SUNLINK HEALTH SYSTEMS INC - FORM 10-Q

SUNLINK HEALTH SYSTEMS INC - FORM 10-Q - May 14, 2014

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SUNLINK HEALTH SYSTEMS INC Reports

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EXCEL - IDEA: XBRL DOCUMENT - SUNLINK HEALTH SYSTEMS INC	Financial_Report.xls
EX-31.1 - EX-31.1 - SUNLINK HEALTH SYSTEMS INC	d700019dex311.htm
EX-32.2 - EX-32.2 - SUNLINK HEALTH SYSTEMS INC	d700019dex322.htm
EX-32.1 - EX-32.1 - SUNLINK HEALTH SYSTEMS INC	d700019dex321.htm
EX-31.2 - EX-31.2 - SUNLINK HEALTH SYSTEMS INC	d700019dex312.htm

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington D.C. 20549

FORM 10-Q

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

For the quarterly period ended March 31, 2014

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

For the transition period from to

Commission File Number 1-12607

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 x 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 Regulation S-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 x No ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer, or a smaller reporting company. See definition of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨ No x

The number of Common Shares, without par value, outstanding as of May 14, 2014 was 9,443,408.

PART I. FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

SUNLINK HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands)


	March 31, 2014 (unaudited)			June 30, 2013
ASSETS
Current Assets:
Cash and cash equivalents	$	3,823		$	2,497
Cash in escrow		0			160
Receivables - net		11,305			12,356
Inventory		4,005			3,798
Income tax receivable		156			1,769
Deferred income tax asset		4,475			4,008
EHR receivable		125			0
Due from third party payors		1,195			0
Prepaid expense and other assets		2,965			3,505

Total current assets		28,049			28,093
Property, plant and equipment, at cost		65,819			64,840
Less accumulated depreciation		36,550			34,266

Property, plant and equipment - net		29,269			30,574
Noncurrent Assets:
Intangible assets - net		3,067			3,175
Goodwill		461			461
Deferred income tax asset		4,301			4,113
Other noncurrent assets		1,478			1,587

Total noncurrent assets		9,307			9,336

TOTAL ASSETS	$	66,625		$	68,003

LIABILITIES AND SHAREHOLDERS’ EQUITY
Current liabilities:
Accounts payable	$	5,174		$	5,474
Current maturities of long-term debt		9,198			9,542
Accrued payroll and related taxes		3,671			4,121
Due to third party payors		0			556
Deferred Gain - Medicare EHR incentive reimbursement		3,630			1,136
Other accrued expenses		2,262			1,417

Total current liabilities		23,935			22,246
Long-Term Liabilities
Long-term debt		8,453			8,728
Noncurrent liability for professional liability risks		1,502			2,461
Other noncurrent liabilities		847			825

Total long-term liabilities		10,802			12,014
Commitment and Contingencies
Shareholders’ Equity
Preferred Shares, authorized and unissued, 2,000 shares Common Shares, without par value:		0			0
Issued and outstanding, 9,443 shares at March 31, 2014 and 9,447 shares at June 30, 2013		4,722			4,722
Additional paid-in capital		13,436			13,396
Retained earnings		14,136			16,031
Accumulated other comprehensive loss		(406	)		(406	)

Total Shareholders’ Equity		31,888			33,743

TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY	$	66,625		$	68,003

See notes to condensed consolidated financial statements.

SUNLINK HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

AND COMPREHENSIVE EARNINGS AND LOSS

(in thousands, except per share amounts)

(unaudited)


	Three Months Ended March 31,						Nine Months Ended March 31,
	2014			2013			2014			2013
Operating revenues (net of contractual allowances)	$	30,239		$	32,046		$	88,498		$	91,603
Less provision for bad debts of Healthcare Facilities Segment		2,521			2,806			8,138			8,823

Net revenues		27,718			29,240			80,360			82,780
Costs and Expenses
Cost of goods sold		7,078			7,319			17,838			18,085
Salaries, wages and benefits		12,537			13,287			38,292			39,894
Provision for bad debts of Specialty Pharmacy Segment		75			129			170			386
Supplies		2,058			2,213			6,553			6,913
Purchased services		1,850			1,777			5,608			5,629
Other operating expenses		3,789			3,218			11,194			11,299
Rent and lease expense		462			450			1,381			1,454
Impairment of property, plant and equipment		0			0			0			789
EHR incentive payments		(43	)		93			(1,341	)		(931	)
Depreciation and amortization		910			1,022			2,715			2,995

Operating Loss		(998	)		(268	)		(2,050	)		(3,733	)
Other Expense:
Interest expense - net		(303	)		(300	)		(922	)		(1,506	)
Gain on sale of assets		18			0			18			0

Loss from Continuing Operations before income taxes		(1,283	)		(568	)		(2,954	)		(5,239	)
Income Tax Benefit		(372	)		(371	)		(856	)		(2,025	)

Loss from Continuing Operations		(911	)		(197	)		(2,098	)		(3,214	)
Earnings (loss) from Discontinued Operations, net of tax		(53	)		11			203			5,539

Net Earnings (Loss)		(964	)		(186	)		(1,895	)		2,325
Other comprehensive income		0			0			0			0

Comprehensive Earnings (Loss)	$	(964	)	$	(186	)	$	(1,895	)	$	2,325

Earnings (Loss) Per Share:
Continuing Operations:
Basic	$	(0.10	)	$	(0.02	)	$	(0.22	)	$	(0.34	)

Diluted	$	(0.10	)	$	(0.02	)	$	(0.22	)	$	(0.34	)

Discontinued Operations:
Basic	$	(0.01	)	$	0.00		$	0.02		$	0.59

Diluted	$	(0.01	)	$	0.00		$	0.02		$	0.59

Net Earnings (Loss):
Basic	$	(0.10	)	$	(0.02	)	$	(0.20	)	$	0.25

Diluted	$	(0.10	)	$	(0.02	)	$	(0.20	)	$	0.25

Weighted-Average Common Shares Outstanding:
Basic		9,443			9,446			9,443			9,446

Diluted		9,443			9,446			9,443			9,446

See notes to condensed consolidated financial statements.

SUNLINK HEALTH SYSTEMS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)


	Nine Months Ended March 31,
	2014			2013
Net Cash Provided by (Used in) Operating Activities	$	3,319		$	(4,347	)
Cash Flows from Investing Activities:
Proceeds from sale of Memorial		0			8,350
Proceeds from sale of Dexter		0			9,930
Net change in cash in escrow		(160	)		(635	)
Expenditures for property, plant and equipment - continuing operations		(1,213	)		(2,164	)
Expenditures for property, plant and equipment - discontinued operations		0			(41	)

Net Cash Provided by (Used in) Investing Activities		(1,373	)		15,440
Cash Flows from Financing Activities:
Payments on long-term debt		(620	)		(17,176	)
Revolving advances - net		0			(5,931	)
Proceeds of long-term debt		0			12,698
Repurchase of common stock		0			(182	)

Net Cash Used in Financing Activities		(620	)		(10,591	)

Net increase in Cash and Cash Equivalents		1,326			502
Cash and Cash Equivalents Beginning of Period		2,497			2,057

Cash and Cash Equivalents End of Period	$	3,823		$	2,559

Supplement Disclosure of Cash Flow Information:
Cash Paid (Received) for:
Interest	$	854		$	1,485

Income taxes	$	(1,625	)	$	2,116

See notes to condensed consolidated financial statements.

