UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington D.C. 20549

 

 

FORM10-Q

 

 

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 20172018

OR

 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                        to                        

Commission File Number1-12607

 

 

SUNLINK HEALTH SYSTEMS, INC.

(Exact name of registrant as specified in its charter)

 

 

 

Ohio 31-0621189

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

900 Circle 75 Parkway, Suite 1120, Atlanta, Georgia 30339

(Address of principal executive offices)

(Zip Code)

(770)933-7000

(Registrant’s telephone number, including area code)

 

 

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

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of RegulationS-T (§232.405 of this chapter during the preceding 12 months (of for such shorter period that the registrant was required to submit and post such files).    Yes  ☒    No  ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or anon-accelerated filer, or a smaller reporting company. See definition of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule12b-2 of the Exchange Act.

 

Large accelerated filer   Accelerated filer 
Non-accelerated filer ☐  (Do not check if a smaller reporting company)  Smaller reporting company 
   Emerging growth company 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act.  ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule12b-2 of the Exchange Act).    Yes  ☐    No  ☒

The number of Common Shares, without par value, outstanding as of May 11, 20172018 was 9,162,608.7,416,814.

 

 

 


PART I. FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

ITEM 1.FINANCIAL STATEMENTS

SUNLINK HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands)

 

  March 31,   
  2017 June 30, 
  (unaudited) 2016   March 31,
2018
(unaudited)
 June 30,
2017
 
ASSETS      

Current Assets:

      

Cash and cash equivalents

  $11,237  $3,261   $3,541  $10,494 

Restricted cash

   1,000  0    0  1,000 

Receivables - net

   6,300  6,166 

Receivables – net

   5,884  5,906 

Inventory

   2,171  2,612    1,974  2,159 

Deferred income tax asset

   0  624 

Current assets held for sale

   0  2,461 

Prepaid expense and other assets

   2,784  2,768    3,083  3,062 
  

 

  

 

   

 

  

 

 

Total current assets

   23,492  17,892    14,482  22,621 

Property, plant and equipment, at cost

   31,669  33,914    30,103  28,609 

Less accumulated depreciation

   20,986  20,920    19,559  18,319 
  

 

  

 

   

 

  

 

 

Property, plant and equipment - net

   10,683  12,994 

Property, plant and equipment – net

   10,544  10,290 

Noncurrent Assets:

      

Intangible assets - net

   2,589  2,695 

Goodwill

   461  461 

Deferred income tax asset

   0  1,698 

Noncurrent assets held for sale

   0  7,633 

Intangible assets – net

   1,500  1,587 

Income tax receivable

   296  0 

Other noncurrent assets

   908  732    969  838 
  

 

  

 

   

 

  

 

 

Total noncurrent assets

   3,958  13,219    2,765  2,425 
  

 

  

 

   

 

  

 

 

TOTAL ASSETS

  $38,133  $44,105   $27,791  $35,336 
  

 

  

 

   

 

  

 

 
LIABILITIES AND SHAREHOLDERS’ EQUITY      

Current liabilities:

      

Accounts payable

  $1,851  $3,391   $1,254  $1,571 

Current maturities of long-term debt

   503  7,473 

Current maturities of long-term debt, net of debt issuance costs

   258  6,710 

Accrued payroll and related taxes

   2,398  2,872    2,381  2,098 

Due to third party payors

   630  1,883    293  658 

Current liabilities held for sale

   0  2,745 

Other accrued expenses

   1,258  1,687    1,099  1,277 
  

 

  

 

   

 

  

 

 

Total current liabilities

   6,640  20,051    5,285  12,314 

Long-Term Liabilities

      

Long-term debt, net of debt issuance costs

   6,327  2,979    2,863  0 

Noncurrent liability for professional liability risks

   879  1,161    752  1,040 

Other noncurrent liabilities

   283  425    304  289 
  

 

  

 

   

 

  

 

 

Total long-term liabilities

   7,489  4,565    3,919  1,329 

Commitment and Contingencies

      

Shareholders’ Equity

      

Preferred Shares, authorized and unissued, 2,000 shares

   0  0    0  0 

Common Shares, without par value:

      

Issued and outstanding, 9,163 shares at March 31, 2017 and 9,444 at June 30, 2016

   4,581  4,722 

Issued and outstanding, 7,417 shares at March 31, 2018 and 9,163 at June 30, 2017

   3,708  4,581 

Additionalpaid-in capital

   13,099  13,539    11,009  13,103 

Retained earnings

   6,744  1,648    4,197  4,336 

Accumulated other comprehensive loss

   (420 (420   (327 (327
  

 

  

 

   

 

  

 

 

Total Shareholders’ Equity

   24,004  19,489    18,587  21,693 
  

 

  

 

   

 

  

 

 

TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY

  $38,133  $44,105   $27,791  $35,336 
  

 

  

 

   

 

  

 

 

See notes to condensed consolidated financial statements.

 

2


SUNLINK HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

AND COMPREHENSIVE EARNINGS (LOSS)

(In thousands, except per share amounts)

(unaudited)

 

  Three Months Ended Nine Months Ended 
  March 31, March 31,   Three Months Ended
March 31,
 Nine Months Ended
March 31,
 
  2017 2016 2017 2016   2018 2017 2018 2017 

Operating revenues (net of contractual allowances)

  $13,883  $16,418  $41,321  $50,834   $13,550  $13,883  $41,021  $41,321 

Less provision for bad debts of Healthcare Facilities Segment

   184  213  321  1,461 

Less provision for bad debts of Healthcare Facilities segment

   133  184  363  321 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Net revenues

   13,699  16,205  41,000  49,373    13,417  13,699  40,658  41,000 

Costs and Expenses

          

Cost of goods sold

   5,523  5,614  15,592  15,582    5,073  5,523  14,623  15,592 

Salaries, wages and benefits

   5,872  7,675  17,476  23,918    6,045  5,872  17,697  17,476 

Provision for bad debts of Specialty Pharmacy Segment

   126  69  342  429 

Provision for bad debts of Pharmacy segment

   237  126  445  342 

Supplies

   455  647  1,373  2,486    448  455  1,361  1,373 

Purchased services

   692  761  2,113  2,510    672  692  2,021  2,113 

Other operating expenses

   1,194  1,958  4,015  6,125    1,052  1,194  3,639  4,015 

Rent and lease expense

   142  191  409  582    157  142  471  409 

EHR incentive payments

   0  0  (21 0 

Depreciation and amortization

   466  477  1,376  1,356    464  466  1,332  1,376 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Operating Loss

   (771 (1,187 (1,696 (3,615   (731 (771 (910 (1,696

Other Income, (Expense):

     

Other Income (Expense):

     

Gain on sale of assets

   2  5  3,019  12    183  2  181  3,019 

Loss on extinguishment of debt - net

   0  0  (243 0 

Interest expense - net

   (129 (211 (507 (637

Gain on economic damages claim, net

   0  0  944  0 

Loss on extinguishment of debt

   0  0  (238 (243

Interest expense, net

   (56 (129 (302 (507
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Earnings (Loss) from Continuing Operations before income taxes

   (898 (1,393 573  (4,240   (604 (898 (325 573 

Income Tax Expense (Benefit)

   (8 (1 (236 6,851 

Income Tax Benefit

   0  (8 (296 (236
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Earnings (Loss) from Continuing Operations

   (890 (1,392 809  (11,091   (604 (890 (29 809 

Earnings (Loss) from Discontinued Operations, net of tax

   (135 (443 4,287  (1,758   16  (135 (110 4,287 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Net Earnings (Loss)

   (1,025 (1,835 5,096  (12,849   (588 (1,025 (139 5,096 

Other comprehensive income

   0  0  0  0    0  0  0  0 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Comprehensive Earnings (Loss)

  $(1,025 $(1,835 $5,096  $(12,849  $(588 $(1,025 $(139 $5,096 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Earnings (Loss) Per Share:

          

Continuing Operations:

          

Basic

  $(0.10 $(0.15 $0.09  $(1.17  $(0.08 $(0.10 $(0.00 $0.09 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Diluted

  $(0.10 $(0.15 $0.09  $(1.17  $(0.08 $(0.10 $(0.00 $0.09 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Discontinued Operations:

          

Basic

  $(0.01 $(0.05 $0.46  $(0.19  $0.00  $(0.01 $(0.01 $0.46 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Diluted

  $(0.01 $(0.05 $0.45  $(0.19  $0.00  $(0.01 $(0.01 $0.45 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Net Earnings (Loss):

          

Basic

  $(0.11 $(0.19 $0.54  $(1.36  $(0.08 $(0.11 $(0.02 $0.54 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Diluted

  $(0.11 $(0.19 $0.54  $(1.36  $(0.08 $(0.11 $(0.02 $0.54 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Weighted-Average Common Shares Outstanding:

          

Basic

   9,334  9,443  9,408  9,443    7,417  9,334  8,564  9,408 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Diluted

   9,334  9,443  9,429  9,443    7,417  9,334  8,564  9,429 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

See notes to condensed consolidated financial statements.

 

3


SUNLINK HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

(Unaudited)

 

  Nine Months Ended
March 31,
   Nine Months Ended
March 31,
 
  2017 2016   2018 2017 

Net Cash Used in Operating Activities

  $(4,999 $(291  $(33 $(4,999

Cash Flows from Investing Activities:

   

Proceeds from sale of Chestatee

   14,620  0 

Proceeds from sale of medical office building and other assets

   4,942  0 

Expenditures for property, plant and equipment - continuing operations

   (1,097 (1,127

Expenditures for property, plant and equipment - discontinued operations

   0  (66

Cash Flows Provided by (Used in) Investing Activities:

   

Expenditures for property, plant and equipment – continuing operations

   (1,502 (1,097

Proceeds from sale of other assets

   412  4,942 

Proceeds from sale of hospital

   0  14,620 
  

 

  

 

   

 

  

 

 

Net Cash Provided by (Used in) Investing Activities

   18,465  (1,193   (1,090 18,465 

Cash Flows from Financing Activities:

   

Payments on long-term debt - continuing operation

   (3,850 (601

Cash Flows Used in Financing Activities:

   

Repurchase of common shares

   (640 0    (2,974 (640

Deposit of restricted cash

   (1,000 0 

Payments on long-term debt – continuing operations

   (3,856 (3,850

Receipt (Deposit) of restricted cash

   1,000  (1,000
  

 

  

 

   

 

  

 

 

Net Cash Used in Financing Activities

   (5,490 (601   (5,830 (5,490
  

 

  

 

   

 

  

 

 

Net increase (decrease) in Cash and Cash Equivalents

   7,976  (2,085   (6,953 7,976 

Cash and Cash Equivalents Beginning of Period

   3,261  5,974    10,494  3,261 
  

 

  

 

   

 

  

 

 

Cash and Cash Equivalents End of Period

  $11,237  $3,889   $3,541  $11,237 
  

 

  

 

   

 

  

 

 

Supplement Disclosure of Cash Flow Information:

   

Supplemental Disclosure of Cash Flow Information:

   

Cash Paid for:

      

Interest

  $458  $579   $269  $458 
  

 

  

 

   

 

  

 

 

Income taxes

  $141  $78   $0  $141 
  

 

  

 

   

 

  

 

 

See notes to condensed consolidated financial statements.

 

4


SUNLINK HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

THREE AND NINE MONTHS ENDED MARCH 31, 20172018

(all dollar amounts in thousands except per share amounts)

(unaudited)

Note 1. –Basis– Basis of Presentation

The accompanying unaudited Condensed Consolidated Financial Statements as of March 31, 20172018 and for the three and nine month periods ended March 31, 20172018 and 20162017 have been prepared in accordance with Rule10-01 of RegulationS-X of the Securities and Exchange Commission (“SEC”) and, as such, do not include all information required by accounting principles generally accepted in the United States of America (“GAAP”). The condensed consolidated June 30, 20162017 balance sheet included in this interim filing has been derived from the audited financial statements at that date but does not include all of the information and related notes required by GAAP for complete financial statements. These Condensed Consolidated Financial Statements should be read in conjunction with the audited consolidated financial statements included in the SunLink Health Systems, Inc. (“SunLink”, “we”, “our”, “ours”, “us” or the “Company”) Annual Report on Form10-K for the fiscal year ended June 30, 2016,2017, filed with the SEC on September 30, 2016.28, 2017. In the opinion of management, the Condensed Consolidated Financial Statements, which are unaudited, include all adjustments, consisting only of normal recurring adjustments, necessary to present fairly the financial position and results of operations for the periods indicated. The results of operations for the three and nine month periods ended March 31, 20172018 are not necessarily indicative of the results that may be expected for the entire fiscal year or any other interim period.

