, results of operations or cash flows.

We self-insure for the majority of our insurable risks, primarily for general and professional liability, but also for workers’ compensation liability and employee health insurance liability through the use of self-insurance or retrospective and self-funded insurance policies and other hybrid policies, which vary by the states in which we operate. Since January 2000, we have relied upon self-funded insurance programs for general and professional liability claims, which amounts we are responsible for funding, and we have obtained excess insurance policies for claims above those amounts. The programs have the following coverages that we are responsible for self-funding: (i) for events occurring from January 1, 2000 to December 31, 2002, $1.0 million per claim, and $3.0 million aggregate per location; (ii) for claims made in 2003, $10.0 million per claim with excess coverage above this level; and (iii) for claims made in 2004, 2005, 2006 and 2007, $5.0 million per claim, with a $5.0 million excess layer that attaches at $5.0 million of liability and a $40.0 million excess layer that attaches at $10.0 million of liability. There is a risk that the amounts funded to our programs of self-insurance and future cash flows may not be sufficient to respond to all claims asserted under those programs.

At December 31, 2006 and 2005, we had recorded reserves of $75.1 million and $86.5 million, respectively, for general and professional liability, but we had only pre-funded $4.3 million and $3.6 million, respectively for such claims. We cannot assure you that a claim in excess of our insurance coverage limits will not arise. A claim against us that is not covered by, or is in excess of, our coverage limits provided by our excess insurance policies could have a material adverse effect upon us. Furthermore, we cannot assure you that we will be able to obtain additional adequate liability insurance in the future or that, if such insurance is available, it will be available on acceptable terms.

Our healthcare operations are extensively regulated and adverse determinations against us could result in severe penalties, including loss of licensure and decertification.

In the ordinary course of business, we are continuously subject to a wide variety of federal, state and local laws and regulations and to state and federal regulatory scrutiny, supervision and control in various areas, including referral of patients, false claims under Medicare and Medicaid, health and safety laws and the protection of
10

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
health information. These laws and regulations are described in greater detail under the caption “Business—Federal and State Regulatory Oversight.” Such regulatory scrutiny often includes inquiries, civil and criminal investigations, examinations, audits, site visits and surveys, some of which are non-routine. See “Business—Federal and State Regulatory Oversight” and “Item 3 —Legal Proceedings.” If we are found to have engaged in improper practices, we could be subject to civil, administrative or criminal fines, penalties or restitutionary relief or corporate settlement agreements with federal, state or local authorities, and reimbursement authorities could also seek our suspension or exclusion from participation in their program. The exclusion of a facility from participating in Medicare or Medicaid could have a material adverse effect on our financial position, results of operations and cash flows.

We have in the past sustained losses, and may not be able to maintain profitability or generate sufficient operating cash flows to fund our operations.

Although we reported net income of $27.1 million and $24.8 million for the years ended December 31, 2006 and 2005, respectively, prior to June 30, 2005 our operations had not generated sufficient cash flow to operate our businesses, and, as a result, we funded operations through a combination of the proceeds of equity offerings, asset sales and borrowings under a revolving credit facility. Although our operations have generated positive cash flow during the year ended December 31, 2006, we cannot be certain we will continue to generate positive cash flow from operations in the future.

We face national, regional and local competition.

The healthcare industry is highly competitive and subject to continual changes in the method by which services are provided and the types of companies providing services. Our nursing facilities compete primarily on a local and regional basis with many long-term care providers, some of whom may own as few as a single nursing facility. Our ability to compete successfully varies from location to location depending on a number of factors, including the number of competing facilities in the local market, the types of services available, quality of care, reputation, age and appearance of each facility and the cost of care in each locality. Increased competition in the future could limit our ability to attract and retain residents or to expand our business.

State efforts to regulate the construction or expansion of healthcare providers could impair our ability to expand our operations or make acquisitions.

Some states require healthcare providers (including skilled nursing facilities, hospices and assisted living centers) to obtain prior approval, in the form of a certificate of need, or CON, for the purchase, construction or expansion of healthcare facilities; capital expenditures exceeding a prescribed amount; or changes in services or bed capacity. To the extent that we are required to obtain a CON or other similar approvals to expand our operations, either by acquiring facilities or other companies or expanding or providing new services or other changes, our expansion could be adversely affected by our failure or inability to obtain the necessary approvals, changes in the standards applicable to those approvals, and possible delays and expenses associated with obtaining those approvals. We cannot make any assurances that we will be able to obtain CON approval for any future projects requiring this approval.

We continue to be affected by an industry-wide shortage of qualified facility care-provider personnel and increasing labor costs.

We, and other providers in the long-term care industry, have had and continue to have difficulties in retaining qualified personnel to staff our long-term care facilities, particularly nurses, and in such situations we may be required to use temporary employment agencies to provide additional personnel. The labor costs are generally higher for temporary employees than for full-time employees. In addition, many states in which we operate have increased minimum staffing standards. As minimum staffing standards are increased, we may be required to
11

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
retain additional staffing. In addition, in recent years we have experienced increases in our labor costs primarily due to higher wages and greater benefits required to attract and retain qualified personnel and to increase staffing levels in our long-term and sub-acute care facilities.
 
A similar situation exists in the rehabilitation therapy industry. We, and other providers, have had and continue to have difficulties in hiring a sufficient number of rehabilitation therapists. Under these circumstances, we and others in this industry have been required to offer higher compensation to attract and retain these personnel, and we have been forced to rely on independent contractors, at higher costs, to fulfill our contractual commitments with our customers. Existing contractual commitments, regulatory limitations and the market for these services have made it difficult for us to pass through these increased costs to our customers. Although we have undertaken strategic and structural initiatives to address these issues, if these initiatives are unsuccessful, our financial condition, results of operations and cash flows could be adversely affected.

Delays in collection of our accounts receivable could adversely affect our cash flows and financial condition.

Prompt billing and collection are important factors in our liquidity. Billing and collection of our accounts receivable are subject to the complex regulations that govern Medicare and Medicaid reimbursement and rules imposed by non-government payors. Our inability to bill on a timely basis pursuant to these regulations and rules could subject us to payment delays that could negatively impact our cash flows and ultimately our financial condition.

If we lose our key management personnel, we may not be able to successfully manage our business and achieve our objectives.

Our future success depends in large part upon the leadership and performance of our executive management team, particularly Richard K. Matros, our chief executive officer, and key employees at the operating level. If we lose the services of one or more of our executive officers or key employees, or if one or more of them decides to join a competitor or otherwise compete directly or indirectly with us, we may not be able to successfully manage our business or achieve our business objectives. If we lose the services of any of our key employees at the operating or regional level, we may not be able to replace them with similarly qualified personnel, which could harm our business.
 
We do not expect to pay any dividends for the foreseeable future.

We are currently prohibited by the terms of our Revolving Loan Agreement from paying dividends to holders of our common stock, and do not anticipate that we will pay any dividends to holders of our common stock in the foreseeable future. Accordingly, investors must rely on sales of their common stock after price appreciation, which may never occur, as the only way to realize any future gains on their investment. Investors seeking cash dividends should not purchase our common stock.

Delaware law and provisions in our Restated Certificate of Incorporation and Amended and Restated Bylaws may delay or prevent takeover attempts by third parties and therefore inhibit our stockholders from realizing a premium on their stock.

We are subject to the anti-takeover provisions of Section 203 of the Delaware General Corporation Law. This section prevents any stockholder who owns 15% or more of our outstanding common stock from engaging in certain business combinations with us for a period of three years following the time that the stockholder acquired such stock ownership unless certain approvals were or are obtained from our board of directors or the holders of 66 2/3% of our outstanding common stock. Our Restated Certificate of Incorporation and Amended and Restated Bylaws also contain several other provisions that may make it more difficult for a third party to
12

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
acquire control of us without the approval of our board of directors. These provisions include, among other things, (i) advance notice for raising business or making nominations at meetings, (ii) an affirmative vote of the holders of 66 2/3% of our outstanding common stock for stockholders to remove directors or amend our Amended and Restated Bylaws or certain provisions of our Restated Certificate of Incorporation, and (iii) the ability to issue “blank check” preferred stock, which our board of directors, without stockholder approval, can designate and issue with such dividend, liquidation, conversion, voting or other rights, including the right to issue convertible securities with no limitations on conversion. The issuance of blank check preferred stock may adversely affect the voting and other rights of the holders of our common stock as our board of directors may designate and issue preferred stock with terms that are senior to our common stock.
 
Our board of directors can use these and other provisions to discourage, delay or prevent a change in the control of our company or a change in our management. Any delay or prevention of a change of control transaction or a change in our board of directors or management could deter potential acquirors or prevent the completion of a transaction in which our stockholders could receive a substantial premium over the then current market price for their shares. These provisions could also limit the price that investors might be willing to pay for shares of our common stock.

Item 1B.  Unresolved Staff Comments

Not applicable.

Item 2.  Properties

Inpatient Services

As of December 31, 2006, we, through SunBridge and its subsidiaries, operated 141 long-term care, sub-acute care, assisted living and independent living facilities. The 141 facilities are comprised of 113 properties that are leased and 28 properties that are owned. We hold options to acquire, at fair value or at a set purchase price, ownership of 22 of the facilities that we currently lease. We also leased office space for administrative purposes in four locations in four states. We consider our properties in general to be in good operating condition and suitable for the purposes for which they are being used. Our facilities that are leased are subject to long-term operating leases or subleases which require us, among other things, to fund all applicable capital expenditures, taxes, insurance and maintenance costs. Our facilities that are owned are subject to mortgage financing. The annual rent payable under most of the leases generally increases based on a fixed percentage or increases in the U.S. Consumer Price Index. Many of the leases contain renewal options to extend the term.

As a result of our ongoing review of our business to identify facilities and operations that do not perform at an appropriate level, we have identified three skilled nursing facilities, with 292 licensed beds, for disposal in 2007. As a result of this review in 2006, we identified seven skilled nursing facilities in 2006 for disposition (four in the fourth quarter of 2006) and are in the process of terminating a management agreement for 10 additional skilled nursing facilities.

Our aggregate occupancy percentage for all of our long-term care, sub-acute care and assisted living facilities was 87.4% for the year ended December 31, 2006. Our occupancy was 91.3% and 91.8% for the years ended December 31, 2005 and 2004, respectively (excluding the Peak facilities for both years). The percentages were computed by dividing the average daily number of beds occupied by the total number of available beds for use during the periods indicated. However, we believe that occupancy percentages, either individually or in the aggregate, should not be relied upon alone to determine the performance of a facility. Other factors include, among other things, the sources of payment, terms of reimbursement and the acuity level of the patients.
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
The following table sets forth certain information concerning the 141 facilities that we operated as of December 31, 2006, which consisted of 118 skilled nursing facilities, 13 assisted living and independent living facilities, seven mental health facilities, and three specialty acute care hospitals.
           
Number of Beds/Units(1)
 
State
 
Total
Number of
Licensed
Beds/Units(1)
 
Total
Number of
  Facilities  
 
Skilled
Nursing
 
Assisted
  Living  
 
Independent
and Senior
     Living     
 
Mental
  Health  
 
Specialty
Acute
   Care   
 
Oklahoma
   
1,662
   
12
   
1,440
   
162
   
-
   
60
   
-
 
California
   
1,501
   
17
   
858
   
-
   
-
   
473
   
170
 
Colorado
   
1,276
   
9
   
1,179
   
-
   
97
   
-
   
-
 
Idaho
   
1,136
   
10
   
1,114
   
-
   
-
   
-
   
22
 
New Hampshire
   
1,068
   
9
   
865
   
203
   
-
   
-
   
-
 
New Mexico
   
1,065
   
12
   
945
   
100
   
20
   
-
   
-
 
Georgia
   
1,034
   
9
   
1,002
   
32
   
-
   
-
   
-
 
Massachusetts
   
1,022
   
11
   
965
   
-
   
57
   
-
   
-
 
North Carolina
   
994
   
8
   
994
   
-
   
-
   
-
   
-
 
Tennessee
   
919
   
9
   
897
   
22
   
-
   
-
   
-
 
Alabama
   
783
   
7
   
757
   
26
   
-
   
-
   
-
 
West Virginia
   
739
   
7
   
739
   
-
   
-
   
-
   
-
 
Montana
   
650
   
5
   
538
   
97
   
15
   
-
   
-
 
Washington
   
588
   
6
   
552
   
36
   
-
   
-
   
-
 
Ohio
   
395
   
4
   
395
   
-
   
-
   
-
   
-
 
Utah
   
231
   
3
   
204
   
27
   
-
   
-
   
-
 
Maryland
   
177
   
1
   
177
   
-
   
-
   
-
   
-
 
Arizona
   
161
   
1
   
161
   
-
   
-
   
-
   
-
 
Wyoming
   
46
   
1
   
46
   
-
   
-
   
-
   
-
 
Total
   
15,447
   
141
   
13,828
   
705
   
189
   
533
   
192
 
 
(1)
“Licensed Beds” refers to the number of beds for which a license has been issued, which may vary in some instances from licensed beds available for use, which is used in the computation of occupancy. Available beds for the 141 facilities were 14,726.

Rehabilitation Therapy Services

As of December 31, 2006, we leased 28 office spaces and patient care delivery sites in 14 states to operate our rehabilitation therapy businesses.

Medical Staffing Services

As of December 31, 2006, we leased office space in 28 locations in 15 states to operate our CareerStaff medical staffing business.

Corporate

We lease our executive offices in Irvine, California and we own three corporate office buildings and lease office space in a fourth building in Albuquerque, New Mexico.
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Item 3.  Legal Proceedings
 
On September 1, 2004, we commenced a declaratory relief action in the Orange County, California Superior Court in which two subsidiaries of American International Group (“AIG”) are parties. The action seeks, among other things, a determination that the AIG subsidiary that was the carrier providing coverage under our excess/umbrella insurance policy for the 2000 through 2002 policy years is obligated to provide first dollar insurance coverage for those three policy years pursuant to the terms of the excess/umbrella policy. That policy provides that the excess/umbrella policy continues in force as underlying insurance upon exhaustion of the underlying primary insurance policy. If we prevail in this action, such a judicial determination would eliminate a portion of our self-insured liabilities for general and professional liability claims. We can give no assurances that we will in fact prevail and, accordingly, our financial statements reflect no positive adjustment for the drop down of the excess/umbrella coverage asserted in this litigation.

In July 2006, we agreed with the other parties to the litigation, pursuant to statutory authorization and in order to streamline reaching a decision, that the matter would be referred to a retired judge to adjudicate all aspects of the case. The parties retain all rights of appeal. Proceedings pursuant to this referral commenced in November 2006. In addition, in August 2006, we reached a settlement agreement with Steadfast Insurance Company (“Steadfast”), a third party unrelated to AIG, which resulted in the dismissal of Steadfast from the case.

We are a party to various other legal actions and administrative proceedings and are subject to various claims arising in the ordinary course of our business, including claims that our services have resulted in injury or death to the residents of our facilities, claims relating to employment and commercial matters. Although we intend to vigorously defend ourselves in these matters, there can be no assurance that the outcomes of these matters will not have a material adverse effect on our results of operations and financial condition. In certain states in which we have or have had operations, insurance coverage for the risk of punitive damages arising from general and professional liability litigation may not be available due to state law public policy prohibitions. There can be no assurance that we will not be liable for punitive damages awarded in litigation arising in states for which punitive damage insurance coverage is not available.

We operate in an industry that is extensively regulated. As such, in the ordinary course of business, we are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. In addition to being subject to direct regulatory oversight of state and federal regulatory agencies, these industries are frequently subject to the regulatory supervision of fiscal intermediaries. If a provider is found by a court of competent jurisdiction to have engaged in improper practices, it could be subject to civil, administrative or criminal fines, penalties or restitutionary relief, and reimbursement authorities could also seek the suspension or exclusion of the provider or individual from participation in their program. We believe that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations, whether currently asserted or arising in the future, could have a material adverse effect on our financial position, results of operations and cash flows.

Item 4.  Submission of Matters to a Vote of Security Holders

No matters were submitted to a vote of security holders during the fourth quarter of 2006.
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
PART II

Item 5.  Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

      Our common stock trades under the symbol “SUNH” on The NASDAQ Global Market. The following table shows the high and low sale prices for the common stock as reported by the The NASDAQ Global Market for the periods indicated. These prices do not include retail markups, markdowns or commissions.

           
   
High
 
Low
 
2006
         
Fourth Quarter
 
$
14.00
 
$
9.79
 
Third Quarter
 
$
11.83
 
$
7.69
 
Second Quarter
 
$
10.01
 
$
7.38
 
First Quarter
 
$
7.99
 
$
6.05
 
               
2005
         
Fourth Quarter
 
$
8.65
 
$
6.10
 
Third Quarter
 
$
7.57
 
$
6.03
 
Second Quarter
 
$
7.48
 
$
5.86
 
First Quarter
 
$
9.60
 
$
5.90
 

     There were approximately 4,830 holders of record of our common stock as of February 26, 2007. We have not paid dividends on our common stock and do not anticipate paying dividends in the foreseeable future. Our Revolving Loan Agreement prohibits us from paying any dividends or making any distributions to our stockholders. Any future determination to pay dividends will be at the discretion of our board of directors and will be dependent upon our financial condition, results of operations, capital requirements and other factors as our board of directors deems relevant.
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
STOCK PRICE PERFORMANCE GRAPH

     Our common stock began trading on April 2, 2002 under the symbol SUHG.OB. On March 10, 2004, our common stock was listed on The NASDAQ Global Market under the symbol SUNH.

     The following graph and chart compare the cumulative total stockholder return for the period from April 2, 2002 through December 31, 2006 on an investment of $100 in (i) Sun’s common stock, (ii) the Standard & Poor’s 500 Stock Index (“S&P 500”) and (iii) the Hemscott Group Long-Term Care Facilities Index (“Long-Term Care Index”). Cumulative total stockholder return assumes the reinvestment of all dividends. Stock price performances shown in the graph are not necessarily indicative of future price performances.
 
4/2/02
12/31/02
12/31/03
12/31/04
12/31/05
12/31/06
             
Sun Healthcare Group, Inc.
$100.00
$10.56
$ 53.07
$ 49.13
$ 35.25
$ 67.36
Long-Term Care Index
100.00
75.63
154.16
166.45
200.33
246.35
S&P 500 Index
100.00
77.69
99.97
110.85
116.29
134.66

The above performance graph shall not be deemed to be soliciting material or to be filed with the Securities and Exchange Commission under the Securities Act of 1933 or the Securities Exchange Act of 1934 or incorporated by reference in any document so filed.
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SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 

Item 6.  Selected Financial Data
 
     The following selected consolidated financial data for the periods indicated have been derived from our consolidated financial statements. The financial data set forth below should be read in connection with Item 7 - "Management's Discussion and Analysis of Financial Condition and Results of Operations" and with our consolidated financial statements and related notes thereto (in thousands, except per share data):

   
Reorganized Company (1)
     
 Predecessor
Company (1)
 
   
At or For
 
 At or For
 
 At or For
 
 At or For
 
 At or For
     
 At or For
 
   
The Year
 
 The Year
 
 The Year
 
 The Year
 
 The Ten
     
 The Two
 
   
Ended
 
 Ended
 
 Ended
 
 Ended
 
 Months Ended
     
 Months Ended
 
   
December 31,
 
 December 31,
 
 December 31,
 
 December 31,
 
 December 31,
     
 February 28,
 
   
2006(2)
 
 2005(3)
 
 2004(4)
 
 2003(5)
 
 2002(6)
     
 2002(7)
 
                                             
Total net revenues
 
$
1,045,637
 
$
765,782
 
$
700,863
 
$
663,644
 
$
542,393
   
|
 
$
301,846
 
Income (loss) before income
                                 
|
       
  taxes and discontinued
                                 
|
       
  operations
   
15,419
   
(2,761
)
 
540
   
(40,259
)
 
(301,509
)
 
|
   
1,493,157
 
Income (loss) from
                                 
|
       
  continuing operations
   
14,688
   
(1,975
)
 
1,698
   
(40,924
)
 
(301,919
)
 
|
   
1,493,010
 
Income (loss) on discontinued        
                 
|
       
  operations
   
12,430
   
26,736
   
(20,325
)
 
41,278
   
(136,067
)
 
|
   
(7,639
)
Net income (loss)
 
$
27,118
 
$
24,761
 
$
(18,627
)
$
354
 
$
(437,986
)
 
|
 
$
1,485,371
 
Basic earnings per
                                 
|
       
  common and common
                                 
|
       
  equivalent share:
                                 
|
       
Income (loss) from
                                 
|
       
  continuing operations
 
$
0.46
 
$
(0.12
)
$
0.12
 
$
(4.07
)
$
(30.19
)
 
|
 
$
24.44
 
Income (loss) from discontinued           
           
|
       
  operations
   
0.40
   
1.67
   
(1.41
)
 
4.11
   
(13.61
)
 
|
   
(0.12
)
Net income (loss)
 
$
0.86
 
$
1.55
 
$
(1.29
)
$
0.04
 
$
(43.80
)
 
|
 
$
24.32
 
Diluted earnings per common
                                 
|
       
  and common equivalent
                                 
|
       
  share:
                                 
|
       
Income (loss) from
                                 
|
       
  continuing operations
 
$
0.46
 
$
(0.12
)
$
0.12
 
$
(4.07
)
$
(30.19
)
 
|
 
$
24.44
 
Income (loss) from discontinued           
           
|
       
  operations
   
0.39
   
1.67
   
(1.40
)
 
4.11
   
(13.61
)
 
|
   
(0.12
)
Net income (loss)
 
$
0.85
 
$
1.55
 
$
(1.28
)
$
0.04
 
$
(43.80
)
 
|
 
$
24.32
 
Weighted average number of
                                 
|
       
  common and common
                                 
|
       
  equivalent shares:
                                 
|
       
  Basic
   
31,638
   
16,003
   
14,456
   
10,050
   
10,000
   
|
   
61,080
 
  Diluted
   
31,788
   
16,003
   
14,548
   
10,050
   
10,000
   
|
   
61,080
 
Working capital (deficit)
 
$
96,245
 
$
(62,786
)
$
(30,595
)
$
(57,377
)
$
(66,412
)
 
|
 
$
69,762
 
Total assets
 
$
621,423
 
$
512,306
 
$
313,153
 
$
300,398
 
$
475,835
   
|
 
$
828,416
 
Long-term debt, including current
  portion 
$
172,975
 
$
186,575
 
$
107,182
 
$
78,514
 
$
196,223
   
|
|
 
$
190,146
 
Capital leases, including current
  portion
 
$
1,190
 
$
11,204
 
$
-
 
$
364
 
$
-
   
|
|
 
$
-
 
Stockholders' equity (deficit)
 
$
144,133
 
$
(2,895
)
$
(123,380
)
$
(166,398
)
$
(187,218
)
 
|
 
$
237,600
 
18

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
(1)
On February 28, 2002, we emerged from proceedings under the Bankruptcy Code pursuant to the terms of our Plan of Reorganization.
   
(2)
Results for the year ended December 31, 2006 include a $2.5 million non-cash charge to account for certain lease rate escalation clauses (see “Note 3 - Significant Accounting Policies” in our consolidated financial statements), a net loss on sale of assets of $0.2 million and a $1.0 million charge for the termination of a management contract associated with the acquisition of hospice operations. Income from discontinued operations of $12.4 million was comprised of: (i) a $6.8 million gain from the sale of our home health operations in the fourth quarter of 2006, (ii) a net $6.0 million reduction of reserves for self-insurance for general and professional liability and workers’ compensation for prior years on divested facilities, (iii) a $4.2 million non-cash gain primarily related to the sale in July 2003 of our pharmaceutical services operations to Omnicare, Inc., and (iv) a $1.3 million gain on the sale of one of our inpatient facilities in fourth quarter of 2006, offset in part by (v) a $3.6 million non-cash charge for closed facilities with a continuing rent obligation, (vi) a net $1.3 million loss from divested operations from inpatient services and home health services, (vii) a $0.2 million loss related to the discontinued clinical laboratory and radiology operations, and (viii) a $0.8 million net tax provision for discontinued operations.
   
(3)
Results for the year ended December 31, 2005 include revenues and expenses for Peak for the month of December 2005 (See "Note 7 - Acquisitions" in our consolidated financial statements), a $1.1 million non-cash charge for transaction costs related to the Peak acquisition, a net loss on sale of assets of $0.4 million primarily due to a write-down of a property held for sale, a net loss on extinguishment of debt of $0.4 million related to mortgage restructurings. Income from discontinued operations was $26.7 million due primarily to net reductions of $14.6 million in self-insurance reserves for general and professional liability and workers' compensation for prior years on divested facilities and an $8.9 million gain from disposal of discontinued operations primarily due to receipt in September 2005 of $7.7 million in cash proceeds from the 2003 sale of our pharmaceutical services operations, pursuant to the terms of the sale agreement.
   
(4)
Results for the year ended December 31, 2004 include a non-cash charge of $1.0 million representing an impairment to our carrying values of other long-lived assets (See "Note 8 - Impairment of Intangible and Long-Lived Assets" in our consolidated financial statements), a $2.0 million charge related to restructuring, a net loss on sale of assets of $1.5 million mainly due to the write-down of a property held for sale, and a net gain on extinguishment of debt of $3.4 million related to mortgage restructurings, a loss of $15.0 million from discontinued operations and a loss of $5.3 million from disposal of discontinued operations due primarily to the sale of our clinical laboratory and radiology operations located in California and a reserve recorded in connection with the sale of a previously divested segment (See "Note 9 - Discontinued Operations and Assets and Liabilities Held for Sale" in our consolidated financial statements).
   
(5)
Results for the year ended December 31, 2003 include a non-cash charge of $2.8 million representing an impairment to our carrying values of lease intangibles and other long-lived assets (See "Note 8 - Impairment of Intangible and Long-Lived Assets" in our consolidated financial statements), a $14.7 million charge related to restructuring, a net gain on sale of assets of $4.2 million mainly due to the sale of land and buildings, a loss of $14.4 million from discontinued operations and a gain of $55.6 million from disposal of discontinued operations due primarily to the sale of our pharmaceutical and software development operations, termination of 126 facility lease agreements, sale of one other facility and the reductions of the carrying amount of the assets associated with the above described facilities, which facilities and assets were determined not to be integral to our core business operations (See "Note 9 - Discontinued Operations and Assets and
19

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
   Liabilities Held for Sale" in our consolidated financial statements).
   
(6)
Results for the ten month period ended December 31, 2002 include a non-cash charge of $272.3 million representing an impairment to our carrying values of goodwill and other long-lived assets for continuing operations (See "Note 8 - Intangible and Long-Lived Assets" in our consolidated financial statements), a net gain on sale of assets of $8.7 million due to the termination of ten facility lease agreements and the reduction of the carrying amount of the assets associated with the above described facilities, which facilities and assets were determined not to be integral to our core business operations and a loss of $136.1 million from discontinued operations, of which $135.5 million relates to the impairment to our carrying values of goodwill and other long-lived assets for discontinued operations.
   
(7)
Results for the two month period ended February 28, 2002 include a $1.5 billion non-cash gain on extinguishment of debt, a $1.5 million gain for reorganization items due to our chapter 11 filings, a net non-cash loss on discontinued operations of $7.6 million due to the anticipated termination of ten facility lease agreements and the reduction of the carrying amount of the assets associated with the above described facilities, which facilities and assets were determined not to be integral to our core business operations.
 
Item 7.  Management's Discussion and Analysis of Financial Condition and Results of Operations

     The following discussion should be read in conjunction with the consolidated financial statements and accompanying notes, which appear elsewhere in this Annual Report. This discussion contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in these forward-looking statements as a result of various factors, including those discussed below and elsewhere in this Annual Report. See Item 1A - "Risk factors."

Overview

     We are a nationwide provider, through our subsidiaries, of long-term, subacute and related specialty healthcare services primarily to the senior population in the United States. We operate through various direct and indirect subsidiaries that engaged in the following three principal business segments during 2006:

-
inpatient services, primarily skilled nursing facilities;
   
-
rehabilitation therapy services; and
   
-
medical staffing services.

     In February 2002, we emerged from Chapter 11 bankruptcy proceedings pursuant to the terms of our Plan of Reorganization. During the bankruptcy proceedings, we divested our international operations and over 100 inpatient facilities. After the bankruptcy proceedings were concluded, our new management team determined that further significant restructuring of our business was necessary in order to preserve and enhance shareholder value. Our restructuring was substantially completed in December 2004 and involved: (i) the renegotiation of the terms of our leases for skilled nursing facilities resulting in an approximate 300 basis point reduction in lease expense as a percentage of net revenues; (ii) the divestiture of 137 poor performing inpatient facilities; (iii) the sale of non-core assets, including our pharmacy business, and (iv) the reduction of corporate overhead expense.

     Commencing in 2005, we implemented a business strategy to leverage our existing platform, and in December 2005, we acquired Peak, an Albuquerque, New Mexico-based operator of 56 skilled nursing facilities and independent and assisted living residences and a small hospice operation for approximately 8.9 million shares
20

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
of our stock. In 2006, we continued this strategy by purchasing a hospice company now known as SolAmor Hospice, Inc. for approximately $4.6 million and entering into an agreement to purchase Harborside. Harborside operates 73 skilled nursing and two assisted living facilities, with 8,979 licensed beds. Its operations are located in ten states, which states overlap or are contiguous to our eastern operating locations. Under the agreement we will pay $349.4 million in cash for all of Harborside’s outstanding stock and refinance or assume Harborside’s debt. We estimate that the amount of such debt, which will fluctuate until the closing, will approximate $240.0 million at the closing. We also expect to purchase in 2007, subsequent to the closing of the Harborside acquisition, certain facilities that are currently leased by Harborside for an aggregate purchase price of approximately $82.0 million, which is net of certain indebtedness of $7.5 million owed to Harborside by the owner of certain of the facilities, plus the assumption of certain indebtedness aggregating $30.0 million.

     We believe these acquisitions will provide us with critical mass in new geographic markets, potential synergies from reduction in overhead, improved purchasing discounts and revenue and margin growth opportunities.       

     In December 2006, we sold SunPlus Home Health Services, Inc. (“SunPlus”), for a purchase price of $19.3 million. SunPlus provided skilled home health care, non-skilled home care, as well as pharmacy services.

     We have updated our historical financial statements to reflect the divesture of seven skilled nursing facilities, the sale of our home health segment, and the reclassification of our remaining laboratory and radiology business to assets and liabilities held for sale during the year ended December 31, 2006. U.S. generally accepted accounting principles require that these operations be reclassified as discontinued operations on a retroactive basis. The financial information in this Annual Report reflects that reclassification for all periods since February 28, 2002.