SUNLINK HEALTH SYSTEMS, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

THREE AND NINE MONTHS ENDED MARCH 31, 2014

(all dollar amounts in thousands except per share amounts)

(unaudited)

Note 1. – Basis of Presentation

The accompanying unaudited Condensed Consolidated Financial Statements as of March 31, 2014 and for the three and nine month periods ended March 31, 2014 and 2013 have been prepared in accordance with Rule 10-01 of Regulation S-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, 2013 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 Form 10-K for the fiscal year ended June 30, 2013, filed with the SEC on September 27, 2013. 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, 2014 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 of healthcare services in certain markets in the United States. SunLink’s business is composed of the ownership of two business segments:

•

The Healthcare Facilities Segment is composed of three operational areas:

•

Four community hospital subsidiaries in three states with a total of 232 licensed beds;

•

Two nursing homes with a total of 166 licensed beds, each of which is located adjacent to, or in close proximity with a corresponding SunLink community hospital; and

•

A healthcare facility which is currently being repurposed for a multi-tenant medical park.

•

The Specialty Pharmacy Segment is composed of four operational areas:

•

Retail pharmacy products and services, all of which are conducted in rural markets;

•

Institutional pharmacy services;

•

Specialty pharmacy services; and

•

Durable medical equipment.

SunLink subsidiaries have conducted the healthcare facilities business since 2001 and the specialty pharmacy business since April 2008. The Specialty Pharmacy Segment currently is operated through Carmichael’s Cashway Pharmacy, Inc. (“Carmichael”), a subsidiary of SunLink ScriptsRx, LLC subsidiary, and is composed of a specialty pharmacy business acquired in April 2008 with four service lines.

SunLink’s Board and management have determined to focus the Company’s strategic investments on enhancing the existing hospital portfolio, and seeking to improve the operations of its Specialty Pharmacy Segment. The Company believes its four remaining hospital facilities are presently underperforming and currently is evaluating the possible sale of one or more of these hospital facilities. There is no assurance any sale will occur or that, if a sale occurs, it will be at a price that results in a gain or net proceeds after transaction costs, taxes and outstanding debt. The Company expects to use a portion of the net proceeds, if any, from future asset sales to fund its working capital needs.

On February 5, 2013, the Company announced the commencement of a tender offer to purchase at the price of $1.50 per share in cash all of its common shares held by holders of 99 or fewer shares (“odd lots”) who owned such shares as of the close of business on January 31, 2013 (“Odd Lot Tender Offer”). In addition to the $1.50 per share price, the Company offered each eligible tendering holder a bonus of one hundred dollars ($100) upon completion of the Odd Lot Tender Offer for the tender of all shares beneficially owned by such holder which were received and not withdrawn prior to the date of expiration of the Odd Lot Tender Offer, which was March 26, 2013. In accordance with the terms and conditions of the Offer, SunLink accepted for purchase a total of 2,631 common shares of SunLink tendered by 68 holders pursuant to the Offer. As a result of the completion of the Offer, immediately following payment for the tendered shares, the Company has approximately 9,443,000 common shares issued and outstanding and held by approximately 480 stockholders of record. The shares repurchased were retired immediately. The aggregate cash cost of the Odd Lot Tender Offer was $195 and was recorded in equity. Included in the cash cost are purchase price for the odd lot shares of $4, aggregate bonus payments of $7 and fees and expenses of $184.

The primary purpose of the Odd Lot Tender Offer was to reduce the number of holders of record of the Company’s common shares in order to permit the Company to deregister the common shares with the SEC. The Company’s Board and management each believes that deregistering the Company’s common shares will result in significant cost savings. Since the Offer failed to accomplish the objective of reducing the number of record holders to fewer than 300, SunLink may in the future take further actions to reduce the number of holders of record of the Company’s common shares in order to permit the Company to deregister the common shares with the SEC. As previously disclosed in the Company’s offer to purchase, the Board may in the future consider other alternatives to achieve that result, including a further tender offer, a reverse stock split or cash out merger (in which a new corporation is formed to merge with the Company and holders of a limited number of Company shares are cashed out), so long as the Board continues to believe that deregistration remains in the Company’s best interests.

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.

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


	Three Months Ended March 31,						Nine Months Ended March 31,
	2014			2013			2014			2013
Net Revenues:
Dexter Hospital	$	47		$	264		$	560		$	9,772
Memorial of Adel		(62	)		54			(66	)		60

	$	(15	)	$	318		$	494		$	9,832

Earnings (loss) before income taxes:
Dexter Hospital	$	34		$	(38	)	$	516		$	718
Memorial of Adel		(82	)		28			(94	)		(86	)
Life sciences and engineering		(40	)		(34	)		(119	)		(102	)

Earnings (loss) before income taxes		(88	)		(44	)		303			530

Gain on Sale
Dexter Hospital		0			65			0			8,457
Memorial of Adel		0			0			0			1,161

Gain on Sale		0			65			0			9,618

Income tax expense (benefit)		(35	)		10			100			4,609

Earnings (loss) from discontinued operations	$	(53	)	$	11		$	203		$	5,539

Dexter Hospital - On December 31, 2012, the Company completed the sale of substantially all the assets and the leasehold interest of its subsidiary, Dexter Hospital, LLC (“Dexter”), to Southeast Health Center of Stoddard County, LLC, an indirect subsidiary of Southeast Missouri Hospital Association (“SoutheastHEALTH”). The assets of Dexter consisted of a leased 50-bed acute care hospital and related clinics, equipment, and home health services in Dexter, Missouri. Subsequent to the sale, Dexter managed the hospital and related businesses for Southeast Health

Center of Stoddard County, LLC through a transition period ended June 30, 2013. Dexter retained accounts receivable and certain other assets, including the right to Medicare and Medicaid incentive payments (“EHR Funds”) for meaningful use of electronic health record technology and substantially all liabilities of the hospital as of December 31, 2012. The sale of the assets, including the right to EHR Funds, and leasehold interest of Dexter for approximately $9,930, less sale expenses and taxes, resulted in net proceeds of approximately $7,400. Approximately $5,200 of the net proceeds was used to pay off the outstanding balance of the Company’s senior credit facility under the Term Loan of the Company’s then outstanding Credit Facility. Dexter’s operations have been classified as discontinued operations in our condensed consolidated financial statements for the three and nine month periods ended March 31, 2014 and 2013.

Memorial Hospital of Adel – On July 2, 2012, the Company and its HealthMont of Georgia, Inc. subsidiary completed the sale of substantially of all the assets of the Company’s Memorial Hospital of Adel and Memorial Convalescent Center (collectively “Memorial”) to the Hospital Authority of Tift County, Georgia (“Tift”) for approximately $8,350. The net proceeds from the sale of approximately $7,500 were used to repay a portion of the Company’s senior credit facility under the Term Loan of the Company’s then outstanding Credit Facility. Memorial’s operations have been classified as discontinued operations in our condensed consolidated financial statements for the three and nine month periods ended March 31, 2014 and 2013.