Note 2. – Business Operations

Business Operations

SunLink Health Systems, Inc., through subsidiaries, owns businesses which are providers ofprovide healthcare products and services in certainnon-urban markets in the southeastern United States. SunLink’sOur business is composed of two segments, the ownership of two business segments:

The Healthcare Facilities Segments, which is composed of:

A subsidiary which ownsServices segment and operatesthe Pharmacy segment. Our Healthcare Services segment subsidiaries own and operate an84-licensed-bed,84-bed acute carecommunity hospital located in Houston, Mississippi, which includes an18-bed geriatric psychiatry unit (“GPU”) and a66-bed nursing home.

A subsidiary which owns and operateshome in Mississippi, a100-bed nursing home located in Ellijay, Georgia. This subsidiary also owns a hospital buildingGeorgia, an IT service company, and leases a portion of that building to an unaffiliated healthcare provider.

A subsidiary which owns a medical office building and approximately two acres of unimproved land in Dahlonega, Georgia and a subsidiary which owns approximately 12 acres of unimproved land in Fulton, Missouri.

A subsidiary which owns a closed hospital building and a medical office building in Clanton, Alabama, a portion of which is currently rented to an unaffiliated healthcare provider.

The Specialty Pharmacy Segment, which is composed of four operational areas:

Pharmacy products and servicesfacilities which are conductedleased to third parties. Our Pharmacy segment subsidiary operates a pharmacy business in rural markets at three locations in Louisiana;

Louisiana with four service lines.

Institutional pharmacy services consisting of the provision of specialty andnon-specialty pharmaceutical and biological products to institutional clients or to patients in institutional settings, such as nursing homes, specialty hospitals, hospice, and correctional facilities;

Specialty pharmacy services; and

Durable medical equipment consisting primarily of products for nursing homes and patient-administered home care.

SunLink subsidiaries have conducted the healthcare facilities business since 2001 and the specialty pharmacy operations since 2008. Our Specialty Pharmacy Segment currently is operated through Carmichael’s Cashway Pharmacy, Inc. (“Carmichael”), a subsidiary of our SunLink ScriptsRx, LLC subsidiary.

5


The business strategy of SunLink is to focus its efforts on expanding the services and improving internalthe operations of the existing pharmacy business and healthcare facilities subsidiaries and on the sale or dispositionprofitability of its subsidiaries’ underperforming assets.existing Healthcare Services and Pharmacy businesses. The Company considers the disposition of business segments, facilities and operations based on a variety of factorsis investing in addition to under-performance, including asset values, return on investments and competition from existing and potential competitors, capital improvement needs, the prevailing reimbursement environment under various Federal and state programs (e.g., Medicare and Medicaid) and by private payors, corporate strategy and other corporate objectives. The Company also is considering potential upgrades and improvements to certain of its healthcare facilities. The Company believesHealthcare Services and Pharmacy businesses, while seeking to sell certain facilities in its Healthcare Facilities Segment as well as its Speciality Pharmacy Segment continue to under-perform, and the Company has engaged advisors to assist it in evaluating the possible sale of its specialty pharmacy business lines. subsidiaries’ underperforming assets.

The Company has used a portion of the cash proceeds from recent dispositions of assets to pay offdown debt and certain other liabilities, and to repurchase common shares in a tender offeroffers completed in February and December 2017. The Company may also use a portion of its existing cash, as well as any net proceeds from future dispositions, if any, to improve its existing businesses, make acquisitions of Healthcare Services and Pharmacy businesses, prepay debt,debts, return capital to shareholders including through potential public or private purchases of share, make improvements to existing facilities,shares, and for other general corporate purposes. There can beis no assurance that any further dispositions if any, will be authorized by the Company’s Board of Directors or, if authorized, that any such transactions will be completed or, if completed, will result in net cash proceeds to the Company on a before or after tax basis.

The Company considers the disposition of business segments, facilities and operations based on a variety of factors in addition to under-performance, including asset values, return on investments, competition from existing and potential competitors, capital improvement needs, the prevailing reimbursement environment under various Federal and state programs (e.g., Medicare and Medicaid) and private payors, and other corporate objectives. The Company believes certain facilities in its Healthcare Services segment as well as its Pharmacy segment continue to under-perform, and the Company has engaged advisors to assist it in evaluating the possible sale of its Pharmacy business lines.

On January 11, 2018, Carmichael’s Cashway Pharmacy, Inc., a wholly owned subsidiary of the Company, sold the assets of a retail pharmacy operation for approximately $410. Apre-tax gain of $183 on the sale of these assets is included in the results for the three months ended March 31, 2018.

5


Throughout these notes to the consolidated financial statements, SunLink Health Systems, Inc.,all references to “SunLink,” “we,” “our,” “ours,” “us” and its consolidated subsidiaries are referredthe “Company” refer to on a collective basis as “SunLink”, “we”, “our”, “ours”, “us” or the “Company.” This drafting style is not meant to indicate that SunLink Health Systems, Inc. or any particular subsidiary of SunLink Health Systems, Inc. owns or operates any asset, business, or property. The Trace Hospital, pharmacyand our consolidated subsidiaries. References to our specific operations refer to operations conducted through our subsidiaries and businesses describedreferences to “we,” “our,” “ours,” and “us” in this filing are owned and operated by distinct and indirect subsidiaries of SunLink Health System, Inc.such context refer to the operations.

Note 3. – Discontinued Operations

All of the businesses discussed in the note below are reported as discontinued operations and the condensed consolidated financial statements for all prior periods have been adjusted to reflect this presentation.

6


Results for all of the businesses included in discontinued operations are presented in the following table:

 

  Three Months Ended   Nine Months Ended 
  March 31,   March 31,   Three Months Ended
March 31,
   Nine Months Ended
March 31,
 
  2017   2016   2017   2016   2018   2017   2018   2017 

Net Revenues:

                

Chestatee Hospital

  $—     $3,771   $2,369   $11,357   $0   $0   $0   $2,369 

Other Sold Hospitals

   (68   17    (288   148    77    (68   71    (288
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 
  $(68  $3,788   $2,081   $11,505   $77   $(68  $71   $2,081 
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Earnings (Loss) before income taxes:

                

Chestatee Hospital

  $(104  $(322  $83   $(1,432  $0   $(104  $(38  $83 

Other Sold Hospitals

   (69   (85   (304   (219   61    (69   45    (304

Life sciences and engineering

   (37   (36   (112   (107   (36   (37   (108   (112

Gain on sale of Chestatee Hospital

   0    0    7,270    0 

Gain (Loss) on sale of Chestatee Hospital

   (9   0    (9   7,270 
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Earnings (Loss) before income taxes

   (210   (443   6,937    (1,758   16    (210   (110   6,937 

Income tax expense (benefit)

   (75   0    2,650    0 

Income tax expense

   0    (75   0    2,650 
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Earnings (Loss) from discontinued operations

  $(135  $(443  $4,287   $(1,758  $16   $(135  $(110  $4,287 
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Chestatee HospitalOn August 19, 2016, Southern Health Corporation of Dahlonega, Inc., (“Chestatee”), a wholly owned subsidiary of the Company, sold substantially all of the assets and certain liabilities of Chestatee Regional Hospital in Dahlonega, Georgia through an asset purchase agreement for $15,000 subject to adjustment for the book value of certain assets and certain liabilities assumed at the sale date. Thepre-tax gain on sale of $7,270 is subject to adjustment for various purchase price adjustments. A purchase price adjustment of $328 is due to the Company from the hospital buyer as a post-closing adjustment to the purchase price as confirmed by a binding decision of an independent accountant rendered pursuant to the purchase agreement. Chestatee retained certain liabilities, including forcertain employee related liabilities and certain Medicare and Medicaid liabilities, relating to the period it owned and operated the hospital. A portion of the net proceeds werewas used for the repayment of debt. The assets sold and liabilities assumed are shown as assets held for sale in our consolidated balances as of June 30, 2016.

Other Sold Hospitals– Subsidiaries of the Company have sold substantially all of the assets of three hospitals (“Other Sold Hospitals”) during the period July 2, 2012 to December 31, 2014. The lossearnings (loss) before income taxes of the Other Sold Hospitals results primarily from negative prior year Medicare and Medicaid cost report settlements.

Life Sciences and Engineering Segment – SunLink retained a defined benefit retirement plan which covered substantially all of the employees of this segment when the segment was sold in fiscal 1998. Effective February 28, 1997, the plan was amended to freeze participant benefits and close the plan to new participants. Pension expense and related tax benefit or expense is reflected in the results of operations for this segment for the three and nine months ended March 31, 20172018 and 2016.2017.

6


The components of pension expense for the three and nine months ended March 31, 20172018 and 2016,2017, respectively, were as follows:

 

   Three Months Ended   Nine Months Ended 
   March 31,   March 31, 
   2017   2016   2017   2016 

Interest Cost

  $13   $16   $39   $48 

Expected return on assets

   (8   (8   (24   (24

Amortization of prior service cost

   32    28    97    83 
  

 

 

   

 

 

   

 

 

   

 

 

 

Net pension expense

  $37   $36   $112   $107 
  

 

 

   

 

 

   

 

 

   

 

 

 

7


   Three Months Ended
March 31,
   Nine Months Ended
March 31,
 
   2018   2017   2018   2017 

Interest Cost

  $14   $13   $42   $39 

Expected return on assets

   (9   (8   (27   (24

Amortization of prior service cost

   31    32    93    97 
  

 

 

   

 

 

   

 

 

   

 

 

 

Net pension expense

  $36   $37   $108   $112 
  

 

 

   

 

 

   

 

 

   

 

 

 

SunLink contributed $105 to the plan in the nine months ended March 31, 20172018 and expects to contribute an additional $35 during the last fiscal quarter of the fiscal year ending June 30, 2017.2018.

Note 4. – Economic Damages Claim

The Pharmacy Segment subsidiary asserted claims for economic damages in connection with the Deepwater Horizon Settlement Program related to the event which occurred in 2010. In January 2018, these claims were settled and payments of approximately $944 (net of costs and attorneys’ fees) were received. The net settlements are recognized as a gain in the Condensed Consolidated Statements of Operations and Comprehensive Earnings (Loss) for the nine months ended March 31, 2018.

Note 5. – Restricted Cash

Under anthe Fourth Amendment to the Trace RDA Loan dated January 7, 2017 (see Note 8.9. Long-Term Debt), a deposit of $1,000 into anin a blocked interest bearing account was held by the lender. Under the Fifth Amendment to the Trace RDA Loan dated December 26, 2017, the blocked account was made with the lendereliminated and certain financial covenants were modified. The deposit, whicha prepayment was made on January 13, 2017, will remain in the blocked account until compliance is achieved with respect to financial covenants in effect prior to the Amendment or until November 15, 2017, when the modified financial covenants will revert back to thepre-modification amounts. At March 31, 2017, Trace was in compliance with the modified covenants but not with the prior covenants.RDA loan.

Note 5.6. – Shareholders’ Equity

Common Share Purchase Tender OfferOn November 21, 2017, SunLink purchased 280,800commenced a tender offer for the purchase of a portion of its common shares at a price of $1.50$1.60 per share as a result of a tender offer (the “Offer”) which. The offer expired February 24, 2017. The aggregate purchase price of theon December 21, 2017 with 3,725,656 common shares including expensestendered. In accordance with the terms and conditions of the Offer, was $640. The Offer was subject tothe Company accepted for payment a numbertotal of termsapproximately 1,745,751 shares at a price of $1.60 per share for a total cost of approximately $2,794, excluding fees and conditions described in the Offer to Purchase distributed to shareholders.

Charter Amendments to Protect Net Operating LossesOn November 7, 2016, SunLink’s shareholders approved amendmentsexpenses relating to the Company’s article of incorporation to restrict certain transfers of common shares in order to protect future use of the Company’s federal and state income tax net operating losses. The amendments generally void transfers of shares that would result in the creation of a new 4.9% shareholder or result in an existing 4.9% shareholder acquiring additional shares. The purpose of the amendments is to assist the Company in protecting the value of its accumulated NOLs by limiting transfers of the Company’s common shares that could ultimately result in an “ownership change” under Section 382 of the Internal Revenue Code. The amendments to the Company’s articles of incorporation are designed to work in tandem with the Tax Benefits Preservation Rights Plan adopted by the company’s board of directors in September 2016.

Tax Benefits Protection Rights PlanOn September 29, 2016, SunLink entered into a Tax Benefits Preservation Rights Plan (the “Tax Benefits Protection Rights Plan”). Effective September 29, 2016, the Board declared a dividend in the form of one preferred stock purchase right for each of the Company’s issued and outstanding common shares. The purpose of the Tax Benefits Protection Rights Plan is to diminish the risk that the Company’s ability to use its net operating losses and certain other tax assets to reduce potential future federal income tax obligations would become subject to limitations by reason of the Company experiencing an “ownership change,” as defined in Section 382 of the Code.Offer.