Revenues from Medicare, Medicaid and Other Sources

     We receive revenues from Medicare, Medicaid, commercial insurance, self-pay residents, other third party payors and long-term care facilities that utilize our specialty medical services. The sources and amounts of our inpatient services revenues are determined by a number of factors, including the number of licensed beds and occupancy rates of our facilities, the acuity level of patients and the rates of reimbursement among payors. Federal and state governments continue to focus on methods to curb spending on health care programs such as Medicare and Medicaid. This focus has not been limited to skilled nursing facilities, but includes other services provided by us, such as skilled therapy services. We cannot at this time predict the extent to which these proposals will be adopted or, if adopted and implemented, what effect, if any, such proposals will have on us. Efforts to impose reduced coverage, greater discounts and more stringent cost controls by government and other payors are expected to continue.
21

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
     The following table sets forth the total nonaffiliated revenues and percentage of revenues by payor source for our continuing operations, on a consolidated and on an inpatient operations only basis, for the periods indicated (data prior to 2006 includes Peak for December 2005 only):

   
For the Year Ended
 
   
December 31, 2006
 
 December 31, 2005
 
 December 31, 2004
 
   
(dollars in thousands)
 
Consolidated:
                              
Sources of Revenues
                              
Medicaid
 
$
403,882
   
38.6
%
$
289,503
   
37.8
%
$
270,369
   
38.6
%
Medicare
   
279,693
   
26.7
   
196,571
   
25.7
   
170,163
   
24.3
 
Private pay and other
   
362,062
   
34.7
   
279,708
   
36.5
   
260,331
   
37.1
 
Total
 
$
1,045,637
   
100.0
%
$
765,782
   
100.0
%
$
700,863
   
100.0
%

   
For the Year Ended
 
   
December 31, 2006
 
 December 31, 2005
 
 December 31, 2004
 
   
(dollars in thousands)
 
Inpatient Only:
                              
Sources of Revenues
                              
Medicaid
 
$
403,770
   
45.9
%
$
289,390
   
47.1
%
$
270,369
   
47.7
%
Medicare
   
273,790
   
31.1
   
189,842
   
30.9
   
170,066
   
30.0
 
Private pay and other
   
201,552
   
23.0
   
135,681
   
22.0
   
126,225
   
22.3
 
Total
 
$
879,112
   
100.0
%
$
614,913
   
100.0
%
$
566,660
   
100.0
%

Medicare

     Medicare is available to nearly every United States citizen 65 years of age and older. It is a broad program of health insurance designed to help the nation's elderly meet hospital, hospice, home health and other health care costs. Health insurance coverage extends to certain persons under age 65 who qualify as disabled or those having end-stage renal disease. Medicare is comprised of four related health insurance programs. Medicare Part A provides for inpatient services including hospital, skilled long-term care, and home healthcare. Medicare Part B provides for outpatient services including physicians' services, diagnostic service, durable medical equipment, skilled therapy services and medical supplies. Medicare Part C is a managed care option ("Medicare Advantage") for beneficiaries who are entitled to Part A and enrolled in Part B. Medicare Part D is a benefit that provides prescription drug benefits for both Medicare and Medicare/Medicaid dually eligible patients.

      Medicare reimburses our skilled nursing facilities for Medicare Part A services under the Prospective Payment System ("PPS") as defined by the Balanced Budget Act of 1997 and subsequently refined in 1999, 2000 and 2005. PPS regulations predetermine a payment amount per patient, per day, based on the 1995 costs of treating patients indexed forward. The amount to be paid is determined by classifying each patient into one of 53 Resource Utilization Group ("RUG") categories that are based upon each patient's acuity level.
22

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
     The following table sets forth the average amounts of inpatient Medicare Part A revenues per patient, per day, recorded by our skilled nursing ("SNF") and hospital facilities for the periods indicated (data prior to 2006 includes Peak for December 2005 only):

   
For the Year Ended
 
   
December 31,
 
   
2006
 
2005
 
2004
 
SNF
 
$
344.45
 
$
326.28
 
$
314.83
 
Hospital
 
$
1,171.44
 
$
1,063.24
 
$
1,045.03
 

     The following changes have been implemented, are scheduled to be implemented, or are proposed to be implemented in the near future and will, if implemented, affect Medicare reimbursement and, as a result, our revenues and earnings.

Skilled nursing facilities

-
The Centers for Medicaid and Medicare Services (CMS) issued a 3.1% market basket increase for both the 2006 Federal fiscal year beginning October 1, 2005, and the 2007 Federal fiscal year beginning October 1, 2006. Geographic location and a two year phase-in of a change in the wage index applied, created an effective increase of 2.6% for Federal fiscal 2006 and 2.5% for Federal fiscal year 2007.
   
-
Effective January 1, 2006, Medicare RUG refinement and related legislation replaced two temporary add-on payments with an 8.5% increase to nursing weights and increased the number of RUG categories from 44 to 53. The nine new RUG categories provide for increased reimbursement for treating patients who require both rehabilitation and extensive services. As a result, our Medicare revenues increased for residents that qualified for the new RUG categories. As a result of patients shifting into the nine new RUG categories during the year ended December 31, 2006, our average Medicare rate increased $9.85 per patient day compared to the rate in effect during the year ended December 31, 2005.

Rehabilitation therapy

-
Effective January 1, 2006, the "therapy caps," which limit the amount of Medicare Part B reimbursement we receive for providing rehabilitation therapy, were implemented. However, the Deficit Reduction Act of 2005, required that CMS create an exception process for claims for services on or after January 1, 2006. Residents of long-term care facilities qualify for an automatic exception. Congress extended this exception through December 31, 2007. To date, the therapy cap regulations have not had a measurable impact on our earnings.
   
-
The refinements to the RUG III system that became effective on January 1, 2006 resulted in some patients defaulting to a category that has a lower level of rehabilitation than was provided but has a higher rate. This anomaly was created by the 8.5% add-on made to the relative nursing weights. Contractually, we billed customers based upon the rehabilitation RUG category into which patients were classified. As patients defaulted into the lower rehabilitation category, in certain circumstances, the rate we charged defaulted to a rate that was lower than the delivered services. Pricing has been renegotiated to ensure that we are reimbursed for the services delivered.
23

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Medicaid
 
     Medicaid is a state-administered program financed by state funds and federal matching funds. The program provides for medical assistance to the indigent and certain other eligible persons. Although administered under broad federal regulations, states are given flexibility to construct programs and payment methods. Each state in which we operate nursing facilities has its own unique Medicaid reimbursement program. State Medicaid programs include systems that will reimburse a nursing facility for reasonable costs it incurs in providing care to its patients, based upon cost from a prior base year, adjusted for inflation and per diems based upon patient acuity.

     The following table sets forth the average amounts of inpatient Medicaid revenues per patient, per day (excluding any impact of state-imposed provider taxes), recorded by our SNF and hospital facilities for the periods indicated (data prior to 2006 includes Peak for December 2005 only):

   
For the Year Ended
 
   
December 31,
 
   
2006
 
2005
 
2004
 
SNF
 
$
142.95
 
$
139.87
 
$
133.34
 
Hospital
 
$
916.85
 
$
839.07
 
$
820.31
 

     Medicaid outlays are a significant component of state budgets, and there have been cost containment pressures on Medicaid outlays for nursing homes. It is not certain whether reductions in Medicaid rates would be imposed in the future for any states in which we operate.

    Thirteen of the states in which we operate impose a provider tax on nursing homes as a method of increasing federal matching funds paid to those states for Medicaid. They include: Alabama, California, Georgia, Massachusetts, Montana, New Hampshire, North Carolina, Ohio, Oklahoma, Tennessee, Utah, Washington and West Virginia. Those states that have imposed the provider tax have used some or all of the matching funds to fund Medicaid reimbursement to nursing homes. In 2006, provider taxes were limited to 6%. The limit is 5.5% in 2007.

Private payors

     We currently receive 34.7% of our revenues from commercial insurance, long-term care facilities that utilize our specialty medical services, self-pay facility residents, and other third party payors. These private third party payors are continuing their efforts to control healthcare costs through direct contracts with healthcare providers, increased utilization review and greater enrollment in managed care programs and preferred provider organizations. These private payors increasingly are demanding discounted fee structures and the assumption by healthcare providers of all or a portion of the financial risk.

Other reimbursement matters

     Net revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment by payors during the settlement process. Under cost-based reimbursement plans, payors may disallow, in whole or in part, requests for reimbursement based on determinations that certain costs are not reimbursable or reasonable or because additional supporting documentation is necessary. We recognize revenues from third-party payors and accrue estimated settlement amounts in the period in which the related services are provided. We estimate these settlement balances by making determinations based on our prior settlement experience and our understanding of the applicable reimbursement rules and regulations.
24

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Results of Operations

     The following table sets forth the amount and percentage of certain elements of total net revenues for the following years ended December 31 (in thousands):

   
2006
 
 2005
 
 2004
 
Inpatient Services
 
$
879,112
   
84.1
%
$
614,913
   
80.3
%
$
566,060
   
80.8
%
Rehabilitation Therapy Services
   
119,286
   
11.4
%
 
116,626
   
15.2
%
 
112,753
   
16.1
%
Medical Staffing Services
   
86,864
   
8.3
%
 
71,147
   
9.3
%
 
56,816
   
8.1
%
Corporate
   
36
   
0.0
%
 
661
   
0.1
%
 
(35
)
 
0.0
%
Intersegment eliminations
   
(39,661
)
 
(3.8
)%
 
(37,565
)
 
(4.9
)%
 
(34,731
)
 
(5.0
)%
  Total net revenues
 
$
1,045,637
   
100.0
%
$
765,782
   
100.0
%
$
700,863
   
100.0
%

     Inpatient services revenues for long-term care, subacute care and assisted living services include revenues billed to patients or third party payors for therapy, medical staffing, and laboratory and radiology provided by our affiliated operations. The following table sets forth a summary of the intersegment revenues for the years ended December 31 (in thousands):
 
   
2006
 
 2005
 
 2004
 
Inpatient Services
 
$
-
 
$
-
 
$
(600
)
Rehabilitation Therapy Services
   
38,663
   
36,952
   
33,310
 
Medical Staffing Services
   
998
   
613
   
2,103
 
Corporate and Other
   
-
   
-
   
(82
)
  Total affiliated revenue
 
$
39,661
 
$
37,565
 
$
34,731
 

     The following table sets forth the amount of net segment income (loss) for the following years ended December 31 (in thousands):
 
   
2006
 
 2005
 
 2004
 
Inpatient Services
 
$
63,454
 
$
41,355
 
$
44,177
 
Rehabilitation Therapy Services
   
3,038
   
4,185
   
6,286
 
Medical Staffing Services
   
6,981
   
4,907
   
3,205
 
   Net segment income before Corporate
   
73,473
   
50,447
   
53,668
 
Corporate
   
(56,907
)
 
(52,342
)
 
(48,484
)
   Net segment income (loss)
 
$
16,566
 
$
(1,895
)
$
5,184
 

     The following discussion of the "Year Ended December 31, 2006 compared to Year Ended December 31, 2005" and "Year Ended December 31, 2005 compared to Year Ended December 31, 2004" is based on the financial information presented in "Note 16 - Segment Information" in our consolidated financial statements.

Year Ended December 31, 2006 Compared to Year Ended December 31, 2005

     Total revenue increased $279.8 million, or 36.5%, to $1,045.6 million for the year ended December 31, 2006 from $765.8 million for the year ended December 31, 2005. We reported net income for the year ended December 31, 2006 of $27.1 million compared to net income of $24.8 million for the same period of 2005.

     The increase in total revenue of $279.9 million for the 2006 period included:
   
-
$264.2 million of revenue in our Inpatient Services segment;
-
$15.8 million of revenue in our Medical Staffing segment; and
-
$2.7 million of revenue in our Rehabilitation Therapy segment.

     The net income of $27.1 million for the 2006 period included:
25

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
-
$15.4 million of income from continuing operations before income taxes, which included the following unusual adjustments primarily to Inpatient Services:
 
-
a net $11.7 million reduction of self-insurance reserves for general and professional liability and workers’ compensation insurance related to incidents in prior periods;
   
offset by
 
-
a net $2.8 million in adjustments due to the finalization during the year of the accounting for the acquisition of Peak, which consisted of: (i) $2.8 million in additional reserves for pre-acquisition accounts receivable, (ii) $0.8 million in additional reserves for the collection of management fees related to managed properties acquired in the Peak acquisition, offset in part by (iii) a $0.8 million credit to workers’ compensation expense as a result of the finalization of the insurance reserves;
 
-
a $2.5 million non-cash charge to account for certain lease rate escalation clauses (see “Note 3 - Significant Accounting Policies” in our consolidated financial statements); and
 
-
a $1.0 million charge for the termination of a management contract in the third quarter associated with the acquisition of hospice operations;
   
-
$12.4 million of income from discontinued operations, comprised of:
 
-
a $6.8 million gain from the sale of our home health operations in fourth quarter of 2006 (see “Note 9 - Discontinued Operations and Assets and Liabilities Held for Sale” in our consolidated financial statements);
 
-
a net $6.0 million reduction of reserves for the year, for general and professional liability and workers’ compensation insurance, related to incidents in prior periods; and
 
-
a $4.2 million non-cash gain primarily related to the sale in July 2003 of our pharmaceutical services operations to Omnicare, Inc.; and
 
-
a $1.3 million gain on the sale of one of our Inpatient facilities in fourth quarter of 2006;
   
offset by
 
-
a $3.6 million non-cash charge for previously closed facilities with a continuing rent obligation;
 
-
a net $1.3 million in losses from operations comprised of (i) $1.6 million from Inpatient Services, primarily related to the facilities divested in 2006, (ii) $1.2 million from a small rehabilitation/special education services operation held for sale, offset in part by (iii) $1.5 million in income from our home health operations sold in fourth quarter of 2006;
 
-
a $0.8 million net tax provision for discontinued operations; and
 
-
a $0.3 million loss related to the clinical laboratory and radiology operations located in California that were sold in 2004;
     
 
offset by
     
-
a $0.7 million net tax provision for continuing operations.

     The net income of $24.8 million for the 2005 period included:
 
-
$26.7 million of income from discontinued operations, comprised primarily of:
 
-
income of $15.5 million associated with divested inpatient services operations, which primarily consisted of a net $14.6 million favorable adjustment for general and professional liability and workers’ compensation insurance; 
 
-
a gain of $7.6 million primarily related to receipt of $7.7 million for the deferred purchase price holdback related to the sale in July 2003 of our pharmaceutical services operations to Omnicare, Inc.;
 
-
income of $3.1 million related to a small rehabilitation/special education services business held for sale at the end of 2006; and
 
-
$2.5 million of income from our home health operations, which were sold in fourth quarter of 2006 (see “Note 9 - Discontinued Operations and Assets and Liabilities Held for Sale” in our
26

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
   
consolidated financial statements);
   
offset by
 
-
a $1.0 million loss related to the sale of our clinical laboratory and radiology operations in California sold in 2004 and our mobile radiology operations sold in 2005;
 
-
losses of $1.0 million, of which $0.8 million related to our remaining laboratory and radiology business held for sale at the end of 2006 and $0.2 million related to the closure of our comprehensive outpatient rehabilitation facilities in Colorado, which occurred at the end of 2004; and
   
-
a $0.8 million net tax benefit from continuing operations;
   
 
offset by
   
-
$2.8 million of loss from continuing operations before income taxes, which included the following unusual adjustments related primarily to Inpatient Services:
 
-
$1.1 million of transaction costs related to the Peak acquisition as a result of conforming Peak’s methodologies for inventory and accounts receivable management to ours;
 
-
a $0.4 million loss on extinguishment of debt associated with debt refinancing; and
 
-
a $0.4 million loss on sale of assets related primarily to write-downs for land and buildings;
 
 
offset by
 
-
a net $6.8 million reduction of reserves for general and professional liability and workers’ compensation insurance related to incidents in prior periods.

Segment information

Inpatient Services.  Net revenues increased $264.2 million, or 43.0%, to $879.1 million for the year ended December 31, 2006 from $614.9 million for the year ended December 31, 2005. The addition of Peak contributed $238.1 million of the increase in net revenues. The remaining increase of $26.1 million in net revenues on a same store basis was primarily the result of:

-
an increase of $10.3 million in Medicaid revenues due primarily to improved rates of 3.7%;
   
-
an increase of $7.3 million in Medicare revenues driven by a 4.2% increase in Medicare Part A rates;
   
-
an additional increase of $6.1 million in Medicare revenues due to an improvement in Medicare patient mix of 53 basis points to 14.5% from 14.0% of total;
   
-
a $5.8 million increase in commercial insurance revenues; and
   
-
a $1.3 million increase in management fee revenue;
   
 
offset by
   
-
a $3.2 million decrease in Medicaid revenue caused by lower customer base due to the improvement in Medicare mix; and
   
-
a $1.6 million decrease in Medicare part B revenue.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $119.6 million, or 38.7%, to $428.4 million for the year ended December 31, 2006 from $308.8 million for the year ended December 31, 2005. Approximately $112.1 million of the increase was due to the addition of Peak. The
27

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
remaining increase of $7.5 million was primarily due to:
-
wage increases and related benefits and taxes of $8.1 million to remain competitive in local markets;
-
an increase of $0.8 million in overtime expenses; and
   
-
a $0.6 million increase in bonus expense;
   
 
offset by
   
-
a $2.1 million decrease in health insurance costs relative to the prior period due to improved claims experience that occurred in 2005 but did not reoccur in 2006.

     Self-insurance for workers' compensation and general and professional liability insurance increased $7.1 million, or 30.8%, to $30.1 million for the year ended December 31, 2006 as compared to $23.0 million for the year ended December 31, 2005. The addition of Peak contributed $12.1 million of the increase, offset by decreases in same store operations of:

-
a $3.0 million decrease related to workers’ compensation costs primarily related to incidents in prior periods; and
   
-
a $2.0 million decrease related to general and professional liability insurance costs primarily related to incidents in prior periods.

     Other operating costs increased $73.4 million, or 42.3%, to $246.7 million for the year ended December 31, 2006, from $173.3 million for the year ended December 31, 2005. Excluding the impact of Peak, which contributed $64.1 million of the increase, the remaining $9.3 million increase was primarily due to: 

-
a $4.7 million increase in therapy, pharmacy and medical supplies expense attributable to the increase in Medicare patient mix and to a decrease in rebates and discounts, net of savings resulting from more favorable pricing and payment terms with significant vendors ($0.1 million of the savings was attributable to a new agreement, effective as of October 1, 2006, with our institutional pharmacy vendor that resulted in favorable pharmacy pricing; we expect that the resulting savings during 2007 from this agreement will approximate $3.3 million);
   
-
a $1.1 million increase in taxes primarily due to higher provider, real estate and personal property taxes;
   
-
a $1.2 million increase in contract nursing labor;
   
-
a $1.1 million increase in utility expense; and
   
-
a $1.2 million increase in legal fees.

     General and administrative expenses increased $5.3 million, or 39.5%, to $18.8 million for the year ended December 31, 2006 from $13.5 million for the year ended December 31, 2005. The addition of Peak contributed $3.3 million of the increase. Approximately $1.6 million of the additional increase was due to higher salaries, benefits, travel and recruiting costs due to the strategic addition of clinical reimbursement staff to grow revenue related in same store operations. The remaining $0.4 million increase was due to consulting and other administrative costs.

     The provision for losses on accounts receivable increased $6.9 million, or 179.3%, to $10.7 million for the
28

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
year ended December 31, 2006, from $3.8 million for year ended December 31, 2005, primarily due to the addition of the Peak facilities which caused $5.5 million of the increase, which included a $2.8 million provision for accounts receivable that were determined to be unbillable at the date of the Peak acquisition (see “Note 7 - Acquisitions” in our consolidated financial statements). The remaining increase of $1.4 million was driven by a $1.0 million disallowance of previously allowable items under Medicare and a $0.4 million increase in revenues and timing of collections.

     Facility rent expense of $55.7 million for the year ended December 31, 2006 increased $18.6 million, or 50.3%, compared to the year ended December 31, 2005, primarily due to the addition of the Peak facilities which caused $15.0 million of the increase. In addition, we recognized a $2.5 million non-cash charge to account for certain lease rate escalation clauses (see “Note 3 - Significant Accounting Policies” in our consolidated financial statements.) The remaining increase of $1.1 million was due to normally scheduled rent increases. Pursuant to Interpretation No. 46 of the Financial Accounting Standards Board, “Consolidation of Variable Interest Entities”, we have eliminated facility rent expense of $3.5 million for 2006 paid to (and have consolidated indebtedness of) nine partnerships and limited liability companies (collectively known as “Clipper”), each of which owns one facility that we operate in New Hampshire, by reason of their status as variable interest entities (see “Note 10 - Variable Interest Entities” in our consolidated financial statements). We expect to eliminate $2.8 million in Clipper rent expense in 2007.

     Depreciation and amortization increased $5.1 million, or 148.2%, to $11.9 million for the year ended December 31, 2006, from $6.8 million for the year ended December 31, 2005. The increase was primarily attributable to a $1.4 million cumulative depreciation charge as a result of the finalization of the property, plant and equipment valuation in the third quarter related to the Peak acquisition, in addition to the previously estimated depreciation for the year for the Peak properties, which was an increase of $2.3 million. The remaining increase of $1.4 million was due primarily to additional capital expenditures incurred for facility improvements in 2006.

     Net interest expense for the year ended December 31, 2006 was $13.4 million as compared to $7.3 million for the year ended December 31, 2005. The increase of $6.1 million, or 82.7%, was due to assumed debt from the addition of the Peak facilities.

Rehabilitation Therapy Services.  Total revenues from Rehabilitation Therapy Services increased $2.7 million, or 2.3%, to $119.3 million for the year ended December 31, 2006, from $116.6 million for the year ended December 31, 2005. Of the $2.7 million increase in total revenues, affiliated revenues increased $1.7 million, or 4.6%, and nonaffiliated revenues increased $1.0 million, or 1.2%. The increase in 2006 of $1.0 million in nonaffiliated revenues was due primarily to growth of existing business, offset by the impact of the Medicare RUG refinement and the reinstatement of the Part B therapy cap in January 2006. The cap reinstatement was only partially ameliorated by the therapy cap exception process, which became generally applicable to many of our patients at the end of March 2006. In addition, an initiative was undertaken in early 2006 to review our portfolio of existing business and exit those contracts where we were unable to renegotiate rates sufficient to support the current labor market.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $4.8 million, or 5.0%, to $100.7 million for the year ended December 31, 2006 from $95.9 million for the year ended December 31, 2005. The increase was due primarily to an average increase of 4.4% in therapy wages and severance pay costs related to the termination of contracts discussed above.

     Self-insurance for workers' compensation and general and professional liability expenses decreased $0.3 million, or 20.0%, to $1.4 million for the year ended December 31, 2006, from $1.7 million for the year ended December 31, 2005. The decrease was due to a decrease in workers' compensation claims expense.
29

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
     Other operating costs, including contract labor expenses, decreased $0.8 million, or 11.1%, to $6.8 million for the year ended December 31, 2006 from $7.6 million for the year ended December 31, 2005. The decrease was primarily due to decreases in contract therapy and other direct contract expenses in relation to the termination of contracts discussed above.
 
     General and administrative expenses decreased $0.7 million, or 8.9%, to $6.7 million for the year ended December 31, 2006 from $7.4 million for the year ended December 31, 2005. The decrease was primarily due to the restructuring of overhead positions in alignment with the adjusted portfolio discussed above. Our reorganization efforts concentrated primarily on our sales and recruiting functions to better align these functions with our initiative to focus on same store contract growth.

     The provision for losses on accounts receivable increased $0.8 million, or 122.6%, to $0.2 million for the year ended December 31, 2006 from a credit of $0.7 million for the year ended December 31, 2005. The increase in 2006 was primarily due to collections of previously reserved receivables in 2005.

Depreciation expense increased $0.2 million, or 106.2%, to $0.3 million for the year ended December 31, 2006 from $0.1 million for the year ended December 31, 2005. The increase in expense was primarily due to execution of initiative to replace obsolete computer equipment in designated contract facilities.

Medical Staffing Services.  Total revenues from Medical Staffing Services increased $15.8 million, or 22.1%, to $86.9 million for the year ended December 31, 2006 from $71.1 million for the year ended December 31, 2005. The increase in revenues was primarily the result of:

-
$9.6 million resulting from the acquisition of ProCare in August 2005 and two small acquisitions earlier in the year; and
   
-
$8.0 million attributable to an increase of approximately 56,000 billable hours, an average 5.1% bill rate increase and an increase in the school business of $1.1 million;
   
 
offset by
   
-
$1.9 million due to offices permanently closed in 2006 due mainly to Hurricane Katrina.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $12.7 million, or 22.4%, to $69.5 million for the year ended December 31, 2006 from $56.8 million for the year ended December 31, 2005. Of the $12.7 million increase, $2.2 million was directly attributable to the increase in billable hours and $7.9 million from the acquisitions mentioned above. The remaining $2.6 million is attributable to pay rate increases for nurses and therapists.

     Other operating costs increased $0.6 million, or 14.1%, to $5.0 million for the year ended December 31, 2006 from $4.4 million for the year ended December 31, 2005. The increase was primarily attributable to $1.0 million in various administrative expenses related to travel and meal stipends offset by a $0.3 million decrease in help wanted, education and training and contract labor usage.

    General and administrative expenses, which include regional costs related to the supervision of operations and all other non-direct costs, decreased $0.2 million, or 8.1%, to $2.5 million for the year ended December 31, 2006 from $2.7 million for the year ended December 31, 2005. The decrease resulted primarily from corporate restructure of overhead and resulting lower administrative expenses.

     Amortization expense increased $0.3 million, or 133.0%, to $0.6 million for the year ended December 31, 2006 from $0.2 million for the year ended December 31, 2005. The increase resulted primarily from the
30

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
acquisition of ProCare in August 2005 and two small acquisitions earlier in the year.
 
     Net interest expense increased $0.1 million, or 226.1%, to $0.2 million for the year ended December 31, 2006 from $0.1 million for the year ended December 31, 2005. The increase resulted primarily from the acquisition of ProCare in August 2005 and two small acquisitions earlier in the year.

Corporate.  General and administrative costs not directly attributed to operating segments increased $2.7 million, or 5.6%, to $49.9 million for the year ended December 31, 2006 from $47.2 million for the year ended December 31, 2005. The increase was primarily due to the increased compensation largely as a result of recognizing stock-based compensation as required by SFAS No. 123(R) of $1.1 million for the year ended December 31, 2006 and additional costs incurred in the current period for company initiatives.

Interest expense

Net interest expense not directly attributed to operating segments increased $0.5 million, or 10.8%, to $4.9 million for the year ended December 31, 2006 from $4.5 million for the year ended December 31, 2005. The increase was primarily due to an increase in borrowings on our credit facility during 2006.

Year Ended December 31, 2005 Compared to Year Ended December 31, 2004

     Total revenue increased $64.9 million, or 9.3%, to $765.8 million for the year ended December 31, 2005 from $700.9 million for the year ended December 31, 2004. We reported net income for the year ended December 31, 2005 of $24.8 million compared to a net loss of $18.6 million for the same period of 2004.

     The increase in total revenue of $64.9 million for the 2005 period included:
   
-
$48.9 million of revenue in our Inpatient Services segment;
-
$14.3 million of revenue in our Medical Staffing segment; and
-
$3.9 million in our Rehabilitation Therapy segment revenue.

     The net income of $24.8 million for the 2005 period included:

-
$26.7 million of income from discontinued operations, comprised primarily of:
 
-
income of $15.5 million associated with divested inpatient services operations, which primarily consisted of a net $14.6 million pre-tax favorable adjustment for general and professional liability and workers’ compensation insurance; 
 
-
a gain of $7.6 million primarily related to receipt of $7.7 million for the deferred purchase price holdback related to the sale in July 2003 of our pharmaceutical services operations to Omnicare, Inc.;
 
-
income of $3.1 million related to a small rehabilitation/special education services business held for sale at the end of 2006; and
 
-
$2.5 million of income from our Home Health operations, which were sold in fourth quarter of 2006 (see “Note 9 - Discontinued Operations and Assets and Liabilities Held for Sale” in our consolidated financials statements);
   
offset by
 
-
a $1.0 million loss related to the sale of our clinical laboratory and radiology operations in California sold in 2004 and our mobile radiology operations sold in 2005; and
 
-
losses of $1.0 million, of which $0.8 million related to our remaining laboratory and radiology operations held for sale at the end of 2006 and $0.2 million related to the closure of our comprehensive outpatient rehabilitation facilities in Colorado, which occurred at the end of 2004; and
31

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
-
a $0.8 million net tax benefit from continuing operations;
   
 
offset by
   
-
$2.8 million of losses from continuing operations before income taxes, which included the following unusual adjustments primarily to Inpatient Services:
 
-
$1.1 million of transaction costs related to the Peak acquisition as a result of conforming Peak’s methodologies for inventory and accounts receivable management to ours;
 
-
a $0.4 million loss on extinguishment of debt associated with debt refinancing; and
 
-
a $0.4 million loss on sale of assets related primarily to write-downs for land and buildings;
   
offset by
 
-
a net $6.8 million reduction of reserves for general and professional liability and workers’ compensation insurance related to incidents in prior periods; and
 
-
$0.3 million of revenue related to prior periods for retroactive rate increases.
 
     The net loss of $18.6 million for the 2004 period included:

-
$20.3 million of losses from discontinued operations, comprised primarily of:
 
-
$17.6 million of losses associated with the California clinical laboratory and radiology operations that were sold in 2004 that included a revenue adjustment of $3.3 million related to a prior year and a provision for loss adjustment of $3.4 million;
 
-
losses of $5.0 million associated with divested inpatient services operations, including a net $3.3 million charge for general and professional liability and workers’ compensation reserves related to prior periods; 
 
-
$4.3 million of residual costs associated with the sale of our pharmacy operations, which occurred in 2003;
 
-
a $1.1 million loss from operations from our mobile radiology operations sold in 2005; and
 
-
a $0.7 million loss on the closure of our comprehensive outpatient rehabilitation facilities in Colorado in 2004;
   
offset by
 
-
income of $4.0 million related to a small rehabilitation/special education services business held for sale at the end of 2006;
 
-
$3.5 million of income from our home health operations, which were sold in fourth quarter of 2006 (see “Note 9 - Discontinued Operations and Assets and Liabilities Held for Sale” in our consolidated financial statements);
 
-
a $0.5 million gain related to a holdback received in 2004 for the sale of our software development assets in 2003; and
 
-
income of $0.4 million related to our remaining laboratory and radiology business held for sale at the end of 2006;
   
 
offset by
   
-
a $1.2 million net tax benefit from continuing operations; and
   
-
$0.5 million of income from continuing operations before income taxes, which included the following unusual adjustments:
 
-
a net $16.5 million reduction of reserves for general and professional liability and workers’ compensation insurance related to incidents in prior periods; and
 
-
a net $3.4 million gain on extinguishment of debt due to mortgage restructurings;
   
offset by
32

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
 
-
$2.0 million of restructuring costs associated with professional fees and one-time terminations;
 
-
a $1.5 million loss on the sale of assets associated primarily with the write-down of land and a building held for sale in 2004; and
 
-
a $1.0 million loss on asset impairment.
 
Segment information

Inpatient Services.  Total revenues from inpatient services increased $48.9 million, or 8.6%, to $614.9 million for the year ended December 31, 2005 from $566.1 million for the year ended December 31, 2004. The addition of Peak for the month of December 2005 contributed $20.5 million of the increase in net revenues. The remaining increase of $28.4 million in net revenues was primarily comprised of:

-
an increase of $9.3 million in Medicare revenues due to an improvement in Medicare patient mix of 80 basis points to 13.8% from 13.0% of total occupancy;
   
-
an increase of $4.5 million in Medicare revenues driven by 2.7% higher Medicare rates; and
   
-
an increase of $14.6 million in Medicaid revenues due primarily to improved rates, including $5.5 million resulting from a California Medicaid rate increase.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $23.8 million, or 8.3%, to $308.8 million for the year ended December 31, 2005 from $285.0 million for the year ended December 31, 2004. The addition of Peak for the month of December 2005 contributed $10.1 million of the increase. The remaining increase of $13.7 million in salaries and benefits was primarily due to:

-
increases in wages and related benefits of $10.1 million to remain competitive in local markets, in addition to increased hours due to increased Medicare customer base;
   
-
an increase of $1.9 million in salaries and benefits at two hospitals in California to meet or exceed new staffing requirements, and
   
-
a $1.7 million increase in health insurance costs.