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, 2014 and 2013. The components of pension expense for the three and nine months ended March 31, 2014 and 2013, respectively, were as follows:


	Three Months Ended March 31,						Nine Months Ended March 31,
	2014			2013			2014			2013
Interest Cost	$	15		$	17		$	45		$	51
Expected return on assets		(7	)		(10	)		(21	)		(30	)
Amortization of prior service cost		32			27			95			81

Net pension expense	$	40		$	34		$	119		$	102

SunLink contributed $81 and $43 to the plan in the nine months ended March 31, 2014 and 2013, respectively.

Note 4. – Accounting Pronouncements

In April 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-08, “Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity,” (“ASU 2014-08”). Under ASU 2014-08, only disposals representing a strategic shift in operations that have a major effect on the Company’s operations and financial results should be presented as discontinued operations. Additionally, ASU 2014-08 requires expanded disclosures about discontinued operations that will provide financial statement users with more information about the assets, liabilities, income, and expenses of discontinued operations. The amendments in ASU 2014-08 are effective for fiscal years, and interim periods within those years, beginning after December 15, 2014. However, ASU 2014-08 should not be applied to a component that is classified as held for sale before the effective date even if the component is disposed of after the effective date. Early adoption is permitted, but only for disposals (or classifications as held for sale) that have not been reported in financial statements previously issued. The effects of ASU 2014-08 will depend on any future disposals by the Company.

Note 5. – Shareholders’ Equity

Stock-Based Compensation

For the three months ended March 31, 2014 and 2013, the Company recognized $9 and $24, respectively, in stock based compensation for options issued to employees and directors of the Company. For the nine months ended March 31, 2014 and 2013, the Company recognized $40 and $76, 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 0 and 120,000 share options granted under the 2005 Equity Incentive Plan during the nine months ended March 31, 2014 and 2013, respectively. There were 0 and 140,000 share options granted under the 2011 Director Stock Option Plan during the nine months ended March 31, 2014 and 2013, respectively.

Note 6. – Revenue Recognition and Accounts Receivables

The Company’s subsidiaries recognize revenues in the period in which services are performed. 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.

Revenues before provision for doubtful accounts by payor were as follows for the three and nine months ended March 31, 2014 and 2013:


	Three Months Ended March 31,						Nine Months Ended March 31,
	2014			2013			2014			2013
Healthcare Facilities Segment:
Medicare	$	8,572		$	9,225		$	25,781		$	25,680
Medicaid		3,997			4,140			12,281			12,759
Self-pay		2,606			3,014			8,517			9,207
Managed Care & Other Insurance		4,623			5,014			14,916			17,077
Other		93			273			300			472

Revenues before provision for doubtful accounts		19,891			21,666			61,795			65,195
Provision for doubtful accounts		(2,521	)		(2,806	)		(8,138	)		(8,823	)

Healthcare Facilities Segment Net Revenues		17,370			18,860			53,657			56,372
Specialty Pharmacy Segment Net Revenues		10,217			10,416			26,385			26,405
Other Revenues		131			(36	)		318			3

Total Net Revenues	$	27,718		$	29,240		$	80,360		$	82,780

The net revenues of the Specialty Pharmacy Segment are presented net of contractual adjustments. The provision for bad debts of the Specialty Pharmacy Segment is presented as a component of operating expenses in the Condensed Consolidated Statements of Operations and Comprehensive Loss.

Summary information for account receivable is as follows:


	March 31, 2014			June 30, 2013
Accounts receivable (net of contractual allowances)	$	18,549		$	20,117
Less allowance for doubtful accounts		(7,244	)		(7,761	)

Patient accounts receivable - net	$	11,305		$	12,356

The following is a summary of the activity in the allowance for doubtful accounts for the Healthcare Facilities Segment and the Specialty Pharmacy Segment for the three and nine months ended March 31, 2014:


Three Months Ended March 31, 2014:	Healthcare Facilities			Specialty Pharmacy			Total
Balance at Janaury 1, 2014	$	6,760		$	479		$	7,239
Additions recognized as a reduction to revenues		2,521			75			2,596
Accounts written off, net of recoveries		(2,552	)		(39	)		(2,591	)

Balance at March 31, 2014	$	6,729		$	515		$	7,244



Nine Months Ended March 31, 2014:	Healthcare Facilities			Specialty Pharmacy			Total
Balance at July 1, 2013	$	7,286		$	475		$	7,761
Additions recognized as a reduction to revenues		8,138			170			8,308
Accounts written off, net of recoveries		(8,695	)		(130	)		(8,825	)

Balance at March 31, 2014	$	6,729		$	515		$	7,244

Net revenues included increases of $456 and $176 for the nine months ended March 31, 2014 and 2013, respectively, for the settlements and filings of prior year Medicare and Medicaid cost reports.

Note 7. – Medicare and Medicaid Electronic Health Records Incentives

Deferred Gain – Medicare Electronic Health Records Incentives

Electronic Health Records (“EHR”) payments are incentive reimbursements received under the Health Information Technology for Economic and Clinical Health Act (the “HITECH Act”) which was enacted into law on February 17, 2009 as part of the American Recovery and Reinvestment Act of 2009 (“ARRA”). The HITECH Act includes provisions designed to increase the use of EHR by both physicians and hospitals. Beginning with federal fiscal year 2012 (federal fiscal year is October 1 through September 30) and extending through federal fiscal year 2016, eligible hospitals and critical access hospitals (“CAH”) participating in the Medicare and Medicaid programs are eligible for reimbursement incentives based on successfully demonstrating meaningful use of their certified EHR technology. Conversely, those hospitals that do not successfully demonstrate meaningful use of EHR technology are subject to payment penalties or downward adjustments to their Medicare payments beginning in federal fiscal year 2015.

The Company accounts for EHR incentive payments in accordance with Accounting Standards Codification (“ASC”) 450-30, “Gain Contingencies”, (“ASC 450-30”). In accordance with ASC 450-30, the Company recognizes a gain for Medicare and Medicaid EHR incentive payments when its subsidiaries’ eligible hospitals have demonstrated meaningful use of certified EHR technology for the applicable period and when the cost report information needed for the full cost report year used for the final calculation of the EHR incentive reimbursement payment is available. The demonstration of meaningful use is based on meeting a series of objectives and varies among hospitals, between the Medicare and Medicaid programs and within the Medicaid program from state to state. Additionally, meeting the series of objectives in order to demonstrate meaningful use becomes progressively more stringent as its implementation is phased in through stages as outlined by the Centers for Medicare and Medicaid Services.

SunLink’s four operating hospital subsidiaries successfully attested for the Medicare EHR program for the fiscal year which will end June 30, 2014. Medicare EHR incentive payments for all four operating hospital subsidiaries totaling $2,494 were received during the nine months ended March 31, 2014. As Medicare EHR incentive payments cannot be recognized until the cost report information utilized to determine the final amount of reimbursement is known, $2,494 is recorded as deferred gain as of March 31, 2014 for its four operating hospital subsidiaries. This deferred gain will be recognized in the quarter ending June 30, 2014 when information for the cost report period July 1, 2013 through June 30, 2014 is known. SunLink’s four operating hospital subsidiaries and Dexter (see Note 3, Discontinued Operations) successfully attested for the Medicare EHR program for the fiscal year ended June 30, 2013. Medicare EHR incentive payments for all four operating hospital subsidiaries and Dexter totaling $5,257 were received during the nine months ended March 31, 2013. As Medicare EHR

incentive payments cannot be recognized until the cost report information utilized to determine the final amount of reimbursement is known, $1,136 is recorded as deferred gain as of March 31, 2014 for Dexter. It is anticipated this deferred gain recorded for Dexter will be recognized during the fiscal year ending June 30, 2014, when information for the cost report period January 1, 2013 through December 31, 2013 is known (based on the fiscal year of the buyer of Dexter).