Stock-Based Compensation

For the three months ended March 31, 20172018 and 2016,2017, the Company recognized $5$1 and $10,$5, respectively, in stock based compensation for options issued to employees and directors of the Company. For the nine months ended March 31, 20172018 and 2016,2017, the Company recognized $59$7 and $49,$59, respectively, in stock based compensation for options issued to employees and directors of the Company. The fair value of the share options granted was estimated using the Black-Scholes option pricing model. There were 72,0000 and 30,00072,000 share options granted under the 2011 Director Stock Option Plan during the nine months ended March 31, 2018 and 2017, and 2016, respectively. There were 45,000 share options granted under the 2005 Equity Incentive Plan during the nine months ended March 31, 2016.

Note 6.7. – Revenue Recognition and Accounts Receivables

The Company’s subsidiaries recognize revenues in the period in which services are provided. Accounts receivable primarily consist of amounts due from third-party payors and patients. The Company’s subsidiaries’ ability to collect outstanding receivables is critical to their results of operations and cash flows. Amounts the Company’s subsidiaries receive for treatment of patients covered by governmental programs such as Medicare and Medicaid and other third-party payors such as health maintenance organizations (“HMOs”), preferred provider organizations (“PPOs”) and other private insurers are generally less than the Company’s subsidiaries’ established billing rates. Additionally, to provide for accounts receivable that could become uncollectible in the future an allowance for doubtful accounts is established to reduce the carrying value of such receivables to their estimated net realizable value. Accordingly, the revenues and accounts receivable reported in the accompanying unaudited condensed consolidated financial statements are recorded at the net amount expected to be received.

 

87


Revenues by payor were as follows for the three and nine months ended March 31, 20172018 and 2016:2017:

 

  Three Months Ended   Nine Months Ended 
  March 31,   March 31,   Three Months Ended
March 31,
   Nine Months Ended
March 31,
 
  2017   2016   2017   2016   2018   2017   2018   2017 

Healthcare Facilities Segment:

                

Medicare

  $2,079   $3,199   $6,447   $9,202   $2,485   $2,079   $7,167   $6,447 

Medicaid

   2,285    3,006    7,185    9,235    2,091    2,285    6,328    7,185 

Self-pay

   86    107    356    1,231    91    86    532    356 

Managed Care & Other Insurance

   871    1,411    2,248    5,840    793    871    2,278    2,248 

Other

   92    35    374    102    330    364    1,091    1,139 
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Revenues before provision for doubtful accounts

   5,413    7,758    16,610    25,610    5,790    5,685    17,396    17,375 

Provision for doubtful accounts

   (184   (213   (321   (1,461   (133   (184   (363   (321
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Healthcare Facilities Segment Net Revenues

   5,229    7,545    16,289    24,149    5,657    5,501    17,033    17,054 

Pharmacy Segment Net Revenues

   8,198    8,509    23,946    24,644    7,760    8,198    23,625    23,946 

Other Revenues

   272    151    765    580 
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Total Net Revenues

  $13,699   $16,205   $41,000   $49,373   $13,417   $13,699   $40,658   $41,000 
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

The net revenues of the Healthcare Facilities Segments included increases of $38 and $385 resulting from prior years’ Medicare cost report settlements for the three and nine months ended March 31, 2017 and increases (reductions) of $140 and ($662) resulting from prior years’ Medicare cost report settlements for the three and nine months ended March 31, 2016. The net revenues of the Pharmacy Segment are presented net of contractual adjustments. The provision for bad debts of the Pharmacy Segment is presented as a component of operating expenses in the Condensed Consolidated Statements of Operations and Comprehensive Loss.Earnings (Loss).

Summary information for accounts receivable is as follows:

 

  March 31   June 30, 
  2017   2016   March 31,
2018
   June 30,
2017
 

Accounts receivable (net of contractual allowances)

  $7,010   $7,157   $6,453   $6,458 

Less allowance for doubtful accounts

   (710   (991   (569   (552
  

 

   

 

   

 

   

 

 

Patient accounts receivable - net

  $6,300   $6,166 

Patient accounts receivable – net

  $5,884   $5,906 
  

 

   

 

   

 

   

 

 

 

98


The following is a summary of the activity in the allowance for doubtful accounts for the Healthcare FacilitiesServices Segment and the Pharmacy Segment for the three and nine months ended March 31, 20172018 and 2016:2017:

 

  Healthcare
Services
 Pharmacy Total 

Three Months Ended March 31, 2018

    

Balance at January 1, 2018

  $326  $219  $545 

Additions recognized as a reduction to revenues:

    

Continuing Operations

   133  237  370 

Discontinued Operations

   (4 0  (4

Accounts written off, net of recoveries

   (82 (260 (342
  

 

  

 

  

 

 

Balance at March 31, 2018

  $373  $196  $569 
  

 

  

 

  

 

 
  Healthcare
Services
 Pharmacy Total 

Nine Months Ended March 31, 2018

    

Balance at July 1, 2017

  $328  $224  $552 

Additions recognized as a reduction to revenues:

    

Continuing Operations

   363  445  808 

Discontinued Operations

   2  0  2 

Accounts written off, net of recoveries

   (320 (473 (793
  

 

  

 

  

 

 

Balance at March 31, 2018

  $373  $196  $569 
  

 

  

 

  

 

 
  Healthcare
Services
 Pharmacy Total 
Three Months Ended March 31, 2017  Healthcare             
  Facilities   Pharmacy   Total 

Balance at January 1, 2017

  $332   $400   $732   $332  $400  $732 

Additions recognized as a reduction to revenues:

          

Continuing Operations

   184    126    310    184  126  310 

Discontinued Operations

   (14   —      (14   (14 0  (14

Accounts written off, net of recoveries

   (180   (138   (318   (180 (138 (318
  

 

   

 

   

 

   

 

  

 

  

 

 

Balance at March 31, 2017

  $322   $388   $710   $322  $388  $710 
  

 

   

 

   

 

   

 

  

 

  

 

 
NIne Months Ended March 31, 2017  Healthcare         
  Facilities   Pharmacy   Total   Healthcare
Services
 Pharmacy Total 

Nine Months Ended March 31, 2017

    

Balance at July 1, 2016

  $624   $367   $991   $624  $367  $991 

Additions recognized as a reduction to revenues:

          

Continuing Operations

   321    342    663    321  342  663 

Discontinued Operations

   378    —      378    378  0  378 

Accounts written off, net of recoveries

   (1,001   (321   (1,322   (1,001 (321 (1,322
  

 

   

 

   

 

   

 

  

 

  

 

 

Balance at March 31, 2017

  $322   $388   $710   $322  $388  $710 
  

 

   

 

   

 

   

 

  

 

  

 

 
Three Months Ended March 31, 2016  Healthcare         
  Facilities   Pharmacy   Total 

Balance at January 1, 2016

  $4,055   $432   $4,487 

Additions recognized as a reduction to revenues:

      

Continuing Operations

   213    69    282 

Discontinued Operations

   530    —      530 

Accounts written off, net of recoveries

   (1,698   (146   (1,844
  

 

   

 

   

 

 

Balance at March 31, 2016

  $3,100   $355   $3,455 
  

 

   

 

   

 

 
Nine Months Ended March 31, 2016  Healthcare         
  Facilities   Pharmacy   Total 

Balance at July 1, 2015

  $4,962   $385   $5,347 

Additions recognized as a reduction to revenues:

      

Continuing Operations

   1,461    429    1,890 

Discontinued Operations

   2,116    —      2,116 

Accounts written off, net of recoveries

   (5,439   (459   (5,898
  

 

   

 

   

 

 

Balance at March 31, 2016

  $3,100   $355   $3,455 
  

 

   

 

   

 

 

New Accounting Pronouncement for Revenue Recognition

In May 2014, the Financial Accounting Standards Board (“FASB��) issued Accounting Standards Update (“ASU”) 2014-09, which outlines a single comprehensive model for recognizing revenue and supersedes most existing revenue recognition guidance, including guidance specific to the healthcare industry. This ASU provides companies the option of applying a full or modified retrospective approach upon adoption. This ASU is effective for fiscal years beginning after December 15, 2017, with early adoption permitted for annual periods beginning after December 15, 2016. The Company expects to adopt this ASU on July 1, 2018 and is currently implementing its plan for adoption and evaluating the impact on its revenue recognition policies, procedures and control framework and the resulting impact on its consolidated financial position, results of operations and cash flows. A significant element of executing this plan is the process of reviewing sources of revenue and evaluating the patient account population to determine the appropriate distribution of patient accounts into portfolios with similar collection experience that, when evaluated for collectability, will result in a materially consistent revenue amount for such portfolios as if each patient account was evaluated on a contract-by-contract basis. The Company is currently evaluating the appropriate portfolios to apply in its collectability analysis and is considering the impact of applying the new standard when its patient accounts are evaluated in those portfolios. The Company expects this process will be completed later in 2018.

Additionally, the adoption of the new accounting standard will impact the presentation on the Company’s statement of operations for a significant component of its provision for bad debts. After adoption of the new standard, the majority of what is currently classified as the provision for bad debts will be reflected as an implicit price concession as defined in the standard and therefore an adjustment to net patient revenue. The Company will continue to evaluate certain changes in collectability on its self-pay patient accounts receivable resulting from certain credit and collection issues not assessed at the date of service, including bankruptcy, and recognize such amounts in the provision for bad debts included in operating expenses on the statement of operations. The Company cannot reasonably estimate at this time the quantitative impact that the adoption of this accounting standard will have on the financial statements of the Company.

 

109


Note 7. - Goodwill and8. – Intangible Assets

SunLink’s goodwill and intangible assets are composed of:

   March 31,   June 30, 
   2017   2016 

Pharmacy Segment Goodwill

  $461   $461 
  

 

 

   

 

 

 

Intangibles consist of the following, net of amortization:

 

  March 31,   June 30, 
  2017   2016   March 31,
2018
   June 30,
2017
 

Pharmacy Segment Intangibles

        

Trade Name(non-amortizing)

   2,000    2,000    1,180    1,180 

Customer Relationships

   1,089    1,089    1,089    1,089 

Medicare License

   769    769    623    623 
  

 

   

 

   

 

   

 

 
   3,858    3,858    2,892    2,892 

Accumulated Amortization

   (1,269   (1,163   (1,392   (1,305
  

 

   

 

   

 

   

 

 

Net Intangibles

  $2,589   $2,695   $1,500   $1,587 
  

 

   

 

   

 

   

 

 

Amortization expense was $35$29 and $35 for the three months ended March 31, 20172018 and 2016,2017, respectively. Amortization expense was $106$87 and $106 for the nine months ended March 31, 20172018 and 2016,2017, respectively.

Note 8. –Long-Term9. – Long-Term Debt

Long-term debt consisted of the following:

 

  March 31,   June 30, 
  2017   2016   March 31,
2018
   June 30,
2017
 

Trace RDA Loan

  $7,321   $7,698   $3,347   $7,191 

SHPP RDA Loan

   0    1,950 

Carmichael Notes

   0    1,508 

Capital lease obligations and other

   17    32    0    12 
  

 

   

 

   

 

   

 

 

Total

   7,338    11,188    3,347    7,203 

Less unamortized debt issuance costs

   (508   (736   (226   (493

Less current maturities

   (503   (7,473   (258   (6,710
  

 

   

 

   

 

   

 

 

Long-term Debt

  $2,863   $0 
  $6,327   $2,979   

 

   

 

 
  

 

   

 

 

Trace RDA Loan and Trace Working Capital Loan—On July 11, 2012, Southern Health Corporation of Houston, Inc. (“Trace”) a wholly owned subsidiary of the Company, closed on a $9,975 Mortgage Loan Agreement (“Trace RDA Loan”) and a Working Capital Loan Agreement (which expired on July 2, 2016) with a bank, both dated as of July 5, 2012.

The Trace RDA Loan has a term of 15 years with level monthly payments of principal and interest until repaid. TheOn December 26, 2017, the Fifth Amendment to Loan Agreement, Modification of Note and Waiver (“Modification”) was entered into by Trace and the bank. Under the Modification, Trace made a $3,548 prepayment on the Trace RDA Loan. The monthly principal and interest payments on the RDA Loan bears a floatingwere reduced to $39 per month, the interest rate of interest equalwas reduced to the greater of (i) the prime rate (as published in Thethe Wall Street Journal) plus 1.5%1% with a floor of 5.5%, or (ii) 6% (6.0%(5.75% at March 31, 2017).2018) and certain loan covenants were modified. The Modification also included a waiver of covenant violations for the quarters ended June 30 and September 30, 2017. Trace was in compliance with the amended financial covenants at March 31, 2018. In connection with the modification and prepayment, an existing deposit of $1,000 in a blocked, interest bearing account with the lender was released. The Trace RDA Loan is collateralized by real estate and equipment of Trace in Houston, MS, and is partially guaranteed under the U.S. Department of Agriculture, Rural Development Business and Industry Program.