     Self-insurance for workers' compensation and general and professional liability insurance increased $4.0 million, or 21.3%, to $23.0 million for the year ended December 31, 2005 as compared to $19.0 million for the year ended December 31, 2004. The addition of Peak in December 2005 contributed $0.9 million of the increase. The remaining increase of $3.1 million was primarily due to:

-
a $4.8 million increase in 2005 over the prior year as a result of a significant reduction of liabilities due to an improvement in settlement trends for prior periods that was recorded in 2004;
   
 
offset by
   
-
a $1.7 million decrease related to workers' compensation costs primarily related to the reduction in the number of claims related to prior years.

     Other operating costs increased $17.2 million, or 11.0%, to $173.3 million for the year ended December 31, 2005, from $156.1 million for the year ended December 31, 2004. Excluding the impact of Peak, which contributed $6.7 million of the increase, the remaining increase of $10.5 million was primarily due to:
 
-
a $3.8 million increase in therapy, pharmacy and medical supplies expense attributable to the increase
33

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
  in Medicare patient mix;
   
-
a net change in gain on extinguishment of $3.8 million;
   
-
a $2.0 million increase in provider taxes; and
-
a $0.9 million increase in utility expense.

     General and administrative expenses increased $1.6 million, or 13.1%, to $13.5 million for the year ended December 31, 2005 from $11.9 million for the year ended December 31, 2004. The increase was primarily due to salaries and benefits expense for regional administrative and office personnel.

     Facility rent expense of $37.1 million for the year ended December 31, 2005 increased $2.0 million, or 5.7%, compared to the year ended December 31, 2004, primarily due to the addition of the Peak facilities, which had $1.4 million in rent for the month of December, 2005. The remaining increase of $0.6 million was due to normally scheduled rent increases.

     The provision for losses on accounts receivable increased $1.3 million, or 52.0%, to $3.8 million for the year ended December 31, 2005, from $2.5 million for year ended December 31, 2004, primarily due to the addition for the month of December 2005 of the Peak facilities which contributed $0.8 million of the increase. The remaining increase was due to the increase in revenues and timing of collections.

     Depreciation and amortization decreased $0.3 million, or 4.7%, to $6.8 million for the year ended December 31, 2005, from $7.2 million for the year ended December 31, 2004. The decrease was primarily attributable to the conversion of one facility from a capital lease to an operating lease in 2004, partly offset by additional capital expenditures incurred for facility improvements in 2005 and the addition of the Peak facilities for the month of December 2005.

     Net interest expense for the year ended December 31, 2005 was $7.3 million as compared to $5.1 million for the year ended December 31, 2004. The increase of $2.2 million, or 42.9%, was due to the assumption of Peak indebtedness and consolidation of the indebtedness of the Clipper entities by reason of their status as variable interest entities, which consolidation commenced in the third quarter of 2004 (see "Note 10 - Variable Interest Entities" in our consolidated financial statements). Clipper consists of nine entities, each of which own one facility that we operate in New Hampshire.

Rehabilitation Therapy Services.  Total revenues from Rehabilitation Therapy Services increased $3.9 million, or 3.4%, to $116.6 million for the year ended December 31, 2005, from $112.8 million for the year ended December 31, 2004. Of the $3.9 million increase in total revenues, affiliated revenues increased $3.6 million, or 11.4%, and nonaffiliated revenues increased $0.4 million, or 0.4%. The increase in 2005 of $0.4 million in nonaffiliated revenues was due primarily to the loss of two large chain customers during the second and third quarters of 2004 and the replacement during 2005 of that revenue stream through the growth of rehabilitation agency activity.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $6.2 million, or 6.9%, to $95.9 million for the year ended December 31, 2005 from $89.7 million for the year ended December 31, 2004. The increase was due primarily to an average increase of 4.7% in therapy wages in order to recruit and maintain therapists offset by a $0.9 million reclassification to general and administrative expense of salaries, benefits, and other related expenses for overhead staff that were recorded to operating salaries and benefits in 2004.
34

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
     Self-insurance for workers' compensation and general and professional liability expenses increased $1.1 million, or 155.0%, to $1.7 million for the year ended December 31, 2005, from $0.7 million for the year ended December 31, 2004. The increase was due to an increase in workers' compensation claims expense.
 
    General and administrative expenses increased $1.0 million, or 14.9%, to $7.4 million for the year ended December 31, 2005 from $6.4 million for the year ended December 31, 2004. The increase was primarily due to a $0.9 million reclassification of overhead salaries, benefits, and other related expenses that were recorded to operating salaries and benefits in 2004 and increases in wages.

     The provision for losses on accounts receivable decreased $2.1 million, or 149.4%, to a credit of $0.7 million for the year ended December 31, 2005 from $1.4 million for the year ended December 31, 2004. The decrease in expense was primarily due to improvements in collections in 2005 of older receivables.

Medical Staffing Services.  Total revenues from Medical Staffing Services increased $14.3 million, or 25.2%, to $71.1 million for the year ended December 31, 2005 from $56.8 million for the year ended December 31, 2004. The increase in revenues was primarily the result of:

-
$6.1 million resulting from the acquisition of ProCare in August 2005 and two small acquisitions earlier in the year;
   
-
$4.6 million attributable to an increase of 196,000 billable hours; and
   
-
$3.7 million due to an average 5.6% bill rate per hour increase.

     Operating salaries and benefits expenses, excluding workers' compensation insurance costs, increased $12.9 million, or 29.3%, to $56.8 million for the year ended December 31, 2005 from $43.9 million for the year ended December 31, 2004. Of the $12.9 million increase, $8.1 million was directly attributable to the increase in billable hours and $4.8 million from the acquisitions mentioned above.

   General and administrative expenses, which include regional costs related to the supervision of operations and all other non-direct costs, decreased $0.4 million, or 12.5%, to $2.7 million for the year ended December 31, 2005 from $3.1 million for the year ended December 31, 2004. The decrease resulted primarily from corporate restructure of overhead and resulting lower administrative expenses.

     The provision for losses on accounts receivable decreased $0.1 million, or 35.1%, to $0.2 million for the year ended December 31, 2005 from $0.3 million for the prior year due to improved management of receivables and the recoveries of older, fully-reserved receivables.

Corporate.  General and administrative costs not directly attributed to operating segments increased $3.1 million, or 7.0%, to $47.2 million for the year ended December 31, 2005 from $44.1 million for the year ended December 31, 2004. The increase was primarily due to:

-
$1.3 million of accounts payable vendor settlement refunds related to the 2004 restructuring efforts that did not reoccur in 2005;
   
-
$0.9 million of bank service charges of which $0.4 million of the increase related to a recovery of fees in 2004 as a result of the refinance of our credit facility in 2004 that did not reoccur in 2005;
   
-
$0.7 million of travel and meeting expenses;
35

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
$0.5 million of professional and consultant fees recorded in 2005 related to various improvement initiatives; and
   
-
$0.5 million of gain on an asset held for sale in 2004 that did not reoccur in 2005;
 
                    offset by

-
a $0.6 million decrease in staff salaries and benefits.

Interest expense

     Net interest expense not directly attributed to operating segments increased $1.0 million, or 26.5%, to $4.5 million for the year ended December 31, 2005 from $3.5 million for the year ended December 31, 2004. The increase was primarily due to an increase in borrowings on our credit facility during 2005.

Liquidity and Capital Resources

     For the year ended and as of December 31, 2006, our net income was $27.1 million and our working capital was $96.2 million. As of December 31, 2006, we had cash and cash equivalents of $131.9 million, $10.0 million in borrowings and $15.0 million in letters of credit outstanding under our Revolving Loan Agreement and $56.2 million of funds available for borrowing under our Revolving Loan Agreement, which expires January 31, 2009.

     In December 2006, we sold 11.5 million shares of our common stock at $11.25 per share in a public offering for net proceeds of $121.7 million. We used the net proceeds to repay amounts outstanding under our Revolving Loan Agreement. The remaining funds are held in a short-term investment, which is classified in our consolidated balance sheet as cash and cash equivalents.

     We believe that our operating cash flows, existing cash reserves and availability for borrowing under our Revolving Loan Agreement and pursuant to the debt financing commitments obtained in connection with the Harborside acquisition will provide sufficient funds for our operations, capital expenditures and regularly scheduled debt service payments at least through the next twelve months.

Cash flows

     For the year ended December 31, 2006, our net cash provided by operating activities was $9.8 million. The $121.7 million net proceeds from the issuance of our common stock, the $10.0 million in borrowings under our Revolving Loan Agreement and the cash proceeds of $22.0 million from the sale of assets were primarily used to fund $22.2 million in capital expenditures, $12.3 million in net debt service for the year, and $3.4 million in acquisition costs for the inpatient segment. The $12.3 million in debt service was the net of $58.2 million in long-term debt repayments and the $45.9 million borrowing, as a result of the paydown on facility mortgages.

     For the year ended December 31, 2005, our net cash used for operating activities was $8.3 million, which was primarily the result of $36.8 million in funding for workers' compensation and general and professional liability insurances. The $38.4 million net proceeds from the issuance of our common stock, the $10.1 million in borrowings under our Revolving Loan Agreement and the cash proceeds of $10.7 million from the sale of assets were primarily used to fund $17.4 million in capital expenditures, $8.5 million in net debt service for the year, and $17.8 million in acquisition costs for the inpatient and medical staffing segments. The $8.5 million in debt service was the net of $19.5 million in long-term debt repayments and the $11.0 million borrowing, as a result of the refinance of three facility mortgages.
36

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Revolving Loan Agreement

     In December 2005, we entered into the Revolving Loan Agreement with CapitalSource Finance LLC, as collateral agent, and certain lenders, which amended and restated an existing revolving credit facility. The Revolving Loan Agreement, among other things, provides for up to $100.0 million of borrowing availability and terminates on January 31, 2009. The interest rate on borrowings equals 2.75%, which percentage is subject to adjustment based on our fixed charge coverage ratio, plus the greater of (i) 4.31% or (ii) (a) a floating rate equal to the London Interbank Offered Rate for one month adjusted daily or (b), at our option, a rate that is fixed for a period of 30, 60 or 90 days equal to the London Interbank Offered Rate two days prior to the commencement of such period. The Revolving Loan Agreement is secured by almost all of our assets (and the assets of our subsidiaries), including accounts receivable, inventory, stock of our subsidiaries and equipment, but excluding real estate.

     Availability of amounts under the Revolving Loan Agreement is subject to compliance with financial covenants, including a fixed charge coverage covenant, which requires that the ratio of Operating Cash Flow (as defined in the Revolving Loan Agreement) to Fixed Charges (as defined in the Revolving Loan Agreement) equals or exceeds 1.0:1.0. Our borrowing availability under the Revolving Loan Agreement is generally limited to up to eighty-five percent (85%) of the value of our accounts receivable that are deemed eligible pursuant to the Revolving Loan Agreement, plus an overadvance facility equal to an additional 15% of the value of such receivables, but not to exceed $100.0 million. Under certain circumstances, the borrowing capacity of the facility may be expanded to up to $150.0 million. The defined borrowing base as of December 31, 2006 was $81.2 million, net of specified reserves of $5.7 million. As of December 31, 2006, we had $10.0 million in borrowings outstanding and we had issued $15.0 million in letters of credit, leaving $56.2 million available to us for additional borrowing. The Revolving Loan Agreement contains customary events of default, such as our failure to make payment of amounts due, defaults under other agreements evidencing indebtedness, certain bankruptcy events and a change of control (as defined in the Revolving Loan Agreement). The agreement also contains customary covenants restricting, among other things, incurrence of indebtedness, liens, payment of dividends, repurchase of stock, acquisitions and dispositions, mergers and investments.

Acquisitions

Harborside

     In October 2006, we entered into an agreement to acquire all of the outstanding stock of Harborside. Harborside, which operates 73 skilled nursing and two assisted living facilities, in exchange for $349.4 million in cash for all of Harborside’s outstanding stock and to refinance or assume Harborside’s debt. We estimate that the amount of such debt, which will fluctuate until the closing, will approximate $240.0 million at the closing. We also expect to purchase in 2007, subsequent to the closing of the Harborside acquisition, certain facilities that are currently leased by Harborside for an aggregate purchase price of approximately $82.0 million, which is net of certain indebtedness of $7.5 million owed to Harborside by the owner of certain of the facilities, plus the assumption of certain indebtedness aggregating $30.0 million. Harborside’s operations are located in ten states with 8,979 licensed beds, which states overlap or are contiguous to our eastern operating locations. Sun has received debt financing commitments from Credit Suisse, CIBC World Markets Corp., UBS Securities LLC and Jefferies Finance LLC to fund the purchase price and the refinancing of certain Harborside and Sun debt. We also expect that the new credit facilities will provide a $50.0 million revolving credit facility for working capital and other general corporate purposes, as well as a $40.0 million letter of credit facility. The transaction is expected to close in the first half of 2007, subject to certain closing conditions that include regulatory and other approvals.
37

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Peak
 
     On December 9, 2005, we acquired Peak, which operated or managed 56 inpatient facilities, in exchange for approximately nine million shares of our common stock. The $164.4 million acquisition cost, which included the fair value of Sun Common Stock issued of $55.6 million and options issued of $0.3 million, $95.7 million of assumed indebtedness and $12.8 million in estimated direct transaction costs, was allocated to the assets acquired and liabilities assumed, based on their fair values.

Other Acquisitions

     In August 2006, we completed the purchase of a hospice company, which operated two hospice programs in Oklahoma and which had also managed five of our hospice programs, by acquiring all of its outstanding stock in exchange for approximately $4.6 million. The purchase price included an allocation of $1.0 million related to the cancellation of the existing management agreement which was expensed in the current period. The remainder of the purchase price has been allocated to goodwill and will be subject to annual impairment tests.

     In August  2005, we acquired ProCare, a temporary nurse staffing business, for a total purchase price of $8.3 million, of which $4.2 million was paid at closing and $4.1 million is payable over three years pursuant to two promissory notes. The $8.3 million acquisition cost, including $0.1 million in estimated professional fees, was allocated to the assets acquired and liabilities assumed, based on their fair values of $2.5 million to working capital and $5.9 million to intangible assets. Of the $5.9 million of acquired intangible assets, $0.1 million was assigned to trade names, an indefinite-lived intangible asset, and $3.3 million was assigned to customer contracts, which is subject to amortization. The remaining $2.5 million of acquired intangible assets representing goodwill was assigned to the Medical Staffing segment and will be subject to annual impairment tests.

     In April 2005, we acquired the healthcare staffing operations of two small staffing companies for a combined purchase price of $2.4 million, all of which was allocated to goodwill.

     In November 2004, we acquired one home health agency for $0.7 million in cash and allocated the purchase price to goodwill and licenses of $0.4 million and $0.3 million, respectively.

Assets held for sale

     As of December 31, 2006, assets held for sale consisted of (i) SunAlliance, our remaining laboratory and radiology services operations, with a net carrying amount of $0.9 million, consisting of $1.7 million in assets, offset in part by $0.8 million in liabilities, (ii) and a skilled nursing facility with a net carrying amount of $3.8 million, consisting of $4.6 million in assets, offset in part by $0.8 million in liabilities, and (iii) an undeveloped parcel of land valued at $0.9 million, which is classified in our Corporate segment in our consolidated financial statements, which we expect to sell in the next year.

     During the year ended December 31, 2006, we sold SunPlus, our home healthcare services for a purchase price of $19.3 million. We also sold a skilled nursing facility for $1.6 million in cash.

     During the year ended December 31, 2005, we sold one nursing facility for $1.0 million in cash, and land and a building for $0.8 million. On November 4, 2005, we sold Pacific Mobile, our mobile and radiology services operations located in Arizona and Colorado.

Debt

     As part of the ProCare acquisition in August 2005, we issued $4.1 million in promissory notes payable over three years. The balance of this note was paid off in February, 2007.
38

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
     On February 28, 2002, we delivered a promissory note to the federal government as part of our settlement agreement pursuant to our Plan of Reorganization. The remaining $3.0 million payment due under the promissory note was paid in February, 2007. Interest under the promissory note is based upon the weekly average one-year constant maturity treasury yield. The effective interest rate as of December 31, 2006 was 2.24%.
 
     As part of the PIFJ as described under Item 1 - "Business - Compliance Process," we agreed to pay $2.5 million in quarterly payments commencing October 2005 and terminating July 2007.

Capital expenditures

     We incurred total net capital expenditures related primarily to improvements at facilities, as reflected in the segment reporting, of $23.3 million, $17.4 million and $12.9 million for the years ended December 31, 2006, 2005 and 2004, respectively, which included capital expenditures for discontinued operations of $1.3 million, $2.3 million and $1.5 million, respectively. We had construction commitments as of December 31, 2006 under various contracts of $6.0 million related to improvements at facilities. We expect to incur approximately $25.0 million in capital expenditures during 2007, related primarily to improvements at existing facilities and information system upgrades.

Obligations and Commitments

     The following table provides information about our contractual obligations and commitments in future years as of December 31, 2006 (in thousands):
 
   
Payments Due by Period
 
                           
After
 
   
Total
 
2007
 
2008
 
2009
 
2010
 
2011
 
2011
 
Contractual Obligations:
                                           
Debt, including interest
                                           
payments(1)(2)
 
$
263,390
 
$
36,025
 
$
34,879
 
$
22,732
 
$
20,182
 
$
21,644
 
$
127,928
 
Capital leases (3)
   
1,395
   
613
   
604
   
178
   
-
   
-
   
-
 
Construction commitments
   
6,047
   
6,047
   
-
   
-
   
-
   
-
   
-
 
Purchase obligations
   
215,706
   
67,601
   
52,460
   
47,646
   
47,999
   
-
   
-
 
Operating leases
   
431,675
   
65,937
   
61,795
   
61,224
   
58,894
   
53,543
   
130,282
 
Other long-term liabilities (4)
   
9,343
   
2,036
   
2,036
   
2,036
   
3,235
   
-
   
-
 
                                             
Total
 
$
927,556
 
$
178,259
   
151,774
   
133,816
   
130,310
 
$
75,187
 
$
258,210
 

   
Amount of Commitment Expiration Per Period
 
   
Total
                         
   
Amounts
                     
After
 
   
Committed
 
2007
 
2008
 
2009
 
2010
 
2011
 
2011
 
Other Commercial Commitments:
                                       
Letters of credit
 
$
14,971
 
$
14,247
 
$
724
 
$
-
 
$
-
 
$
-
 
$
-
 
                                             
Total
 
$
14,971
 
$
14,247
 
$
724
 
$
-
 
$
-
 
$
-
 
$
-
 

(1)
Debt includes principal payments and interest payments through the maturity dates. Total interest on debt, based on contractual rates, is $90.4 million, of which $7.2 million is attributable to variable interest rates determined using the weighted average method.
(2)
Includes $50.1 million of debt related to Clipper, of which $30.3 million is interest. (See "Note 10 - Variable Interest Entities" in our consolidated financial statements.)
(3)
Includes principal payments and interest of $0.2 million.
(4)
We entered into an agreement that granted us options, exercisable sequentially over a period of seven years, pursuant to which we can acquire up to 100 percent of the ownership of nine entities for an aggregate remaining amount of $9.7 million, of which $0.4
39

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
 
million is recorded in other accrued liabilities in our consolidated balance sheet. The agreement also provides the owners of those entities the right to require us to purchase those ownership interests at the above described times and option prices. (See "Note 10 - Variable Interest Entities" in our consolidated financial statements.)
 
Critical Accounting Estimates

     Our discussion and analysis of the financial condition and results of operations are based upon the consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these financial statements requires the use of estimates and judgments that affect the reported amounts and related disclosures of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results may differ materially from these estimates. We believe the following critical accounting policies, among others, affect the more significant judgments and estimates used in the preparation of the consolidated financial statements.

     Net revenues. Net revenues consist of long-term and subacute care revenues, rehabilitation therapy revenues, medical staffing services revenues, home health revenues and laboratory and radiology revenues. Net revenues are recognized as services are provided. Revenues are recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid. Net revenues 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 current results of operations, when determined.

     Accounts receivable and related allowance. Our accounts receivable relate to services provided by our various operating divisions to a variety of payors and customers. The primary payors for services provided in long-term and subacute care facilities that we operate are the Medicare program and the various state Medicaid programs. The rehabilitation therapy service operations provide services to patients in nonaffiliated long-term, rehabilitation and acute care facilities. The billings for those services are submitted to the nonaffiliated facilities. Many of the nonaffiliated long-term care facilities receive a large majority of their revenues from the Medicare program and the state Medicaid programs.

     Estimated provisions for doubtful accounts are recorded each period as an expense to the consolidated statements of operations. In evaluating the collectibility of accounts receivable, we consider a number of factors, including the age of the accounts, changes in collection patterns, the financial condition of our customers, the composition of patient accounts by payor type, the status of ongoing disputes with third-party payors and general industry conditions. Any changes in these factors or in the actual collections of accounts receivable in subsequent periods may require changes in the estimated provision for loss. Changes in these estimates are charged or credited to the results of operations in the period of the change.

     The allowance for uncollectible accounts related to facilities that we currently operate is computed by applying a bad debt percentage to the individual accounts receivable aging categories based on historical collections. An adjustment is then recorded each month to adjust the allowance based on this procedure. In addition, a retrospective collection analysis is performed within each operating company to test the adequacy of the reserve on a semi-annual basis.

     The allowance for uncollectible accounts related to facilities that we have divested was based on a percentage of outstanding accounts receivable at the time of divestiture and was recorded in gain or loss on disposal of discontinued operations, net. As collections are recognized, the allowance is adjusted as appropriate. As of December 31, 2006, accounts receivable for divested operations were fully reserved.
40

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
     InsuranceWe self-insure for certain insurable risks, including general and professional liability, workers' compensation liability and employee health insurance liability through the use of self-insurance or retrospective and self-funded insurance policies and other hybrid policies, which vary by the states in which we operate. There is a risk that amounts funded to our self-insurance programs may not be sufficient to respond to all claims asserted under those programs. Provisions for estimated reserves, including incurred but not reported losses, are provided in the period of the related coverage. An independent actuarial analysis is prepared twice a year to determine the adequacy of the self-insurance obligations booked as liabilities in our financial statements. The methods of making such estimates and establishing the resulting reserves are reviewed periodically and are based on historical paid claims information and nationwide nursing home trends. Any adjustments resulting there from are reflected in current earnings. Claims are paid over varying periods, and future payments may be different than the estimated reserves.

Impairment of assets.

Goodwill and Accounting for Business Combinations

     Goodwill represents the excess of the purchase price over the fair value of the net assets of acquired companies. Our goodwill included in our consolidated balance sheets as of December 31, 2006 and 2005 was $55.1 million and $81.3 million, respectively. The decrease in our goodwill during 2006 was primarily the result of the finalization of the purchase accounting for the Peak business combination in the Inpatient Services segment.

     Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets ("SFAS No. 142") established the rules for the accounting for goodwill and other intangible assets. Under SFAS No. 142, goodwill and intangible assets with indefinite lives are not amortized; however, they are subject to annual impairment tests as prescribed by the statement. Intangible assets with definite lives continue to be amortized over their estimated useful lives.

     The purchase price of acquisitions is allocated to the assets acquired and liabilities assumed based upon their respective fair values. We engage independent third-party valuation firms to assist us in determining the fair values of assets acquired and liabilities assumed. Such valuations require us to make significant estimates and assumptions, including projections of future events and operating performance.

     Pursuant to SFAS No. 142, we perform our annual goodwill impairment analysis during the fourth quarter for each reporting unit that constitutes a business for which discrete financial information is produced and reviewed by operating segment management. We identified the division level as the reporting unit used for the Inpatient Services business. We determine impairment by comparing the net assets of each reporting unit to their respective fair values. We determine the estimated fair value of each reporting unit using a discounted cash flow analysis. In the event a reporting unit's net assets exceed its fair value, an implied fair value of goodwill must be determined by assigning the unit's fair value to each asset and liability of the unit. The excess of the fair value of the reporting unit over the amounts assigned to its assets and liabilities is the implied fair value of goodwill. An impairment loss is measured by the difference between the goodwill carrying value and the implied fair value. We did not record a goodwill impairment for the years ended December 31, 2006, 2005 or 2004.

Indefinite Life Intangibles

     Pursuant to SFAS No. 142, we evaluate the recoverability of our indefinite life intangibles, which are principally trademarks, by comparing the asset's respective carrying value to estimates of fair value. We determine the estimated fair value of these intangible assets through a discounted cash flow analysis. We internally prepared an impairment analysis using discounted cash flows in order to estimate the fair value of Indefinite Life Intangibles.
41

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
We did not record an impairment to our Indefinite Life Intangibles for the years ended December 31, 2006, 2005 or 2004.
 
     During 2006, we determined that a portion of the income tax payable balance established in fresh-start could be offset by net operating loss carrybacks. We also determined that a portion of the pre-emergence net deferred tax assets will more likely than not be realized, and a reduction in the valuation allowance established in fresh-start accounting has been recorded. Accordingly, we have reduced remaining intangible assets recorded in fresh-start accounting by $4.0 million, which consisted primarily of trademarks. See “Note 8 - Intangible and Long-Lived Assets” in our consolidated financial statements.

Finite Life Intangibles

     Pursuant to SFAS No. 142, we evaluate the recoverability of our finite life intangibles by comparing an asset's respective carrying value to estimates of undiscounted cash flows over the life of the intangible. If the carrying value of the asset exceeded the undiscounted cash flows, an impairment loss was measured by comparing the estimated fair value of the asset, based on discounted cash flows, to its carrying value. We did not record an impairment to our Finite Life Intangibles for the years ended December 31, 2006, 2005 or 2004.

     During 2006, we determined that a portion of the income tax payable balance established in fresh-start could be offset by NOL carrybacks. We also determined that a portion of the pre-emergence net deferred tax assets will more likely than not be realized, and a reduction in the valuation allowance established in fresh-start accounting has been recorded. Accordingly, we have reduced remaining intangible assets recorded in fresh-start accounting by $1.4 million, which consisted primarily of favorable lease intangibles. See “Note 8 - Intangible and Long-Lived Assets” in our consolidated financial statements.

Long-Lived Assets

     The Financial Accounting Standards Board ("FASB") issued Statement of Financial Accounting Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets ("SFAS No. 144"), which addresses financial accounting and reporting for the impairment of long-lived assets (other than goodwill and indefinite lived intangibles) and for long-lived assets to be disposed of. SFAS No. 144 requires impairment losses to be recognized for long-lived assets used in operations when indicators of impairment are present and the estimated undiscounted cash flows are not sufficient to recover the assets' carrying amounts at each facility. The impairment loss is measured by comparing the estimated fair value of the asset, usually based on discounted cash flows, to its carrying amount. In accordance with SFAS No. 144, we assess the need for an impairment write-down when such indicators of impairment are present.

     We did not record an impairment to our long-lived assets for the years ended December 31, 2006 and 2005.  During the year ended December 31, 2004, we recorded pretax charges totaling $1.0 million for asset impairments. The asset impairment charges related to a $1.0 million write-down of property and equipment in our Inpatient Services segment for certain nursing facilities whose book value exceeded estimated fair value when tested for impairment.
 
Recent Accounting Pronouncements

     In February 2007, the Financial Accounting Standards Board issued FASB Statement No. 159, The Fair Value Option for Financial Assets and Financial Liabilities (FAS 159), which includes an amendment to FASB Statement No. 115. The statement permits entities to choose, at specified election dates, to measure eligible financial assets and financial liabilities at fair value (referred to as the “fair value option”) and report associated unrealized gains and losses in earnings. Statement 159 is effective for fiscal years beginning after November 15, 2007. As of December 31, 2006, we have not determined the effect that the fair value option, if elected, will
42

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
have on our financial position or results of operations.

     In June 2006, the Financial Accounting Standards Board issued FASB Interpretation No. 48, “Accounting for Uncertainty in Income Taxes, an interpretation of FASB Statement No. 109” (FIN 48). FIN 48 prescribes a recognition threshold and measurement parameters for financial statement recognition and measurement of an uncertain tax position taken or expected to be taken in a tax return, and also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for fiscal years beginning after December 15, 2006. As of December 31, 2006, we have not determined the effect that the adoption of FIN 48 will have on our financial position or results of operations.
 
     In September 2006, the SEC issued Staff Accounting Bulletin No. 108 (“SAB No. 108”), “Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in Current Year Financial Statements.” SAB No. 108 specifies how the carryover or reversal of prior year unrecorded financial statement misstatements should be considered in quantifying a current year misstatement. SAB No. 108 requires an approach that considers the amount by which the current year Consolidated Statement of Operations is misstated (“rollover approach”) and an approach that considers the cumulative amount by which the current year Consolidated Balance Sheet is misstated (“iron curtain approach”). Prior to the issuance of SAB No. 108, either the rollover or iron curtain approach was acceptable for assessing the materiality of financial statement misstatements. Prior to the Company’s application of the guidance in SAB No. 108, management used the rollover approach for quantifying financial statement misstatements.
 
     Initial application of SAB No. 108 allows registrants to elect not to restate prior periods but to reflect the initial application in their annual financial statements covering the first fiscal year ending after November 15, 2006. The cumulative effect of the initial application should be reported in the carrying amounts of assets and liabilities as of the beginning of that fiscal year and the offsetting adjustment, net of tax, should be made to the opening balance of retained earnings for that year. We elected to record the effects of applying SAB No. 108 using the cumulative effect transition method. The misstatement that has been corrected is described below.

     Subsequent to the completion of the financial statement close process, we determined that certain lease rate escalation clauses, that effectively provided for annual CPI adjustments, had not been properly accounted for in accordance with generally accepted accounting principles for the fiscal periods ended December 31, 2002 through 2005. Such escalators were recorded as facility rent expense in the period that they became effective. We have concluded that we should have been using a straight-line method for leases that depend on existing indexes or rates. In accordance with the transition provisions of SAB No. 108, we recorded a $5.1 million cumulative effect adjustment to retained earnings and an offsetting amount to long-term deferred rent as of January 1, 2006. In addition, we recognized an additional $2.5 million of facility rent expense in 2006 related to the application of the straight line methodology to certain leases with rent escalators. These adjustments are scheduled to reverse in future periods beginning in 2010. Due to our current tax position as described in “Note 12 - Income Taxes” in our consolidated financial statements, these adjustments resulted in a $72,000 reduction in the tax provision for continuing operations, and no net effect on our deferred tax assets since such assets are fully offset by a valuation allowance.

     Based on the nature of these adjustments and the totality of the circumstance surrounding these adjustments, we have concluded that these adjustments are immaterial to prior years’ consolidated financial statements under our previous method of assessing materiality, and therefore, have elected, as permitted under the transition provisions of SAB No. 108, to reflect the effect of these adjustments in opening liabilities as of January 1, 2006, with the offsetting adjustment reflected as a cumulative effect adjustment to opening retained earnings as of January 1, 2006.

Item 7A.  Quantitative and Qualitative Disclosures About Market Risk
43

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
     We are exposed to market risk because we hold debt that is sensitive to changes in interest rates. We manage our interest rate risk exposure by maintaining a mix of fixed and variable rates for debt. The following table provides information regarding our market sensitive financial instruments and constitutes a forward-looking statement.
 
                                     
 Fair Value
 
Fair Value
 
   
Expected Maturity Dates
      
 December 31,
 
December 31,
 
   
2007
 
 2008
 
 2009
 
 2010
 
 2011
 
 Thereafter
 
 Total
 
 2006
 
2005(1)(2)
 
   
(Dollars in thousands)
 
Fixed rate debt (3)
 
$
7,978
 
$
24,139
 
$
3,768
 
$
11,811
 
$
3,725
 
$
85,022
 
$
136,443
 
$
126,728
 
$
147,783
 
   Rate
   
5.8
%
 
7.8
%
 
8.5
%
 
8.5
%
 
8.5
%
 
7.2
%
                 
Variable rate debt
 
$
16,350
 
$
657
 
$
9,619
 
$
185
 
$
10,911
 
$
-
 
$
37,722
 
$
34,714
 
$
35,185
 
   Rate
   
9.6
%
 
6.9
%
 
8.1
%
 
8.0
%
 
8.0
%
 
-
%
                 

(1)
Total debt increased by $95.7 million in connection with the Peak acquisition.
   