SunLink’s four operating hospital subsidiaries successfully attested for the Medicaid EHR program and recognized Medicaid EHR incentive payments in the nine months ended March 31, 2014 in the amount of $636. Of this amount, $511 has been received for three hospitals. A Medicaid EHR incentive payment of $125 for one hospital that was not received as of March 31, 2014 is included in EHR receivables on the condensed consolidated balance sheet as of March 31, 2014. SunLink’s four operating hospital subsidiaries and Dexter successfully attested for the Medicaid EHR program and recognized Medicaid EHR incentive payments in the nine months ended March 31, 2013 in the amount of $1,412. Medicaid incentive payments were received for three hospitals during the nine months ended March 31, 2013 in the amount of $835. Medicaid EHR incentive payments for the two Missouri hospitals (which includes Dexter) were not received as of March 31, 2013 and were recorded as a receivable on the condensed consolidated balance sheet in the amount of $485 at March 31, 2013.

Note 8. – Goodwill and Intangible Assets

SunLink’s Specialty Pharmacy Segment has goodwill and intangible assets related to its Carmichael acquisition. SunLink’s Healthcare Facilities Segment has intangible assets related to its Healthmont acquisition.

Goodwill consists of the following:


	March 31, 2014		June 30, 2013
Specialty Pharmacy Segment	$	461	$	461

Intangibles consist of the following, net of amortization:


	March 31, 2014			June 30, 2013
Healthcare Facilities Segment
Certificate of Need	$	80		$	80
Accumulated Amortization		(28	)		(26	)

		52			54

Specialty Pharmacy Segment
Trade Name		2,000			2,000
Customer Relationships		1,089			1,089
Medicare License		769			769

		3,858			3,858
Accumulated Amortization		(843	)		(737	)

		3,015			3,121

Total	$	3,067		$	3,175

The trade name intangible asset under the Specialty Pharmacy Segment is a non-amortizing intangible asset.

Amortization expense was $36 and $38 for the three months ended March 31, 2014 and 2013, respectively, and $108 for both the nine months ended March 31, 2014 and 2013, respectively.

Note 9. – Impairment of Long-lived Assets

Impairment of Long-Lived Assets - Central Alabama Medical Associates, LLC (“CAMA”), an indirect subsidiary of the Company owns a hospital facility (currently closed) and related equipment in Clanton, Alabama, which it formerly leased to a third party hospital operator. The net realizable value of the hospital and equipment was evaluated and it was determined that an impairment of the net value of the leased property, plant and equipment had occurred. An impairment charge of $789 was recognized during the first quarter of fiscal 2013. The Company’s future plans for the property include repurposing it as a multi-tenant medical park.

Note 10. – Long-Term Debt

Long-term debt consisted of the following:


	March 31, 2014			June 30, 2013
Callaway RDA Loan	$	4,828		$	4,908
Trace RDA Loan		8,733			9,047
SHPP RDA Loan		2,043			2,073
Carmichael Notes		2,002			2,152
Capital lease obligations		45			90

Total		17,651			18,270
Less current maturities		(9,198	)		(9,542	)

	$	8,453		$	8,728

Callaway RDA Loan - SunLink, HealthMont of Missouri, LLC (“HOM”) and HealthMont LLC (“HLLC”), a wholly owned subsidiary or the Company, the direct parent of HOM, closed on a $5,000 Loan Agreement dated as of March 16, 2012 (the “Callaway RDA Loan”) with a bank. HealthMont of Missouri, LLC owns and operates Callaway Community Hospital (“Callaway”) in Fulton, Missouri. The Loan Agreement consists of a $4,000 term loan and $1,000 construction loan. The $4,000 term loan was drawn in its entirety at closing and, as of March 31, 2014, of the entirety of the $1,000 construction loan has been drawn.

The Callaway RDA Loan has a term of 25 years with monthly payments of principal and interest. The Callaway RDA Loan bears interest at a floating interest rate computed as the prime rate (as published in The Wall Street Journal) plus 2% (5.25% at March 31, 2014). The Callaway RDA Loan is collateralized by Callaway’s real estate and equipment and is partially guaranteed under the U.S. Department of Agriculture, Rural Development Business and Industry Program. Of the Callaway RDA Loan proceeds, $3,250 was applied as payment against the Company’s then outstanding Credit Facility. Approximately $1,000 of the Callaway RDA Loan proceeds were used to finance improvements, including to provide an inpatient geriatric psychiatry unit and an emergency department upgrade, with the remainder of the Callaway RDA Loan proceeds used for working capital and closing costs. The Callaway RDA Loan contains certain financial covenants with respect to the ratio of current assets to current liabilities and debt service coverage, all as defined in the Callaway RDA Loan Agreement and measured at the end of each fiscal year. The Callaway RDA Loan is guaranteed by HLLC and the Company.

Trace RDA Loan and Trace Working Capital Loan - On July 11, 2012, SunLink, MedCare South, LLC (formerly known as SunLink Healthcare, LLC) (“MedCare”), a wholly owned subsidiary or the Company, and Southern Health Corporation of Houston, Inc. (“SHCH”), an indirect wholly-owned subsidiary of the Company, closed on a $9,975 Mortgage Loan Agreement dated as of July 5, 2012 (“Trace RDA Loan”) and up to a $1,000 Working Capital Loan Agreement dated as of July 5, 2012 (“Trace Working Capital Loan”) with a bank. SHCH owns and operates Trace Regional Hospital “Trace”) in Houston, Mississippi.

The Trace RDA Loan has a term of 15 years with monthly payments of principal and interest until repaid. The Trace RDA Loan bears a floating rate of interest equal to the greater of (i) the prime rate (as published in The Wall Street Journal) plus 1.5%, or (ii) 6% (6.0% at March 31, 2014). The Trace RDA Loan is collateralized by Trace’s real estate and equipment and is partially guaranteed under the U.S. Department of Agriculture, Rural Development Business and Industry Program. Approximately $8,500 of the Trace RDA Loan proceeds was used to repay a portion of the Company’s senior debt under the Term Loan under the then outstanding Credit Facility. Approximately $850 of the Trace RDA Loan proceeds were used for improvements to the hospital and its medical office building with the remainder of the loan proceeds used for working capital and closing costs.

The Trace Working Capital Loan provides for a revolving line of credit to SHCH equal to the lesser of (i) a Borrowing Base equal to eighty percent (80%) of Eligible Accounts Receivable (as defined in the Working Capital Loan Agreement) or (ii) $1,000. At March 31, 2014, there were no outstanding borrowings under the Trace Working Capital Loan. Both the Trace RDA Loan and the Trace Working Capital Loan are guaranteed by the Company MedCare.