The Trace RDA Loan contains various terms and conditions, including financial restrictions and limitations, and affirmative and negative covenants. The covenants include financial covenants measured on a quarterly basis which require Trace to comply with a ratio of current assets to current liabilities, debt service coverage, fixed charge ratio, and funded debt to EBITDA, all as defined in the Trace RDA Loan. At September 30, 2016 and June 30, 2016, Trace was not in compliance with the debt service coverage, fixed charge ratio and funded debt to EBITDA ratios.

11


The Company received a waiver of thesenon-compliances from the lender for both measurement dates and the Trace RDA Loan was amended by the Fourth Amendment to Loan Agreement and Waiver dated January 6, 2017. Under the Fourth Amendment, the debt service coverage, the fixed charge coverage and funded debt to EBITDA ratios were amended for periods ended December 31, 2016, March 31, 2017 and June 30, 2017 and an additional covenant was entered into requiring the deposit of $1,000 into a blocked interest bearing account with the lender. The deposit, which was made on January 13, 2017, will remain in the blocked account until Trace achieves compliance with financial covenants in effect prior to the Amendment or November 15, 2017, when the modified financial covenants will revert back to thepre-modification amounts. At March 31, 2017, Trace was in compliance with the modified covenants but not with the prior covenants. Indebtedness of $7,698 as of June 30, 2016 is presented in current liabilities in the condensed consolidated balance sheet as a result of the financial covenantnon-compliance at that date. The ability of Trace to continue to make the required debt service payments under the Trace RDA Loan depends on, among other things, its ability to generate sufficient cash, flows, including from operating activities.activities and asset sales. If Trace is unable to generate sufficient cash flow from operations to meet debt service payments on the Trace RDA Loan, including in the event the lender were to declare an event of default and accelerate the maturity of the indebtedness, such failure could have material adverse effects on the Company. The Trace RDA Loan is guaranteed by the Company and one subsidiary.

SHPP RDA Loan—On November 6, 2012, SunLink Healthcare Professional Property, LLC, (“SHPP”) a subsidiary of the Company, entered into and closed on a $2,100 term loan dated as of October 31, 2012 (the “SHPP RDA Loan”) with a bank. On December 16, 2016, SHPP repaid the remaining $1,933 outstanding principal balance of this loan when it sold the collateral for the SHPP RDA Loan, a medical office building located in Ellijay, Georgia. An early repayment penalty of $97 was paid at that date as required by loan terms and $192 of unamortized prepaid loan costs were expensed as of the sale date, both of which were reported as a loss on early repayment of debt of $289 for the nine months ended March 31, 2017.

Carmichael Notes—On April 22, 2008, SunLink Scripts Rx, LLC issued a $3,000 promissory note with an interest rate of 8% to the former owners of Carmichael as part of the acquisition purchase price (the “Carmichael Notes”). The Carmichael Notes, as amended, were payable in semi-annual installments of $185 of principal and plus accrued interest, with the remaining balance of $1,255 due October 22, 2017. Under an agreement dated September 9, 2016, between the Company and the Note holders, the Carmichael Notes balance of $1,508 was paid in full on September 9, 2016 and the accrued interest payable to that date of $46 was forgiven. A gain on retirement of debt of $46 for the nine months ended March 31, 2017 was reported for the accrued interest forgiveness.

ASU2016-3, “Simplifying the Presentation of Debt Issuance Costs” —In April 2016, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update(“ASU”) 2016-3, “Simplifying the Presentation of Debt Issuance Costs” (“ASU2016-3”). ASU2016-3 requires debt issuance costs related to a recognized debt liability to be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts, rather than separately as an asset. The Company adopted the provisions of ASU2016-3 on July 1, 2016 and retrospectively for all periods presented. The adoption of ASU2016-3 had no impact on the Company’s results of operations or cash flows.

 

1210


The following is a summary of the line items impact of the adoption of ASU2016-3 in the Company’s June 30, 2016 accompanying condensed consolidated balance sheet:

   As   Adjustments   As 
   Originally   for the Adoption   Currently 
   Reported   of ASU2015-3   Reported 

Prepaid expense and other current assets

  $2,777   $(9  $2,768 

Total current assets

  $17,901   $(9  $17,892 

Other noncurrent assets

  $1,459   $(727  $732 

Total noncurrent assets

  $13,946   $(727  $13,219 

Total Assets

  $44,841   $(736  $44,105 

Current maturities of long-term debt

  $8,012   $(539  $7,473 

Total current liabilities

  $20,590   $(539  $20,051 

Long-term debt

  $3,176   $(197  $2,979 

Total long-term liabilities

  $4,762   $(197  $4,565 

Total Liabilities and Shareholders’ Equity

  $44,841   $(736  $44,105 

Note 9.10. – Income Taxes

Income tax benefit of $0 ($0 federal tax and $0 state tax expense) and income tax benefit of $8 ($32 federal tax benefit and $24 state tax expense) and income tax benefit of $1 ($0 federal tax expense and $1 state tax benefit) was recorded for continuing operations for the three months ended March 31, 20172018 and 2016,2017, respectively. Income tax benefit of $296 ($296 federal tax benefit and $0 state tax expense) and income tax benefit of $236 ($221 federal tax benefit and $15 state tax benefit) and income tax expense of $6,851 ($6,210 federal tax expense and $641 state tax expense) was recorded for continuing operations for the nine months ended March 31, 20172018 and 2016,2017, respectively.

In accordance with the Financial Accounting Standards Board Accounting Standards Codification (‘ASC”) 740, we evaluate our deferred taxes quarterly to determine if adjustments to our valuation allowance are required based on the consideration of available positive and negative evidence using a “more likely than not” standard with respect to whether deferred tax assets will be realized. Our evaluation considers, among other factors, our historical operating results, our expectation of future results of operations, the duration of applicable statuary carryforward periods and conditions of the healthcare industry. The ultimate realization of our deferred tax assets depends primarily on our ability to generate future taxable income during the periods in which the related temporary differences in the financial basis and the tax basis of the assets become deductible. The value of our deferred tax assets will depend on applicable income tax rates.

The Tax Cut and Jobs Act (“TCJA”) was enacted on December 22, 2017. Under ASC 740, the impact of changes in tax law must be recorded in the financial statements in the reporting period that included the date of enactment. However, the SEC and the FASB both recognize that the magnitude of this law change will require extensive analysis and calculations to conform to the new provisions. The SEC issued Staff Accounting Bulletin (‘SAB”) 118 on December 22, 2017. SAB 118 provides registrants with guidance on when and how to report the impact of the law change when not all necessary information is available.

At March 31, 2017,2018, consistent with the above process,processes, we evaluated the need for a valuation allowance against our deferred tax assets and determined that it was more likely than not that noneonly our federal alternative minimum tax (“AMT”) tax credits of our deferred tax assets$296 would be realized. AsThe AMT credit represents a result,provisional amount that will be finalized upon the filing of the Company’s federal income tax return for the year ended June 30, 2017. The filing of this return will occur prior to the Company’s fiscal year end which is within the measurement period. Under TCJA, AMT tax credits will now become refundable in conjunction with the repeal of the corporate AMT. For tax years beginning after December 31, 2017 and before January 1, 2022, the AMT credit is refundable in an amount equal to 50% (100% for the 2021 tax year) of the excess of the credit for the tax year over the amount of the credit allowable for the year against regular tax liability. This results in the Company receiving its entire AMT credit of $296 as a refund no later than fiscal 2022 and as such a valuation allowance is no longer needed for the AMT credit carryforward. However, in accordance with ASC 740, we recognized a valuation allowance of $10,206$8,071 against theall other net deferred tax asset so that there is no net long-term deferred income tax asset or liabilityitems at March 31, 2017.2018. We conducted our evaluation by considering available positive and negative evidence to determine our ability to realize our deferred tax assets. In our evaluation, we gave more significant weight to evidence that was objective in nature as compared to subjective evidence. Also, more significant weight was given to evidence that directly related to our current financial performance as compared to less current evidence and future plans.

The principal negative evidence that led us to determine at March 31, 20172018 that all$8,071 of the net deferred tax assets resulting fromnon-AMT credit carryforwards should have full valuation allowances was the three-year cumulativepre-tax loss from continuing operations as well as the underlying negative business conditions for rural healthcare businesses in which our Healthcare FacilitiesServices Segment businesses operate.

For Federal income tax purposes, at March 31, 2017,2018, the Company had approximately $11,100$13,400 of estimated net operating loss carry-forwards available for use in future years subject to the limitations of the provisions of Internal Revenue Code Section 382. TheThese net operating loss carryforwards expire in 2024.2025. With the enactment of TCJA, Federal net operating loss carryforwards generated in taxable years ending after December 31, 2017 now have no expiration date.

11


Note 10.11. – Commitments and Contingencies

Sale of Hospital Facilities — The Company has sold four hospital facilities since June��30, 2012 and in connection with the sales has retained certain assets and liabilities. – See Note 3 Discontinued Operations.

13


Contractual Obligations, Commitments and Contingencies

Contractual obligations, commitments and contingencies related to outstanding debt,non-cancelable operating leases and interest on outstanding debt from continuing operations at March 31, 20172018 were as follows:

 

          Interest on 
Payments  Long-Term   Operating   Outstanding 

due in:

  Debt   Leases   Debt 

Payments due in:

  Long-Term
Debt
   Operating
Leases
   Interest on
Outstanding
Debt
 

1 year

  $503   $545   $396   $258   $574   $172 

2 years

   561    402    400    296    423    173 

3 years

   596    336    366    315    340    155 

4 years

   634    243    328    333    132    136 

5+ years

   5,044    59    803    2,145    4    355 
  

 

   

 

   

 

   

 

   

 

   

 

 
  $7,338   $1,585   $2,293   $3,347   $1,473   $991 
  

 

   

 

   

 

   

 

   

 

   

 

 

On September 8, 2017, the Georgia Survey agency of the Georgia Department of Community Health (“DCH“) conducted a Complaint Investigation survey to determine whether our nursing home in Ellijay, Georgia was in compliance with federal program requirements for nursing homes participating in Medicare and/or Medicaid programs. As a result of this survey, the nursing home received from the DCH a notice of deficiencies which were identified as posing an immediate jeopardy to resident health and safety and which had to be corrected immediately. DCH also notified the nursing home of its intent to recommend civil monetary penalties. In response to the survey findings, the nursing home adopted a succession of plans to remedy the matters identified. On November 6, 2017, DCH advised the nursing home that its latest plan of correction was accepted and on November 20, 2017, DCH advised the nursing home that it was in substantial compliance with its long-term care requirements; however the nursing home anticipates further surveys to evaluate its implementation of the plans of correction. A Civil Money Penalty (“CMP”) was imposed by the Department of Health & Human Services Centers for Medicare and Medicaid Services on January 4, 2018 which resulted in $170 expensed in the nine months ended March 31, 2018. The CMP was paid January 18, 2018.

Note 11. -12. – Related Party Transactions

A director of the Company and the Company’s former corporate secretary are membersis a member of two differenta law firms, each offirm which provides services to SunLink. The Company has expensed an aggregate of $109$25 and $71$109 for legal services to thesethis law firmsfirm in the three months ended March 31, 20172018 and 2016,2017, respectively. The Company has expensed an aggregate of $481$215 and $204$481 for legal services to thesethis law firmsfirm in the nine months ended March 31, 20172018 and 2016,2017, respectively. Included in the Company’s condensed consolidated balance sheets at March 31, 20172018 and June 30, 20162017 is $21$12 and $75,$38, respectively, of amounts payable to thesethis law firms.firm.

Note 12. -13. – Sale of Assets

On January 11, 2018, Carmichael’s Cashway Pharmacy, Inc., a wholly owned subsidiary of the Company, sold the assets of a retail pharmacy operation it operates for approximately $410. Apre-tax gain on the sale of the assets of approximately $183 is included in the results for the three months ended March 31, 2018.

Note 14. – Financial Information by Segment

Under ASC Topic No. 280, Segment Reporting, operating segments are defined as components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker, or decision-making group, in deciding how to allocate resources and in assessing performance. Our chief operating decision-making group is composed of SunLink’s chief executive officer and other members of SunLink’s senior management. Our two reportable operating segments are Healthcare FacilitiesServices and Pharmacy.