(2)
The fair value of fixed and variable rate debt was determined based on the current rates offered for debt with similar risks and maturities.
   
(3)
Fixed rate long-term debt includes $50.1 million related to the consolidation of Clipper as of December 31, 2006 and $50.2 million as of December 31, 2005. (See "Note 10 - Variable Interest Entities" in our consolidated financial statements.)

Item 8.  Financial Statements and Supplementary Data

     Information with respect to Item 8 is contained in our consolidated financial statements and financial statement schedules and is set forth herein beginning on Page F-1.

Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

  Not applicable.

Item 9A.  Controls and Procedures

Management's Report on Disclosure Controls and Procedures

     We maintain disclosure controls and procedures defined in Rule 13a-15(e) under the Exchange Act, as controls and other procedures that are designed to ensure that information required to be disclosed by the issuer in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed in the reports that we file or submit under the Exchange Act is accumulated and communicated to our management, including our Chief Executive Officer (“CEO”), Rick Matros, and Chief Financial Officer (“CFO”), Bryan Shaul, as appropriate to allow timely decisions regarding required disclosure.

     In connection with the preparation of this Annual Report, an evaluation was performed under the supervision and with the participation of management, including the CEO and CFO, of the effectiveness of the design and operation of the Company’s disclosure controls and procedures. Based on that evaluation, the CEO and CFO have concluded that our disclosure controls and procedures were ineffective at December 31, 2006 as they related to lease accounting as described below. The specific lease accounting practices involved have been consistently applied for many years. Ernst & Young LLP has been acting as our independent auditors since March 1, 2002, and has previously issued unqualified opinions on our financial statements. Prior to March 1, 2007, neither management nor the Audit Committee of the Board of Directors had ever received any information or comment that would cause it to question its accounting for leases. 
44

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
Management's Report on Internal Control over Financial Reporting

     Management is responsible for establishing and maintaining adequate internal control over financial reporting defined in Rule 13a-15(f) under the Exchange Act as a process designed by, or under the supervision of, our CEO and CFO and effected by our Board of Directors, management and other personnel, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles.

     Because of its inherent limitations, internal control over financial reporting can provide only reasonable assurance with respect to financial statement preparation and presentation. Therefore, even those systems determined to be effective may not prevent or detect all misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

     Management assessed the effectiveness of internal control over financial reporting as of December 31, 2006, using the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in InternalControl - Integrated Framework. As part of this assessment, management evaluated the controls over the accounting procedures for rent escalation clauses contained in certain of our lease agreements. We use these procedures, among others, to determine the accounting treatment for determining facility rent expense. Notwithstanding previous assumptions that we believed were appropriate to rely upon and despite good faith efforts in determining appropriate accounting policies, we concluded that our previously established lease accounting policies were not correctly applied and our facility rent expense and deferred rent were misstated. Accordingly, we recognized a cumulative effect adjustment to retained earnings of $5.1 million as of January 1, 2006, for understatements of facility rent expense that arose beginning in 2002 and recorded an additional $2.5 million of facility rent expense in 2006 to appropriately reflect rent escalator clauses in certain of our lease agreements. As a result of these misstatements, management, including our CEO and CFO, has determined that this control deficiency constituted a material weakness” as defined in the Public Company Accounting Oversight Board (PCAOB) Auditing Standard No. 2, “An Audit of Internal Control Over Financial Reporting Performed in Conjunction with an Audit of Financial Statements.” Because of this material weakness, management has concluded that internal control over financial reporting was not effective as of December 31, 2006.

     Management’s assessment of the effectiveness of internal control over financial reporting as of December 31, 2006 has been audited by Ernst & Young LLP, the independent registered public accounting firm who also audited our consolidated financial statements. Ernst & Young’s attestation report on management’s assessment of internal control over financial reporting is included in this Annual Report as part of our financial statements.

Changes to Internal Control over Financial Reporting 

     Management has reevaluated its lease accounting policies and procedures. As part of our review, we have enhanced the review process over new and/or modified lease agreements and the related accounting treatment by ensuring that future lease transactions are subject to a more thorough and detailed review. Management believes that these new policies have remediated the material weakness in our internal controls over financial reporting that existed as of December 31, 2006, and that these internal controls are effective.

Item 9B.  Other Information

Not applicable.
45

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
PART III

Item 10.  Directors, Executive Officers and Corporate Governance

     The information required under Item 10 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A prior to April 30, 2007.

Item 11.  Executive Compensation

     The information required under Item 11 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A prior to April 30, 2007.

Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

     The information required under Item 12 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A prior to April 30, 2007.

Item 13.  Certain Relationships and Related Transactions and Director Independence

     The information required under Item 13 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A prior to April 30, 2007.

Item 14.  Principal Accounting Fees and Services

     The information required under Item 14 is incorporated herein by reference to our definitive proxy statement, which we will file pursuant to Exchange Act Regulation 14A prior to April 30, 2007.
46

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
PART IV

Item 15.  Exhibits, Financial Statements and Schedules

(a)
(1)
The following consolidated financial statements of Sun Healthcare Group, Inc. and subsidiaries are filed as part of this report under Item 8 - Financial Statements and Supplementary Data:
   
   
Reports of Ernst & Young LLP, Independent Registered Public Accounting Firm
     
   
Consolidated Balance Sheets as of December 31, 2006 and 2005
     
   
Consolidated Statements of Operations for the years ended December 31, 2006, 2005 and 2004
     
   
Consolidated Statements of Stockholders' Equity (Deficit) for the years ended December 31, 2006, 2005 and 2004
     
   
Consolidated Statements of Cash Flows for the years ended December 31, 2006, 2005 and 2004
     
   
Notes to Consolidated Financial Statements
     
 
(2)
Financial schedules required to be filed by Item 8 of this form, and by Item 15(a)(2) below:
     
   
Schedule II Valuation and Qualifying Accounts for the years ended December 31, 2006, 2005 and 2004
     
   
All other financial schedules are not required under the related instructions or are inapplicable and therefore have been omitted.
     
(b)
Exhibits
 
Exhibit
   
Number
 
Description of Exhibits
     
2.1(22)
 
Agreement and Plan of Merger dated October 19, 2006 by and among Sun Healthcare Group, Inc., Horizon Merger, Inc. and Harborside Healthcare Corporation.
     
3.1(1)
 
Amended and Restated Certificate of Incorporation of Sun Healthcare Group, Inc.
     
3.2(1)
 
Amended and Restated Bylaws of Sun Healthcare Group, Inc.
     
4.1(1)
 
Sample Common Stock Certificate of Sun Healthcare Group, Inc.
     
4.2(3)
 
Form of Warrant issued by Sun Healthcare Group, Inc. in February 2004 to each of the purchasers named on the list of purchasers attached thereto
     
4.3(3)
 
Form of Registration Rights Agreement dated February 2004 between Sun Healthcare Group, Inc. and the purchasers named on the list of purchasers attached thereto
47

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
4.4(18)
 
Registration Rights Agreement dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent
     
4.4.1(19)
 
Amendment No. 1, dated as of July 7, 2005, to the Registration Rights Agreement, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent
     
4.4.2(27) 
 
Agreement, dated as of January 17, 2007, by and between Sun Healthcare Group, Inc., DFW Capital Partners, L.P., Steelhead Investments Ltd. and, for purposes of Sections 3 and 4 of the Agreement only, RFE Investment Partners V, L.P and RFE VI SBIC, L.P.
     
4.5
 
The Registrant has instruments that define the rights of holders of long-term debt that are not being filed herewith, in reliance upon Item 601(b)(iii) of Regulation S-K. The Registrant agrees to furnish to the SEC, upon request, copies of these instruments
     
10.1(14)
 
Amended and Restated Loan and Security Agreement dated December 2, 2005 among Sun Healthcare Group, Inc. and certain of its subsidiaries as Borrowers, Capital Source Finance, LLC, as Collateral Agent and certain other lending institutions
     
10.1.1(15)
 
Joinder and First Amendment to Amended and Restated Loan and Security Agreement dated December 9, 2005 among Sun Healthcare Group, Inc. and certain of its subsidiaries as Borrowers and CapitalSource Finance, LLC as Collateral Agent
     
10.1.2(21)
 
Second Amendment to Amended and Restated Loan and Security Agreement dated February 24, 2006 among Sun Healthcare Group, Inc. and certain of its subsidiaries as Borrowers and CapitalSource Finance, LLC as Collateral Agent
     
10.2(4)+
 
Amended and Restated 2002 Non-Employee Director Equity Incentive Plan of Sun Healthcare Group, Inc.
     
10.3(13)+
 
2004 Equity Incentive Plan of Sun Healthcare Group, Inc.
     
10.4(16)+
 
Peak Medical Corporation 1998 Stock Incentive Plan
     
10.5(25)+
 
Employment Agreement dated as of October 12, 2006 by and between Sun Healthcare Group, Inc. and Richard Matros.
     
10.6(17)+
 
Employment Agreement with L. Bryan Shaul dated as of February 14, 2005
     
10.6.1(25)+
 
Amendment No. 1 to Employment Agreement dated as of October 12, 2006 by and between Sun Healthcare Group, Inc. and L. Bryan Shaul.
     
10.7(4)+
 
Employment Agreement with William A. Mathies dated February 28, 2002
     
10.7.1(25)+
 
Amendment No. 1 to Employment Agreement dated as of October 12, 2006 by and between Sun Health Specialty Services, Inc. and William A. Mathies.
     
10.8(20)+
 
Employment Agreement with Michael Newman dated March 22, 2005
     
10.8.1(25)+
 
Amendment No. 1 to Employment Agreement dated as of October 12, 2006 by and
48

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
 
between Sun Healthcare Group, Inc. and Michael Newman.
     
10.9(25)+
 
Employment Agreement dated as of October 12, 2006 by and between Sun Healthcare Group, Inc. and Heidi J. Fisher.
     
10.10(25)+
 
Employment Agreement dated as of October 12, 2006 by and between Sun Healthcare Group, Inc. and Chauncey J. Hunker.
     
10.11(11)+
 
Severance Agreement with Richard L. Peranton dated as of November 1, 2004
     
10.12*+
 
Form of Stock Option Agreement
     
10.13*+
 
Form of Stock Unit Agreement
     
10.14(22)
 
Financing Commitment Letter dated October 19, 2006 by and among Sun Healthcare Group, Inc., Credit Suisse Securities (USA) LLC, Credit Suisse, Cayman Islands Branch, CIBC World Markets Corp., and CIBC Inc.
     
10.15(9)
 
Amended and Restated Master Lease Agreement among Sun Healthcare Group, Inc. and certain of its subsidiaries (as Lessees) and Omega Healthcare Investors, Inc. and certain of its affiliates (as Lessors) dated March 1, 2004
     
10.15.1(26)
 
First Amendment to Amended and Restated Master Lease Agreement, Amended and Restated Security Agreement and Amended and Restated Guaranty
     
10.15.2(26)
 
Second Amendment to Amended and Restated Master Lease Agreement, Amended and Restated Security Agreement and Amended and Restated Guaranty
     
10.15.3(26)
 
Third Amendment to Amended and Restated Master Lease Agreement, Amended and Restated Security Agreement and Amended and Restated Guaranty
     
10.15.3(24)
 
Fourth Amendment to the Amended and Restated Master Lease Agreement, Amended and Restated Security Agreement, Amended and Restated Letter of Credit Agreement and Amended and Restated Guaranty dated as of March 27, 2006 by and among Sun Healthcare Group, Inc. and Omega Healthcare Investors, Inc.
     
10.16(18)
 
Stockholders Agreement dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent
     
10.16.1(19)
 
Amendment No. 1, dated as of July 7, 2005, to the Stockholders Agreement, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent
     
10.16.2(19)
 
Amendment No. 2, dated as of September 16, 2005, to the Stockholders Agreement, dated as of May 16, 2005, by and among Sun Healthcare Group, Inc., the stockholders of Peak Medical Corporation named therein and James A. Parsons, as Stockholders Agent
     
14.1(10)
 
Code of Ethics for Chief Executive Officer, Financial Officers and Financial Personnel
     
21.1*
 
Subsidiaries of Sun Healthcare Group, Inc.
49

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
23.1*
 
Consent of Ernst & Young LLP
     
31.1*
 
Section 302 Sarbanes-Oxley Certifications by Principal Executive Officer and Principal Financial and Accounting Officer
     
32.1*
 
Section 906 Sarbanes-Oxley Certifications by Principal Executive Officer and Principal Financial and Accounting Officer
 
_______________

*      Filed herewith.

+      Designates a management compensation plan, contract or arrangement

(1)
Incorporated by reference from exhibits to our Form 8-A filed on March 6, 2002
(2)
Incorporated by reference from exhibits to our Form 10-K filed on March 29, 2002
(3)
Incorporated by reference from exhibits to our Form 8-K filed on February 20, 2004
(4)
Incorporated by reference from exhibits to our Form 10-Q filed on August 16, 2002
(5)
Incorporated by reference from exhibits to our Form 10-Q filed on August 14, 2003
(6)
Incorporated by reference from exhibits to our Form 8-K dated February 28, 2002, as amended on Form 8-K/A
(7)
Incorporated by reference from exhibits to our Form 10-K filed on March 28, 2003
(8)
Incorporated by reference from exhibits to our Form 10-Q filed on May 14, 2003
(9)
Incorporated by reference from exhibits to our Form 10-K filed on March 5, 2004
(10)
Incorporated by reference from exhibits to our Form 10-Q filed on May 7, 2004
(11)
Incorporated by reference from exhibits to our Form 8-K filed on November 18, 2004
(12)
Incorporated by reference from exhibits to our Form 8-K filed on December 9, 2004
(13)
Incorporated by reference from Appendix B to our Proxy Statement filed on April 8, 2004
(14)
Incorporated by reference from exhibits to our Form 8-K filed on December 7, 2005
(15)
Incorporated by reference from exhibits to our Form 8-K filed on December 15, 2005
(16)
Incorporated by reference from exhibits to our Form S-8 filed on January 9, 2006
(17)
Incorporated by reference from exhibits to our Form 10-K filed on March 3, 2005
(18)
Incorporated by reference from exhibits to our Form 8-K filed on May 19, 2005
(19)
Incorporated by reference from exhibits to our Form 10-Q filed on November 1, 2005
(20)
Incorporated by reference from exhibits to our Form 8-K filed on November 30, 2005
(21)
Incorporated by reference from exhibits to our Form 8-K filed on March 2, 2006
(22)
Incorporated by reference from exhibits to our Form 8-K filed on October 25, 2006.
(23)
Incorporated by reference from exhibits to our Form 8-K filed on March 2, 2006.
(24)
Incorporated by reference from exhibits to our Form 8-K filed on March 31, 2006.
(25)
Incorporated by reference from exhibits to our Form 8-K filed on October 16, 2006.
(26)
Incorporated by reference from exhibits to our Form 10-K filed on March 10, 2006.
(27)
Incorporated by reference from exhibits to our Form 8-K filed on January 18, 2007.
   
50

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
SIGNATURES

     Pursuant to the requirements of Section 13(a) 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.

 
SUN HEALTHCARE GROUP, INC.
   
   
   
 
By:    /s/ Richard K. Matros                            
 
       Richard K. Matros
 
       Chairman of the Board and Chief
 
         Executive Officer

March 8, 2007
51

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
     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 as of March 8, 2007 in the capacities indicated.

Signatures
 
Title
     
   
Chairman of the Board and Chief Executive Officer
  /s/ Richard K. Matros                           
 
(Principal Executive Officer)
   Richard K. Matros
   
     
   
Executive Vice President and Chief Financial
  /s/ L. Bryan Shaul                                 
 
Officer (Principal Financial and Accounting Officer)
   L. Bryan Shaul
   
     
     
  /s/ Gregory S. Anderson                      
 
Director
   Gregory S. Anderson
   
     
     
  /s/ Tony M. Astorga                             
 
Director
   Tony M. Astorga
   
     
     
  /s/ Christian K. Bement                       
 
Director
   Christian K. Bement
   
     
     
  /s/ Michael J. Foster                            
 
Director
   Michael J. Foster
   
     
     
  /s/ Barbara B. Kennelly                       
 
Director
   Barbara B. Kennelly
   
     
     
  /s/ Steven M. Looney                          
 
Director
   Steven M. Looney
   
     
     
  /s/ Milton J. Walters                            
 
Director
   Milton J. Walters
   
     
     
     
     
52

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES


Index to Consolidated Financial Statements

December 31, 2006


 
Page
   
Reports of Ernst & Young LLP, Independent Registered Public Accounting Firm
F-2 to F-4
   
Consolidated Balance Sheets
 
     As of December 31, 2006 and 2005
F-5 to F-6
   
Consolidated Statements of Operations
 
     For the years ended December 31, 2006, 2005 and 2004
F-7
   
Consolidated Statements of Stockholders' Equity (Deficit)
 
     For the years ended December 31, 2006, 2005 and 2004
F-8
   
Consolidated Statements of Cash Flows
 
     For the years ended December 31, 2006, 2005 and 2004
F-9
   
Notes to Consolidated Financial Statements
F-10 to F-42
   
Supplementary Data (Unaudited) - Quarterly Financial Data
1-3
F-1

Report of Ernst & Young LLP, Independent Registered Public Accounting Firm


The Board of Directors and Stockholders
Sun Healthcare Group, Inc.
 
We have audited the accompanying consolidated balance sheets of Sun Healthcare Group, Inc. as of December 31, 2006 and 2005 and the related consolidated statements of operations, stockholders’ equity (deficit) and cash flows for each of the three years in the period ended December 31, 2006. Our audits also included the financial statement schedule listed in the Index at Item 15(a). These consolidated financial statements and schedule are the responsibility of management of Sun Healthcare Group, Inc. (the “Company”). Our responsibility is to express an opinion on these financial statements and schedule based on our audits.
 
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
 
In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of Sun Healthcare Group, Inc. at December 31, 2006 and 2005 and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2006 in conformity with accounting principles generally accepted in the United States. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic consolidated financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein.
 
As discussed in Note 14 to the consolidated financial statements, in 2006, the Company changed its method of accounting for stock-based compensation. Also, as discussed in Note 3 to the consolidated financial statements, the Company changed its method of evaluating misstatements effective for fiscal years ending after November 15, 2006, to conform to Staff Accounting Bulletin No. 108, Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in Current Year Financial Statements.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the effectiveness of Sun Healthcare Group, Inc.’s internal control over financial reporting as of December 31, 2006, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated March 6, 2007, expressed an unqualified opinion on management’s assessment and an adverse opinion on the effectiveness of internal control over financial reporting.
 

Ernst & Young LLP
 
Dallas, Texas
March 6, 2007
F-2

Report of Ernst & Young LLP, Independent Registered Public Accounting Firm


The Board of Directors and Stockholders
Sun Healthcare Group, Inc.

We have audited management’s assessment, included in the accompanying Management’s Report on Internal Control over Financial Reporting, that Sun Healthcare Group, Inc. maintained effective internal control over financial reporting as of December 31, 2006, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO criteria). Sun Healthcare Group, Inc.’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting. Our responsibility is to express an opinion on management’s assessment and an opinion on the effectiveness of the Company’s internal control over financial reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, evaluating management’s assessment, testing and evaluating the design and operating effectiveness of internal control, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

A material weakness is a control deficiency, or combination of control deficiencies, that results in more than a remote likelihood that a material misstatement of the annual or interim financial statements will not be prevented or detected. The following material weakness has been identified and included in management’s assessment:  management identified as a material weakness inadequate controls over accounting for leases with rent escalation clauses. The error with respect to accounting for lease escalation clauses was discovered after management had completed its financial statement close process. The effect of this material weakness was the understatement, as of December 31, 2006, of $7.6 million of deferred rent expense, which included recording a cumulative effect adjustment to retained earnings as of January 1, 2006 under the provisions of Staff Accounting Bulletin No. 108 of $5.1 million for the understatement of rent expense for years prior to 2006 and expensed $2.5 million for the year ended December 31, 2006, to appropriately reflect rent escalator clauses in its lease agreements. Consequently, the Company has recorded the impact of these adjustments in this Form 10-K.
F-3

This material weakness was considered in determining the nature, timing, and extent of audit tests applied in our audit of the 2006 financial statements, and this report does not affect our report dated March 6, 2007 on those financial statements.

In our opinion, management’s assessment that Sun Healthcare Group, Inc. did not maintain effective internal control over financial reporting as of December 31, 2006, is fairly stated, in all material respects, based on the COSO control criteria. Also, in our opinion, because of the effect of the material weakness described above on the achievement of the objectives of the control criteria, Sun Healthcare Group, Inc. has not maintained effective internal control over financial reporting as of December 31, 2006, based on the COSO control criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of Sun Healthcare Group, Inc. as of December 31, 2006 and 2005 and the related consolidated statements of operations, stockholders’ equity (deficit) and cash flows for each of the three years in the period ended December 31, 2006. Our audits also included the financial statement schedule listed in the Index at Item 15(a). Our report dated March 6, 2007 expressed an unqualified opinion thereon.


Ernst & Young LLP


Dallas, Texas
March 6, 2007
F-4

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

ASSETS
(in thousands)

   
December 31, 2006
 
 December 31, 2005
 
               
Current assets:
             
  Cash and cash equivalents
 
$
131,935
 
$
16,641
 
  Restricted cash
   
32,752
   
25,142
 
  Accounts receivable, net of allowance for doubtful accounts of $24,866
             
   and $29,384 at December 31, 2006 and 2005, respectively
   
117,091
   
123,639
 
  Other receivables, net of allowance of $3,064 and $2,909 at December 31,
             
   2006 and 2005, respectively
   
2,211
   
2,429
 
  Inventories, net
   
4,808
   
5,055
 
  Prepaid expenses
   
3,305
   
6,414
 
  Assets held for sale
   
7,172
   
1,897
 
               
Total current assets
   
299,274
   
181,217
 
               
Property and equipment, net of accumulated depreciation and amortization
             
  of $48,233 and $75,999 at December 31, 2006 and 2005, respectively
   
217,544
   
187,734
 
Intangible assets, net of accumulated amortization of $6,799 and $8,262
             
  December 31, 2006 and 2005, respectively
   
13,691
   
19,335
 
Goodwill
   
55,092
   
81,265
 
Restricted cash, non-current
   
29,083
   
35,517
 
Other assets, net
   
6,739
   
7,238
 
Total assets
 
$
621,423
 
$
512,306
 
F-5

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS (Continued)

LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
(in thousands, except share data)

   
December 31, 2006
 
 December 31, 2005
 
Current liabilities:
             
  Accounts payable
 
$
43,400
 
$
45,115
 
  Accrued compensation and benefits
   
42,723
   
42,393
 
  Accrued self-insurance obligations, current
   
48,689
   
37,238
 
  Income taxes payable
   
8,799
   
10,493
 
  Liabilities held for sale
   
1,672
   
-
 
  Other accrued liabilities
   
33,736
   
41,908
 
  Current portion of long-term debt:
             
    Company obligations
   
22,780
   
21,237
 
    Clipper partnerships
   
736
   
34,415
 
  Capital leases, current
   
494
   
11,204
 
               
Total current liabilities
   
203,029
   
244,003
 
               
Accrued self-insurance obligations, net of current
   
81,559
   
109,953
 
Long-term debt, net of current:
             
  Company obligations
   
100,067
   
115,094
 
  Clipper partnerships
   
49,392
   
15,829
 
Capital leases, net of current
   
696
   
-
 
Unfavorable lease obligations, net of accumulated amortization of
             
  $13,558 and $11,166 at December 31, 2006 and 2005, respectively
   
13,423
   
11,454
 
Other long-term liabilities
   
29,124
   
18,868
 
               
Total liabilities
   
477,290
   
515,201
 
               
Commitments and contingencies
             
               
Stockholders' equity (deficit):
             
   Preferred stock of $.01 par value, authorized
             
     10,000,000 shares, zero shares issued and outstanding as of
             
     December 31, 2006 and 2005
   
-
   
-
 
   Common stock of $.01 par value, authorized
             
     50,000,000 shares, 42,889,918 shares issued and 42,879,736 shares
             
     outstanding as of December 31, 2006 and 31,143,728 shares issued
             
     and 31,133,546 shares outstanding as of December 31, 2005
   
429
   
311
 
  Additional paid-in capital
   
553,275
   
428,383
 
  Accumulated deficit
   
(409,480
)
 
(431,498
)
     
144,224
   
(2,804
)
  Less:
             
    Common stock held in treasury, at cost, 10,182 shares
             
      as of December 31, 2006 and 2005
   
(91
)
 
(91
)
  Total stockholders' equity (deficit)
   
144,133
   
(2,895
)
  Total liabilities and stockholders' equity (deficit)
 
$
621,423
 
$
512,306
 

See accompanying notes.

F-6


SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)

   
For the Year Ended
 
   
December 31,
 
   
2006
 
 2005
 
 2004
 
                     
Total net revenues
 
$
1,045,637
 
$
765,782
 
$
700,863
 
Costs and expenses:
                   
  Operating salaries and benefits
   
598,516
   
461,425
   
418,626
 
  Self-insurance for workers' compensation and general
                   
     and professional liability insurance
   
32,694
   
26,061
   
20,725
 
  Operating administrative expenses
   
27,986
   
23,552
   
21,433
 
  Other operating costs
   
218,789
   
147,311
   
136,780
 
  Facility rent expense
   
56,734
   
38,130
   
36,278
 
  General and administrative expenses
   
49,856
   
47,195
   
44,104
 
  Depreciation and amortization
   
14,866
   
8,389
   
8,192
 
  Provision for losses on accounts receivable
   
11,124
   
3,369
   
4,264
 
  Interest, net
   
18,506
   
11,837
   
8,671
 
  Loss on asset impairment
   
-
   
361
   
1,028
 
  Restructuring costs, net
   
-
   
122
   
1,972
 
  Loss on contract or lease termination
   
975
   
-
   
150
 
  Loss on sale of assets, net
   
172
   
383
   
1,494
 
  Loss (gain) on extinguishment of debt, net
   
-
   
408
   
(3,394
)
Total costs and expenses
   
1,030,218
   
768,543
   
700,323
 
                     
Income (loss) before income taxes and discontinued operations
   
15,419
   
(2,761
)
 
540
 
Income tax expense (benefit)
   
731
   
(786
)
 
(1,158
)
Income (loss) from continuing operations
   
14,688
   
(1,975
)
 
1,698
 
                     
Discontinued operations:
                   
   Income (loss) from discontinued operations
   
5,226
   
17,847
   
(15,005
)
   Gain (loss) on disposal of discontinued operations, net of related
                   
    tax expense of $785 for the year ended December 31, 2006
   
7,204
   
8,889
   
(5,320
)
Income (loss) from discontinued operations
   
12,430
   
26,736
   
(20,325
)
                     
Net income (loss)
 
$
27,118
 
$
24,761
 
$
(18,627
)
                     
Basic earnings per common and common equivalent share:
                   
   Income (loss) from continuing operations
 
$
0.46
 
$
(0.12
)
$
0.12
 
   Income (loss) from discontinued operations, net of tax
   
0.40
   
1.67
   
(1.41
)
   Net income (loss)
 
$
0.86
 
$
1.55
 
$
(1.29
)
                     
Diluted earnings per common and common equivalent share:
                   
   Income (loss) from continuing operations
 
$
0.46
 
$
(0.12
)
$
0.12
 
   Income (loss) from discontinued operations, net of tax
   
0.39
   
1.67
   
(1.40
)
   Net income (loss)
 
$
0.85
 
$
1.55
 
$
(1.28
)
                     
Weighted average number of common and common equivalent
                   
   shares outstanding:
                   
   Basic
   
31,638
   
16,003
   
14,456
 
   Diluted
   
31,788
   
16,003
   
14,548
 

See accompanying notes.
F-7

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
(in thousands)

   
For the Year Ended
 
For the Year Ended
 
For the Year Ended
 
   
December 31, 2006
 
December 31, 2005
 
December 31, 2004
 
   
Shares
 
 Amount
 
Shares
 
 Amount
 
Shares
 
 Amount
 
Common stock
                                     
Issued and outstanding at beginning of period
31,144
 
$
311
   
15,325
 
$
153
   
10,044
 
$
100
 
Retirement of common stock
   
-
   
-
   
(5
)
       
-
   
-
 
Cancellation of restricted stock awards
   
-
   
-
   
-
         
(4
)
 
-
 
Issuance of common stock
   
11,746
   
118
   
6,900
   
69
   
5,285
   
53
 
Issuance of common stock in connection with        
                     
   Peak transaction
   
-
   
-
   
8,924
   
89
   
-
   
-
 
Common stock issued and outstanding at
                           
   end of period
   
42,890
   
429
   
31,144
   
311
   
15,325
   
153
 
                                       
Additional paid-in capital
                                     
Balance at beginning of period
         
428,383
         
332,726
         
271,134
 
Issuance of common stock in excess of par value
     
2,235
         
94,681
         
61,881
 
Cancellation of restricted stock awards
         
-
         
(58
)
       
(57
)
Other
         
122,657
         
1,034
         
(232
)
Additional paid-in capital at end of period
         
553,275
         
428,383
         
332,726
 
                                       
Accumulated deficit
                                     
Balance at beginning of period
         
(431,498
)
       
(456,259
)
       
(437,632
)
Cumulative effect adjustment pursuant
                                     
  to adoption of SAB No. 108
         
(5,100
)
                       
Net income (loss)
         
27,118
         
24,761
         
(18,627
)
Accumulated deficit at end of period
     
(409,480
)
       
(431,498
)
       
(456,259
)
                                       
Total
         
144,224
         
(2,804
)
       
(123,380
)
                                       
Common stock in treasury
                                     
Purchase of treasury stock
   
10
   
(91
)
 
10
   
(91
)
 
-
   
-
 
Common stock in treasury at end of period
10
   
(91
)
 
10
   
(91
)
 
-
   
-
 
                                       
Total stockholders' equity (deficit)
       
$
144,133
       
$
(2,895
)
     
$
(123,380
)


See accompanying notes.
F-8

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)

   
For the Year Ended
 
 For the Year Ended
 
 For the Year Ended
 
   
December 31, 2006
 
 December 31, 2005
 
 December 31, 2004
 
Cash flows from operating activities:
                   
Net income (loss)
 
$
27,118
 
$
24,761
 
$
(18,627
)
Adjustments to reconcile net income (loss) to net cash provided by (used for)
         
   operating activities, including discontinued operations:
                   
   Loss (gain) on extinguishment of debt, net
   
-
   
408
   
(3,394
)
   Loss on lease termination
   
-
   
-
   
150
 
   Depreciation
   
9,569
   
4,876
   
5,254
 
   Amortization
   
6,822
   
5,101
   
4,356
 
   Amortization of favorable and unfavorable lease intangibles
   
(813
)
 
(1,714
)
 
(3,265
)
   Provision for losses on accounts receivable
   
12,781
   
5,009
   
11,901
 
   Loss on sale of assets, net
   
172
   
384
   
1,494
 
   (Gain) loss on disposal of discontinued operations, net
   
(7,204
)
 
(8,889
)
 
5,321
 
   Transaction costs
   
-
   
1,100
   
-
 
   Loss on asset impairment
   
-
   
361
   
1,028
 
   Restricted stock and option compensation expense
   
2,326
   
1,303
   
1,570
 
   Other, net
   
69
   
1,010
   
2,045
 
Changes in operating assets and liabilities, net of acquisitions:
                   
   Accounts receivable
   
(17,269
)
 
(6,530
)
 
6,485
 
   Inventories
   
(2
)
 
12
   
(17
)
   Other receivables
   
(510
)
 
(155
)
 
558
 
   Restricted cash
   
(1,286
)
 
1,231
   
9,006
 
   Prepaid expenses and other assets
   
(785
)
 
2,698
   
(1,658
)
   Accounts payable
   
(1,148
)
 
3,359
   
(14,406
)
   Accrued compensation and benefits
   
1,342
   
(588
)
 
(6,230
)
   Accrued self-insurance obligations
   
(16,946
)
 
(32,552
)
 
(26,213
)
   Income taxes payable
   
2,946
   
794
   
1,436
 
   Other accrued liabilities
   
(9,096
)
 
(9,887
)
 
(4,687
)
   Other long-term liabilities
   
1,733
   
(405
)
 
2,151
 
      Net cash provided by (used for) operating activities before reorganization costs
9,819
   
(8,313
)
 
(25,742
)
      Net cash paid for reorganization costs
   
-
   
-
   
(499
)
      Net cash provided by (used for) operating activities
   
9,819
   
(8,313
)
 
(26,241
)
                     
Cash flows from investing activities:
                   
   Capital expenditures
   
(22,158
)
 
(17,416
)
 
(12,890
)
   Proceeds from sale of assets held for sale
   
22,009
   
10,742
   
1,857
 
   Acquisitions
   
(3,356
)
 
(17,816
)
 
(700
)
   Repayment of long-term notes receivable
   
-
   
237
   
147
 
   Insurance proceeds received
   
150
   
-
   
-
 
   Net proceeds from sale leaseback
   
838
   
-
   
-
 
      Net cash used for investing activities
   
(2,517
)
 
(24,253
)
 
(11,586
)
                     
Cash flows from financing activities:
                   
   Net repayments under Revolving Loan Agreement
   
(693
)
 
(233
)
 
(12,491
)
   Long-term debt borrowings
   
45,936
   
11,000
   
-
 
   Long-term debt repayments
   
(58,240
)
 
(19,495
)
 
(6,727
)
   Principal payments under capital lease obligations
   
(1,104
)
 
-
   
-
 
   Net proceeds from issuance of common stock
   
121,741
   
38,428
   
52,266
 
   Distribution of partnership equity
   
(147
)
 
(327
)
 
(961
)
   Net proceeds from the issuance of common stock from the exercise of employee stock options
499
   
-
   
-
 
      Net cash provided by financing activities
   
107,992
   
29,373
   
32,087
 
                     
Net increase (decrease) in cash and cash equivalents
   
115,294
   
(3,193
)
 
(5,740
)
Cash and cash equivalents at beginning of period
   
16,641
   
19,834
   
25,574
 
Cash and cash equivalents at end of period
 
$
131,935
 
$
16,641
 
$
19,834
 
Supplemental disclosure of cash flow information:
                   
   Interest payments
 
$
12,316
 
$
10,360
 
$
9,420
 
   Capitalized interest
 
$
202
 
$
132
 
$
76
 
   Income taxes refunded, net
 
$
(2,215
)
$
(1,580
)
$
(2,595
)

Supplemental Disclosures:
Non-cash investing and financing activities:
A capital lease obligation of $11,200 was converted in 2006 to an operating lease.
Capital lease obligations of $2,509 were incurred in 2006 when we entered into new equipment leases.
Cash and cash equivalents at December 31, 2006 includes $101.9 million in remaining proceeds received from the equity offering in December, 2006.
See “Note 3 - Significant Accounting Policies” for non-cash activity related to the adoption of SAB No. 108.
See “Note 7 - Acquisitions” for non-cash activity related to finalization of accounting for Peak acquisition.   
See accompanying notes.
F-9

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
 
DECEMBER 31, 2006
 
(1)  Nature of Business

     References throughout this document to the Company include Sun Healthcare Group, Inc. and our consolidated subsidiaries. In accordance with the Securities and Exchange Commission's "Plain English" guidelines, this Annual Report has been written in the first person. In this document, the words "we," "our," "ours" and "us" refer to Sun Healthcare Group, Inc. and its direct and indirect consolidated subsidiaries and not any other person.