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 our SHCH subsidiary to comply with a ratio of current assets to current liabilities, debt service coverage, fixed charge coverage, and funded debt to EBITDA, all as defined in the Trace RDA Loan. At March 31, 2014, SHCH was not in compliance with the debt to tangible net worth ratio. SHCH and the Company are discussing a modification or waiver of this non-compliance with the lender but has been unable to obtain such waiver as of May 14, 2014. At June 30, 2013, SHCH was not in compliance with the debt to tangible net worth ratio. SHCH and the Company obtained a waiver of the non-compliance at June 30, 2013 from the lender dated February 7, 2014. As a result, the amount of indebtedness under the Trace RDA Loan of $8,733 and $9,047 is presented in current liabilities in the condensed consolidated balance sheets as of March 31, 2014 and June 30, 2013, respectively. If SHCH is unable to obtain a waiver of the non-compliance at March 31, 2014 and a modification of the covenant, SHCH would cease to have a right to draw on the revolving working capital loan (of which $0 was drawn at March 31, 2014 and June 30, 2013). Further, the lender under the Trace RDA Loan would, among other things, be entitled to call a default and demand repayment of the indebtedness outstanding from SHCH or from the Company under its guarantee of such indebtedness. The ability of SHCH and the Company, respectively, to continue to make the required debt service under the Trace RDA Loan or the guarantee depends on, among other things, the respective ability of SHCH and the Company to generate sufficient cash flows, including from operating activities. If SHCH or the Company are unable to generate sufficient cash flow from operations to meet debt service on the Trace RDA loan or the guarantee, 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.

SHPP RDA Loan - On November 6, 2012, SunLink Healthcare Professional Property, LLC, 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. SHPP owns and leases a medical office building to Southern Health Corporation of Ellijay, Inc. (“SHC Ellijay”). SHC Ellijay owns and operates North Georgia Medical Center (“North Georgia”), located in Ellijay, Georgia.

The SHPP RDA Loan has a term of 25 years with monthly payments of principal and interest until repaid. The SHPP RDA Loan bears interest at a floating rate of interest equal to the greater of (i) the prime rate (as published in The Wall Street Journal) plus 2.0%, or (ii) 5% (5.25% at March 31, 2014). The SHPP RDA Loan is collateralized by SHPP’s real estate, equipment and leases and is partially guaranteed under the U.S. Department of Agriculture, Rural Development Business and Industry Program. Of the SHPP RDA Loan proceeds, $1,800 was used by SHC Ellijay to acquire a medical office building in Ellijay, Georgia which was then sold to SHPP, with the remainder of the SHPP RDA Loan proceeds used by SHPP for working capital and closing costs. The SHPP RDA Loan contains certain financial covenants with respect to the ratio of current assets to current liabilities and debt service coverage, all as defined in the SHPP RDA Loan Agreement, which SHPP must maintain and that are measured at the end of each fiscal year. The SHPP RDA Loan is guaranteed by the Company and MedCare.

Carmichael Notes – On April 22, 2008, SunLink Scripts Rx, LLC, a wholly owned subsidiary or the Company, entered into a $3,000 promissory note agreement with an interest rate of 8% with the former owners of Carmichael as part of the acquisition purchase price (the “Carmichael Purchase Note”). On April 12, 2012, an amendment to the Carmichael Purchase Note was entered into under which SunLink has the option to issue promissory notes to the former owners of Carmichael in payment of up to two semi-annual payments of principal and interest due under the Carmichael Purchase Note (the “PIK Notes”). The PIK Notes bear an interest rate of 8% and are due on April 22, 2015. A PIK Note for $247 was issued on April 22, 2012 for the principal and interest payment that would have been due on April 22, 2012. A PIK Note for $252 was issued on October 22, 2012 for the principal and interest payment that would have been due on October 22, 2012. The Carmichael Purchase Note is payable in semi-annual installments of $150, which began on April 22, 2009, with the remaining balance of the Carmichael Purchase Note and the PIK Notes of $1,702 due April 22, 2015. Interest is payable in arrears semi-annually on the six and twelve-month anniversary of the issuance of the note. The Carmichael Purchase Note is guaranteed by the Company.

Termination and Repayment of Credit Facility - On April 23, 2008, SunLink and substantially all of its subsidiaries entered into a $47,000 seven-year senior secured credit facility (“Credit Facility”) initially comprised of a revolving line of credit of up to $12,000 (the “Revolving Loan”) and a $35,000 term loan (the “Term Loan”). The Credit Facility was subsequently amended by eight modification agreements as a result of which the Revolving Loan commitment was reduced to $9,000 as of September 20, 2012 and the termination date of the Credit Facility was established as January 1, 2013. On March 31, 2013, the Company paid all outstanding amounts under the Revolving Loan and the Term Loan and the Credit Facility was terminated.

Note 11. – Income Taxes

Income tax benefit of $372 ($420 federal tax benefit and $48 state tax expense) and income tax benefit of $371 ($369 federal tax benefit and $2 state tax benefit) was recorded for the three months ended March 31, 2014 and 2013, respectively. For the three months ended March 31, 2013, the effective tax rate differed materially from the statutory rate primarily due to the requirements under ASC 740-20, “Intraperiod Tax Allocation” (“ASC 740-20”) that the Company calculate its expected taxes for the fiscal year and apply the result to the interim quarter without regard to the actual results of the interim quarter.

Income tax benefit of $856 ($887 federal tax benefit and $31 state tax expense) and income tax benefit of $2,025 ($1,735 federal tax benefit and $290 state tax benefit) was recorded for the nine months ended March 31, 2014 and 2013, respectively.

At March 31, 2014, the Company had $2,419 of estimated net operating loss carry-forwards for federal income tax purposes available for use in future years subject to the limitations of the provisions of Internal Revenue Code Section 382. At March 31, 2014, we have provided a partial valuation allowance against the deferred tax asset so that the net tax asset was $8,776. Based upon management’s assessment that it was more likely than not that a portion of its deferred tax asset (primarily its net operating losses subject to limitation) would not be recovered, the Company established a valuation allowance for the portion of the tax asset which management estimates will not be utilized.

The Company accounts for uncertainty in income taxes for a change in judgment related to prior years’ tax positions in the quarter of such change. Activity in the unrecognized tax benefit liability account was as follows from July 1, 2011 through March 31, 2014:


Balance at June 30, 2011	$	37
Reduction for tax positions of prior years		(18	)

Balance at June 30, 2012		19
Additions for tax positions of prior years		218
Reductions for tax positions of prior years		(8	)

Balance at June 30, 2013		229
Reductions related to settlements		(229	)

Balance at March 31, 2014	$	—

Note 12. – Commitments and Contingencies

Litigation - In 2007, Southern Health Corporation of Ellijay, Inc. (“SHC-Ellijay”) filed a Complaint against James P. Garrett and Roberta Mundy, both individually and as Fiduciary of the Estate of Randy Mundy (collectively, “Defendants”), seeking specific performance of an Option Agreement (the “Option Agreement”) dated April 17, 2007, between SHC-Ellijay, Mr. Garrett, and Ms. Mundy as Executrix of the Estate of Randy Mundy for the sale of approximately 24.74 acres of real property located in Gilmer County, Georgia, and recovery of SHC-Ellijay’s damages suffered as a result of Defendants’ failure to close the transaction in accordance with the Option Agreement. SHC-Ellijay also stated alternative claims for breach of the Option Agreement and fraud, along with claims to recover attorney’s fees and punitive damages and the defendants filed counterclaims against SHC-Ellijay.