12


We evaluate performance of our operating segments based on revenue and operating profit (loss). At the beginning of the current fiscal year, the Company modified the approach to certain assets, and expense allocations to calculate segment assets, operating profit and depreciation and amortization. All prior year amounts have been

14


changed to consistently apply the changed allocation method used in the current year. Segment information as of March 31, 20172018 and 20162017 and for the three and nine months then ended is as follows:

 

  Healthcare       Corporate       Healthcare
Facilities
 Pharmacy Corporate
and Other
 Total 
  Facilities   Pharmacy   and Other   Total 

As of and for the three months ended March 31, 2017

        

As of and for the three months ended March 31, 2018

     

Net revenues from external customers

  $5,229   $8,198   $272   $13,699   $5,657  $7,760  $0  $13,417 

Operating loss

   (112   (324   (335   (771

Operating profit (loss)

   114  (367 (478 (731

Depreciation and amortization

   150    289    27    466    167  297  0  464 

Assets

   12,458    11,519    14,156    38,133    14,394  9,104  4,293  27,791 

Expenditures for property, plant and equipment

   24    264    1    289    167  263  0  430 

As of and for the three months ended March 31, 2016

        

As of and for the three months ended March 31, 2017

     

Net revenues from external customers

  $7,545   $8,509   $151   $16,205   $5,501  $8,198  $0  $13,699 

Operating loss

   (638   —      (549   (1,187

Operating profit (loss)

   (146 (324 (301 (771

Depreciation and amortization

   176  289  1  466 

Assets

   13,936  11,519  12,678  38,133 

Expenditures for property, plant and equipment

   25  264  0  289 

As of and for the nine months ended March 31, 2018

     

Net revenues from external customers

  $17,033  $23,625  $0  $40,658 

Operating profit (loss)

   118  285  (1,313 (910

Depreciation and amortization

   186    246    45    477    485  845  2  1,332 

Assets

   26,288    12,135    6,496    44,919    14,394  9,104  4,293  27,791 

Expenditures for property, plant and equipment

   8    292    2    302    980  522  0  1,502 

As of and for the nine months ended March 31, 2017

             

Net revenues from external customers

  $16,289   $23,946   $765   $41,000   $17,054  $23,946  $0  $41,000 

Operating profit (loss)

   443    (511   (1,628   (1,696   146  (511 (1,331 (1,696

Depreciation and amortization

   497    810    69    1,376    563  810  3  1,376 

Assets

   12,458    11,519    14,156    38,133    13,936  11,519  12,678  38,133 

Expenditures for property, plant and equipment

   246    739    112    1,097    358  739  0  1,097 

As of and for the nine months ended March 31, 2016

        

Net revenues from external customers

  $24,149   $24,644   $580   $49,373 

Operating profit (loss)

   (2,134   216    (1,697   (3,615

Depreciation and amortization

   545    666    145    1,356 

Assets

   26,288    12,135    6,496    44,919 

Expenditures for property, plant and equipment

   93    1,031    3    1,127 

 

1513


ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL

CONDITION AND RESULTS OF OPERATIONS

(Dollars in thousands, except per share and admissions data)

Forward-Looking Statements

This Quarterly Report and the documents that are incorporated by reference in this Quarterly Report contain certain forward-looking statements within the meaning of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. Forward-looking statements include all statements that do not relate solely to historical or current facts and may be identified by the use of words such as “may,” “believe,” “will,” “expect,” “project,” “estimate,” “anticipate,” “plan” or “continue.” These forward-looking statements are based on current plans and expectations and are subject to a number of risks, uncertainties and other factors which could significantly affect current plans and expectations and our future financial condition and results. These factors, which could cause actual results, performance and achievements to differ materially from those anticipated, include, but are not limited to:

General Business Conditions

 

general economic and business conditions in the U.S., both nationwide and in the states in which we operate;

 

increases in uninsured and/or underinsured patients due to unemployment or other conditions, higher deductibles andco-insurance, or other terms of health insurance coverage resulting in higher bad debt amounts;

 

the competitive nature of the U.S. community hospital, nursing home, and specialty pharmacy businesses;

 

demographic changes in areas where we operate;

 

the availability of cash or borrowings to fund working capital, renovations, replacements, expansions, and capital improvements at existing healthcare and specialty pharmacy facilities and for acquisitions and replacement of such facilities;

 

changes in accounting principles generally accepted in the U.S.; and

 

fluctuations in the market value of equity securities including SunLink common shares.

Operational Factors

 

ability or inability to operate profitably in one or more segments of the healthcare business;

 

the availability of, and our ability to attract and retain, sufficient qualified staff physicians, management, nurses, pharmacists, and staff personnel for our operations;

 

timeliness and amount of reimbursement payments received under government programs;

 

changes in interest rates under lending agreements and other indebtedness;

 

the ability or inability to refinance existing indebtedness and existing or potential defaults under existing indebtedness;

 

restrictions imposed by existing or future lending agreements or other indebtedness;

 

the cost and availability of insurance coverage including professional liability (e.g., medical malpractice) and general liability insurance;

 

16


the efforts of insurers, healthcare providers, and others to contain healthcare costs;

 

14


the impact on hospital services of the treatment of patients in lower acuity healthcare settings, whether with drug therapy or in alternative healthcare settings, such as surgery centers or urgent care centers;

 

changes in medical and other technology;

 

risks of changes in estimates of self-insurance claims and reserves;

 

changes in prices of materials and services utilized in our Healthcare FacilitiesServices and Specialty Pharmacy Segments;segments;

 

changes in wages as a result of inflation or competition for physician, nursing, pharmacy, management and staff positions;

 

changes in the amount and risk of collectability of accounts receivable, including deductibles andco-pay amounts;

 

the functionality of or costs with respect to our information systems for our Healthcare FacilitiesServices and Specialty Pharmacy Segmentssegments and our corporate office, including both software and hardware;

 

the availability of and competition from alternative drugs or treatments to those provided by our Specialty Pharmacy Segment;segment; and

 

the restrictions, processes, and conditions relating to our Pharmacy Segmentsegment imposed by pharmacy benefit providers, drug manufacturers, and distributors.

Liabilities, Claims, Obligations and Other Matters

 

claims under leases, guarantees, disposition agreements, and other obligations relating to discontinued operations, including claims from sold or leased facilities,Facilities, retained liabilities or retained subsidiaries;

 

potential adverse consequences of known and unknown government investigations;

 

claims for product and environmental liabilities from continuing and discontinued operations;

 

professional, general, and other claims which may be asserted against us; and

 

natural disasters and weather-related events such as earthquakes, hurricanes, flooding, snow, ice and wind damage, and population evacuations affecting areas in which we operate.

Regulation and Governmental Activity

 

existing and proposed governmental budgetary constraints;

 

Federal and state insurance exchanges and their rules on reimbursement terms;

 

the decision by states in which we operate our remaining hospital (Mississippi) and two remaining nursing homes (Georgia and Mississippi) to not expand Medicaid;

 

the regulatory environment for our businesses, including state certificate of need laws and regulations, pharmacy licensing laws and regulations, rules and judicial cases relating thereto;

 

changes in the levels and terms of government (including Medicare, Medicaid and other programs) and private reimbursement for SunLink’s healthcare services including the payment arrangements and terms of managed care agreements; EHR reimbursement and indigent care reimbursements (Medicare Upper Payment Limit “UPL” and Disproportionate Share Hospital “DSH” adjustments);

 

17


changes in or failure to comply with Federal, state or local laws and regulations affecting our Healthcare FacilitiesServices and Specialty Pharmacy Segments; and

 

15


the possible enactment of additional Federal healthcare reform laws or reform laws in states where our subsidiaries operate hospital and pharmacy facilitiesFacilities (including Medicaid waivers, bundled payments, accountable care and similar organizations, competitive bidding and other reforms).

Dispositions, Acquisition and Renovation Related Matters

 

the ability to dispose of underperforming facilitiesFacilities and business segments;

 

the availability and terms of capital to fund acquisitions, improvements, renovations or replacement facilities;Facilities; and

 

competition in the market for acquisitions of hospitals, nursing homes, pharmacy facilities,Facilities, and healthcare businesses.

The foregoing are significant factors we think could cause our actual results to differ materially from expected results. However, there could be additional factors besides those listed herein that also could affect SunLink in an adverse manner.

You should read this Quarterly Report completely and with the understanding that actual future results may be materially different from what we expect. You are cautioned not to unduly rely on forward-looking statements when evaluating the information presented in this Quarterly Report or our other disclosures because current plans, anticipated actions, and future financial conditions and results may differ from those expressed in any forward-looking statements made by or on behalf of SunLink.

We have not undertaken any obligation to publicly update or revise any forward-looking statements. All of our forward-looking statements speak only as of the date of the document in which they are made or, if a date is specified, as of such date. We disclaim any obligation or undertaking to provide any updates or revisions to any forward-looking statement to reflect any change in our expectations or any changes in events, conditions, circumstances or information on which the forward-looking statement is based, except as required by applicable law. All subsequent written and oral forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by the foregoing factors and the other risk factors set forth elsewhere in this report and in our Annual Report on Form10-K.

Business Strategy: Operations, Dispositions and Acquisitions

The business strategy of SunLink is to focus its efforts on expanding the services and improving internalthe operations of the existing pharmacy business and healthcare facilities subsidiaries and on the sale or dispositionprofitability of its subsidiaries’ underperforming assets.existing Healthcare Services and Pharmacy businesses. The Company considers the disposition of business segments, facilities and operations based on a variety of factorsis investing in addition to under-performance, including asset values, return on investments and competition from existing and potential competitors, capital improvement needs, the prevailing reimbursement environment under various Federal and state programs (e.g., Medicare and Medicaid) and by private payors, corporate strategy and other corporate objectives. The Company also is considering potential upgrades and improvements to certain of its healthcare facilities. The Company believesHealthcare Services and Pharmacy businesses, while seeking to sell certain facilities in its Healthcare Facilities Segment as well as its Pharmacy Segment continue to under-perform, and the Company has engaged advisors to assist it in evaluating the possible sale of its specialty pharmacy business. subsidiaries’ underperforming assets.

The Company has used a portion of the cash proceeds from recent dispositions of assets to pay offdown debt and certain other liabilities, and to repurchase common shares in a tender offeroffers completed in February and December 2017. The Company may also use a portion of its existing cash, as well as any net proceeds from future dispositions, if any, to improve its existing businesses, make acquisitions of Healthcare Services and Pharmacy businesses, prepay debt,debts, return capital to shareholders including through potential public or private purchases of share, make improvements to existing facilities,shares, and for other general corporate purposes. There can beis no assurance that any further dispositions, if any, will be authorized by the Company’s Board of Directors or, if authorized, that any such transactions will be completed or, if completed, will result in net cash proceeds to the Company on a before or after tax basis.

The Company considers the disposition of business segments, facilities and operations based on a variety of factors in addition to under-performance, including asset values, return on investments, competition from existing and potential competitors, capital improvement needs, the prevailing reimbursement environment under various Federal and state programs (e.g., Medicare and Medicaid) and private payors, and other corporate objectives. The Company believes certain facilities in its Healthcare Services segment as well as its Pharmacy segment continue to under-perform, and the Company has engaged advisors to assist it in evaluating the possible sale of its Pharmacy business lines.

 

1816


On January 11, 2018, Carmichael’s Cashway Pharmacy, Inc., a wholly owned subsidiary of the Company, sold the assets of a retail pharmacy operation it operates for $410. Apre-tax gain on the sale of the assets of $183 is included in the results for the three months ended March 31, 2018.

Critical Accounting Estimates

The preparation of financial statements in accordance with U.S. GAAP requires us to make estimates and assumptions that affect reported amounts and related disclosures. We consider an accounting estimate to be critical if:

 

it requires assumptions to be made that were uncertain at the time the estimate was made; and

 

changes in the estimate or different estimates that could have been made could have a material impact on our consolidated results of operations or financial condition.

Our critical accounting estimates are more fully described in our 20162017 Annual Report on Form10-K and continue to include the following areas:

 

Receivables – net and provision for doubtful accounts;

 

Revenue recognition / Net Patient Service Revenues;

 

Goodwill, intangible assets and accounting for business combinations;

 

Professional and general liability claims; and

 

Accounting for income taxes

Financial Summary

The results of continuing operations shown in the financial summary below are for our two business segments, Healthcare FacilitiesServices and Pharmacy.