Business

     We are a provider, through our subsidiaries, of long-term, subacute and related specialty healthcare in the United States. We operate through three principal business segments: (i) inpatient services, (ii) rehabilitation therapy services, and (iii) medical staffing services. Inpatient services represent the most significant portion of our business. We operated 141 long-term care facilities, in 19 states as of December 31, 2006.

Comparability of Financial Information

     We adopted the provisions of Statement of Financial Accounting Standard ("FASB"), Accounting for the Impairment or Disposal of Long-Lived Assets ("SFAS No. 144") as of January 1, 2002, requiring reclassification of the results of operations of subsequent divestitures for all periods presented to discontinued operations within the Statement of Operations.

(2)  Reorganization

   On February 6, 2002, the United States Bankruptcy Court for the District of Delaware (the "Bankruptcy Court") approved our Plan of Reorganization that was filed with the Bankruptcy Court on November 7, 2001. On February 28, 2002, we emerged from proceedings under chapter 11 of Title 11 of the United States Code (the "Bankruptcy Code") pursuant to the terms of our Plan of Reorganization.

     In connection with our emergence from bankruptcy, we reflected the terms of the Plan of Reorganization in our consolidated financial statements by adopting the fresh-start accounting provisions of SOP 90-7. Under fresh-start accounting, a new reporting entity is deemed to be created and the recorded amounts of assets and liabilities are adjusted to reflect their estimated fair values. For accounting purposes, the fresh-start adjustments have been recorded in the consolidated financial statements as of March 1, 2002. 

(3)  Summary of Significant Accounting Policies

(a)  Use of Estimates

    The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Significant estimates include determination of third-party payor settlements, allowances for doubtful accounts and notes receivable, self-insurance obligations, goodwill and other intangible assets and loss accruals. Actual results could differ from those estimates.
F-10

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
(b)  Principles of Consolidation

     Our consolidated financial statements include the accounts of our subsidiaries in which we own more than 50% of the voting interest. Investments of companies in which we own between 20 - 50% of the voting interests and joint ventures were accounted for using the equity method, which records as income an ownership percentage of the reported income of the subsidiary, regardless of whether it was or was not received by the parent. Investments in companies in which we own less than 20% of the voting interests are carried at cost. All significant intersegment accounts and transactions have been eliminated in consolidation.

     In accordance with FASB Interpretation No. 46, Consolidation of Variable Interest Entities ("FIN No. 46R"), we are required to consolidate certain entities when control exists through means other than ownership of voting (or similar) interests in variable interest entities commonly referred to as special purpose entities, effective for the first reporting period that ends after March 15, 2004. FIN No. 46R requires consolidation by the majority holder of expected residual gains and losses of the activities of a variable interest entity. (See "Note 10 - Variable Interest Entities.")

(c)  Cash and Cash Equivalents

     We consider all highly liquid, unrestricted investments with maturities of three months or less when purchased to be cash equivalents. Cash equivalents are stated at cost, which approximates fair value. As of December 31, 2006, cash and cash equivalents included $101.9 million in remaining proceeds received from the equity offering completed in December 2006.

(d)  Net Revenues

     Net revenues consist of long-term and subacute care revenues, rehabilitation therapy services revenues, temporary medical staffing services revenues and other ancillary services revenues. Net revenues are recognized as services are provided. Revenues are recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid. Net revenues 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. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation.

     Revenues from Medicaid from our continuing operations accounted for 38.6%, 37.8% and 38.6%, of our net revenue for the years ended December 31, 2006, 2005 and 2004, respectively. Revenues from Medicare from our continuing operations comprised 26.7%, 25.7% and 24.3% of our net revenues for the years ended December 31, 2006, 2005 and 2004, respectively.

(e)  Accounts Receivable

     Our accounts receivable relate to services provided by our various operating divisions to a variety of payors and customers. The primary payors for services provided in long-term and subacute care facilities that we operate are the Medicare program and the various state Medicaid programs. The rehabilitation therapy service operations provide services to patients in unaffiliated long-term, rehabilitation and acute care facilities. The
F-11

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
billings for those services are submitted to the unaffiliated facilities. Many of the unaffiliated long-term care facilities receive a large majority of their revenues from the Medicare program and the state Medicaid programs.

     Estimated provisions for doubtful accounts are recorded each period as an expense to the statement of operations. In evaluating the collectibility of accounts receivable, we consider a number of factors, including the age of the accounts, changes in collection patterns, the financial condition of our customers, the composition of patient accounts by payor type, the status of ongoing disputes with third-party payors and general industry conditions. Any changes in these factors or in the actual collections of accounts receivable in subsequent periods may require changes in the estimated provision for loss. Changes in these estimates are charged or credited to the results of operations in the period of change.

     The allowance for uncollectible accounts related to facilities that we currently operate is computed by applying a bad debt percentage to the individual accounts receivable aging categories based on historical collections. An adjustment is then recorded each month in the results of operations to adjust the allowance based on the analysis. In addition, a retrospective collection analysis is performed within each operating company to test the adequacy of the reserve on a semi-annual basis.

     The allowance for uncollectible accounts related to facilities that we have divested was based on a percentage of outstanding accounts receivable at the time of divestiture and is recorded in gain or loss on disposal of discontinued operations, net. As collections are realized, the allowance is adjusted as appropriate. As of December 31, 2006, accounts receivable for divested operations were fully reserved.

(f)  Inventories

     As of December 31, 2006, our inventories relate to the long-term and subacute care operations and are stated at the lower of cost or market.

(g)  Property and Equipment

     Property and equipment are stated at the lower of carrying value or fair value. Property and equipment held under capital lease are stated at the net present value of future minimum lease payments. Major renewals or improvements are capitalized whereas ordinary maintenance and repairs are expensed as incurred. Depreciation is computed using the straight-line method over the estimated useful lives of the assets as follows: buildings and improvements - five to forty years; leasehold improvements - the shorter of the estimated useful lives of the assets or the life of the lease; and equipment - three to twenty years. Under SFAS No. 144, we subject our long-lived assets to an annual impairment test. (See "Note 8 - Intangible and Long-Lived Assets.")

(h)  Intangible Assets

     Under Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets ("SFAS No. 142"), we do not amortize goodwill and intangible assets with indefinite lives. Consequently, we subject them to annual impairment tests. Intangible assets with definite lives continue to be amortized over their estimated useful lives. (See "Note 8 - Intangible and Long-Lived Assets.")

(i)  Stock-Based Compensation

     Prior to January 1, 2006, we accounted for our stock-based employee compensation plans under the recognition and measurement provisions of APB Opinion No. 25, Accounting for Stock Issued to Employees ("APB No. 25"), and related Interpretations, as permitted by FASB Statement No. 123, Accounting for Stock-
F-12

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
Based Compensation ("SFAS No. 123"). Under APB No. 25, stock options granted at market required no recognition of compensation cost and a share-based compensation pro forma disclosure regarding the pro forma effect on net earnings assuming compensation cost had been recognized in accordance with SFAS No. 123.
 
     Effective January 1, 2006, we adopted the fair value recognition provisions of Statement of Financial Accounting Standard No. 123 (revised 2004), Share-Based Payment ("SFAS No. 123(R)"), which requires all share-based payments to employees, including grants of employee stock options, to be recognized in the statement of operations based on their fair values. We adopted SFAS No. 123(R) using the modified-prospective method in which compensation cost is recognized beginning with the effective date based on the requirements of SFAS No. 123(R) for all share-based payments granted or modified after the effective date, and for all awards granted to employees prior to the effective date that remain unvested on the effective date. Results for prior periods have not been restated.

(j)  Net Income (Loss) Per Share

     Basic net income (loss) per share is based upon the weighted average number of common shares outstanding during the period. The weighted average number of common shares for the years ended December 31, 2006, 2005 and 2004, includes all the common shares that are presently outstanding and the common shares issued as common stock awards and exclude non-vested restricted stock. (See "Note 14 - Capital Stock.")

     The diluted calculation of income (loss) per common share includes the dilutive effect of warrants, stock options and non-vested restricted stock, using the treasury stock method. However, in periods of losses from continuing operations, diluted net income (loss) per common share is based upon the weighted average number of common shares outstanding.

(k)  Discontinued Operations and Assets Held for Sale

     SFAS No. 144 requires that long-lived assets to be disposed of be measured at the lower of carrying amount or fair value less cost to sell, whether reported in continuing operations or in discontinued operations. SFAS No. 144 also broadens the reporting of discontinued operations to include all components of an entity with operations that can be distinguished from the rest of the entity and that will be eliminated from the ongoing operations of the entity in a disposal transaction. Depreciation is discontinued once an asset is classified as held for sale.

(l)  Reclassifications

     Certain reclassifications have been made to the prior period financial statements to conform to the 2006 financial statement presentation. Specifically, we have reclassified the results of operations of material divestitures subsequent to December 31, 2005 (see “Note 9 - Discontinued Operations”) for all periods presented to discontinued operations within the Statement of Operations, in accordance with accounting principles generally accepted in the United States.

(m)  Cumulative Effect Adjustment Pursuant to Adoption of SAB No. 108

          In September 2006, the SEC issued Staff Accounting Bulletin No. 108 (“SAB No. 108”), “Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in Current Year Financial Statements.” SAB No. 108 specifies how the carryover or reversal of prior year unrecorded financial statement misstatements should be considered in quantifying a current year misstatement. SAB No. 108 requires an approach that
F-13

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
considers the amount by which the current year Consolidated Statement of Operations is misstated (“rollover approach”) and an approach that considers the cumulative amount by which the current year Consolidated Balance Sheet is misstated (“iron curtain approach”). Prior to the issuance of SAB No. 108, either the rollover or iron curtain approach was acceptable for assessing the materiality of financial statement misstatements. Prior to the Company’s application of the guidance in SAB No. 108, management used the rollover approach for quantifying financial statement misstatements.

     Initial application of SAB No. 108 allows registrants to elect not to restate prior periods but to reflect the initial application in their annual financial statements covering the first fiscal year ending after November 15, 2006. The cumulative effect of the initial application should be reported in the carrying amounts of assets and liabilities as of the beginning of that fiscal year and the offsetting adjustment, net of tax, should be made to the opening balance of retained earnings for that year. We elected to record the effects of applying SAB No. 108 using the cumulative effect transition method. The misstatement that has been corrected is described below.

     Subsequent to the completion of the financial statement close process, we determined that certain lease rate escalation clauses, that effectively provided for annual CPI adjustments, had not been properly accounted for in accordance with generally accepted accounting principles for the fiscal periods ended December 31, 2002 through 2005. Such escalators were recorded as facility rent expense in the period that they became effective. We have concluded that we should have been using a straight-line method for leases that depend on existing indexes or rates. In accordance with the transition provisions of SAB No. 108, we recorded a $5.1 million cumulative effect adjustment to retained earnings and an offsetting amount to long-term deferred rent as of January 1, 2006. In addition, we recognized an additional $2.5 million of facility rent expense in 2006 related to the application of the straight line methodology to certain leases with rent escalators. These adjustments are scheduled to reverse in future periods beginning in 2010. Due to our current tax position as described in “Note 12 - Income Taxes”, these adjustments resulted in a $72,000 reduction in the tax provision for continuing operations, and no net effect on our deferred tax assets since such assets are fully offset by a valuation allowance.

     Based on the nature of these adjustments and the totality of the circumstance surrounding these adjustments, we have concluded that these adjustments are immaterial to prior years’ consolidated financial statements under our previous method of assessing materiality, and therefore, have elected, as permitted under the transition provisions of SAB No. 108, to reflect the effect of these adjustments in opening liabilities as of January 1, 2006, with the offsetting adjustment reflected as a cumulative effect adjustment to opening retained earnings as of January 1, 2006.

(4)  Loan Agreements

     In December 2005, we entered into an Amended and Restated Loan and Security Agreement (the "Revolving Loan Agreement") with CapitalSource Finance LLC, as collateral agent, and certain lenders, which amended and restated an existing revolving credit facility. The Revolving Loan Agreement, among other things, provides for up to $100.0 million of borrowing availability and terminates on January 31, 2009. The interest rate on borrowings equals 2.75%, which percentage is subject to adjustment based on our fixed charge coverage ratio plus the greater of (i) 4.31% or (ii) (a) a floating rate equal to the London Interbank Offered Rate for one month adjusted daily or (b), at our option, a rate that is fixed for a period of 30, 60 or 90 days equal to the London Interbank Offered Rate two days prior to the commencement of such period. The Revolving Loan Agreement is secured by almost all of our assets (and the assets of our subsidiaries), including accounts receivable, inventory, stock of our subsidiaries and equipment, but excluding real estate.
F-14

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 

     Availability of amounts under the Revolving Loan Agreement is subject to compliance with financial covenants, including a fixed charge coverage covenant, which requires that the ratio of Operating Cash Flow (as defined in the Revolving Loan Agreement) to Fixed Charges (as defined in the Revolving Loan Agreement) equals or exceeds 1.0:1.0. Our borrowing availability under the Revolving Loan Agreement is generally limited to up to eighty-five percent (85%) of the value of our accounts receivable that are deemed eligible pursuant to the Revolving Loan Agreement, plus an overadvance facility equal to an additional 15% of the value of such receivables, but not to exceed $100.0 million. Under certain circumstances, the borrowing capacity of the facility may be expanded to up to $150.0 million. The defined borrowing base as of December 31, 2006 was $81.2 million, net of specified reserves of $5.7 million. As of December 31, 2006, we had $10.0 million in borrowings outstanding and we had issued $15.0 million in letters of credit, leaving $56.2 million available to us for additional borrowing. The Revolving Loan Agreement contains customary events of default, such as our failure to make payment of amounts due, defaults under other agreements evidencing indebtedness, certain bankruptcy events and a change of control (as defined in the Revolving Loan Agreement). The agreement also contains customary covenants restricting, among other things, incurrence of indebtedness, liens, payment of dividends, repurchase of stock, acquisitions and dispositions, mergers and investments.
 
(5)  Long-Term Debt and Capital Lease Obligations

     Our long-term debt and capital lease obligations consisted of the following as of the periods indicated (in thousands):

   
December 31, 2006
 
 December 31, 2005
 
Revolving loan agreement
 
$
10,000
 
$
10,141
 
Mortgage notes payable due at various dates through 2037, interest at
             
   rates from 5.5% to 10.8%, collateralized by various facilities(1)(2)(3)
   
153,627
   
158,874
 
Capital leases (3)
   
1,190
   
11,204
 
Industrial revenue bonds
   
4,655
   
6,360
 
Other long-term debt
   
4,693
   
11,200
 
Total long-term obligations(1)
   
174,165
   
197,779
 
   Less amounts due within one year
   
(24,010
)
 
(66,856
)
Long-term obligations, net of current portion
 
$
150,155
 
$
130,923
 

(1)
Includes fair value premium of $0.3 million related to the Peak acquisition (See "Note 7 - Acquisitions").
(2)
Includes $50.1 million and $50.2 million related to the consolidation of Clipper as of December 31, 2006 and 2005, respectively (See "Note 10 - Variable Interest Entities”).
(3)
Excludes $0.8 million reclassified to liabilities held for sale (See “Note 9 - “Discontinued Operations and Assets Held for Sale”).

     The scheduled or expected maturities of long-term debt, excluding premium, as of December 31, 2006, were as follows (in thousands):

     2007
   
24,010
 
     2008
   
24,796
 
     2009
   
13,387
 
     2010
   
11,996
 
     2011
   
14,635
 
Thereafter
   
85,023
 
   
$
173,847
 

     Included in the expected maturities of long-term debt are the following amounts related to the consolidation of Clipper (See "Note 10 - Variable Interest Entities") (in thousands): $736, $825, $887, $946, $1,009 and $45,725, respectively, for 2007, 2008, 2009, 2010, 2011 and thereafter.
F-15

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
(6)  Property and Equipment
 
     Property and equipment consisted of the following as of the periods indicated (in thousands):

   
December 31, 2006
 
 December 31, 2005 (1)
 
               
Land
 
$
26,002
 
$
17,979
 
Buildings and improvements
   
151,614
   
158,678
 
Equipment
   
45,830
   
51,471
 
Leasehold improvements
   
37,251
   
33,158
 
Construction in process
   
5,080
   
2,447
 
   Total
   
265,777
   
263,733
 
Less accumulated depreciation
   
(48,233
)
 
(75,999
)
    Property and equipment, net
 
$
217,544
 
$
187,734
 

(1)
Included preliminary estimates for the purchase accounting valuation for Peak, which estimates were refined by a third party valuation during 2006. See “Note 7 - Acquisitions.”

(7)  Acquisitions

Harborside

     In October 2006, we entered into an agreement to acquire all of the outstanding stock of Harborside Healthcare Corporation (“Harborside”), which operates 73 skilled nursing and two assisted living facilities, in exchange for $349.4 million in cash for all of Harborside’s outstanding stock and to refinance or assume Harborside’s debt (which includes indebtedness to be incurred to purchase, prior to closing, certain facilities that are currently leased by Harborside). We estimate that the amount of such debt, which will fluctuate until the closing, will approximate $240.0 million at the closing. Sun has received debt financing commitments from Credit Suisse, CIBC World Markets Corp., UBS Securities LLC and Jefferies Finance LLC to fund the purchase price and the refinancing of certain Harborside and Sun debt. We also expect that the new credit facilities will include a revolving credit facility for working capital and other general corporate purposes as well as a letter of credit facility. The transaction is expected to close in the first half of 2007, subject to certain closing conditions that include regulatory and other approvals.

Peak

     In December 2005, we completed the purchase of Peak, which operated or managed 56 inpatient facilities, by acquiring all of the outstanding stock of Peak in exchange for approximately 8.9 million shares of our stock. Approximately 1.6 million of the shares issued are held in escrow to secure the indemnification obligations of the selling stockholders of Peak pursuant to the Peak purchase agreement.  The shares held in escrow will be released to the selling stockholders of Peak, subject to any indemnification claims made by Sun, in equal installments on March 31, 2007 and December 9, 2007. Peak's results of operations have been included in the consolidated financial statements since the date of acquisition.
F-16

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
     The total purchase price of the Peak acquisition was as follows (in thousands):

Fair value of approximately 8.9 million shares of Common Stock issued
 
$
55,538
 
Fair value of assumed debt obligations
   
95,739
 
Stock option costs
   
320
 
Direct transaction costs`
   
12,832
 
   
$
164,429
 

     Under the purchase method of accounting, the total purchase price as shown in the table above was allocated to Peak's net tangible and intangible assets based upon their estimated fair values as of December 1, 2005. The excess of the purchase price over the estimated fair value of the net tangible and intangible assets is recorded as goodwill. The estimated fair value of our Common Stock issued was based on the $6.26 historic Sun average share price for the period of May 12 through May 16, 2005.

     We engaged a third-party valuation firm to complete a valuation of Peak's property and equipment and identifiable intangible assets, which valuation was completed during the fourth quarter of 2006. During 2006, we adjusted the purchase price allocation originally estimated in December 2005, to reflect the appraiser’s valuation.

     The final fair values of assets acquired and liabilities determined by a third party valuation firm, assumed at the date of acquisition were as follows (in thousands):

Net working capital
 
$
8,791
 
Property and equipment
   
112,220
 
Identifiable intangible assets
   
1,246
 
Goodwill
   
46,325
 
Other long-term assets
   
4,987
 
Total assets acquired
   
173,569
 
         
Debt
   
95,739
 
Other long-term liabilities
   
9,140
 
Total liabilities assumed
   
104,879
 
         
Net assets acquired
 
$
68,690
 

     We identified $1.2 million in intangible assets in connection with the Peak acquisition, of which $0.7 million represented the above or below market lease intangibles as identified by a third party valuation firm and $0.5 million for operating licenses. All of the $46.3 million in goodwill was assigned to the Inpatient Services segment. Deferred tax assets created in the purchase accounting for the Peak acquisition were fully offset by a valuation allowance.

     In connection with the Peak acquisition, we recognized a pretax charge for transaction costs of $1.1 million in the year ended December 31, 2005 to conform Peak's accounting treatment regarding the estimation of the net realizable value of accounts receivable to our accounting policy and conform Peak's inventory per bed calculation to our per bed calculation. Subsequent to the finalization of the purchase price allocation, it was determined that approximately $2.8 million of Peak’s accounts receivable were unbillable at the date of acquisition. A provision for these accounts receivable was provided in the current period.
F-17

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
Other Acquisitions

     In August 2006, we completed the purchase of a hospice company, which operated two hospice programs in Oklahoma and which had also managed five of our hospice programs, by acquiring all of its outstanding stock in exchange for approximately $4.6 million. The purchase price included an allocation of $1.0 million related to the cancellation of the existing management agreement which was expensed in the current period. The remainder of the purchase price has been allocated to goodwill and will be subject to annual impairment tests.
 
     In August  2005, we acquired ProCare One Nurses, LLC, a temporary nurse staffing business, for a total purchase price of $8.3 million, of which $4.2 million was paid at closing and $4.1 million is payable over three years pursuant to two promissory notes. The $8.3 million acquisition cost, including $0.1 million in estimated professional fees, was allocated to the assets acquired and liabilities assumed, based on their fair values of $2.5 million to working capital and $5.9 million to intangible assets. Of the $5.9 million of acquired intangible assets, $0.1 million was assigned to trade names, an indefinite-lived intangible asset, and $3.3 million was assigned to customer contracts, which is subject to amortization. The remaining $2.5 million of acquired intangible assets representing goodwill was assigned to the Medical Staffing segment and will be subject to annual impairment tests.

     In April 2005, we acquired the healthcare staffing operations of two small staffing companies for a combined purchase price of $2.4 million, all of which was allocated to goodwill.

     In November 2004, we acquired one home health agency for $0.7 million in cash and allocated the purchase price to goodwill and licenses of $0.4 million and $0.3 million, respectively.
F-18

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 

(8)  Intangible and Long-Lived Assets

(a)  Intangible Assets

     The following table provides information regarding our intangible assets, which are included in the accompanying consolidated balance sheets at December 31, (in thousands):

   
Gross
           
   
Carrying
 
 Accumulated
 
 Net
 
   
Amount
 
 Amortization
 
 Total
 
Finite-lived Intangibles:
                   
Lease intangibles:
                   
          2006
 
$
9,714
 
$
5,226
 
$
4,488
 
          2005
   
7,940
   
4,517
   
3,423
 
Deferred financing costs:
                   
          2006
 
$
4,378
 
$
1,002
 
$
3,376
 
          2005
   
6,518
   
3,593
   
2,925
 
Management and customer contracts
                   
          2006
 
$
3,334
 
$
552
 
$
2,782
 
          2005
   
5,634
   
144
   
5,490
 
                     
Indefinite-lived Intangibles:
                   
Trademarks:
                   
          2006
 
$
1,998
 
$
19
 
$
1,979
 
          2005
   
5,954
   
4
   
5,950
 
Other intangible assets:
                   
          2006
 
$
1,066
 
$
-
 
$
1,066
 
          2005
   
1,551
   
4
   
1,547
 
                     
Total intangible assets:
                   
          2006
 
$
20,490
 
$
6,799
 
$
13,691
 
          2005
   
27,597
   
8,262
   
19,335
 
Unfavorable lease intangibles:
                   
          2006
 
$
26,981
 
$
13,558
 
$
13,423
 
          2005
   
22,620
   
11,166
   
11,454
 

     The net credit to amortization expense was a result of the amortization on unfavorable lease intangibles, which recognized a reduction in rent expense in connection with a fair market valuation performed on our facility lease agreements. The net credit recorded to amortization was as follows for the years ended December 31, (in thousands):

   
2006
 
 2005
 
 2004
 
                     
Amortization expense
 
$
1,117
 
$
622
 
$
1,592
 
Amortization of unfavorable
                   
  and favorable lease intangibles, net
   
(812
)
 
(1,714
)
 
(3,265
)
   
$
305
 
$
(1,092
)
$
(1,673
)
F-19

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
 NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
     Total estimated amortization (credit) expense for our intangible assets for the next five years is as follows (in thousands):
 
   
Expense
 
 Credit
 
 Net
 
                     
2007
 
$
2,531
 
$
(2,355
)
$
176
 
2008
   
1,895
   
(2,203
)
 
(308
)
2009
   
1,511
   
(2,111
)
 
(600
)
2010
   
1,382
   
(1,964
)
 
(582
)
2011
   
913
   
(1,772
)
 
(859
)

     The weighted-average amortization period for lease intangibles is approximately five years at December 31, 2006.

(b)  Impairment of Intangible Assets

Goodwill

     Pursuant to SFAS No. 142, we performed our annual goodwill impairment analysis during the fourth quarter of 2006 for each reporting unit that constitutes a business for which discrete financial information is produced and reviewed by operating segment management and, with the exception of the Inpatient facilities, provides services that are distinct from the other components of the operating segment and are reviewed at the division level. We determine impairment by comparing the net assets of each reporting unit to their respective fair values. We determine the estimated fair value of each reporting unit using a discounted cash flow analysis. In the event a unit's net assets exceed its fair value, an implied fair value of goodwill must be determined by assigning the unit's fair value to each asset and liability of the unit. The excess of the fair value of the reporting unit over the amounts assigned to its assets and liabilities is the implied fair value of goodwill. An impairment loss is measured by the difference between the goodwill carrying value and the implied fair value. Based on the analysis performed, we recorded no goodwill impairment for the years ended December 31, 2006, 2005 or 2004.

     During 2006, we recognized a $29.6 million reduction to goodwill, as a result of the final valuation of the Peak assets by a third party valuation firm, and a $3.7 million increase in goodwill in connection with the hospice acquisition, both in Inpatient Services. In 2006, we also recognized a reduction in goodwill of $0.4 million related to the sale of our home health services segment. In 2005, we recognized $4.9 million and $75.9 million in goodwill in connection with acquisitions in our Medical Staffing and Inpatient Services segments, respectively.

Indefinite Life Intangibles

     We internally prepared an impairment analysis using discounted cash flows in order to estimate the fair value of Indefinite Life Intangibles, which principally consists of trademarks. The analysis resulted in no impairment charge on indefinite-lived intangibles for the years ended December 31, 2006, 2005 and 2004.

     During 2006, we determined that a portion of the income tax payable balance established in fresh-start could be offset by NOL carrybacks. We also determined that a portion of the pre-emergence net deferred tax assets will more likely than not be realized, and a reduction in the valuation allowance established in fresh-start accounting has been recorded. Accordingly, we have reduced remaining intangible assets recorded in fresh-start accounting by $4.0 million, which consisted primarily of trademarks. See “Note 12 - Income Taxes.”
F-20

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
Finite Life Intangibles

     We internally prepared an impairment analysis using discounted cash flows in order to estimate the fair value of Finite Life Intangibles, which principally consists of lease intangibles and customer contracts. The analysis resulted in no impairment charge on finite-lived intangibles for the years ended December 31, 2006, 2005 or 2004.

     During 2006, we determined that a portion of the income tax payable balance established in fresh-start could be offset by NOL carrybacks. We also determined that a portion of the pre-emergence net deferred tax assets will more likely than not be realized, and a reduction in the valuation allowance established in fresh-start accounting has been recorded. Accordingly, we have reduced remaining intangible assets recorded in fresh-start accounting by $1.4 million, which consisted primarily of favorable lease intangibles. See “Note 12 - Income Taxes.”