Court of Appeals. In March 2013, the Georgia Court of Appeals issued an opinion affirming in part and reversing in part the summary judgment entered for the Company. The appellate court rejected all of the Sellers’ various contract-law defenses. The appellate court also held that the Sellers intentionally breached the Option Agreement by failing to close the transaction and satisfy their other obligations. The appellate court reversed, however, on the question of whether Sellers’ breach was also willful, reasoning that willfulness carries with it an aspect of bad faith. The case has been remanded to the Superior Court for trial on the willfulness/bad faith issue and damages. A settlement has been reached but documentation thereof has not been finalized and is in negotiation. While the ultimate outcome and materiality of the litigation cannot be determined, in management’s opinion the litigation should not have a material adverse effect on SunLink’s financial condition or results of operations.

SunLink and its subsidiaries are a party to various medical malpractice and other claims and litigation incidental to its business, for which it is not currently possible to determine the ultimate liability, if any. Based on an evaluation of information currently available and consultation with legal counsel, management believes that resolution of such claims and litigation is not likely to but could have a material adverse effect on the financial position, cash flows, or results of operations of the Company. The Company expenses legal costs as they are incurred.

Office of Inspector General Investigation - In March 2013, SunLink received a document subpoena from the United States Department of Health and Human Services Office of Inspector General (“OIG”) in connection with an investigation of possible improper claims submitted to Medicare and Medicaid. The subpoena was directed to SunLink’s indirect subsidiary Southern Health Corporation of Dahlonega, Inc. (“SHCD”), which owns and operates Chestatee Regional Hospital in Dahlonega, Georgia, and requested documents concerning possible false or fraudulent claims made for intensive outpatient psychiatric services provided by and billed for a third-party outpatient psychiatric service provider. The subpoena also sought information about SHCD’s relationship with the outpatient psychiatric service provider, including financial arrangements. SHCD is continuing to cooperate with the government with respect to an ongoing document production, as well as conducting a joint medical necessity review of a sampling of medical records. We cannot at this time estimate what, if any, impact these matters and any results from these matters could have on our business, financial position, operating results or cash flows.

Contractual Obligations, Commitments and Contingencies

Contractual obligations, commitments and contingencies related to long-term debt, non-cancelable operating leases and interest on outstanding debt from continuing operations at March 31, 2014 were as follows:


Payments due in:	Long-Term Debt		Operating Leases		Interest on Outstanding Debt
1 year	$	9,198	$	1,664	$	556
2 years		475		875		478
3 years		1,580		717		399
4 years		175		450		334
5+ years		6,223		161		3,361

	$	17,651	$	3,867	$	5,128

At March 31, 2014, SunLink had a guarantee agreement with one physician. A physician with whom a guarantee agreement is made generally agrees to maintain his or her practice within a hospital geographic area for a specific period (normally three years) or be liable to repay all or a portion of the guarantee received. The physician’s liability for any guarantee repayment due to non-compliance with the provisions of a guarantee agreement generally is collateralized by the physician’s patient accounts receivable and/or a promissory note from the physician. All potential payments payable under this one guarantee have been paid as of March 31, 2014. SunLink expensed $16 and $45 on physician guarantees and recruiting for the three months ended March 31, 2014 and 2013, respectively. SunLink expensed $83 and $96 on physician guarantees and recruiting for the nine months ended March 31, 2014 and 2013, respectively. There were no remaining non-cancelable commitments under guarantee agreements with physicians as of March 31, 2014.

Note 13. – Related Party Transactions

A director of the Company and the Company’s secretary are members of two different law firms, each of which provides services to SunLink. The Company has expensed an aggregate of $258 and $271 for legal services to these law firms in the three months ended March 31, 2014 and 2013, respectively. The Company has expensed an aggregate of $577 and $796 for legal services to these law firms in the nine months ended March 31, 2014 and 2013, respectively. Included in the Company’s condensed consolidated balance sheets at March 31, 2014 and June 30, 2013 is $260 and $216, respectively, of amounts payable to these law firms.

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 Facilities and Specialty Pharmacy.

We evaluate performance of our operating segments based on revenue and operating profit (loss). Segment information as of March 31, 2014 and 2013 and for the three and nine months then ended is as follows:


	Healthcare Facilities			Specialty Pharmacy		Corporate and Other			Total
Three months ended March 31, 2014
Net revenues from external customers	$	17,370		$	10,217	$	131		$	27,718
Operating profit (loss)		(241	)		507		(1,264	)		(998	)
Depreciation and amortization		515			185		210			910
Assets		37,385			12,023		17,217			66,625
Expenditures for property, plant and equipment		188			150		24			362
Nine months ended March 31, 2014
Net revenues from external customers	$	53,657		$	26,385	$	318		$	80,360
Operating profit (loss)		802			659		(3,511	)		(2,050	)
Depreciation and amortization		1,552			522		641			2,715
Assets		37,385			12,023		17,217			66,625
Expenditures for property, plant and equipment		565			433		215			1,213
Three months ended March 31, 2013
Net revenues from external customers	$	18,860		$	10,416	$	(36	)	$	29,240
Operating profit (loss)		30			406		(704	)		(268	)
Depreciation and amortization		496			183		343			1,022
Assets		41,454			11,828		18,578			71,860
Expenditures for property, plant and equipment		902			127		0			1,029
Nine months ended March 31, 2013
Net revenues from external customers	$	56,372		$	26,405	$	3		$	82,780
Operating profit (loss)		(1	)		272		(4,004	)		(3,733	)
Depreciation and amortization		1,856			521		618			2,995
Assets		41,454			11,828		18,578			71,860
Expenditures for property, plant and equipment		1,725			416		23			2,164

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 resulting in higher bad debt amounts;

•

the competitive nature of the U.S. community hospital, nursing home, homecare 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

•

inability to operate profitability 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;

•

the ability or inability to obtain external financing for working capital included under lending agreements;

•

changes in interest rates under debt agreements

•

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

•

restrictions imposed by existing or future debt agreements;

•

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

•

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

•

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 Facilities and Specialty Pharmacy Segments;

•

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

•

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

•

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

•

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

Liabilities, Claims, Obligations and Other Matters

•

claims under leases, guarantees and other obligations relating to discontinued operations, including sold facilities, retained or acquired subsidiaries and former 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, 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 regulatory environment for our businesses, including state certificate of need laws and regulations, rules and judicial cases relating thereto;

•

anticipated adverse 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 reimbursement;

•

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

•

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

Dispositions, Acquisitions, and Renovation Related Matters

•

the ability to dispose of underperforming facilities;

•

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

•

competition in the market for acquisitions of hospitals 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. Subject to an mandatory requirements of applicable law, 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. 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 risk factors set forth elsewhere in this report and in our Annual Report on Form 10-K.

Business Strategy: Operations, Dispositions and Acquisitions, and Going Private

SunLink’s business strategy is to focus its efforts on improving internal operations of its existing healthcare facilities and its pharmacy business. We also consider from time to time potential healthcare acquisitions and dispositions, including but not limited to hospitals, physician clinics, ambulatory surgery centers, nursing and long-term care homes, medical office buildings and pharmacy businesses. We consider dispositions of facilities or operations based on a variety of factors including asset values, return on investments, competition from existing and potential competitors, capital improvement needs, corporate strategy and other corporate objectives.

Our efforts over the last two years have been more focused on the disposition of hospital facilities than on acquisitions due to our financial position and need to reduce our leverage and interest expense, the changing nature of certain of our subsidiary hospital markets resulting in, among other things, substantial additional competition, and pressure from Federal and state programs (e.g., Medicare and Medicaid) and private payors to reduce reimbursement for medical services. In July 2012, we sold our Adel, Georgia hospital and its related nursing home, and in December 2012, we sold our Dexter, Missouri hospital and its related home health agency. We currently have engaged advisors to advise us on and to assist us with the possible sale of three other hospital facilities.