 

   Three Months Ended  

Nine Months Ended

 
   

 

  March 31,  

 

  

 

  March 31,  

 

 
   2017  2016  % Change  2017  2016  % Change 

Net Revenues - Healthcare Facilities

  $5,229  $7,545   -30.7 $16,289  $24,149   -32.5

Net Revenues - Pharmacy

   8,198   8,509   -3.7  23,946   24,644   -2.8

Other Revenues

   272   151   80.1  765   580   31.9
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total Net Revenues

   13,699   16,205   -15.5  41,000   49,373   -17.0

Costs and expenses

   (14,470  (17,392  -16.8  (42,696  (52,988  -19.4
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Operating loss

   (771  (1,187  NA   (1,696  (3,615  NA 

Interest expense - net

   (129  (211  -38.9  (507  (637  -20.4

Loss on extinguishment of debt

   0   0   NA   (243  0   NA 

Gain on sale of assets

   2   5   -60.0  3,019   12   NA 
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Earning (Loss) from continuing operations before income taxes

  $(898 $(1,393  35.5 $573  $(4,240  NA 
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Healthcare Facilities Segment:

       

Hospital and Nursing Home Admissions

   154   156   -1  400   679   -41

Nursing Home Patient Days

   13,428   14,099   -5  41,989   43,091   -3
   Three Months Ended
March 31,
  Nine Months Ended
March 31,
 
   2018  2017  % Change  2018  2017  % Change 

Net Revenues – Healthcare Services

  $5,657  $5,501   2.8 $17,033  $17,054   -0.1

Net Revenues – Pharmacy

   7,760   8,198   -5.3  23,625   23,946   -1.3
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total Net Revenues

   13,417   13,699   -2.1  40,658   41,000   -0.8

Costs and expenses

   (14,148  (14,470  -2.2  (41,568  (42,696  -2.6
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Operating profit (loss)

   (731  (771  -5.2  (910  (1,696  -46.3

Interest expense – net

   (56  (129  -56.6  (302  (507  -40.4

Loss on extinguishment of debt

   0   0   NA   (238  (243  -2.1

Gain on economic damages claim, net

   0   0   NA   944   0   NA 

Gain (Loss) on sale of assets

   183   2   NA   181   3,019   -94.0
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Earnings (Loss) from continuing operations before income taxes

  $(604 $(898  -32.7 $(325 $573   -156.7
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Healthcare Facilities Segment:

       

Hospital and Nursing Home Admissions

   196   154   27.3  518   399   29.8

Hospital and Nursing Patient Days

   13,876   14,561   -4.7  42,749   45,268   -5.6

 

1917


Results of Operations

Healthcare FacilitiesServices Segment Net Revenues

The following table sets forth the percentage of net patient revenues from major payors for the Healthcare Facilities SegmentServices segment for the periods indicated:

 

  Three Months Ended Nine Months Ended 
  March 31, March 31,   Three Months
Ended March 31,
 Nine Months
Ended March 31,
 
  2017 2016 2017 2016   2018 2017 2018 2017 

Source:

          

Medicare

   38.4 41.2 38.8 35.9   42.9 36.6 41.2 37.1

Medicaid

   42.2 38.8 43.3 36.1   36.1 40.2 36.4 41.4

Managed Care Insurance & Other

   17.8 18.6 15.7 23.2   19.4 21.7 19.4 19.4

Self-pay

   1.6 1.4 2.2 4.8   1.6 1.5 3.0 2.1
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 
   100.0 100.0 100.0 100.0   100.0  100.0  100.0  100.0
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

The Healthcare Facilities SegmentServices segment in the current year is composed of two nursing homes, one hospital, a subsidiary which provides information technology (“IT”) services to outside customers and SunLink subsidiaries, two leased medical office buildings. During thebuildings, and unimproved land at three and nine months ended March 31, 2016, the segment operated a second hospital on the same site as one of the nursing homes, but closed this hospital in June 2016.locations. Healthcare FacilitiesServices net revenues decreased $2,316increased $156, or 3%, for the three months ended March 31, 20172018 compared to the prior year period. Increased nursing home Medicaid revenues and $7,860decreased provision for bad debts resulted in the increased net revenues. Healthcare Services net revenues decreased $21, or less than 1%, for the nine months ended March 31, 2017,2018 compared to the prior year period primarily as a result of closing a hospital. Netperiod. Decreased nursing home Medicaid revenues, from all payer sourcespartially offset by increased physician clinic and nursing home Medicare revenues, resulted in the decreased compared to last year.net revenues. The net revenues of the Healthcare Facilities SegmentsServices Segment included increases of $38$35 and $385$299 resulting from prior years’ Medicare positive cost report settlements for the three and nine months ended March 31, 20172018, and increases (reductions) of $140$38 and ($662)$385 resulting from prior years’ Medicare positive cost report settlements for the three and nine months ended March 31, 2016.2017.

Pharmacy Segment Net Revenues

Pharmacy Segmentsegment net revenues for the three months ended March 31, 20172018 decreased $311,$438, or 4%5%, from the three months ended March 31, 2016.2017. The decrease was a result of a 10%13% decrease in Retail Pharmacy net revenues, a 3% decrease in Institutional Pharmacy net revenues and a 4% decrease in Durable Medical Equipment (“DME”) and a 6%net revenues. The decrease in Retail Pharmacy net revenues partially offset by a 2% increase in Institutional Pharmacy net revenues. DME net revenues decreasedis primarily due to the negative effectsale of the expansiona retail pharmacy operation in early January 2016 of Medicare Competitive Bidding in its service area. The average net revenue per DME sales order decreased 12% in the current year, primarily due to the Competitive Bidding expansion. The average net revenue per Retail2018. Pharmacy sales order decreased 10% in the current year.

Pharmacy Segmentsegment net revenues for the nine months ended March 31, 20172018 decreased $698,$321, or 3%1%, from the nine months ended March 31, 2016.2017. The decrease was a result of a 10% decrease in Durable Medical Equipment (“DME”) and a 5% decrease in Retail Pharmacy net revenues partially offset byand a 3% increasedecrease in Institutional Pharmacy net revenues partially offset by a 3% increase in DME net revenues. The average net revenue per DME sales order decreased 13% in the current year, primarily due to the Competitive Bidding expansion. The average net revenue per Retail Pharmacy sales order decreased 6% in the current year.

Healthcare Facilities Segment Cost and Expenses

Costs and expenses for our Healthcare Facilities Segment, including depreciation and amortization, were $5,341 and $8,183 for the three months ended March 31, 2017 and 2016, respectively. Costs and expenses for our Healthcare Facilities Segment, including depreciation and amortization, were $15,846 and $26,283 for the nine months ended March 31, 2017 and 2016, respectively.

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   Cost and Expenses 
   as a % of Net Revenues 
   Three Months Ended  Nine Months Ended 
   March 31,  March 31, 
   2017  2016  2017  2016 

Salaries, wages and benefits

   68.1  70.1  64.4  69.8

Supplies

   8.0  8.1  7.8  9.9

Purchased services

   7.7  8.2  7.9  8.4

Other operating expenses

   14.5  18.3  13.3  17.3

Rent and lease expense

   0.9  1.2  0.8  1.1

Depreciation and amortization expense

   2.9  2.5  3.0  2.3

All expense categories except depreciation and amortization decreased as a percentage of net revenues for the three months ended March 31, 2017. Depreciation and amortization expense decreased $37 this year. The $2,842 decrease in costs and expenses is due to the closure of one hospital included in the three months ended March 31, 2016. Similarly, all expense categories except depreciation and amortization decreased as a percentage of net revenues for the nine months ended March 31, 2017. Depreciation2018 increased primarily due to increased Medicare reimbursement realized from the implementation of the provisions of the 21st Century Cures Act.The Company expects that the increased revenues from the 21st Century Cures Act will not continue in material amounts this fiscal year. Scripts fulfilled volume has decreased for all Pharmacy Segment product areas for both the three and nine months ended March 31, 2018 compared to the prior year periods.

Healthcare Services Segment Cost and Expenses

Costs and expenses for our Healthcare Services Segment, including depreciation and amortization, expense decreased $48 this year. The $10,437 decrease in costswere $5,543 and $5,647 for the three months ended March 31, 2018 and 2017, respectively. Costs and expenses is due to the closure of one hospital included infor our Healthcare Services segment, including depreciation and amortization, were $16,915 and $16,908 for the nine months ended March 31, 2018 and 2017, respectively.

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   Cost and Expenses 
   as a % of Net Revenues 
   Three Months Ended  Nine Months Ended 
   March 31,  March 31, 
   2018  2017  2018  2017 

Salaries, wages and benefits

   66.8  69.0  67.7  65.6

Supplies

   7.4  7.6  7.5  7.5

Purchased services

   7.0  7.0  6.8  7.0

EHR incentive payments

   0.0  0.0  -0.1  0.0

Other operating expenses

   12.9  14.9  13.7  15.0

Rent and lease expense

   0.9  0.9  1.0  0.7

Depreciation and amortization expense

   3.0  3.2  2.8  3.3

Salaries, wages and benefits increased as a percent of net revenue for the nine months ended March 31, 2018 due to increased employee medical claims when compared to same period last year, but decreased as a percent of net revenue for the three months ended March 31, 2018 due to better labor management in the nursing homes this year. Supplies and Other operating expenses decreased this year because last year’s expenses included expenses related to a hospital that ceased operations in June 2016. Depreciation and amortization expense decreased $78 for the nine months ended March 31, 2018, as compared to the same period last year as a result of the sale of a medical office building last year.

Pharmacy Segment Cost and Expenses

Cost and expenses for our Pharmacy Segment,segment, including depreciation and amortization, were $8,522$8,127 and $8,509$8,522 for the three months ended March 31, 20172018 and 2016,2017, respectively. Cost and expenses for our Pharmacy Segment,segment, including depreciation and amortization, were $24,457$23,340 and $24,428$24,457 for the nine months ended March 31, 20172018 and 2016,2017, respectively.

 

  Cost and Expenses   Cost and Expenses 
  as a % of Net Revenues   as a % of Net Revenues 
  Three Months Ended Nine Months Ended   Three Months Ended Nine Months Ended 
  March 31, March 31,   March 31, March 31, 
  2017 2016 2017 2016   2018 2017 2018 2017 

Cost of goods sold

   67.4 66.0 65.1 63.2   65.4 67.4 61.9 65.1

Salaries, wages and benefits

   22.8 22.3 23.4 22.8   23.7 22.8 22.6 23.4

Provision for bad debts

   1.5 0.8 1.4 1.7   3.0 1.5 1.9 1.4

Supplies

   0.4 0.4 0.4 0.4   0.4 0.4 0.3 0.4

Purchased services

   3.5 3.3 3.7 3.5   3.4 3.5 3.5 3.7

Other operating expenses

   3.9 3.4 3.7 3.8   3.9 3.9 3.9 3.7

Rent and lease expense

   1.0 0.8 1.0 1.0   1.1 1.0 1.1 1.0

Depreciation and amortization expense

   3.5 2.9 3.4 2.7   3.8 3.5 3.6 3.4

Cost of goods sold as a percent of net revenues increaseddecreased in the three and nine month periodsperiod ended March 31, 20172018 as compared to the comparable periodsperiod of the prior year due to the increased of cost of certain generic drugs and changes in Institutional Pharmacy sales product mix, for the current period.

primarily decreased Institutional Pharmacy revenues, and increased discounts from their venders. Salaries, wages and benefits as a percent of net revenues increased in the three and nine month periodsperiod ended March 31, 20172018 as compared to the comparable periodsperiod of the prior year increased due to the lower net revenues and an actual expense decrease of $32sales in this year’s third fiscal quarter. Provision for bad debts increased for the currentthree months ended March 31, 2018 as compared to last year three month results. Depreciation and amortization expense increased $44 and $145 in the current three and nine month periods, respectively, due to increased depreciation for capitalized rental DME and capitalized leasehold improvements.lower than anticipated collections from private payors.

Operating Profit and Loss

The Company reported an operating loss of $731 for the three months ended March 31, 2018 compared to an operating loss of $771 for the three months ended March 31, 2017 compared to an operating loss of $1,187 for the three months ended March 31, 2016.2017. The operating loss for the three months ended March 31, 2017 decreased2018 compared to the operating loss for the prior year’s three month period resulted fromimproved as a result of increased operating profit of the closure of one hospital in June 2016 which was unprofitable. For the nine months ended March 31, 2017,Healthcare Facilities segment. The Company reported an operating loss of $1,696 was reported compared to an operating loss of $3,615 for the same period last year. Positive adjustments for Medicare cost report adjustments of $385$910 for the nine months ended March 31, 20172018 compared to negative adjustmentsoperating loss of $662$1,696 for the nine months ended March 31, 2016 contributed to the reduction of the2017. The operating loss last year included expenses related to a hospital that ceased operations in the current year’s nine months results compared to the same period last year.June 2016.

 

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Gain on Sale of Assetseconomic damages claim

The Pharmacy Segment subsidiary asserted claims for economic damages in connection with the Deepwater Horizon Settlement Program related to the event which occurred in 2010. In December 2016,January 2018, these claims were settled and payments of approximately $944 (net of costs and attorneys’ fees) were received. The net settlements are recognized as a subsidiary sold its medical office building complex, comprisedgain in the Condensed Consolidated Statements of landOperations and three buildings in Ellijay, GA (“Ellijay MOB”) for $4,900. A gain of $2,819 was reported on the sale. This property was the collateralComprehensive Earnings (Loss) for the SHPP RDA Loan, which was paid off at the closing of the sale.nine months ended March 31, 2018.

Interest Expense

Interest expense was $129$56 and $211$129 for the three months ended March 31, 2018 and 2017, and 2016, respectively,$302 and $507 and $637 for the nine months ended March 31, 20172018 and 2016,2017, respectively. The decrease in interest expense resulted from lower debt outstanding as the SHPP RDA loan and Carmichael Notes were repaid earlier in the current fiscal year.year, primarily because debt was reduced $3,856 in the nine months ended March 31, 2018 and $3,985 last fiscal year with no additional debt undertaken.