(c)  Impairment of Long-Lived Assets

     SFAS No. 144 requires impairment losses to be recognized for long-lived assets used in operations when indicators of impairment are present and the estimated undiscounted cash flows are not sufficient to recover the assets' carrying amounts. In estimating the undiscounted cash flows for our impairment assessment, we primarily used our internally prepared budgets and forecast information including adjustments for the following items: Medicare and Medicaid funding; overhead costs; capital expenditures; and patient care liability costs. In accordance with SFAS No. 144, we assess the need for an impairment write-down when such indicators of impairment are present.

     We did not recognize any impairment charges on long-lived assets for the years ended December 31, 2006 or 2005.  During the fourth quarter of 2004, we recorded pretax charges totaling $1.0 million for long-lived asset impairments. The asset impairment charges consist of a write-down of property and equipment in our Inpatient Services segment for certain nursing facilities whose book value exceeded estimated fair value when tested for impairment.

(d)  Long Lived Assets to be Disposed Of

     SFAS No. 144 requires that long-lived assets to be disposed of be measured at the lower of carrying amount or fair value less cost to sell, whether reported in continuing operations or in discontinued operations. SFAS No. 144 defines the reporting of discontinued operations to include all components of an entity with operations that can be distinguished from the rest of the entity and that will be eliminated from the ongoing operations of the entity in a disposal transaction. Depreciation is discontinued once an asset is classified as held for sale.

(9)  Discontinued Operations and Assets and Liabilities Held for Sale

(a)  Loss (Gain) on Sale of Assets, net

     2005.  During the year ended December 31, 2005, we recorded a $0.4 million charge primarily related to the write-down of a property held for sale.

     2004.  During the year ended December 31, 2004, we recorded a $1.5 million charge primarily related to the write-down of a property held for sale.
F-21

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
(b)  Discontinued Operations

     In accordance with the provisions of SFAS No. 144, the results of operations of the disposed assets and the gains (losses) related to these divestitures have been classified as discontinued operations for all periods presented in the accompanying consolidated statements of operations.

     Inpatient Services: During 2006, we reclassified seven facilities into discontinued operations because the facilities were divested, sold or qualified as assets held for sale. During the first quarter of 2005, we divested one skilled nursing facility. During the second quarter of 2005, we sold a skilled nursing facility for $1.0 million.  The facility was held for sale with a carrying amount of $0.1 million and we recorded a net gain of $0.8 million as a deferred gain to current liabilities.  Although the sale of the facility was final, we continued to operate the facility until the new owner obtained licensure on August 1, 2005, at which time the new owner took over operations of the facility and the gain was recognized.

     Pharmaceutical Services: In July 2003, we sold the assets of our pharmaceutical services operations to Omnicare, Inc. for $90.0 million. Of the $90.0 million, we received cash proceeds of $75.0 million at closing while $15.0 million was not scheduled to be paid until 2005. Of the $15.0 million, $7.7 million of the hold back was received and recognized during September 2005. We determined that the remaining hold back of $7.3 million offset net asset adjustments to the closing balance sheet, which resulted in an additional $4.6 million gain in 2006.

     Laboratory and Radiology Services: On November 1, 2004, one of our subsidiaries sold its clinical laboratory and radiology operations located in California. We received $1.6 million in cash in connection with this sale, of which $0.9 million was received in the first quarter of 2005. In the fourth quarter of 2005, our mobile radiology services operations located in Arizona and Colorado were sold.

     Home Health Services: In December 2006, we sold SunPlus Home Health Services (“SunPlus”), for a purchase price of $19.3 million.

     Other Operations: In December 2004, we closed our comprehensive outpatient rehabilitation facilities in Colorado. On November 7, 2003, a majority owned subsidiary sold substantially all of its software development assets to a subsidiary of Omnicare, Inc., for approximately $5.0 million in proceeds at closing and $0.5 million in cash in December 2004.

(c)  Assets and Liabilities Held for Sale

     As of December 31, 2006, assets held for sale consisted of (i) SunAlliance, our remaining laboratory and radiology services operations, with a net carrying amount of $0.9 million, consisting of $1.7 million in assets, offset in part by $0.8 million in liabilities, (ii) a skilled nursing facility with a net carrying amount of $3.8 million, consisting of $4.6 million in assets, offset in part by $0.8 million in liabilities, and (iii) an undeveloped parcel of land valued at $0.9 million, which is classified in our Corporate segment in our consolidated financial statements, which we expect to sell in the next year.

     As of December 31, 2005, assets held for sale consisted of two undeveloped parcels of land valued at $1.9 million, classified in our Corporate segment in our consolidated financial statements. One parcel was sold for $0.9 million in the third quarter of 2006.

     A summary of the discontinued operations for the periods presented is as follows (in thousands):
F-22

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
   
For the Year
 
   
Ended
 
   
December 31, 2006
 
   
Inpatient
 
 Pharmaceutical
 
 Laboratory/
 
 Home
           
   
Services
 
 Services
 
 Radiology
 
 Health
 
 Other
 
 Total
 
                                       
Total net revenues
 
$
17,589
 
$
-
 
$
15,255
 
$
56,256
 
$
16,587
 
$
105,687
 
Pretax income (loss)
 
$
4,889
 
$
7
 
$
(28
)
$
1,526
 
$
(1,168
)
$
5,226
 
(Loss) gain on disposal of
                                     
   discontinued operations (1)
   
(3,549
)
 
4,199
   
(211
)
 
6,763
   
2
   
7,204
 
Income (loss) on discontinued
                                     
   operations
 
$
1,340
 
$
4,206
 
$
(239
)
$
8,289
 
$
(1,166
)
$
12,430
 

   
For the Year
 
   
Ended
 
   
December 31, 2005
 
   
Inpatient
 
 Pharmaceutical
 
 Laboratory/
 
 Home
           
   
Services
 
 Services
 
 Radiology
 
 Health
 
 Other
 
 Total
 
                                       
Total net revenues
 
$
23,316
 
$
-
 
$
16,646
 
$
60,778
 
$
20,663
 
$
121,403
 
Pretax income (loss)
 
$
14,769
 
$
22
 
$
(2,486
)
$
2,490
 
$
3,052
 
$
17,847
 
Gain (loss) on disposal of
                                     
   discontinued operations
   
725
   
7,614
   
674
   
-
   
(124
)
 
8,889
 
Income (loss) on discontinued
                                     
   operations
 
$
15,494
 
$
7,636
 
$
(1,812
)
$
2,490
 
$
2,928
 
$
26,736
 

   
For the Year
 
   
Ended
 
   
December 31, 2004
 
   
Inpatient
 
 Pharmaceutical
 
 Laboratory/
 
 Home
           
   
Services
 
 Services
 
 Radiology
 
 Health
 
 Other
 
 Total
 
                                       
Total net revenues
 
$
34,438
 
$
-
 
$
31,941
 
$
56,702
 
$
22,351
 
$
145,432
 
Pretax (loss) income
 
$
(9,989
)
$
696
 
$
(12,781
)
$
3,502
 
$
3,567
 
$
(15,005
)
Gain (loss) on disposal of
                                     
   discontinued operations 
   
4,968
   
(5,008
)
 
(5,550
)
 
-
   
270
   
(5,320
)
(Loss) income on discontinued
                                     
   operations
 
$
(5,021
)
$
(4,312
)
$
(18,331
)
$
3,502
 
$
3,837
 
$
(20,325
)

(1)
Net of related tax expense of $785
F-23

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
(10)  Variable Interest Entities
 
     In December 2003, the FASB issued a revision to Interpretation No. 46, "Consolidation of Variable Interest Entities" ("FIN No. 46R"), which was originally issued in January 2003. FIN No. 46R provides guidance on the consolidation of certain entities when control exists through means other than ownership of voting (or similar) interests and was effective for public entities that have interests in variable interest entities commonly referred to as special purpose entities for the first reporting period that ends after March 15, 2004. FIN No. 46R requires consolidation by the majority holder of expected residual gains and losses of the activities of a variable interest entity ("VIE").

     As of December 31, 2006, we owned less than 12% of the voting interest (8% in 2005) in nine entities (collectively known as "Clipper"), each of which owns one facility that we operate in New Hampshire. Clipper's objective is to achieve rental income from the leasing of its facilities. In April 2004, we entered into an agreement with the owners of the remaining interests in those nine entities. That agreement granted us options, exercisable sequentially over a period of seven years, pursuant to which we can acquire 100% of the ownership of those nine entities for an aggregate amount of up to $10.3 million. On June 30, 2006, we gave notice to exercise the third option for an additional 4% ownership interest in 2007 for a purchase price of $0.4 million, and we have paid an aggregate option purchase price for the first two option exercises of $0.5 million through June 30, 2006. The agreement also provides the owners the right to require us to purchase those ownership interests at the above described option prices. These put rights can be exercised for any options that have come due but which were not exercised up to that point in time, but no later than December 31, 2010.

     We have concluded that Clipper, as identified above, meets the definition of a VIE because we have agreements with the majority owners granting us the option to acquire, and the right of the owners to put to us, 100% ownership of Clipper. We have recognized $9.7 million of the option value in other long-term liabilities in our consolidated balance sheet. The remaining $0.4 million is recorded as current in other accrued liabilities in our consolidated balance sheet. We have not recorded any minority interest associated with the 88% interest in which we do not own since the partnerships' net equity was a deficit and as the primary beneficiary, we would be responsible for all of their losses. Pursuant to FIN No. 46(R), we have eliminated facility rent expense of $3.5 million for the year ended December 31, 2006, and included $50.1 million of mortgage debt of Clipper in our consolidated balance sheet as of December 31, 2006, although we own less than twelve percent of the voting interest in the Clipper properties and are not directly obligated on the debt. The debt is collateralized by the fixed assets of the respective partnerships and limited liability companies that own the Clipper properties and none of our assets. Creditors do not have any general recourse against us for the mortgage debt.
F-24

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
     The following provides a summary of the balance sheet impact of Clipper upon consolidation as of December 31, 2006 and 2005 (in thousands):

   
December 31, 2006
 
 December 31, 2005
 
               
Current assets:
             
  Cash and cash equivalents
 
$
546
 
$
708
 
  Other receivables
   
565
   
250
 
  Restricted cash, current
   
767
   
1,021
 
  Prepaids and other assets
   
126
   
131
 
      Total current assets
   
2,004
   
2,110
 
               
Property and equipment, net:
             
  Land
   
6,171
   
6,171
 
  Land improvements
   
34
   
38
 
  Buildings
   
35,034
   
36,335
 
  Building improvements
   
2,830
   
2,223
 
  Equipment
   
185
   
89
 
  Construction-in-process
   
-
   
165
 
      Total property and equipment, net
   
44,254
   
45,021
 
               
Intangible assets, net
   
9,122
   
9,982
 
Intercompany
   
4,836
   
5,240
 
               
      Total assets
 
$
60,216
 
$
62,353
 
Current liabilities:
             
  Mortgages, current
 
$
736
 
$
34,415
 
  Other accrued liabilities
   
597
   
551
 
      Total current liabilities
   
1,333
   
34,966
 
               
Mortgages, net of current
   
49,392
   
15,829
 
Other long-term liabilities
   
16,464
   
16,421
 
      Total long-term liabilities
   
65,856
   
32,250
 
               
      Total liabilities
   
67,189
   
67,216
 
               
Stockholders' deficit:
             
  Accumulated deficit
   
(6,973
)
 
(4,863
)
               
      Total liabilities and stockholders' deficit
 
$
60,216
 
$
62,353
 

     For the year ended December 31, 2006, the consolidation of Clipper included a net loss of $1.9 million comprised of a $4.0 million charge to interest expense, a $1.4 million charge to depreciation expense and $0.1 million in administrative and tax expenses, partially offset by a $3.5 million credit to rent expense. For the year ended December 31, 2005, the consolidation of Clipper included a net loss of $2.2 million comprised of a $4.0 million charge to interest expense, a $1.2 million charge to depreciation expense, a $0.4 million loss on extinguishment of debt and $0.1 million in administrative and tax expenses, partially offset by a $3.5 million credit to rent expense.
F-25

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006

(11)  Commitments and Contingencies
 
(a)  Lease Commitments

     We lease real estate and equipment under cancelable and noncancelable agreements. Most of our operating leases have original terms from seven to twelve years and contain at least one renewal option, (which could extend the terms of the leases by five to ten years), escalation clauses (primarily related to inflation) and provisions for payments by us of real estate taxes, insurance and maintenance costs. Leases with a fixed escalation are accounted for on a straight-line basis. Future minimum lease payments under real estate leases and equipment leases, are as follows (in thousands):
 
   
Operating
 
   
Leases
 
         
          2007
 
$
65,937
 
          2008
   
61,795
 
          2009
   
61,224
 
          2010
   
58,894
 
          2011
   
53,543
 
          Thereafter
   
130,282
 
Total minimum lease payments
 
$
431,675
 

     Facility rent expense for continuing operations, totaled $56.7 million, $38.1 million and $36.3 million for the years ended December 31, 2006, 2005 and 2004, respectively. Facility rent expense for discontinued operations for the years ended December 31, 2006, 2005 and 2004 was $2.5 million, $3.0 million and $3.8 million, respectively.

(b)  Purchase Commitments

     Our purchase obligations have been estimated assuming that we continue to operate the same number of facilities in future periods. The prices that we pay under our purchase commitments are subject to market risk.

     We have an agreement establishing Medline Industries, Inc. ("Medline") as the primary medical supply vendor through January 12, 2010 for all of the long-term care facilities that we operate. The agreement provides that the long-term care division shall purchase at least 90% of its medical supply products from Medline. Additionally, if we choose to terminate the agreement without cause or if Medline chooses to terminate the agreement with cause, we may be required to pay Medline liquidated damages of $1.0 million if the agreement is terminated prior to January 11, 2008.

     We have an agreement establishing SYSCO Corporation ("SYSCO") as our primary foodservice supply vendor through March 31, 2008 for all of our long-term care facilities. The agreement provides that the long-term care division shall purchase at least 80% of its foodservice supply products from SYSCO.

     We have an agreement establishing Omnicare Pharmacy Services as the primary pharmacy services vendor through December 31, 2010 for all of the long-term care facilities that we currently operate and acquire during the term of the agreement.
F-26

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
(c) Insurance

     We self-insure for certain insurable risks, including general and professional liability, workers' compensation liability and employee health insurance liability, through the use of self-insurance or retrospective and self-funded insurance policies and other hybrid policies, which vary by the states in which we operate. There is a risk that amounts funded to our self-insurance programs may not be sufficient to respond to all claims asserted under those programs. Provisions for estimated reserves, including incurred but not reported losses, are provided in the period of the related coverage. These provisions are based on actuarial analyses, internal evaluations of the merits of individual claims, and industry loss development factors or lag analyses. The methods of making such estimates and establishing the resulting reserves are reviewed periodically and are based on historical paid claims information and nationwide nursing home trends. Any resulting adjustments are reflected in current earnings. Claims are paid over varying periods, and future payments may be different than the estimated reserves.

     Prior to January 1, 2000, the maximum loss exposure with respect to the third-party insurance policies was $100,000 per claim for general and professional liability. Since January 2000, we have relied upon self-funded insurance programs for general and professional liability claims up to a base amount per claim and an aggregate per location, and have obtained excess insurance policies for claims above those amounts. The programs had the following self-insured retentions: (i) for events occurring from January 1, 2000 to December 31, 2002, $1.0 million per claim, and $3.0 million aggregate per location, (ii) for claims made in 2003, $10.0 million per claim with excess coverage above this level, and (iii) for claims made in 2004, 2005 and 2006, $5.0 million per claim with a $5.0 million excess layer that attaches at $5.0 million of liability and a $40.0 million excess layer that attaches at $10.0 million of liability. For locations, other than in the state of Oklahoma, acquired from Peak in December 2005, claims reported from 2003 until the acquisition date were covered by commercial insurance programs having limits of $1.0 million per occurrence/$3.0 million annual aggregate and featuring a $100,000 per occurrence deductible. Peak locations in Oklahoma had no insurance coverage in effect. Former Peak locations, including Oklahoma operations, were added to Sun's general and professional liability programs effective December 9, 2005.

     An independent actuarial analysis is prepared twice a year to determine the expected losses and reserves for estimated settlements for general and professional liability under the per claim retention level, including incurred but not reported losses. Based on the results of the actuarial analyses completed in June and December 2006, we reduced our reserves by $13.0 million, of which $8.9 million related to continuing operations for incidents in prior years, and $4.1 million related to discontinued operations for incidents in prior years. Based on the results of the actuarial analyses completed in June and December 2005, we reduced our reserves by $23.2 million, of which $7.7 million related to continuing operations for incidents in prior years, and $15.5 million related to discontinued operations for incidents in prior years. Based on the results of the actuarial analyses completed in June and December 2004, we reduced our reserves by $14.4 million, of which $14.0 million related to continuing operations for incidents in prior years, and $0.4 million related to discontinued operations for incidents in prior years.

     The majority of our workers' compensation risks are insured through high-retention insurance policies with third parties. Our reserves are estimated by independent actuaries beginning with the 1998 policy year and by company analysis using industry development factors for prior years. Effective with the policy period beginning January 1, 2002, we discount our workers' compensation reserves based on a 4% discount rate. At December 31, 2006, the discounting of these policy periods resulted in a reduction to our reserves of approximately $11.4 million. Based on the results of the actuarial analyses completed in June and December 2006, we reduced our reserves by $4.7 million, of which $2.8 million related to continuing operations for incidents in prior years, and
F-27

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
$1.9 million related to discontinued operations for incidents in prior years. Based on the results of the actuarial analyses completed in June and December 2005, we increased our reserves by $1.8 million, of which $0.9 million related to continuing operations for incidents in prior years, and $0.9 million related to discontinued operations for incidents in prior years. Based on the results of the actuarial analyses completed in June and December 2004, we increased our reserves by $1.2 million, of which $2.5 million of the adjustment was a decrease and related to continuing operations for incidents in prior years offset by a $3.7 million increase and was related to discontinued operations for incidents in prior years.

     Excluding the actuarial adjustments related to prior periods noted above, related to incidents in prior years, the provision for insurance risks was as indicated (in thousands):

   
For the Year Ended
 
   
December 31,
 
   
2006
 
 2005
 
 2004
 
                     
Professional Liability:
                   
   Continuing operations
 
$
25,858
 
$
19,490
 
$
20,736
 
   Discontinued operations
   
1,041
   
1,463
   
3,016
 
   
$
26,899
 
$
20,953
 
$
23,752
 
Workers' Compensation:
                   
   Continuing operations
 
$
18,489
 
$
13,323
 
$
16,489
 
   Discontinued operations
   
1,906
   
2,714
   
4,592
 
   
$
20,395
 
$
16,037
 
$
21,081
 
F-28

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
     A summary of the assets and liabilities related to insurance risks at December 31, 2006 and December 31, 2005 is as indicated (in thousands):

   
December 31, 2006
 
|
 
 December 31, 2005
 
   
Professional
 
 Workers'
      
|
 
 Professional
 
 Workers'
      
   
Liability
 
 Compensation
 
 Total
 
|
 
 Liability
 
 Compensation
 
 Total
 
Assets (1):
                     
|
                   
Restricted cash
                     
|
                   
Current
 
$
4,311
 
$
21,073
 
$
25,384
   
|
 
$
3,626
 
$
13,427
 
$
17,053
 
Non-current
   
-
   
25,977
   
25,977
   
|
   
-
   
32,076
   
32,076
 
Total
 
$
4,311
 
$
47,050
 
$
51,361
   
|
 
$
3,626
 
$
45,503
 
$
49,129
 
 
                     
|
                   
Liabilities (2)(3):
                     
|
                   
Self-insurance
                     
|
                   
liabilities
                     
|
                   
Current
 
$
23,967
 
$
21,073
 
$
45,040
   
|
 
$
19,180
 
$
13,427
 
$
32,607
 
Non-current
   
51,111
   
30,448
   
81,559
   
|
   
67,274
   
42,679
   
109,953
 
Total
 
$
75,078
 
$
51,521
 
$
126,599
   
|
 
$
86,454
 
$
56,106
 
$
142,560
 

(1) 
Total restricted cash excluded $10,474 and $11,530 at December 31, 2006 and 2005, respectively, held for bank collateral, various mortgages, bond payments and capital expenditures on HUD buildings.
   
(2) 
Total self-insurance liabilities excluded $3,649 and $4,631 at December 31, 2006 and 2005, respectively, related to our health insurance liabilities.
   
(3) 
Total self-insurance liabilities are collateralized, in addition to the restricted cash, by letters of credit of $750 and $10,694 for general and professional liability insurance and workers' compensation, respectively, as of December 31, 2006 and $5,000 and $6,471 for general and professional liability insurance and workers' compensation, respectively, as of December 31, 2005.

(d)  Construction Commitments

     As of December 31, 2006, we had construction commitments under various contracts of approximately $6.0 million. These items consisted primarily of contractual commitments to improve existing facilities.

(12)  Income Taxes

     The provision for income taxes was based upon management's estimate of taxable income or loss for each respective accounting period. We recognized an asset or liability for the deferred tax consequences of temporary differences between the tax bases of assets and liabilities and their reported amounts in the financial statements. These temporary differences would result in taxable or deductible amounts in future years when the reported amounts of the assets are recovered or liabilities are settled. We also recognized as deferred tax assets the future tax benefits from net operating loss, capital loss, and tax credit carryforwards. A valuation allowance was provided for deferred tax assets as it is more likely than not that some portion or all of the net deferred tax assets will not be realized.

     Income tax expense (benefit) on income (losses) before discontinued operations consisted of the following (in thousands):
F-29

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
   
For The Year Ended
 
   
December 31, 2006
 
 December 31, 2005
 
 December 31, 2004
 
Current:
                   
   Federal
 
$
(1,957
)
$
(1,037
)
$
(1,585
)
   State
   
787
   
251
   
427
 
     
(1,170
)
 
(786
)
 
(1,158
)
Deferred:
                   
   Federal
   
1,536
   
-
   
-
 
   State
   
365
   
-
   
-
 
     
1,901
   
-
   
-
 
   Total
 
$
731
 
$
(786
)
$
(1,158
)

     Actual tax expense (benefit) differed from the expected tax expense (benefit) on income (losses) before discontinued operations which was computed by applying the U.S. Federal corporate income tax rate of 35% to our profit or loss before income taxes as follows (in thousands):

   
For The Year Ended
 
   
December 31, 2006
 
 December 31, 2005
 
 December 31, 2004
 
                     
Computed expected tax
                   
  expense (benefit)
 
$
5,397
 
$
(966
)
$
189
 
Adjustments in income taxes
                   
  resulting from:
                   
  Change in valuation allowance
   
(4,879
)
 
567
   
(1,119
)
  State income tax expense
                   
     (benefit), net of Federal
                   
     income tax effect
   
838
   
(35
)
 
171
 
  Refunds from NOL carrybacks
   
(1,957
)
 
(1,037
)
 
(1,585
)
  Nondeductible compensation
   
623
   
399
   
650
 
  Other nondeductible expenses
   
709
   
286
   
536
 
          Total
 
$
731
 
$
(786
)
$
(1,158
)
F-30

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
     Deferred tax assets (liabilities) at December 31 consisted of the following (in thousands):

   
2006
 
 2005
 
            
Deferred tax assets:
             
   Accounts and notes receivable
 
$
12,496
 
$
13,265
 
   Accrued liabilities
   
65,994
   
74,257
 
   Property and equipment
   
10,670
   
28,963
 
   Intangible assets
   
24,892
   
27,768
 
   Write-down of assets held for sale
   
2,338
   
3,512
 
   Jobs and other credit carryforwards
   
-
   
107
 
   State net operating loss carryforwards
   
4,386
   
1,614
 
   Federal net operating loss carryforwards
   
64,470
   
25,917
 
   Other
   
227
   
293
 
     
185,473
   
175,696
 
Less valuation allowance:
             
   Federal
   
(154,928
)
 
(146,818
)
   State
   
(30,545
)
 
(28,878
)
     
(185,473
)
 
(175,696
)
Total deferred tax assets
   
-
   
-
 
               
Total deferred tax liabilities
   
-
   
-
 
Deferred taxes, net
 
$
-
 
$
-
 

     In connection with the fresh-start accounting adopted in 2002, our assets and liabilities were recorded at their respective fair values. Deferred tax assets and liabilities were then recognized for the tax effects of the differences between fair values and tax bases. In addition, deferred tax assets were recognized for future tax benefits of net operating loss ("NOL"), capital loss and tax credit carryforwards, and a valuation allowance was recorded for the overall net increase in deferred tax assets recognized in connection with fresh-start accounting.

     To the extent management believes the pre-emergence net deferred tax assets will more likely than not be realized, a reduction in the valuation allowance established in fresh-start accounting will be recorded. The reduction in this valuation allowance will first reduce any remaining intangible assets recorded in fresh-start accounting, with any excess being treated as an increase to capital in excess of par value. During 2006, the fresh-start valuation allowance was reduced by $3.4 million, and remaining intangible assets recorded in fresh-start accounting were reduced accordingly.

     During 2006, we also determined that a portion of the income tax payable balance established in fresh-start could be offset by NOL carrybacks. The payable was reduced by $2.0 million, and remaining intangible assets recorded in fresh-start accounting were reduced accordingly.

     Internal Revenue Code Section 382 imposes a limitation on the use of a company's NOL carryforwards and other losses when the company has an ownership change. In general, an ownership change occurs when shareholders owning 5% or more of a "loss corporation" (a corporation entitled to use NOL or other loss carryovers) have increased their ownership of stock in such corporation by more than 50 percentage points during any 3-year testing period beginning on the first day following the change date for an earlier ownership change. The annual base Section 382 limitation is calculated by multiplying the loss corporation's value at the time of the ownership change times the greater of the long-term tax-exempt rate determined by the IRS in the month of the ownership change or the two preceding months.
F-31

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
     The issuance of our common stock in connection with the acquisition of Peak in 2005 resulted in an ownership change under Section 382. The annual base Section 382 limitation to be applied to our tax attribute carryforwards as a result of this ownership change is approximately $10.0 million. Accordingly, our NOL, capital loss, and tax credit carryforwards have been reduced to take into account this limitation and the respective carryforward periods for these tax attributes.

     During the year ended December 31, 2006, our net deferred tax assets increased by approximately $9.8 million. This change resulted from an increase of approximately $19.4 million from the purchase accounting for the acquisition of Peak (principally from the finalization of the appraisal of Peak’s assets and the calculation of the annual Section 382 limitation on NOLs, etc.), offset by a decrease of approximately $9.6 million related to the realization of various deferred tax assets. We also increased our valuation allowance by approximately $9.8 million to match the increase in our net deferred tax assets. Our valuation allowance fully offsets our net deferred tax assets because we have no net operating loss carryback potential, and there is insufficient evidence regarding the generation of future taxable income to allow for the recognition of deferred tax assets under FAS 109.

     After considering the reduction in tax attributes resulting from the Section 382 limitation due to the ownership change, we have Federal NOL carryforwards of approximately $184.2 million with expiration dates from 2007 through 2026. Various subsidiaries have state NOL carryforwards totaling approximately $100.6 million with expiration dates through the year 2026.

     Our application of the rules under Section 382 is subject to challenge upon IRS review. A successful challenge could significantly impact our ability to utilize deductions and losses generated prior to the acquisition date.

     In June 2006, the Financial Accounting Standards Board issued FASB Interpretation No. 48, “Accounting for Uncertainty in Income Taxes, an interpretation of FASB Statement No. 109” (FIN 48). FIN 48 prescribes a recognition threshold and measurement parameters for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return, and also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for fiscal years beginning after December 15, 2006. As of December 31, 2006, we have not determined the effect that the adoption of FIN 48 will have on our financial position or results of operations.
     
(13)  Fair Value of Financial Instruments

     The estimated fair values of our financial instruments as of December 31 were as follows (in thousands):

   
2006
 
2005
 
   
Carrying
     
Carrying
     
   
Amount
 
Fair Value
 
Amount
 
Fair Value
 
                           
Cash and cash equivalents
 
$
131,935
 
$
131,935
 
$
16,641
 
$
16,641
 
Restricted cash
 
$
61,835
 
$
61,835
 
$
60,659
 
$
60,659
 
Long-term debt, including current portion
                         
   and capital lease obligation
 
$
174,165
 
$
161,442
 
$
197,779
 
$
182,968
 
F-32

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
     The cash and cash equivalents and restricted cash carrying amounts approximate fair value because of the short maturity of these instruments. At December 31, 2006 and 2005, the fair value of our long-term debt, including current maturities, was based on estimates using present value techniques that are significantly affected by the assumptions used concerning the amount and timing of estimated future cash flows and discount rates that reflect varying degrees of risk.

(14)  Capital Stock

(a)  Common Stock

     As of December 31, 2006, we had issued 42,889,918 shares, inclusive of 10,182 treasury shares. The shares issued included (i) 9,998,142 shares in connection with the extinguishment of liabilities subject to compromise pursuant to our Plan of Reorganization implemented in connection with our emergence from Chapter 11 bankruptcy proceedings in 2002 (“Plan of Reorganization”), (ii) 4,425,232 shares issued in a private placement of our common stock in February 2004, (iii) 760,000 shares in payment of deferred rent as part of our restructuring plan initiated in 2003, (iv) 8,871,890 shares in connection with the acquisition of Peak, (v) 6,900,000 shares issued in a public offering in December 2005 (vi) 11,500,000 shares issued in a public offering in December 2006 and (vii) 434,654 in stock awards to our employees and directors.

     As of December 31, 2005, Sun had issued 9,931,613 shares of common stock in connection with the extinguishment of liabilities subject to compromise pursuant to our Plan of Reorganization in 2002. During 2006, we issued an additional 66,529 shares of our common stock to general unsecured creditors with claims of more than $50,000 in accordance with the provisions of the Plan of Reorganization.

(b)  Warrants

     In February 2004, in conjunction with our private equity offering, we issued warrants to purchase 2,017,897 shares of our common stock, of which 1,707,924 shares have a strike price of $12.65, 62,160 shares have a strike price of $12.82, and 247,813 shares have a strike price of $15.87. The warrants expire in February 2009.

(c)  Equity Incentive Plan

     Our 2004 Equity Incentive Plan (the "2004 Plan"), as amended, allows for the issuance of up to 5.6 million shares of our common stock. Restricted stock awards are outright stock grants. Option awards are granted with an exercise price equal to the market price of our stock at the date of grant; those option awards generally vest based on four years of continuous service and have seven-year contractual terms. Share awards generally vest over four years and no dividends are paid on unexercised options or unvested share awards. Pursuant to the 2004 Plan, certain option and share awards provide for accelerated vesting if there is a change in control (as defined in the 2004 Plan).

     Pursuant to the 2004 Plan, as of December 31, 2006 our employees and directors held options to purchase 1,457,261 shares of common stock, 22,158 shares of unvested restricted common stock, and 564,028 unvested restricted stock units. During the year ended December 31, 2006, we issued 316,846 shares of common stock upon the vesting of restricted stock shares, restricted stock units and the exercise of stock options.

     As of December 31, 2006, our directors held options to purchase 20,000 shares under our 2002 Non-employee Director Equity Incentive Plan (the "Director Plan"). Upon the adoption of the 2004 Plan, the grant of
F-33

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
further awards under the Director Plan was suspended so that no additional awards could be made under the Director Plan.

     Upon our acquisition of Peak, we assumed the Peak 1998 Stock Incentive Plan (the "Peak Plan").  As of December 31, 2006, our employees held options to purchase 15,369 shares of common stock under the Peak Plan, and 85,468 shares had been issued upon the exercise of stock options.  No additional awards will be made under the Peak Plan.