Although the Company’s situation could change, based on our current financial position as well as uncertainties in the healthcare industry, we are not actively seeking acquisitions for either our Healthcare Facilities Segment or our Specialty Pharmacy Segment. However, during the last fiscal year, we have evaluated certain rural and exurban hospitals and healthcare facilities and businesses which were for sale and monitored other selected healthcare acquisition targets which we believed might become available for sale. Although we have no current plans to do so, from time to time we may consider the acquisition of other complementary based healthcare businesses, outside of our existing business segments, which are or may become available for acquisition.

Going Private Strategy

On February 5, 2013, the Company announced the commencement of a tender offer to purchase at the price of $1.50 per share in cash all of its common shares held by holders of 99 or fewer shares (“odd lots”) who owned such shares as of the close of business on February 1, 2013 (“Odd Lot Tender Offer”). In addition to the $1.50 per share price, the Company offered each eligible tendering holder a bonus of one hundred dollars ($100) upon completion of the Odd Lot Tender Offer for the tender of all shares beneficially owned by such holder which were received and not withdrawn prior to the date of expiration of the Odd Lot Tender offer, which was March 26, 2013. In accordance with the terms and conditions of the Offer, SunLink accepted for purchase a total of 2,631 common shares of SunLink tendered by 68 holders pursuant to the Offer. As a result of the completion of the Offer, immediately following payment for the tendered shares, the Company had approximately 9,443,000 common shares issued and outstanding and held by approximately 480 stockholders of record.

The primary purpose of the Odd Lot Tender Offer was to reduce the number of holders of record of the Company’s common shares in order to permit the Company to deregister the common shares with the SEC. The Board and management each continues to believe that deregistering the Company’s common shares would result in significant cost savings. Since the Odd Lot Tender Offer did not result in the Company’s qualifying to deregister with the SEC, the Board may in the future consider other alternatives to achieve that result, including a further tender offer, a reverse stock split or cash out merger (in which a new corporation is formed to merge with the Company and holders of Company shares are cashed out), so long as the Board continues to believe that deregistration remains in the Company’s best interests. For an extended discussion of the purposes and reasons for going private, see Section 2 of the Company’s Offer to Purchase filed as Exhibit 99.A.1.A to the Company’s Schedule 13E-3 filed with the SEC on February 5, 2013.

Critical Accounting Estimates

The preparation of financial statements in accordance with U.S. generally accepted accounting principles 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 2013 Annual Report on Form 10-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; and

•

Electronic Health Record incentives

Financial Summary

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


	Three Months Ended									Nine Months Ended
	March 31,									March 31,
	2014			2013			% Change			2014			2013			% Change
Net Revenues - Healthcare Facilities	$	17,370		$	18,860			-7.9	%	$	53,657		$	56,372			-4.8	%
Net Revenues - Specialty Pharmacy		10,217			10,416			-1.9	%		26,385			26,405			-0.1	%
Other Revenues		131			(36	)		n/a			318			3			10500.0	%

Total Net Revenues		27,718			29,240			-5.2	%		80,360			82,780			-2.9	%
Costs and expenses		(28,759	)		(29,415	)		-2.2	%		(83,751	)		(86,655	)		-3.4	%
Electronic Health Records incentives		43			(93	)		-146.2	%		1,341			931			44.0	%
Impairment of property, plant and equipment		0			0			n/a			0			(789	)		n/a

Operating loss		(998	)		(268	)		-272.4	%		(2,050	)		(3,733	)		45.1	%
Interest expense - net		(303	)		(300	)		1.0	%		(922	)		(1,506	)		-38.8	%
Gain on sale of assets		18			0			n/a			18			0			n/a

Loss from continuing operations before income taxes	$	(1,283	)	$	(568	)		-125.9	%	$	(2,954	)	$	(5,239	)		43.6	%

Healthcare Facilities Segment:
Admissions		763			934			-18	%		2,285			2,560			-11	%
Equivalent admissions		2,383			2,988			-20	%		7,330			8,759			-16	%
Surgeries		515			389			32	%		1,477			1,377			7	%
Revenue per equivalent admission	$	7,289		$	6,292			16	%	$	7,320		$	6,415			14	%

Equivalent admissions – Equivalent admissions is used by management (and certain investors) as a general measure of combined inpatient and outpatient volume for our hospital operations. Equivalent admissions are computed by multiplying admissions (inpatient volume) by the sum of gross inpatient revenues and gross outpatient revenues and dividing the result by gross inpatient revenues. The equivalent admissions computation is intended to relate outpatient revenues to the volume measure (admissions) used to measure inpatient volume to result in a general approximation of combined inpatient and outpatient volume (equivalent admissions).

Results of Operations

Healthcare Facilities Segment Net Revenues

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


	Three Months Ended						Nine Months Ended
	March 31,						March 31,
	2014			2013			2014			2013
Source:
Medicare		43.3	%		43.1	%		41.9	%		39.7	%
Medicaid		20.2	%		19.3	%		20.0	%		19.7	%
Managed Care Insurance & Other		23.3	%		23.5	%		24.3	%		26.4	%
Self-pay		13.2	%		14.1	%		13.8	%		14.2	%

		100.0	%		100.0	%		100.0	%		100.0	%

Medicare as a percentage of net patient revenue increased in the three months ended March 31, 2014 due to a shift in payor mix, however, Medicare net revenues of $8,572 for the three months ended March 31, 2014 decreased $653 from $9,225 for the three months ended March 31, 2013. Self-pay as a percentage of net patient revenue decreased in the three months ended March 31, 2014 due to decreased self-pay volume as compared to the prior year period. Additionally, Managed Care Insurance and Other as a percentage of total net revenues decreased in the three months ended March 31, 2014 compared to the comparable prior year periods due to decreased revenue as a result of declining volumes. Managed Care Insurance and Other net revenue decreased 7.8% from $5,014 for the three months ending March 31, 2013 to $4,623 for the three months ended March 31, 2014. Self-pay net revenues decreased 13.6% from $3,014 for the three months ended March 31, 2013 to $2,606 for the three months ended March 31, 2014.

Medicare as a percentage of net patient revenue increased in the nine months ended March 31, 2014 due to increased Medicare volume as compared to prior year, particularly in the geriatric psychiatric units (“GPUs”). Medicare patient days for the three GPUs increased from 32.3% of total patient days at March 31, 2013 to 48.7% of total patient days at March 31, 2014. Medicare net patient revenues increased $101 compared to the comparable prior year period. Managed Care Insurance and Other and Self-pay as a percentage of total net revenues decreased in the nine months ended March 31, 2014 compared to the comparable prior year periods due to decreased revenue as a result of declining volumes. Managed Care Insurance and Other net revenue decreased 12.7% from $17,077 for the nine months ended March 31, 2013 to $14,916 for the nine months ended March 31, 2014. Self-pay net revenues decreased 7.5% from $9,207 for the nine months ended March 31, 2013 to $8,517 for the nine months ended March 31, 2014.