Income Taxes

Income tax benefit of $0 ($0 federal tax and $0 state tax expense) and income tax benefit of $8 ($32 federal tax benefit and $24 state tax expense) and income tax benefit of $1 ($0 federal tax expense and $1 state tax benefit) was recorded for continuing operations for the three months ended March 31, 20172018 and 2016,2017, respectively. Income tax benefit of $296 ($296 federal tax benefit and $0 state tax expense) and income tax benefit of $236 ($221 federal tax benefit and $15 state tax benefit) and income tax expense of $6,851 ($6,210 federal tax expense and $641 state tax expense) was recorded for continuing operations for the nine months ended March 31, 20172018 and 2016,2017, respectively.

In accordance with the Financial Accounting Standards Board Accounting Standards Codification (‘ASC”) 740, we evaluate our deferred taxes quarterly to determine if adjustments to our valuation allowance are required based on the consideration of available positive and negative evidence using a “more likely than not” standard with respect to whether deferred tax assets will be realized. Our evaluation considers, among other factors, our historical operating results, our expectation of future results of operations, the duration of applicable statuary carryforward periods and conditions of the healthcare industry. The ultimate realization of our deferred tax assets depends primarily on our ability to generate future taxable income during the periods in which the related temporary differences in the financial basis and the tax basis of the assets become deductible. The value of our deferred tax assets will depend on applicable income tax rates.

The Tax Cut and Jobs Act (“TCJA”) was enacted on December 22, 2017. Under ASC 740, the impact of changes in tax law must be recorded in the financial statements in the reporting period that included the date of enactment. However, the SEC and the FASB both recognize that the magnitude of this law change will require extensive analysis and calculations to conform to the new provisions. The SEC issued Staff Accounting Bulletin (‘SAB” 118) on December 22, 2017. SAB 118 provides registrants with guidance on when and how to report the impact of the law change when not all necessary information is available.

At March 31, 2017,2018, consistent with the above process,processes, we evaluated the need for a valuation allowance against our deferred tax assets and determined that it was more likely than not that noneonly our federal alternative minimum tax (“AMT”) tax credits of our deferred tax assets$296 would be realized. AsThe AMT credit represents a result,provisional amount that will be finalized upon the filing of the Company’s federal income tax return for the year ended June 30, 2017. The filing of this return will occur prior to the Company’s fiscal year end which is within the measurement period. Under TCJA, AMT tax credits will now become refundable in conjunction with the repeal of the corporate AMT. For tax years beginning after December 31, 2017 and before January 1, 2022, the AMT credit is refundable in an amount equal to 50% (100% for the 2021 tax year) of the excess of the credit for the tax year over the amount of the credit allowable for the year against regular tax liability. This results in the Company receiving its entire AMT credit of $296 as a refund no later than fiscal 2022 and as such a valuation allowance is no longer needed for the AMT credit carryforward. However, in accordance with ASC 740, we recognized a valuation allowance of $10,206$8,071 against theall other net deferred tax asset so that there is no net long-term deferred income tax asset or liabilityitems at March 31, 2017.2018. We conducted our evaluation by considering available positive and negative evidence to determine our ability to realize our deferred tax assets. In our evaluation, we gave more significant weight to evidence that was objective in nature as compared to subjective evidence. Also, more significant weight was given to evidence that directly related to our current financial performance as compared to less current evidence and future plans.

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The principal negative evidence that led us to determine at March 31, 20172018 that all$8,071 of the net deferred tax assets resulting fromnon-AMT credit carryforwards should have full valuation allowances was the three-year cumulativepre-tax loss from continuing operations as well as the underlying negative business conditions for rural healthcare businesses in which our Healthcare FacilitiesServices Segment businesses operate.

For Federal income tax purposes, at March 31, 2017,2018, the Company had approximately $11,100$13,400 of estimated net operating loss carry-forwards available for use in future years subject to the limitations of the provisions of Internal Revenue Code Section 382. TheThese net operating loss carryforwards expire in 2024.2025. With the enactment of TCJA, Federal net operating loss carryforwards generated in taxable years ending after December 31, 2017 now have no expiration date.

Gain on Sale of Assets

On January 11, 2018, Carmichael’s Cashway Pharmacy, Inc., a wholly owned subsidiary of the Company, sold the assets of a retail pharmacy operation it operates for approximately $410. Apre-tax gain on the sale of the assets of $183 is included in the results for the three and nine months ended March 31, 2018.

In December 2016, a subsidiary sold a medical office building complex, comprised of land and three buildings in Ellijay, GA (“Ellijay MOB”) for $4,900. A gain of $2,819 was reported on the sale.

Earnings (Loss) from Continuing Operations before Income Tax

Loss from continuing operations before income tax were $898was $604 for the three months ended March 31, 20172018 compared to a loss from continuing operations before income tax of $1,393$898 for the three months ended March 31, 2016. The decreased loss in the three months ended March 31, 2017 when compared to the same quarter last year resulted from the $526 decrease in Healthcare Facilities Segment’s operating loss and lower interest expense.

22


Earnings2017. Loss from continuing operations before income tax was $325 for the nine months ended March 31, 2018 compared to earnings from continuing operations before income tax of $573 for the nine months ended March 31, 2017 compared to a2017. The loss from continuing operations before income tax of $4,240 for the nine months ended March 31, 2016. The $2,819 gain on the sale of the Ellijay MOB resulted in earnings from continuing operations for the nine months period ended March 31, 2018 as compared the earnings from continuing operation for the nine month period thislast year results from a significant gain on the sale of assets last year.

Earnings (Loss) After Taxes

Loss from continuing operations were $604 (or a loss of $0.08 per fully diluted share) for the three months ended March 31, 2018 compared to a loss from continuing operations of $890 (or a loss of $0.10 per fully diluted share) for the three months ended March 31, 2017 compared to a2017. The reduced loss from continuing operations of $1,392 (or a loss of $0.15 per fully diluted share) forin the three months ended March 31, 2016. Earnings2018 compared to the same period last year resulted from the gain on the sale of certain retail pharmacy assets in January 2018. Loss from continuing operations were $809 ($0.09$29 (or a loss $0.00 per fully diluted share) for the nine months ended March 31, 20172018 compared to a lossearnings from continuing operations of $11,091$809 (or a loss of $1.17$0.09 per fully diluted share) for the nine months ended March 31, 2016.2017. The losses for the periods ended March 31, 2016 included higher income tax expense due to the need for full valuations for all deferred net tax assets as a result of continuing operating losses.

Loss from discontinued operations were $135 for the three months ended March 31, 2017, compared to a loss from discontinued operations of $443 for the three months ended March 31, 2016. Earnings from discontinued operations were $4,287 (including a gain on sale of Chestatee of $7,270 and income tax expense of $2,650) for the nine months period ended March 31, 2017,2018 as compared to a loss from discontinued operations of $1,758the earnings for the nine months ended March 31, 2016.month period last year results from a significant gain on the sale of assets last year.

Net loss for the three months ended March 31, 20172018 was $588 (or a loss of $0.08 fully diluted share) compared to a net loss of $1,025 (or a loss of $0.11 fully diluted share) compared to net loss of $1,835 (a loss of $0.19 earnings per fully diluted share) for the three months ended March 31, 2016.2017. Net incomeloss for the nine months ended March 31, 20172018 was $5,096$139 (or $0.54a loss of $0.02 fully diluted share) compared to net lossearnings of $12,849 (a loss of $1.36$5,096 ($0.54 earnings per fully diluted share) for the nine months ended March 31, 2017. Net earnings last year included $4,287 of earnings from discontinued operations which primarily resulted from the gain on the sale of a hospital in August 2016.

Adjusted earnings before income taxes, interest, depreciation and amortization

Earnings before income taxes, interest, depreciation and amortization (“EBITDA”) represent the sum of income before income taxes, interest, depreciation and amortization. We understand that certain industry analysts and investors generally consider EBITDA to be one measure of the liquidity of a company, and it is presented to assist analysts and investors in analyzing the ability of a company to generate cash, service debt and meet capital requirements. We believe increased EBITDA is an indicator of improved ability to service debt and to satisfy capital requirements. EBITDA, however, is not a measure of financial performance under accounting principles generally

21


accepted in the United States of America and should not be considered an alternative to net income as a measure of operating performance or to cash liquidity. Because EBITDA is not a measure determined in accordance with accounting principles generally accepted in the United States of America and is thus susceptible to varying calculations, EBITDA, as presented, may not be comparable to other similarly titled measures of other corporations. Where we adjust EBITDA fornon-cash charges, we refer to such measurement as “Adjusted EBITDA”, which we report on a Company wide basis.Non-cash adjustments in Adjusted EBITDA are not intended to be identified or characterized in any respect as“non-recurring, infrequent or unusual,” if we believe such charge is reasonably likely to recur within two years, or if there was a similar charge (or gain) within the prior two years. Where we report Adjusted EBITDA, we typically also report Healthcare Facilities SegmentServices segment Adjusted EBITDA and Pharmacy Segmentsegment Adjusted EBITDA which is the EBITDA for the applicable segments without any allocation of corporate overhead, which we report as a separate line item, without gains on sales of businesses and without any allocation of thenon-cash adjustments, which we also report as a separate line item in Adjusted EBITDA. Net cash used in operations for the three and nine months ended March 31, 20172018 and 2016,2017, respectively, is shown below.

 

23


  Three Months Ended   Nine Months Ended   Three Months Ended   Nine Months Ended 
  March 31,   March 31,   March 31,   March 31, 
  2017   2016   2017   2016   2018   2017   2018   2017 

Healthcare Facilities Adjusted EBITDA

  $38   $(452  $940   $(1,589

Healthcare Services Adjusted EBITDA

  $281   $30   $603   $709 

Pharmacy Adjusted EBITDA

   (35   246    299    882    (70   (35   1,130    299 

Corporate overhead costs

   (308   (504   (1,559   (1,552   (478   (300   (1,311   (1,328

Taxes and interest expense

   (121   (210   (271   (7,488   (56   (121   (6   (271

Othernon-cash expenses and net change in operating assets and liabilities

   (659   1,550    (4,408   9,456    25    (659   (449   (4,408
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Net cash used in operations

  $(1,085  $630   $(4,999  $(291  $(298  $(1,085  $(33  $(4,999
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Liquidity and Capital Resources

Overview

Our primary source of liquidity is unrestricted cash on hand of $11,237$3,541 at March 31, 2017.2018. Currently, the Company’s ability to raise capital (debt or equity) in the public or private markets on what it considers acceptable terms is uncertain. We nevertheless periodically seek options to obtain financing for the liquidity needs of the Company or individual subsidiaries. The Company and its subsidiaries currently are funding working capital needs primarily from cash on hand and from the sale of assets. See “Subsidiary Loans” below.

The Company believes its Healthcare Facilities Segment and its Pharmacy Segment business continue to underperform. The Company has incurred losses from continuing operations in nine of the last eleven fiscal quarters through the quarter ending March 31, 2017. See the “Business Strategy: Operations, Dispositions and Acquisitions” discussion earlier in this Item 2.

Subject to the risks and uncertainties discussed herein, we believe we have adequate financing and liquidity to support our current level of operations through the next twelve months.

Subsidiary Loans

Trace RDA Loan and Trace Working Capital Loan—On July 11, 2012, Southern Health Corporation of Houston, Inc. (“Trace”), a wholly owned subsidiary of the Company, closed on a $9,975 Mortgage Loan Agreement (“Trace RDA Loan”) and a Working Capital Loan Agreement (which expired on July 2, 2016) with a bank, both dated as of July 5, 2012.

The Trace RDA Loan has a term of 15 years with level monthly payments of principal and interest until repaid. TheOn December 26, 2017, the Fifth Amendment to Loan Agreement, Modification of Note and Waiver (“Modification”) was entered into by Trace and the bank. Under the Modification, Trace made a $3,548 prepayment on the Trace RDA Loan. The monthly principal and interest payments on the RDA Loan bears a floatingwere reduced to $39 per month, the interest rate of interest equalwas reduced to the greater of (i) the prime rate (as published in Thethe Wall Street Journal) plus 1.5%1% with a floor of 5.5%, or (ii) 6% (6.0%(5.75% at March 31, 2017).2018) and certain loan covenants were modified. The Modification also included a waiver of covenant violations for the quarters ended June 30 and September 30, 2017. Trace was in compliance with the amended financial covenants at March 31, 2018. In connection with the modification and prepayment, an existing deposit of $1,000 in a blocked, interest bearing account with the lender was released. The Trace RDA Loan is collateralized by real estate and equipment of Trace in Houston, MS, and is partially guaranteed under the U.S. Department of Agriculture, Rural Development Business and Industry Program.