     Prior to January 1, 2006, we accounted for our stock-based employee compensation plans under the recognition and measurement provisions of APB Opinion No. 25, Accounting for Stock Issued to Employees ("APB No. 25"), and related Interpretations, as permitted by FASB Statement No. 123, Accounting for Stock-Based Compensation ("SFAS No. 123"). Under APB No. 25, stock options granted at market required no recognition of compensation cost with a share-based compensation pro forma disclosure regarding the pro forma effect on net earnings assuming compensation cost had been recognized in accordance with SFAS No. 123 (in thousands, except per share amounts):

   
For the Year Ended
 
   
December 31, 2005
 
 December 31, 2004
 
               
Net income (loss) as reported(1)
 
$
24,761
 
$
(18,627
)
Compensation expense
   
(1,469
)
 
(1,568
)
Net income (loss) (pro forma)
 
$
23,292
)
$
(20,195
)
Net income (loss) per share:
             
Basic:
             
Net income (loss) as reported
 
$
1.55
 
$
(1.29
)
Compensation expense
   
(0.09
)
 
(0.11
)
Net income (loss) pro forma
 
$
1.46
 
$
(1.40
)
Diluted:
             
Net income (loss) as reported
 
$
1.55
 
$
(1.28
)
Compensation expense
   
(0.09
)
 
(0.11
)
Net income (loss) pro forma
 
$
1.46
 
$
(1.39
)

(1)
Includes total charges to our consolidated statements of income related to stock-based employee compensation cost of $1.3 million and $1.6 million for the years ended December 31, 2005 and 2004, respectively.

     Effective January 1, 2006, we adopted the fair value recognition provisions of Statement of Financial Accounting Standard No. 123 (revised 2004), Share-Based Payment ("SFAS No. 123(R)"), which requires all share-based payments to employees, including grants of employee stock options, to be recognized in the statement of operations based on their fair values.  We adopted SFAS No. 123(R) using the modified-prospective method in which compensation cost is recognized beginning with the effective date based on the requirements of SFAS No. 123(R) for all share-based payments granted or modified after the effective date, and for all awards granted to employees prior to the effective date that remain unvested on the effective date. Results for prior periods have not been restated.

     The adoption of SFAS No. 123(R) reduced income before income taxes and discontinued operations, and net income (loss) for the three and twelve months ended December 31, 2006, respectively, by $0.2 million and $1.1 million. Basic earnings per share of $0.61 and $0.86, and diluted earnings per share of $0.60 and $0.85 for the
F-34

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
three and twelve months ended December 31, 2006, respectively, were not impacted by the adoption of SFAS No. 123(R). Pursuant to SFAS No. 123(R), the cash flows resulting from the tax benefits in excess of the compensation cost recognized for those options (excess tax benefits) should be classified as financing cash flows. However, since we have a net operating loss carryforward that is increased by any excess tax benefit, then the tax benefit is not recognized until the deduction actually reduces current taxes payable. As of December 31, 2006, total unrecognized compensation cost related to stock option awards was $2.6 million, which includes $1.1 million for the Performance Share Awards, and the related weighted-average period over which it is expected to be recognized is approximately 2.50 years.

     A summary of option activity under the 2004 Plan, the Director Plan and the Peak Plan during the year ended December 31, 2006 is presented below:

 
 
 
 
Options
 
 
 
 
Shares
(in thousands)
 
 
 
Weighted-
Average
Exercise Price
 
Weighted-
Average
Remaining
Contractual
Term
 
 
Aggregate
Intrinsic
Value
(in thousands)
 
                           
Outstanding at January 1, 2006
   
1,383
 
$
7.03
             
Granted (1)
   
369
   
8.17
             
Exercised
   
(126
)
 
4.43
             
Forfeited or expired (2)
   
(134
)
 
7.13
             
Outstanding at December 31, 2006
   
1,492
 
$
7.52
   
6 years
 
$
(7,624
)
                           
Exercisable at December 31, 2006
   
648
 
$
7.37
   
6 years
 
$
(3,408
)
                           
(1)  
Includes 340 performance share awards earned during 2006.
(2)  
Includes 14 performance share forfeitures.

The weighted-average grant-date fair value of options granted during the years ended December 31, 2006, 2005 and 2004 was $4.40, $3.37 and $4.20, respectively.

     In connection with the restricted stock awards granted to employees, under APB No. 25, we recognized the full fair value of the shares of nonvested restricted stock awards and recorded an offsetting deferred compensation balance within equity for the unrecognized compensation cost. SFAS No. 123(R) prohibits this "gross-up" of stockholders' equity. As a result, we have reduced paid-in capital and unearned compensation by the same amount for all periods presented and upon the effective date of the adoption of SFAS No. 123(R), compensation cost is recognized over the requisite service period with an offsetting credit to equity and the full fair value of the share-based payment is not recognized until the instrument is vested. A summary of restricted stock activity with our share-based compensation plans during the year ended December 31, 2006, is as follows:
F-35

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
 
 
 
Nonvested Shares
 
 
 
Shares
(in thousands)
 
Weighted-
Average
Grant-Date
Fair Value
 
               
Nonvested at January 1, 2006
   
370
 
$
9.17
 
Granted (1)
   
357
   
8.22
 
Vested
   
(95
)
 
14.03
 
Forfeited (2)
   
(45
)
 
7.54
 
Nonvested at December 31, 2006
   
587
   
7.92
 
               
(1)  
Includes 340 performance shares earned during 2006.
(2)  
Includes 18 performance share forfeitures.

     The total fair value of restricted shares vested during the three and twelve months ended December 31, 2006 was $0.4 million and $1.2 million, respectively, and $0.4 million and $1.4 million for the three and twelve months ended December 31, 2005, respectively.

     Pursuant to FAS 123(R), the fair value of each option award is estimated on the date of grant using a Black-Scholes option valuation model that uses the assumptions noted in the following table. Expected volatility is based on the historical volatility of our stock. The expected term of options granted is derived using a temporary "shortcut approach" of our "plain vanilla" employee stock options. Under this approach, the expected term would be presumed to be the mid-point between the vesting date and the end of the contractual term. The risk-free rate for the period within the contractual life of the option is based on the U.S. Treasury yield curve in effect at the time of the grant. The weighted-average grant-date fair value of stock options granted during the year ended December 31, 2006 and 2005 was $4.40 and $3.37, respectively.

Expected volatility
57.15% - 80.62%
Weighted-average volatility
67.60%
Expected term (in years)
4.75
Risk-free rate
3.02% - 4.66%

(15)  Other Events

(a)  Litigation

     We are a party to various legal actions and administrative proceedings and are subject to various claims arising in the ordinary course of our business, including claims that our services have resulted in injury or death to the residents of our facilities, claims relating to employment and commercial matters. Although we intend to vigorously defend ourselves in these matters, there can be no assurance that the outcomes of these matters will not have a material adverse effect on our results of operations, financial condition and cash flows. In certain states in which we have or have had operations, insurance coverage for the risk of punitive damages arising from general and professional liability litigation may not be available due to state law public policy prohibitions. There can be no assurance that we will not be liable for punitive damages awarded in litigation arising in states for which punitive damage insurance coverage is not available.
F-36

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
     We operate in industries that are extensively regulated. As such, in the ordinary course of business, we are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. In addition to being subject to direct regulatory oversight of state and federal regulatory agencies, these industries are frequently subject to the regulatory supervision of fiscal intermediaries. If a provider is found by a court of competent jurisdiction to have engaged in improper practices, it could be subject to civil, administrative or criminal fines, penalties or restitutionary relief, and reimbursement authorities could also seek the suspension or exclusion of the provider or individual from participation in their program. We believe that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations, whether currently asserted or arising in the future, could have a material adverse effect on our financial position, results of operations and cash flows.

(b)  Other Inquiries

     From time to time, fiscal intermediaries and Medicaid agencies examine cost reports filed by predecessor operators of our skilled nursing facilities. If, as a result of any such examination, it is concluded that overpayments to a predecessor operator were made, we, as the current operator of such facilities, may be held financially responsible for such overpayments. At this time we are unable to predict the outcome of any existing or future examinations.

(c)  Legislation, Regulations and Market Conditions

     We are subject to extensive federal, state and local government regulation relating to licensure, conduct of operations, ownership of facilities, expansion of facilities and services and reimbursement for services. As such, in the ordinary course of business, our operations are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which may be non-routine. We believe that we are in substantial compliance with the applicable laws and regulations. However, if we are ever found to have engaged in improper practices, we could be subjected to civil, administrative or criminal fines, penalties or restitutionary relief, which may have a material adverse impact on our financial position, results of operations and cash flows.

     We entered into a Corporate Integrity Agreement (the "CIA") with the HHS/OIG in July 2001. It became effective on February 28, 2002 and terminates on February 28, 2007.  Notwithstanding the termination of the CIA, certain obligations under the CIA will continue until HHS/OIG completes its review of our final report under the CIA, which we expect to submit in May 2007. 

(16)  Segment Information

     We operate predominantly in the long-term care segment of the healthcare industry. We are a provider of long-term, sub-acute and related ancillary care services to nursing home patients.

     In fourth quarter of 2006, we sold our home health services operations and reclassified our remaining laboratory and radiology operations to assets and liabilities held for sale, and pursuant to SFAS No. 144, their net revenues and net operating income have been reclassified to discontinued operations for all periods presented and are no longer considered reportable segments.

     The following summarizes the services provided by our reportable and other segments:
F-37

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
Inpatient Services: This segment provides, among other services, inpatient skilled nursing and custodial services as well as rehabilitative, restorative and transitional medical services. We provide 24-hour nursing care in these facilities by registered nurses, licensed practical nurses and certified nursing aids. At December 31, 2006, we operated 141 long-term care facilities (consisting of 118 skilled nursing facilities, 13 assisted living and independent living facilities, seven mental health facilities, and three specialty acute care hospitals, which includes 56 facilities acquired in the Peak business combination) with 15,447 licensed beds as compared with 158 long-term care facilities (consisting of 134 skilled nursing facilities (10 of which were managed), 14 assisted living and independent living facilities, seven mental health facilities, and three specialty acute care hospitals, which includes 56 facilities acquired in the Peak business combination) with 16,063 licensed beds at December 31, 2005.

Rehabilitation Therapy Services: This segment provides, among other services, physical, occupational, speech and respiratory therapy supplies and services to affiliated and nonaffiliated skilled nursing facilities. At December 31, 2006, this segment provided services to 382 facilities, 295 nonaffiliated and 87 affiliated, as compared to 424 facilities at December 31, 2005, of which 328 were nonaffiliated and 96 were affiliated. At December 31, 2004, we closed our certified outpatient rehabilitation clinics in Colorado.

Medical Staffing Services: For the year ended December 31, 2006, this segment derived 60.8% of its revenues from hospitals and other providers, 22.8% from skilled nursing facilities, 8.2% from schools and 8.2% from prisons. We provide (i) licensed therapists skilled in the areas of physical, occupational and speech therapy, (ii) nurses, (iii) pharmacists, pharmacist technicians and medical imaging technicians, (iv) physicians, and (v) related medical personnel. As of December 31, 2006, this segment had 28 division offices, which provided temporary therapy and nursing staffing services in major metropolitan areas and 2 division offices, which specialize in the placement of temporary traveling therapists and 2 division offices specializing in permanent placement of healthcare professionals.

     Corporate assets primarily consist of cash and cash equivalents, receivables from subsidiary segments, notes receivable, property and equipment and unallocated intangible assets. Although corporate assets include unallocated intangible assets, the amortization, if applicable, is reflected in the results of operations of the associated segment.

     The accounting policies of the segments are the same as those described in the Note 3 - "Summary of Significant Accounting Policies." We primarily evaluate segment performance based on profit or loss from operations after allocated expenses and before reorganization and restructuring items, income taxes and extraordinary items. Gains or losses on sales of assets and certain items including impairment of assets recorded in connection with SFAS No. 144 and No. 142 and restructuring costs are not considered in the evaluation of segment performance. Allocated expenses include intersegment charges assessed to segments for management services and asset use based on segment operating results and average asset balances, respectively. We account for intersegment sales and provision of services at estimated market prices.

     Our reportable segments are strategic business units that provide different products and services. They are managed separately because each business has different marketing strategies due to differences in types of customers, distribution channels and capital resource needs.
F-38

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
As of and for the
                                  
Year Ended
                                  
December 31, 2006
Segment Information (in thousands):
 
                                     
       
 Rehabilitation
 
 Medical
                     
   
Inpatient
 
 Therapy
 
 Staffing
      
 Intersegment
      
 Discontinued
 
   
Services
 
 Services
 
 Services
 
 Corporate
 
 Eliminations
 
 Consolidated
 
 Operations
 
                                             
Revenues from external customers
 
$
879,112
 
$
80,623
 
$
85,866
 
$
36
 
$
-
 
$
1,045,637
 
$
105,687
 
                                             
Intersegment revenues
   
-
   
38,663
   
998
   
-
   
(39,661
)
 
-
   
-
 
                                             
     Total revenues
   
879,112
   
119,286
   
86,864
   
36
   
(39,661
)
 
1,045,637
   
105,687
 
                                             
Operating salaries and benefits
   
428,362
   
100,655
   
69,499
   
-
   
-
   
598,516
   
65,215
 
                                             
Self insurance for workers'
                                           
  compensation and general and
                                           
  professional liability insurance
   
30,101
   
1,390
   
903
   
300
   
-
   
32,694
   
(3,100
)
                                             
Other operating costs
   
246,697
   
6,778
   
4,988
   
(13
)
 
(39,661
)
 
218,789
   
31,215
 
                                             
General and administrative expenses
   
18,764
   
6,696
   
2,526
   
49,856
   
-
   
77,842
   
1,159
 
                                             
Provision for losses on accounts
                                           
   receivable
   
10,721
   
156
   
247
   
-
   
-
   
11,124
   
1,656
 
                                             
   Segment operating income (loss)
 
$
144,467
 
$
3,611
 
$
8,701
 
$
(50,107
)
$
-
 
$
106,672
 
$
9,542
 
                                             
Facility rent expense
   
55,702
   
219
   
813
   
-
   
-
   
56,734
   
2,577
 
                                             
Depreciation and amortization
   
11,893
   
365
   
749
   
1,859
   
-
   
14,866
   
1,525
 
                                             
Interest, net
   
13,418
   
(11
)
 
158
   
4,941
   
-
   
18,506
   
214
 
                                             
   Net segment income (loss)
 
$
63,454
 
$
3,038
 
$
6,981
 
$
(56,907
)
$
-
 
$
16,566
 
$
5,226
 
                                             
Identifiable segment assets
 
$
383,511
 
$
12,111
 
$
33,453
 
$
702,429
 
$
(521,040
)
$
610,464
 
$
10,959
 
                                             
Segment capital expenditures
 
$
18,299
 
$
422
 
$
412
 
$
2,857
 
$
-
 
$
21,990
 
$
1,273
 

_____________________________________
General and administrative expenses include operating administrative expenses.

The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, net, loss (gain) on sale of assets, net, loss on contract termination, income tax benefit and discontinued operations.

The term "net segment income (loss)" is defined as earnings before loss (gain) on sale of assets, net, loss on contract termination, income tax benefit and discontinued operations.
F-39

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
As of and for the
                                   
Year Ended
                                   
December 31, 2005
 
Segment Information (in thousands):      
 
                                     
       
 Rehabilitation
 
 Medical
                     
   
Inpatient
 
 Therapy
 
 Staffing
      
 Intersegment
      
 Discontinued
 
   
Services
 
 Services
 
 Services
 
 Corporate
 
 Eliminations
 
 Consolidated
 
 Operations
 
                                             
Revenues from external customers
 
$
614,913
 
$
79,674
 
$
70,534
 
$
661
 
$
-
 
$
765,782
 
$
121,403
 
                                             
Intersegment revenues
   
-
   
36,952
   
613
   
-
   
(37,565
)
 
-
   
-
 
                                             
Total net revenues
   
614,913
   
116,626
   
71,147
   
661
   
(37,565
)
 
765,782
   
121,403
 
                                             
Operating salaries and benefits
   
308,769
   
95,866
   
56,791
   
(1
)
 
-
   
461,425
   
71,931
 
                                             
Self insurance for workers'
                                           
  compensation and general and
                                           
  professional liability insurance
   
23,007
   
1,736
   
946
   
372
   
-
   
26,061
   
(10,440
)
                                             
Other operating costs (1)
   
173,277
   
7,626
   
4,371
   
10
   
(37,565
)
 
147,719
   
34,176
 
                                             
General and administrative expenses
   
13,453
   
7,351
   
2,748
   
47,195
   
-
   
70,747
   
1,389
 
                                             
Provision (adjustment) for losses on
                                           
  accounts receivable
   
3,839
   
(691
)
 
221
   
-
   
-
   
3,369
   
1,639
 
                                             
   Segment operating income (loss)
 
$
92,568
 
$
4,738
 
$
6,070
 
$
(46,915
)
$
-
 
$
56,461
 
$
22,708
 
                                             
Facility rent expense
   
37,056
   
336
   
738
   
-
   
-
   
38,130
   
2,951
 
                                             
Depreciation and amortization
   
6,813
   
234
   
376
   
966
   
-
   
8,389
   
1,587
 
                                             
Interest, net
   
7,344
   
(17
)
 
49
   
4,461
   
-
   
11,837
   
323
 
                                             
   Net segment income (loss)
 
$
41,355
 
$
4,185
 
$
4,907
 
$
(52,342
)
$
-
 
$
(1,895
)
$
17,847
 
                                             
Identifiable segment assets
 
$
364,232
 
$
12,645
 
$
33,773
 
$
591,233
 
$
(520,985
)
$
480,898
 
$
31,408
 
                                             
Segment capital expenditures
 
$
10,586
 
$
706
 
$
309
 
$
3,541
 
$
-
 
$
15,142
 
$
2,274
 

______________________________________
General and administrative expenses include operating administrative expenses.

The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, net, loss (gain) on sale of assets, loss on asset impairment, restructuring costs, net, income tax benefit and discontinued operations.

The term "net segment income (loss)" is defined as earnings before loss (gain) on sale of assets, loss on asset impairment, restructuring costs, net, income tax benefit and discontinued operations.

(1)  Includes $408 for loss on extinguishment of debt in Inpatient Services.
F-40

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
As of and for the
                                   
Year Ended
                                   
December 31, 2004
 
 Segment Information (in thousands):
 
                                     
       
 Rehabilitation
 
 Medical
                     
   
Inpatient
 
 Therapy
 
 Staffing
      
 Intersegment
      
 Discontinued
 
   
Services
 
 Services
 
 Services
 
 Corporate
 
 Eliminations
 
 Consolidated
 
 Operations
 
                                             
Revenues from external customers
 
$
566,660
 
$
79,443
 
$
54,713
 
$
47
 
$
-
 
$
700,863
 
$
145,432
 
                                             
Intersegment revenues
   
(600
)
 
33,310
   
2,103
   
(82
)
 
(34,731
)
 
-
   
-
 
                                             
Total net revenues
   
566,060
   
112,753
   
56,816
   
(35
)
 
(34,731
)
 
700,863
   
145,432
 
                                             
Operating salaries and benefits
   
285,010
   
89,711
   
43,918
   
(13
)
 
-
   
418,626
   
88,891
 
                                             
Self insurance for workers'
                                           
  compensation and general and
                                           
  professional liability insurance
   
18,975
   
681
   
885
   
184
   
-
   
20,725
   
10,908
 
                                             
Other operating costs (1)
   
156,114
   
7,650
   
4,329
   
24
   
(34,731
)
 
133,386
   
45,929
 
                                             
General and administrative expenses
   
11,895
   
6,398
   
3,140
   
44,104
   
-
   
65,537
   
1,687
 
                                             
Provision for losses on accounts
                                           
  Receivable
   
2,526
   
1,398
   
340
   
-
   
-
   
4,264
   
7,637
 
                                             
   Segment operating income (loss)
 
$
91,540
 
$
6,915
 
$
4,204
 
$
(44,334
)
$
-
 
$
58,325
 
$
(9,620
)
                                             
Facility rent expense
   
35,071
   
372
   
826
   
9
   
-
   
36,278
   
3,778
 
                                             
Depreciation and amortization
   
7,153
   
242
   
183
   
614
   
-
   
8,192
   
1,418
 
                                             
Interest, net
   
5,139
   
15
   
(10
)
 
3,527
   
-
   
8,671
   
189
 
                                             
   Net segment income (loss)
 
$
44,177
 
$
6,286
 
$
3,205
 
$
(48,484
)
$
-
 
$
5,184
 
$
(15,005
)
                                             
Identifiable segment assets
 
$
176,133
 
$
18,444
 
$
10,726
 
$
447,105
 
$
(366,759
)
$
285,649
 
$
27,504
 
                                             
Segment capital expenditures
 
$
8,373
 
$
202
 
$
40
 
$
2,738
 
$
-
 
$
11,353
 
$
1,537
 

 ______________________________________
General and administrative expenses include operating administrative expenses. 

The term "segment operating income (loss)" is defined as earnings before facility rent expense, depreciation and amortization, interest, net, loss (gain) on sale of assets, net, loss on lease termination, loss on asset impairment, restructuring costs, net, income taxes and discontinued operations.

The term "net segment income (loss)" is defined as earnings before loss (gain) on sale of assets, net, loss on lease termination, loss on asset impairment, restructuring costs, net, income taxes and discontinued operations.

(1)  Includes $3.4 million of gain on extinguishment of debt, net, in Inpatient Services.
F-41

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
DECEMBER 31, 2006
 
Measurement of Segment Income or Loss

     The accounting policies of the operating segments are the same as those described in the summary of significant accounting policies (See "Note 3 - Summary of Significant Accounting Policies"). We evaluate financial performance and allocate resources primarily based on income or loss from operations before income taxes, excluding any unusual items.

     The following table reconciles net segment income (loss) to consolidated income (loss) before income taxes and discontinued operations:

   
2006
 
 2005
 
 2004
 
                 
Net segment income (loss)
 
$
16,566
 
$
(1,895
)
$
5,184
 
   Loss on asset impairment
   
-
   
(361
)
 
(1,028
)
   Restructuring costs, net
   
-
   
(122
)
 
(1,972
)
   Loss on contract termination
   
(975
)
 
-
   
-
 
Loss on lease termination
   
-
   
-
   
(150
)
   Loss on sale of assets, net
   
(172
)
 
(383
)
 
(1,494
)
Income (loss) before income taxes and
                   
   discontinued operations
 
$
15,419
 
$
(2,761
)
$
540
 

(17)  401(K) Plan

     We have a defined contribution plan (the "401(k) plan"). Employees who have completed three months of service are eligible to participate. Effective January 1, 2004, the 401(k) plan allows for a discretionary employer match of contributions made by participants for any participants employed on the last day of the year. We may make matching contributions under this plan of 25 percent of a participant’s contribution, up to 3% of the participant's compensation. Expenses for discretionary matching contributions are recognized in the year they are determined. In January 2006, matching contributions for the 2005 plan of approximately $0.2 million were authorized.
F-42

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

SUPPLEMENTARY DATA (UNAUDITED)
QUARTERLY FINANCIAL DATA

     The following tables reflect unaudited quarterly financial data for fiscal years 2006 and 2005 (in thousands, except per share data):
   
For the Year
 
   
Ended
 
   
December 31, 2006 (1)
 
   
Fourth
 
 Third
 
 Second
 
 First
      
   
Quarter
 
 Quarter
 
 Quarter
 
 Quarter
 
 Total
 
                                 
Total net revenues
 
$
268,304
 
$
262,118
 
$
258,458
 
$
256,757
 
$
1,045,637
 
                                 
Income (loss) from continuing
                               
  operations (2)
 
$
10,030
 
$
(1,053
)
$
4,889
 
$
822
 
$
14,688
 
                                 
Income from discontinued
                               
  operations
 
$
9,835
 
$
(141
)
$
2,418
 
$
318
 
$
12,430
 
                                 
Net income (loss)
 
$
19,865
 
$
(1,194
)
$
7,307
 
$
1,140
 
$
27,118
 
                                 
Basic earnings per common and
                               
  common equivalent share:
                               
  Income (loss) from continuing
                               
    operations
 
$
0.31
 
$
(0.03
)
$
0.16
 
$
0.03
 
$
0.46
 
  Income (loss) from discontinued
                               
    operations
   
0.30
   
(0.01
)
 
0.07
   
0.01
   
0.40
 
  Net income (loss)
 
$
0.61
 
$
(0.04
)
$
0.23
 
$
0.04
 
$
0.86
 
                                 
Diluted earnings per common and
                               
  common equivalent share:
                               
  Income (loss) from continuing
                               
    operations
 
$
0.30
 
$
(0.03
)
$
0.16
 
$
0.03
 
$
0.46
 
  Income (loss) from discontinued
                               
    operations
   
0.30
   
(0.01
)
 
0.07
   
0.01
   
0.39
 
  Net income (loss)
 
$
0.60
 
$
(0.04
)
$
0.23
 
$
0.04
 
$
0.85
 
                                 
Weighted average number of
                               
  common and common equivalent
                               
  shares outstanding:
                               
  Basic
   
32,750
   
31,345
   
31,264
   
31,174
   
31,638
 
  Diluted
   
33,069
   
31,345
   
31,446
   
31,228
   
31,788
 

(1)
In accordance with SFAS No. 144, we have reclassified all activity related to the operations of divested entities for the years ended December 31, 2006, 2005 and 2004 to discontinued operations. Therefore, the quarterly financial data presented above including revenues, income (loss) before income taxes and discontinued operations and income (loss) on discontinued operations will not reflect the amounts filed previously in our Forms 10-Q with the SEC. However, net income remains the same.
(2)
We recorded a loss on contract termination of $0.1 million, and loss on sale of assets of $0.1 million. We also recorded a 32% effective tax rate for the first three quarters of 2006. During the fourth quarter, we were able to record a tax benefit for the realization of post-emergence temporary differences and refunds from NOL carrybacks which resulted in an effective tax rate for the year of approximately 5%. In addition, we recognized a $2.5 million non-cash charge to account for certain lease rate escalation clauses during the year (see “Note 3 - Significant Accounting Policies” in our consolidated financial statements). During the fourth quarter, we recognized an additional $2.8 million in provision for accounts receivable that were unbillable at the date of the Peak acquisition.

1

   
For the Year
 
   
Ended
 
   
December 31, 2005 (1)
 
   
Fourth
 
 Third
 
 Second
 
 First
      
   
Quarter
 
 Quarter
 
 Quarter
 
 Quarter
 
 Total
 
                                 
Total net revenues
 
$
216,539
 
$
186,957
 
$
184,306
 
$
177,980
 
$
765,782
 
                                 
Income (loss) from continuing
                               
  operations (3)
 
$
2,665
 
$
(2,109
)
$
284
 
$
(2,815
)
$
(1,975
)
                                 
  Income from discontinued operations
 
$
9,001
 
$
9,443
 
$
6,646
 
$
1,646
 
$
26,736
 
                                 
Net income (loss)
 
$
11,666
 
$
7,334
 
$
6,930
 
$
(1,169
)
$
24,761
 
                                 
Basic and diluted earnings per
                               
  common and common equivalent
                               
  share:
                               
  Income (loss) from continuing
                               
    operations
 
$
0.15
 
$
(0.14
)
$
0.02
 
$
(0.18
)
$
(0.12
)
  Income from discontinued
                               
    operations
   
0.50
   
0.62
   
0.43
   
0.10
   
1.67
 
  Net income (loss)
 
$
0.65
 
$
0.48
 
$
0.45
 
$
(0.08
)
$
1.55
 
                                 
Weighted average number of
                               
  common and common equivalent
                               
  shares outstanding:
                               
  Basic
   
17,957
   
15,365
   
15,351
   
15,320
   
16,003
 
  Diluted
   
18,054
   
15,365
   
15,352
   
15,320
   
16,003
 

(3)
We recorded a loss on asset impairment of $0.4 million, restructuring costs of $0.1 million, loss on sale of assets of $0.4 million and loss on extinguishment of debt of $0.4 million.

2


SCHEDULE II

SUN HEALTHCARE GROUP, INC. AND SUBSIDIARIES

VALUATION AND QUALIFYING ACCOUNTS
(in thousands)


   
Column A
 
 Column B
 
 Column C
 
 Column D
 
 Column E
 
   
Balance at
 
 Charged to
 
 Additions
      
 Balance at
 
   
Beginning
 
 Costs and
 
 Charged to
 
 Deductions
 
 End of
 
Description
 
of Period
 
 Expenses(1)
 
 Other Accounts
 
 Other  (2)
 
 Period
 
Year ended December 31, 2006
                               
   Allowance for doubtful accounts
 
$
29,384
 
$
12,763
 
$
-
 
$
(17,281
)
$
24,866
 
   Other receivable reserve
 
$
2,909
 
$
17
 
$
138
 
$
-
 
$
3,064
 
                                 
Year ended December 31, 2005:
                               
   Allowance for doubtful accounts
 
$
40,293
 
$
5,009
 
$
-
 
$
(15,918
)
$
29,384
 
   Other receivable reserve
 
$
5,739
 
$
-
 
$
-
 
$
(2,830
)
$
2,909
 
                                 
Year ended December 31, 2004:
                               
   Allowance for doubtful accounts
 
$
67,108
 
$
11,901
 
$
-
 
$
(38,716
)
$
40,293
 
   Other receivable reserve (3)
 
$
7,245
 
$
-
 
$
4,685
 
$
(6,191
)
$
5,739
 

(1)
Charges included in provision for losses on accounts receivable, of which $1,656, $1,640, and $7,637, respectively, for the years ended December 31, 2006, 2005 and 2004, relate to discontinued operations.
   
(2)
Column D primarily represents write offs and recoveries on divested receivables that have been fully reserved.
   
(3)
Includes reserves on long-term notes receivable of $148 as of December 31, 2004.
 
3


EX-10.12 2 ex10-12.htm EXHIBIT 10.12 Exhibit 10.12
EXHIBIT 10.12


Stock Option Grant

Sun Healthcare Group, Inc.
2004 Equity Incentive Plan

Name of Optionee:                            [______]

Shares Subject to Option:                 [______] shares of common stock, par value $.01 (“Common Stock”), of Sun Healthcare Group, Inc. (the “Company”).

Type of Option:                                  Nonqualified Stock Option

Exercise Price Per Share:                   $[______]

Date of Grant:                                      [______], 2007

Date Exercisable/Vesting:                 This option may be exercised to the extent the shares of Common Stock subject to this option have vested at any time after the Date of Grant. The option vests as follows (1) This option will vest with respect to 25% on each of the first four anniversaries of the Date of Grant, subject in each case to the Terms; (2) This option vests upon your termination of Service by the Company without Good Cause or your resignation from Service for Good Reason (as defined in the Terms); and (3) This option vests upon the date of a Change in Control if you are employed by the Company or a Parent or Subsidiary on that date (as defined in the Terms).

Expiration Date:                                  [______], 2014

By signing your name below, you accept this option and acknowledge and agree that this option is granted under and governed by the terms and conditions (collectively, the “Terms”) of the Sun Healthcare Group, Inc. 2004 Equity Incentive Plan and the Stock Option Agreement, both of which are hereby made a part of this document.

Optionee:                                           Sun Healthcare Group, Inc.
 
________________________                            ______________________________
                                                                                                      By: Richard K. Matros
                                                                                                      Title: Chief Executive Officer
 
CONSENT OF SPOUSE
 
In consideration of the Corporation’s execution of this award agreement, the undersigned spouse of the Grantee agrees to be bound by all of the terms and provisions hereof and of the Plan.

 
__________________________________   ______________________
SECTION 1. SIGNATURE OF SPOUSE      DATE

 
Stock Option Agreement


Sun Healthcare Group, Inc.
2004 Equity Incentive Plan

SECTION 2. GRANT OF OPTION.
 