The Trace RDA Loan contains various terms and conditions, including financial restrictions and limitations, and affirmative and negative covenants. The covenants include financial covenants measured on a quarterly basis which require Trace to comply with a ratio of current assets to current liabilities, debt service coverage, fixed charge ratio, and funded debt to EBITDA, all as defined in the Trace RDA Loan. At September 30, 2016 and June 30, 2016, Trace was not in compliance with the debt service coverage, fixed charge ratio and funded debt to EBITDA ratios. The Company received a waiver of thesenon-compliances from the lender for both measurement dates and the Trace RDA Loan was amended by the Fourth Amendment to Loan Agreement and Waiver dated January 6, 2017. Under the Fourth Amendment, the debt service coverage, the fixed charge coverage and funded debt to EBITDA ratios were amended for periods ended December 31, 2016, March 31, 2017 and June 30, 2017 and an additional covenant was entered into requiring the deposit of $1,000 into a blocked interest bearing account with the lender. The deposit, which was made on January 13, 2017, will remain in the blocked account until Trace achieves compliance with financial covenants in effect prior to the Amendment or November 15, 2017, when the modified financial covenants will revert back to thepre-modification amounts. At March 31, 2017, Trace was in compliance with the modified covenants but not the prior covenants. Indebtedness of $7,698 as of June 30, 2016 is presented in current liabilities in the condensed consolidated balance sheet as a result of the financial covenantnon-compliance at that date. The ability of Trace to continue to make

22


the required debt service payments under the Trace

24


RDA Loan depends on, among other things, its ability to generate sufficient cash, flows, including from operating activities.activities and asset sales. If Trace is unable to generate sufficient cash flow from operations to meet debt service payments on the Trace RDA Loan, including in the event the lender were to declare an event of default and accelerate the maturity of the indebtedness, such failure could have material adverse effects on the Company. The Trace RDA Loan is guaranteed by the Company and one subsidiary.

SHPP RDA Loan—On November 6, 2012, SunLink Healthcare Professional Property, LLC, (“SHPP”), a subsidiary of the Company, entered into and closed on a $2,100 term loan dated as of October 31, 2012 (the “SHPP RDA Loan”) with a bank. On December 16, 2016, SHPP repaid the remaining $1,933 outstanding principal balance of this loan when it sold the collateral for the SHPP RDA Loan, a medical office building located in Ellijay, Georgia. An early repayment penalty of $97 was paid at that date as required by loan terms and $192 of unamortized prepaid loan costs were expensed as of the sale date, both of which were reported as a loss on early repayment of debt of $289 for the nine months ended March 31, 2017.

Carmichael Notes—On April 22, 2008, SunLink Scripts Rx, LLC issued a $3,000 promissory note with an interest rate of 8% to the former owners of Carmichael as part of the acquisition purchase price (the “Carmichael Notes”). The Carmichael Notes, as amended, were payable in semi-annual installments of $185 of principal and plus accrued interest, with the remaining balance of $1,255 due October 22, 2017. Under an agreement dated September 9, 2016, between the Company and the Note holders, the Carmichael Notes balance of $1,508 was paid in full on September 9, 2016 and the accrued interest payable to that date of $46 was forgiven. A gain on retirement of debt of $46 for the nine months ended March 31, 2017 was reported for the accrued interest forgiveness.

Contractual Obligations, Commitments and Contingencies

Contractual obligations, commitments and contingencies related to outstanding debt,non-cancelable operating leases and interest on outstanding debt from continuing operations at March 31, 20172018 were as follows:

 

Payments

due in:

  Long-Term
Debt
   Operating
Leases
   Interest on
Outstanding
Debt
   Long-Term
Debt
   Operating
Leases
   Interest on
Outstanding
Debt
 

1��year

  $503   $545   $396 

1 year

  $258   $574   $172 

2 years

   561    402    400    296    423    173 

3 years

   596    336    366    315    340    155 

4 years

   634    243    323    333    132    136 

5+ years

   5,044    59    808    2,145    4    355 
  

 

   

 

   

 

   

 

   

 

   

 

 
  $7,338   $1,585   $2,293   $3,347   $1,473   $991 
  

 

   

 

   

 

   

 

   

 

   

 

 

At March 31, 2017,2018, we had outstanding long-term debt of $7,338 of which $7,321 was incurred$3,347 under the Trace RDA LoanLoan.

On September 8, 2017, the Georgia Survey agency of the Georgia Department of Community Health (“DCH“) conducted a Complaint Investigation survey to determine whether our nursing home in Ellijay, Georgia was in compliance with federal program requirements for nursing homes participating in Medicare and/or Medicaid programs. As a result of this survey, the nursing home received from the DCH a notice of deficiencies which were identified as posing an immediate jeopardy to resident health and $17safety and which had to be corrected immediately. DCH also notified the nursing home of its intent to recommend civil monetary penalties. In response to the survey findings, the nursing home adopted a succession of plans to remedy the matters identified. On November 6, 2017, DCH advised the nursing home that its latest plan of correction was relatedaccepted and on November 20, 2017, DCH advised the nursing home that it was in substantial compliance with its long-term care requirements. The nursing home will be subject to other debt.future DCH surveys from time to time to evaluate compliance with federal program requirements for nursing homes participating in Medicare and/or Medicaid programs including its continued implementation of the plans of correction. A Civil Money Penalty (“CMP”) was imposed by the Department of Health & Human Services Centers for Medicare and Medicaid Services on January 4, 2018 which resulted in $170 expensed in the nine months ended March 31, 2018. The CMP was paid January 18, 2018.

Discontinued Operations

Chestatee HospitalOn August 19, 2016, Southern Health Corporation of Dahlonega, Inc., (“Chestatee”), a wholly owned subsidiary of the Company, sold substantially all of the assets and certain liabilities of Chestatee Regional Hospital in Dahlonega, Georgia through an asset purchase agreement for $15,000 subject to adjustment for the book value of certain assets and certain liabilities assumed at the sale date. Thepre-tax gain on sale of $7,270 is subject to adjustment for various purchase price adjustments. A purchase price adjustment of $328 is due to the Company from the hospital buyer as a post-closing adjustments to the purchase price as confirmed by a binding decision of an independent accountant rendered pursuant to the purchase agreement. Chestatee retained certain liabilities, including forcertain employee related liabilities and certain Medicare and Medicaid liabilities, relating to the period it owned and operated the hospital. A portion of the net proceeds werewas used for the repayment of debt. The assets sold and liabilities assumed are shown as assets held for sale in our consolidated balances as of June 30, 2016.

Other Sold Hospitals– Subsidiaries of the Company have sold substantially all of the assets of three hospitals (“Other Sold Hospitals”) during the period July 2, 2012 to December 31, 2014. The lossearnings (loss) before income taxes of the Other Sold Hospitals results primarily from negative prior year Medicare and Medicaid cost report settlements.

Life Sciences and Engineering Segment – SunLink retained a defined benefit retirement plan which covered substantially all of the employees of this segment when the segment was sold in fiscal 1998. Effective February 28, 1997,

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the plan was amended to freeze participant benefits and close the plan to new participants. Pension expense and related tax benefit or expense is reflected in the results of operations for this segment for the three and nine months ended March 31, 2017 and 2016.

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Related Party Transactions

A director of the Company and the Company’s former corporate secretary are membersis a member of two differenta law firms, each offirm which provides services to SunLink. The Company has expensed an aggregate of $109$25 and $71$109 for legal services to thesethis law firmsfirm in the three months ended March 31, 20172018 and 2016,2017, respectively. The Company has expensed an aggregate of $481$215 and $204$481 for legal services to thesethis law firmsfirm in the nine months ended March 31, 20172018 and 2016,2017, respectively. Included in the Company’s condensed consolidated balance sheets at March 31, 20172018 and June 30, 20162017 is $21$12 and $75,$38, respectively, of amounts payable to thesethis law firms.

firm.

 

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ITEM 3.QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We have not entered into any transactions using derivative financial instruments or derivative commodity instruments and believe that our exposure to market risk associated with other financial instruments (such as investments and borrowings) and interest rate risk is not material.

 

ITEM 4.CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

As required by Rule13a-15 and Rule15d-15(e) under the Securities Exchange Act of 1934 (the “Exchange Act”), as of the end of the period covered by this report, we carried out an evaluation of the effectiveness of the design and operation of our Company’s disclosure controls and procedures (as such term is defined in Rules13a-15(e) and15d-15(e) under the Exchange Act) and the changes in our disclosure controls and procedures during the quarter. Under the direction of our principal executive officer and principal financial officer, we evaluated our disclosure controls and procedures and internal control over financial reporting and concluded that our disclosure controls and procedures were effective as of March 31, 2017.2018.

Disclosure controls and procedures and other procedures are designed to ensure that information required to be disclosed in our reports or submitted under the Exchange Act, such as this Quarterly Report on Form10-Q, is recorded, processed, summarized and reported within the time period 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 our reports filed under the Exchange Act is accumulated and communicated to management, including our principal executive and principal financial officers, as appropriate to allow timely decisions regarding required disclosure.

Based on an evaluation of the effectiveness of disclosure controls and procedures performed in connection with the preparation of this Form10-Q, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures were effective as of March 31, 2017.2018.

Changes in Internal Control Over Financial Reporting

There were no changes during the quarter ended March 31, 20172018 in our internal control over financial reporting that materially affected, or is likely to materially affect, our internal controls over financial reporting.

 

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PART II. OTHER INFORMATION

Items required under Part II not specifically shown below are not applicable.

 

ITEM 1.LEGAL PROCEEDINGS

On September 8, 2017, the Georgia Survey agency of the Georgia Department of Community Health (“DCH“) conducted a Complaint Investigation survey to determine whether our nursing home in Ellijay, Georgia was in compliance with federal program requirements for nursing homes participating in Medicare and/or Medicaid programs. As a result of this survey, the nursing home received from the DCH a notice of deficiencies which were identified as posing an immediate jeopardy to resident health and safety and which had to be corrected immediately. DCH also notified the nursing home of its intent to recommend civil monetary penalties. In response to the survey findings, the nursing home adopted a succession of plans to remedy the matters identified. On November 6, 2017, DCH advised the nursing home that its latest plan of correction was accepted and on November 20, 2017, DCH advised the nursing home that it was in substantial compliance with its long-term care requirements. The nursing home will be subject to future DCH surveys from time to time to evaluate compliance with federal and state program requirements for nursing homes participating in Medicare and/or Medicaid programs including its continued implementation of the plans of correction. A Civil Money Penalty (“CMP”) was imposed by the Department of Health & Human Services Centers for Medicare and Medicaid Services on January 4, 2018 which resulted in $170 expensed in the nine months ended March 31, 2018. The CMP was paid January 18, 2018.

ITEM 1A.RISK FACTORS

Risk Factors Relating to an Investment in SunLink

Information regarding risk factors appears in “MD&A – Forward-Looking Statements,” in Part I – Item 2 of this Form10-Q and in “MD&A -Risks Factors Relating to an Investment in SunLink” in Part I – Item 1A of the Company’s Annual Report on Form10-K for the year ended June 30, 2016.2017. While we believe there have been no material changes from the risk factors previously disclosed in such Annual Report except as set forth herein, you should carefully consider, in addition to the other information set forth in this report, the risk factors discussed in our Annual Report which could materially affect our business, financial condition or future results. Such risk factors are expressly incorporated herein by reference. The risks described in our Annual Report are not the only risks facing our Company. In addition to risks and uncertainties inherent in forward-looking statements contained in this Report on Form10-Q, additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition and/or operating results. Whenever we refer to “SunLink,” “Company”, “we,” “our,” or “us” in this Item 1A, we mean SunLink Health Systems, Inc. and its subsidiaries, unless the context suggests otherwise.

 

ITEM 6.EXHIBITS

Exhibits:

 

Exhibits:
  31.1  Chief Executive Officer’s Certification Pursuant to Rule13a-14(a) of the Securities Exchange Act of 1934.
  31.2  Chief Financial Officer’s Certification Pursuant to Rule13a-14(a) of the Securities Exchange Act of 1934.
  32.1  Chief Executive Officer’s Certification Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
  32.2  Chief Financial Officer’s Certification Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101  The following materials from the Company’s quarterly report on Form10-Q for the three months ended March 31, 2017,2018, formatted in XBRL (eXtensible Business Reporting Language): (i) Condensed Consolidated Balance Sheets as of March 31, 20172018 (unaudited) and June 30, 2016,2017, (ii) Condensed Consolidated Statements of Operations for the three and nine months ended March 31, 20172018 and 20162017 (unaudited), (iii) Condensed Consolidated Statements of Cash Flows for the three and nine months ended March 31, 20172018 and 20162017 (unaudited), and (iv) Notes to Condensed Consolidated Financial Statements (unaudited), tagged as blocks of text.

 

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, SunLink Health Systems, Inc. has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

SunLink Health Systems, Inc.
By: /s/ Mark J. Stockslager
 Mark J. Stockslager
 Chief Financial Officer

Dated: May 11, 20172018

 

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