(a) Option. On the terms and conditions set forth in this Agreement and each Notice of Stock Option Grant referencing this Agreement (the “Notice”), the Company grants to the Optionee on the Date of Grant an option to purchase at the Exercise Price a number of shares of Common Stock, all as set forth in the Notice. Each such Notice, together with this referenced Agreement, shall be a separate option governed by the terms of this Agreement.
 
(b) Plan and Defined Terms. This option is granted under and subject to the terms of the 2004 Equity Incentive Plan (the “Plan”), which is incorporated herein by this reference. Capitalized terms are defined in the Plan.
 
(c) Scope of this Agreement. This Agreement shall apply both to this option (or options) and to the shares of Common Stock acquired upon the exercise of such option(s).
 
SECTION 3. RIGHT TO EXERCISE.
 
Subject to the conditions set forth in this Agreement, all or part of this option may be exercised prior to its expiration at the time or times set forth in the Notice.
 
SECTION 4. TRANSFER OR ASSIGNMENT OF OPTION.
 
(a) Generally. This option shall be exercisable during the Optionee’s lifetime, only by the Optionee. Except as otherwise provided in subsection (b) below, this option and the rights and privileges conferred hereby shall not be sold, pledged or otherwise transferred (whether by operation of law or otherwise) other than by will or the laws of descent and distribution and shall not be subject to sale under execution, attachment, levy or similar process.
 
(b) Permitted Transfers. The Optionee shall be permitted to transfer this option, in connection with his or her estate plan, to the Optionee’s spouse, siblings, parents, children and grandchildren or trusts for the benefit of such persons or partnerships, corporations, limited liability companies or other entities owned solely by such persons, including trusts for such persons.
 
SECTION 5. EXERCISE PROCEDURES.
 
(a) Notice of Exercise. The Optionee or the Optionee’s representative may exercise this option by giving written notice to the Company specifying the election to exercise this option, the number of shares of Common Stock for which it is being exercised and the form of payment. Exhibit A is an example of a “Notice of Exercise”. The Notice of Exercise shall be signed by the person exercising this option. In the event that this option is being exercised by the Optionee’s representative, the notice shall be accompanied by proof (satisfactory to the Company) of the representative’s right to exercise this option. The Optionee or the Optionee’s representative shall deliver to the Company, at the time of giving the notice, payment in a form permissible under Section 5 for the full amount of the Purchase Price.
2

(b) Issuance of Common Stock. After receiving a proper notice of exercise, the Company shall cause to be issued a certificate or certificates for the shares of Common Stock as to which this option has been exercised, registered in the name of the person exercising this option (or in the names of such person and his or her spouse as community property or as joint tenants with right of survivorship).
 
(c) Withholding Requirements. The Company may withhold any tax (or other governmental obligation) as a result of the exercise of this option, as a condition to the exercise of this option, and the Optionee shall make arrangements satisfactory to the Company to enable it to satisfy all such withholding requirements. The Optionee shall also make arrangements satisfactory to the Company to enable it to satisfy any withholding requirements that may arise in connection with the vesting or disposition of shares of Common Stock purchased by exercising this option.
 
SECTION 6. PAYMENT FOR SHARES OF COMMON STOCK.
 
(a) Cash or Check. All or part of the Purchase Price may be paid in cash or by check.
 
(b) Alternative Methods of Payment. At the sole discretion of the Committee, all or any part of the Purchase Price and any applicable withholding requirements may be paid by one or more of the following methods:
 
(i) Surrender of Stock. By surrendering, or attesting to the ownership of, shares of Common Stock that are already owned by the Optionee free and clear of any restriction or limitation, unless the Company specifically agrees to accept such shares of Common Stock subject to such restriction or limitation. Such shares of Common Stock shall be surrendered to the Company in good form for transfer and shall be valued at their Fair Market Value on the date of the applicable exercise of this option. The Optionee shall not surrender, or attest to the ownership of, shares of Common Stock in payment of the Purchase Price (or withholding) if such action would cause the Company to recognize compensation expense (or additional compensation expense) with respect to this option for financial reporting purposes that otherwise would not have occurred.
 
(ii) Exercise/Sale. By the delivery (on a form prescribed by the Company) of an irrevocable direction (A) to a securities broker approved by the Company to sell shares of Common Stock and to deliver all or part of the sales proceeds to the Company, or (B) to pledge shares of Common Stock to a securities broker or lender approved by the Company as security for a loan, and to deliver all or part of the loan proceeds to the Company.
 
Should the Committee exercise its discretion to permit the Optionee to exercise this option in whole or in part in accordance with this subsection (b) above, it shall have no obligation to permit such alternative exercise with respect to the remainder of this option or with respect to any other option to purchase shares of Common Stock held by the Optionee.
 
SECTION 7. TERM AND EXPIRATION.
 
(a) Basic Term. Subject to earlier termination in accordance with subsection (b) below, the exercise period of this option shall expire on the expiration date set forth in the Notice, or in the event of the Optionee's death, the date that is one (1) year after the Optionee's Service terminates because of his or her death, if later.
3

(b) Termination of Service. If the Optionee’s Service terminates for any reason, then the exercise period for this option shall expire on the earliest of the following occasions (or such later date as the Committee may determine):
 
(i) The expiration date determined pursuant to subsection (a) above;
 
(ii) The date three (3) months after the termination of the Optionee’s Service for any reason other than death, Disability or Cause;
 
(iii) The date six (6) months after the termination of the Optionee’s Service by reason of Disability or retirement pursuant to any then current formal retirement policy of the Company;
 
(iv) The date twelve (12) months after the Optionee’s death; or
 
(v) The date of termination of the Optionee’s Service if such termination is for Cause or if Cause exists on such date.
 
The Optionee (or in the case of the Optionee’s death or disability, the Optionee’s representative) may exercise all or part of this option at any time before its expiration under the preceding sentence, but only to the extent that this option had become exercisable for vested shares of Common Stock on or before the date the Optionee’s Service terminates. When the Optionee’s Service terminates, this option shall expire immediately with respect to the number of shares of Common Stock for which this option is not yet vested.
 
(c) Leaves of Absence. For any purpose under this Agreement, Service shall be deemed to continue while the Optionee is on a bona fide leave of absence, if such leave was approved by the Company in writing or if continued crediting of Service for such purpose is expressly required by the terms of such leave or by applicable law (as determined by the Company).
 
SECTION 8. ADJUSTMENT OF SHARES OF COMMON STOCK.
 
(a) Adjustment Generally. If there shall be any change in the Common Stock of the Company, through merger, consolidation, reorganization, recapitalization, stock dividend, stock split, reverse stock split, split up, spin-off, combination of shares of Common Stock, exchange of shares of Common Stock, dividend in kind or other like change in capital structure or distribution (other than normal cash dividends) to stockholders of the Company, an adjustment shall be made to this option so that this option shall thereafter be exercisable for such securities, cash and/or other property as would have been received in respect of the Common Stock subject to the option had such option been exercised in full immediately prior to such change or distribution, and such an adjustment shall be made successively each time any such change shall occur.

(b) Modification of Option. In the event of any change or distribution described in subsection (a) above, in order to prevent dilution or enlargement of the Optionee's rights hereunder, the Committee may adjust, in an equitable manner, the number and kind of shares of Common Stock that may be issued under this Agreement, the Exercise Price applicable to this option, and the Fair Market Value of the Common Stock and other value determinations applicable to this option. Appropriate adjustments may also be made by the Committee in the terms of this option to reflect such changes or distributions and to modify any other terms of this option then outstanding, on an equitable basis, including modifications of performance targets and changes in the length of performance periods.
4

SECTION 9.  MISCELLANEOUS PROVISIONS.
 
(a) Rights as a Shareholder. Neither the Optionee nor the Optionee’s representative shall have any rights as a shareholder with respect to any shares of Common Stock subject to this option until the Optionee or the Optionee’s representative becomes entitled to receive such shares of Common Stock by (i) filing a notice of exercise, and (ii) paying the Purchase Price as provided in this Agreement.
 
(b) Tenure. Nothing in the Notice, Agreement or Plan shall confer upon the Optionee any right to continue in Service for any period of specific duration or interfere with or otherwise restrict in any way the rights of the Company (or any Parent or Subsidiary employing or retaining the Optionee) or of the Optionee, which rights are hereby expressly reserved by each, to terminate his or her Service at any time and for any reason, with or without Cause.
 
(c) Notification. Any notification required by the terms of this Agreement shall be given in writing and shall be deemed effective upon personal delivery or upon deposit with the United States Postal Service, by registered or certified mail, with postage and fees prepaid. A notice shall be addressed to the Company at its principal executive office and to the Optionee at the address that he or she most recently provided to the Company.
 
(d) Entire Agreement. The Notice, this Agreement and the Plan (and, if applicable, any employment or severance agreement between the parties) constitute the entire contract between the parties hereto with regard to the subject matter hereof. They supersede any other agreements, representations or understandings (whether oral or written and whether express or implied) which relate to the subject matter hereof.
 
(e) Waiver. No waiver of any breach or condition of this Agreement shall be deemed to be a waiver of any other or subsequent breach or condition whether of like or different nature.
 
(f) Successors and Assigns. The provisions of this Agreement shall inure to the benefit of, and be binding upon, the Company and its successors and assigns and upon the Optionee, the Optionee’s assigns and the legal representatives, heirs and legatees of the Optionee’s estate, whether or not any such person shall have become a party to this Agreement and have agreed in writing to be join herein and be bound by the terms hereof.
 
(g) Choice of Law. This Agreement shall be governed by, and construed in accordance with, the laws of the State of Delaware as such laws are applied to contracts entered into and performed in such State.
5

EXHIBIT A

Sample Notice of Exercise


Sun Healthcare Group, Inc.
18831 Von Karman
Suite 400
Irvine, CA 92612-1537
Attn: Corporate Secretary



I hereby exercise my stock option granted under the Sun Healthcare Group, Inc. 2004 Equity Incentive Plan (the “Plan”) and notify you of my desire to purchase the shares of Common Stock that have been offered pursuant to the Plan and related Option Agreement as described below.

I shall pay for the shares of Common Stock by delivery of a check payable to Sun Healthcare Group, Inc. (the “Company”) in the amount described below in full payment for such shares of Common Stock plus all amounts required to be withheld by the Company under state, federal or local law as a result of such exercise or shall provide such documentation as is satisfactory to the Company demonstrating that I am exempt from any withholding requirement.

This notice of exercise is delivered this ___ day of ___________________ (month) ____(year).

No. shares of Common
Stock to be Acquired
Type of Option
Exercise Price
Total
 
Nonqualified Stock
Option
   
Estimated Withholding
     
   
Amount Paid
 

Very truly yours,
 
 
______________________
Signature of Optionee
 
 
Optionee’s Name and Mailing Address
______________________
______________________
______________________
 
Optionee’s Social Security Number
 
_____________________


EX-10.13 3 ex10-13.htm EXHIBIT 10.13 Exhibit 10.13
EXHIBIT 10.13

Stock Unit Grant

Sun Healthcare Group, Inc.
2004 Equity Incentive Plan

Name of Grantee:                    [______]

Number of Stock Units:          [______]

Date of Grant:                          [______], 2007
 
Vesting:                                   The units shall become vested as follows if you are employed by Sun Healthcare Group, Inc. or its subsidiaries on the applicable vesting date: (i) 25% of the units shall vest on each of the following anniversaries of the Date of Grant: 13 months, 24 months, 36 months, and 48 months, subject in each case to the Terms; and (ii) the units shall become vested in full upon the date of a Change in Control (as defined in the Terms).
 
By signing your name below, you accept this stock unit award and acknowledge and agree that the units are granted under and governed by the terms and conditions (collectively, the “Terms”) of the Sun Healthcare Group, Inc. 2004 Equity Incentive Plan and the Stock Unit Agreement, both of which are hereby made a part of this document.

“GRANTEE”
 
 
_________________________________
Signature
 
_________________________________
Address
_________________________________
City, State, Zip Code
SUN HEALTHCARE GROUP, INC.,
a Delaware corporation

__________________________________
By: Richard K. Matros
Its: Chief Executive Officer

CONSENT OF SPOUSE
 
In consideration of the Corporation’s execution of this award agreement, the undersigned spouse of the Grantee agrees to be bound by all of the terms and provisions hereof and of the Plan.

 
__________________________________                                  ______________________
Signature of Spouse                                                                                    Date



Stock Unit Agreement
 
Sun Healthcare Group, Inc.
2004 Equity Incentive Plan
 
1. Stock Units. As used herein, a “Stock Unit” is a non-voting unit of measurement which is deemed for bookkeeping purposes to be equivalent in value to one outstanding share of Common Stock of the Corporation. The Stock Units shall be used solely as a device for the determination of any payment to eventually be made to the Grantee if and when such Stock Units vest pursuant to Section 2.
 
The Stock Units create no fiduciary duty to the Grantee and shall create only a contractual obligation on the part of the Corporation to make payments, subject to vesting and the other terms and conditions hereof, as provided in Sections 4 and 6 below. The Stock Units shall not be treated as property or as a trust fund of any kind. No assets have been secured or set aside by the Corporation with respect to the Award and, if amounts become payable to the Grantee pursuant to this Award Agreement, the Grantee’s rights with respect to such amounts shall be no greater than the rights of any general unsecured creditor of the Corporation.
 
2. Vesting. As set forth on the cover page of this Award Agreement, the Award shall vest in percentage installments, subject to earlier termination or acceleration and subject to adjustment as provided herein and in the Plan.
 
3. Continuance of Employment. The vesting schedule requires continued employment or service through each applicable vesting date as a condition to the vesting of the applicable installment of the Award and the rights and benefits under this Award Agreement. Employment or service for only a portion of the vesting period, even if a substantial portion, will not entitle the Grantee to any proportionate vesting or avoid or mitigate a termination of rights and benefits upon or following a termination of employment or services as provided in Section 7 below or under the Plan.
 
Nothing contained in this Award Agreement or the Plan constitutes an employment or service commitment by the Corporation or any Subsidiary, affects the Grantee’s status as an employee at will who is subject to termination without cause, confers upon the Grantee any right to remain employed by or in service to the Corporation or any Subsidiary, interferes in any way with the right of the Corporation or any Subsidiary at any time to terminate such employment or services, or affects the right of the Corporation or any Subsidiary to increase or decrease the Grantee’s other compensation or benefits. Nothing in this paragraph, however, is intended to adversely affect any independent contractual right of the Grantee under any written employment agreement with the Corporation.
 
4. Dividend and Voting Rights.
 
(a) Limitations on Rights Associated with Units. The Grantee shall have no rights as a stockholder of the Corporation, no dividend rights (except as expressly provided in Section 4(b) hereof with respect to Dividend Equivalents) and no voting rights with respect to the Stock Units or any shares of Common Stock issuable in respect of such Stock Units, until shares of Common Stock are actually issued to and held of record by the Grantee. No adjustments will be
 


made for dividends or other rights of a holder for which the record date is prior to the date of issuance of the stock certificate evidencing the shares.
 
(b) Dividend Equivalent Distributions. No later than sixty (60) days following each date that the Corporation pays an ordinary cash dividend on its outstanding Common Stock (if any ordinary cash dividends are paid), for which the related record date occurs after the Award Date and prior to the fourth anniversary of the Award Date, the Corporation shall make a cash payment to the Participant (or, in the Committee’s discretion, shall credit the Participant with additional Stock Units) equal to, subject to the tax withholding provisions of Section 9 hereof and Section 17 of the Plan, the amount of the ordinary cash dividend paid by the Corporation on a single share of Common Stock multiplied by the number of Stock Units subject to this Award Agreement outstanding and unpaid as of such record date (“Dividend Equivalents”).
 
5. Restrictions on Transfer. Prior to the time the Stock Units are vested and paid, neither the Stock Units comprising the Award nor any interest therein or amount payable in respect thereof may be sold, assigned, transferred, pledged or otherwise disposed of, alienated or encumbered, either voluntarily or involuntarily, other than by will or the laws of descent and distribution.
 
6. Timing and Manner of Payment of Stock Units. Stock Units subject to this Award Agreement shall be paid in an equivalent number of shares of Common Stock promptly after the vesting of such Stock Units in accordance with the terms hereof; provided, however, that the Committee may provide for all or a portion of such vested Stock Units to be paid in cash. Such payment shall be subject to the tax withholding provisions of Section 9 hereof and Section 17 of the Plan and subject to adjustment as provided in Section 12 of the Plan and shall be in complete satisfaction of such vested Stock Units. The Grantee or any other person entitled under the Plan to receive a payment of shares of Common Stock shall deliver to the Corporation any representations or other documents or assurances required pursuant to Section 18 of the Plan.
 
Notwithstanding the foregoing paragraph, the Grantee may elect, prior to the year in which a Stock Unit may vest and in accordance with rules prescribed the Committee, not to receive payment upon the vesting of such Stock Unit and instead have the Corporation continue to maintain such Stock Unit on its books of account. Subject to approval by the Committee, the value of any such deferred Stock Unit shall be payable as elected by the Grantee at the time of the deferral.
 
7. Effect of Termination of Employment or Services. The Grantee’s Stock Units shall be forfeited to the extent such units have not become vested upon the first date the Grantee is no longer employed by or providing services to the Corporation or one of its Subsidiaries, regardless of the reason for the termination of such employment or services, whether with or without cause, voluntarily or involuntarily. If the Grantee is employed by a Subsidiary and that entity ceases to be a Subsidiary, such event shall be deemed to be a termination of employment of the Grantee for purposes of this Award Agreement, unless the Grantee otherwise continues to be employed by the Corporation or another of its Subsidiaries following such event. If the Grantee is not an employee or director of the Corporation or a Subsidiary, the Committee shall be the sole judge for purposes of this Award Agreement whether the Grantee continues to render services to the Corporation or a Subsidiary and the date, if any, upon which such services shall be deemed to have terminated.
 
8. Adjustments Upon Specified Events. Upon the occurrence of certain events relating to the Corporation’s stock contemplated by Section 12 of the Plan, the Committee will
 


 
make adjustments if appropriate in the number of Stock Units contemplated hereby and the number and kind of securities that may be issued in respect of the Award.
 
9. Tax Withholding. The Corporation shall reasonably determine the amount of any federal, state, local or other income, employment, or other taxes which the Corporation or any of its affiliates may reasonably be obligated to withhold with respect to the grant, vesting, or other event with respect to the Stock Units. The Corporation may, in its sole discretion, withhold a sufficient number of shares of Common Stock in connection with the vesting of the Stock Units at the then Fair Market Value of the Common Stock (determined either as of the date of such withholding or as of the immediately preceding trading day, as determined by the Corporation in its discretion) to satisfy the amount of any such withholding obligations that arise with respect to the vesting of such Stock Units. The Corporation may take such action(s) without notice to the Grantee and shall remit to the Grantee the balance of any proceeds from withholding such shares in excess of the amount reasonably determined to be necessary to satisfy such withholding obligations. The Grantee shall have no discretion as to the satisfaction of tax withholding obligations in such manner. If, however, any withholding event occurs with respect to the Stock Units other than the vesting of such units, or if the Corporation for any reason does not satisfy the withholding obligations with respect to the vesting of the Stock Units as provided above in this Section 9, the Corporation shall be entitled to require a cash payment by or on behalf of the Grantee and/or to deduct from other compensation payable to the Grantee the amount of any such withholding obligations.
 
10. Notices. Any notice to be given under the terms of this Award Agreement shall be in writing and addressed to the Corporation at its principal office to the attention of the Secretary, and to the Grantee at the Grantee’s last address reflected on the Corporation’s records, or at such other address as either party may hereafter designate in writing to the other. Any such notice shall be given only when received, but if the Grantee is no longer an employee of the Corporation or one of its Subsidiaries, shall be deemed to have been duly given by the Corporation when enclosed in a properly sealed envelope addressed as aforesaid, registered or certified, and deposited (postage and registry or certification fee prepaid) in a post office or branch post office regularly maintained by the United States Government.
 
11. Plan. The Award and all rights of the Grantee under this Award Agreement are subject to, and the Grantee agrees to be bound by, all of the terms and conditions of the provisions of the Plan, incorporated herein by this reference. In the event of a conflict or inconsistency between the terms and conditions of this Award Agreement and of the Plan, the terms and conditions of the Plan shall govern. The Grantee agrees to be bound by the terms of the Plan and of this Award Agreement. The Grantee acknowledges reading and understanding the Plan, the Prospectus for the Plan, and this Award Agreement. Unless otherwise expressly provided in other sections of this Award Agreement, provisions of the Plan that confer discretionary authority on the Corporation’s Board of Directors (the “Board”) or the Committee do not (and shall not be deemed to) create any rights in the Grantee unless such rights are expressly set forth herein or are otherwise in the sole discretion of the Board or the Committee so conferred by appropriate action of the Board or the Committee under the Plan after the date hereof.
 
12. Entire Agreement. This Award Agreement and the Plan together constitute the entire agreement and supersede all prior understandings and agreements, written or oral, of the parties hereto with respect to the subject matter hereof. The Plan and this Award Agreement may be amended pursuant to Section 22 of the Plan. Such amendment must be in writing and signed by the Corporation. The Corporation may, however, unilaterally waive any provision hereof in
 


writing to the extent such waiver does not adversely affect the interests of the Grantee hereunder, but no such waiver shall operate as or be construed to be a subsequent waiver of the same provision or a waiver of any other provision hereof.
 
13. Counterparts. This Award Agreement may be executed simultaneously in any number of counterparts, each of which shall be deemed an original but all of which together shall constitute one and the same instrument.
 
14. Section Headings. The section headings of this Award Agreement are for convenience of reference only and shall not be deemed to alter or affect any provision hereof.
 
15. Governing Law. This Award Agreement and the rights of the parties hereunder with respect to the Award shall be governed by and construed and enforced in accordance with the laws of the State of Delaware without regard to conflict of law principles thereunder.
 
 


EX-21.1 4 ex-21.htm EXHIBIT 21.1 Exhibit 21.1
EXHIBIT 21.1

SUN HEALTHCARE GROUP, INC. SUBSIDIARIES
as of February 12, 2007


 
Jurisdiction of
Incorporation
Sun Healthcare Group, Inc.
Delaware
     Masthead Corporation
New Mexico
     SHG Services, Inc.
Delaware
          CareerStaff Unlimited, Inc.
Delaware
               ProCare One Nurses, LLC
Delaware
          SunDance Rehabilitation Corporation
Connecticut
               HTA of New York, Inc.
New York
               SunAlliance Healthcare Services, Inc.
Delaware
                    Pacific Health Care, Inc.
Arizona
                    U.S. Laboratory Corp.
Delaware
               SunDance Rehabilitation Agency, Inc.
Delaware
     Sun Anacortes, Inc.
Delaware
     SunBridge Healthcare Corporation
New Mexico
          Peak Medical Corporation
Delaware
               Peak Medical Ancillary Services, Inc.
Delaware
                    PMC Hospice Services, Inc.
Oklahoma
SolAmor Hospice Corporation
Oklahoma
               Peak Medical Assisted Living, Inc.
Delaware
               Peak Medical Colorado No. 2, Inc.
Delaware
               Peak Medical Colorado No. 3, Inc.
Delaware
               Peak Medical Farmington, Inc.
Delaware
               Peak Medical FHAPT, Inc.
Delaware
               Peak Medical Forest Hills, Inc.
Delaware
   Peak Medical Gallup, Inc.
Delaware
               Peak Medical Idaho Operations, Inc.
Delaware
               Peak Medical Las Cruces No. 2, Inc.
Delaware
               Peak Medical Las Cruces, Inc.
Delaware
               Peak Medical Mayfair, Inc.
Delaware
               Peak Medical Montana Operations, Inc.
Delaware
                    Great Falls Health Care Company, L.L.C.
Montana
               Peak Medical New Mexico No. 3, Inc.
Delaware
               Peak Medical NM Management Services, Inc.
Delaware
               Peak Medical of Boise, Inc.
Delaware
               Peak Medical of Colorado, Inc.
Delaware
               Peak Medical of Idaho, Inc.
Delaware
               Peak Medical of Montana, Inc.
Delaware
               Peak Medical of Utah, Inc.
Delaware
               Peak Medical Oklahoma Holdings--Lake Drive, Inc.
Delaware
               Peak Medical Oklahoma Holdings--McLoud, Inc.
Delaware
               Peak Medical Oklahoma No. 1, Inc.
Delaware
               Peak Medical Oklahoma No. 10, Inc.
Delaware
               Peak Medical Oklahoma No. 11, Inc.
Delaware
               Peak Medical Oklahoma No. 12, Inc.
Delaware
 


               Peak Medical Oklahoma No. 13, Inc.
Delaware
               Peak Medical Oklahoma No. 3, Inc.
Delaware
               Peak Medical Oklahoma No. 4, Inc.
Delaware
               Peak Medical Oklahoma No. 5, Inc.
Delaware
               Peak Medical Oklahoma No. 7, Inc.
Delaware
               Peak Medical Oklahoma No. 8, Inc.
Delaware
               Peak Medical Oklahoma No. 9, Inc.
Delaware
               Peak Medical PeachTree, Inc.
Delaware
               Peak Medical Roswell, Inc.
Delaware
               Peak Medical Utah No. 2, Inc.
Delaware
               PM Henryetta Holdings, Inc.
Delaware
               PM Oxygen Services, Inc.
Delaware
          Regency Health Services, Inc.
Delaware
               SunBridge Braswell Enterprises, Inc.
California
               SunBridge Brittany Rehabilitation Center, Inc.
California
               SunBridge Care Enterprises, Inc.
Delaware
                    SunBridge Beckley Health Care Corp.
West Virginia
                    SunBridge Care Enterprises West
Utah
                    SunBridge Circleville Health Care Corp.
Ohio
                    SunBridge Dunbar Health Care Corp.
West Virginia
                    SunBridge Glenville Health Care, Inc.
West Virginia
                    SunBridge Marion Health Care Corp.
Ohio
                    SunBridge Putnam Health Care Corp.
West Virginia
                    SunBridge Salem Health Care Corp.
West Virginia
               SunBridge Carmichael Rehabilitation Center
California
               SunBridge Hallmark Health Services, Inc.
Delaware
               SunBridge Harbor View Rehabilitation Center
California
               SunBridge Meadowbrook Rehabilitation Center
California
               SunBridge Paradise Rehabilitation Center, Inc.
California
               SunBridge Regency Rehab Hospitals, Inc.
California
                    SunBridge San Bernardino Rehabilitation Hospital, Inc.
Delaware
               SunBridge Regency-North Carolina, Inc.
North Carolina
               SunBridge Regency-Tennessee, Inc.
Tennessee
               SunBridge Shandin Hills Rehabilitation Center
California
               SunBridge Stockton Rehabilitation Center, Inc.
California
          SB Fountain City, Inc.
Georgia
          SB New Martinsville, Inc.
West Virginia
          SB West Toledo, Inc.
Ohio
          SunBridge Clipper Home of North Conway, Inc.
New Hampshire
          SunBridge Clipper Home of Portsmouth, Inc.
New Hampshire
          SunBridge Clipper Home of Rochester, Inc.
New Hampshire
          SunBridge Clipper Home of Wolfeboro, Inc.
New Hampshire
          SunBridge G. P. Corporation
New Mexico
          SunBridge Goodwin Nursing Home, Inc.
New Hampshire
          SunBridge Mountain Care Management, Inc.
West Virginia
          SunBridge Nursing Home, Inc.
Washington
          SunBridge Retirement Care Associates, Inc.
Colorado
                    Americare Health Services Corp.
Delaware
               SunBridge Charlton Healthcare, Inc.
Georgia
               SunBridge Gardendale Health Care Center, Inc.
Georgia
 


               SunBridge Jeff Davis Healthcare, Inc.
Georgia
               SunBridge Maplewood Healthcare Center of Jackson, Tennessee, Inc.
Tennessee
               SunBridge Statesboro Health Care Center, Inc.
Georgia
               SunBridge Summers Landing, Inc.
Georgia
               SunBridge West Tennessee, Inc.
Georgia
          SunHealth Specialty Services, Inc.
New Mexico
     SunMark of New Mexico, Inc.
New Mexico
     The Mediplex Group, Inc.
New Mexico
          CareerStaff Services Corporation
Colorado
          SunDance Services Corporation
Tennessee
 
 

EX-23.1 5 ex231.htm EXHIBIT 23.1 Exhibit 23.1
EXHIBIT 23.1





CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in the following Registration Statements and amendments thereto:

Form S-8 No. 333-115851
Form S-3 No. 333-113710
Form S-8 No. 333-130916
Form S-3 No. 333-135547
Form S-3 No. 333-135549
Form S-8 No. 333-135525

of Sun Healthcare Group, Inc. of our reports dated March 6, 2007, with respect to the consolidated financial statements and schedule of Sun Healthcare Group, Inc., Sun Healthcare Group, Inc. management’s assessment of the effectiveness of internal control over financial reporting, and the effectiveness of internal control over financial reporting of Sun Healthcare Group, Inc., included in the Annual Report (Form 10-K) for the year ended December 31, 2006.


Ernst & Young LLP


Dallas, Texas
March 6, 2007






EX-31.1 6 ex31-1.htm EXHIBIT 31.1 Exhibit 31.1
EXHIBIT 31.1

CERTIFICATION PURSUANT TO
SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002

I, Richard K. Matros, certify that:

1. I have reviewed this annual report on Form 10-K of Sun Healthcare Group, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal controls and procedures (as defined in Exchange Act Rules 13a - 13(f) and 15d - 15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.


Date: March 2, 2007
/s/ Richard K. Matros
 
Richard K. Matros
Chief Executive Officer (Principal Executive Officer)


EX-31.2 7 ex31-2.htm EXHIBIT 31.2 Exhibit 31.2
EXHIBIT 31.2

CERTIFICATION PURSUANT TO
SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002

I, Bryan Shaul, certify that:

1. I have reviewed this annual report on Form 10-K of Sun Healthcare Group, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal controls and procedures (as defined in Exchange Act Rules 13a - 13(f) and 15d - 15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of registrant's board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.


Date: March 2, 2007
/s/ Bryan Shaul
 
Bryan Shaul
Executive Vice President and Chief Financial Officer
  (Principal Financial and Accounting Officer)


EX-32.1 8 ex32-1.htm EXHIBIT 32.1 Exhibit 32.1
EXHIBIT 32.1

WRITTEN STATEMENT
PURSUANT TO
18 U.S.C. SECTION 1350



   The undersigned, Richard K. Matros, the Chief Executive Officer, of Sun Healthcare Group, Inc. (the "Company"), pursuant to 18 U.S.C. Section 1350, hereby certifies that:

(i)   the Annual Report on Form 10-K for the year ended December 31, 2006 of the Company (the "Report") fully complies with the requirements of section 13(a) and 15(d) of the Securities Exchange Act of 1934; and

(ii)   the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.


Date: March 2, 2007
/s/ Richard K. Matros                                     
 
Richard K. Matros
 
 


EX-32.2 9 ex32-2.htm EXHIBIT 32.2 Exhibit 32.2
EXHIBIT 32.2

WRITTEN STATEMENT
PURSUANT TO
18 U.S.C. SECTION 1350



   The undersigned, Bryan Shaul, the Executive Vice President and Chief Financial Officer (Principal Financial and Accounting Officer), of Sun Healthcare Group, Inc. (the "Company"), pursuant to 18 U.S.C. Section 1350, hereby certifies that:

(i)   the Annual Report on Form 10-K for the year ended December 31, 2006 of the Company (the "Report") fully complies with the requirements of section 13(a) and 15(d) of the Securities Exchange Act of 1934; and

(ii)   the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.


Date: March 2, 2007
/s/ Bryan Shaul                                        
 
Bryan Shaul
 
 


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