Specialty Pharmacy Segment Net Revenues

Specialty Pharmacy net revenues for the three months ended March 31, 2014 were $10,217, a decrease of $199, or 1.9%, from $10,416 for the three months ended March 31, 2013. Specialty Pharmacy net revenues for the nine months ended March 31, 2014 were $26,385, a decrease of $20, or 0.1%, from $26,405 for the three months ended March 31, 2013.

Healthcare Facilities Segment Cost and Expenses

Costs and expenses for our Healthcare Facilities Segment, including depreciation and amortization, were $17,611 and $18,035 for the three months ended March 31, 2014 and 2013, respectively. Costs and expenses for our Healthcare Facilities Segment, including depreciation and amortization, were $52,855 and $55,584 for the nine months ended March 31, 2014 and 2013, respectively.


	Cost and Expenses
	as a % of Net Revenues
	Three Months Ended						Nine Months Ended
	March 31,						March 31,
	2014			2013			2014			2013
Salaries, wages and benefits		59.7	%		58.0	%		59.4	%		58.4	%
Supplies		11.7	%		11.5	%		11.9	%		12.0	%
Purchased services		10.9	%		7.6	%		10.8	%		8.2	%
EHR incentive payments		-0.2	%		1.8	%		-2.5	%		-1.7	%
Other operating expenses		16.6	%		13.9	%		16.2	%		16.7	%
Rent and lease expense		2.5	%		2.3	%		2.5	%		2.3	%
Depreciation and amortization expense		3.0	%		3.5	%		2.9	%		3.6	%

Salaries, wages and benefits increased as a percentage of net revenue in the three and nine months ended March 31, 2014 due to increased employee medical claims incurred as compared to the three and nine months ended March 31, 2013.

Purchased services increased as a percentage of net revenues for the three and nine months ended March 31, 2014 compared to the comparable prior year periods due to increased costs associated with certain outside services provided to the hospital facilities and information technology services.

EHR incentive payments as a percentage of net revenue resulted in negative costs of 0.2% and 2.5% of net revenue, respectively, for the three and nine months ended March 31, 2014 due to $1,298 of EHR incentive payments recognized compared to $1,024 recognized in the three and nine months ended March 31, 2013. The increase resulted from positive prior year cost report settlements for electronic health records in the amount of $705 recorded in the three and nine months ended March 31, 2014 as compared to negative prior year cost report adjustments in the amount of $140 in the comparable prior year periods partially offset by a decrease in the amounts of Medicaid EHR incentive payments recognized in the three and nine months ended March 31, 2014.

Other operating expenses increased as a percentage of net revenues for the three months ended March 31, 2014 compared to the comparable prior year period as a result of a lower professional and general liability adjustment required during the current year quarter due to fewer claims outstanding as of March 31, 2014. Other operating expenses decreased as a percentage of net revenues for the nine months ended March 31, 2014 compared to the comparable prior year period due to decreased insurance expense as a result of nonrecurrence of large insurance claim settlements recorded in the nine months ended March 31, 2013 partially offset by a lower professional and general liability adjustment required during the current year period resulting from fewer claims outstanding as of March 31, 2014.

Depreciation and amortization expense for the three months ended March 31, 2014 and 2013 was $515 and $496, respectively. For the nine months ended March 31, 2014 and 2013, depreciation and amortization expense was $1,552 and $1,856, respectively. The decrease in the three and nine months ended March 31, 2014 compared to the comparable prior year periods was due to assets being fully depreciated in the current year periods as compared to the prior year periods.

Specialty Pharmacy Segment Cost and Expenses

Cost and expenses for our Specialty Pharmacy Segment, including depreciation and amortization, were $9,710 and $10,010 for the three months ended March 31, 2014 and 2013, respectively. Cost and expenses for our Specialty Pharmacy Segment, including depreciation and amortization, were $25,726 and $26,133 for the nine months ended March 31, 2014 and 2013, respectively.


	Cost and Expenses
	as a % of Net Revenues
	Three Months Ended						Nine Months Ended
	March 31,						March 31,
	2014			2013			2014			2013
Cost of goods sold		69.3	%		70.3	%		67.6	%		68.5	%
Salaries, wages and benefits		16.4	%		16.5	%		19.3	%		19.2	%
Provision for bad debts		0.7	%		0.5	%		0.6	%		1.2	%
Supplies		0.3	%		0.5	%		0.5	%		0.6	%
Purchased services		3.3	%		3.2	%		3.7	%		3.7	%
Other operating expenses		2.7	%		2.7	%		3.1	%		3.1	%
Rent and lease expense		0.7	%		0.7	%		0.8	%		0.8	%
Depreciation and amortization expense		1.8	%		1.8	%		2.0	%		2.0	%

Cost of goods sold as a percent of net revenues decreased in the three and nine month periods ended March 31, 2014 as compared to the comparable periods of the prior year due to the current period sales product mix and improved purchasing contracts in the current year periods as compared to the comparable prior year periods.

Provision for bad debts as a percent of net revenues decreased in the three and nine month periods ended March 31, 2014 as compared to the comparable periods of the prior year due primarily to the implementation of additional business office and intake policies and procedures, offset somewhat by the continued decline of economic conditions in the region.

Impairment of Long-Lived Assets

Central Alabama Medical Associates, LLC (“CAMA”), an indirect subsidiary of the Company owns a hospital facility (currently closed) and related equipment in Clanton, Alabama, which it formerly leased to a third party hospital operator. The net realizable value of the hospital and equipment was evaluated and it was determined that an impairment of the net value of the leased property, plant and equipment had occurred. An impairment charge of $789 was recognized during the first quarter of fiscal 2013. The Company’s future plans for the property include repurposing it as a multi-tenant medical park.

Corporate Overhead Costs and Expenses

Cost and expenses for Corporate Overhead including depreciation and amortization, was $1,395 and $1,463 for the three months ended March 31, 2014 and 2013, respectively. Cost and expenses for Corporate Overhead including depreciation and amortization, was $3,829 and $4,007 for the nine months ended March 31, 2014 and 2013, respectively.

Operating Loss

SunLink had an operating loss of $998 and $268 for the three months ended March 31, 2014 and 2013, respectively. The increased operating loss for the three months ended March 31, 2014 compared to the prior year period resulted from decreases healthcare facilities net revenues due to lower volumes than in the prior year period and an increase in other operating expense in the three months ended March 31, 2014 compared to the comparable prior year period. SunLink had an operating loss of $2,050 and $3,733 for the nine months ended March 31, 2014 and 2013, respectively. The decreased operating loss for the three months ended March 31, 2014 compared to the prior year period resulted from the decrease in salaries, wages and benefits expense, professional and general liability claims, an increase in EHR incentive payments and nonrecurrence of the impairment charge recorded in the nine months ended March 31, 2013.

Interest Expense

Interest expense was $303 and $300 for the three months ended March 31, 2014 and 2013, respectively and $922 and $1,506 for the nine months ended March 31, 2014 and 2013, respectively. Interest expense for the nine months ended March 31, 2014 decreased from the same period last year due to decreases in interest rates on outstanding debt and loan cost amortization expense.

Income Taxes

Earnings (Loss) After Taxes

Loss from continuing operations was $911 ($0.10 loss per fully diluted share) for the three months ended March 31, 2014 compared to a loss from continuing operations of $197 ($0.02 loss per fully diluted share) for the three months ended March 31, 2013. The increased loss for the three months ended March 31, 2014 resulted from the increased operating loss. Loss from continuing operations was $2,098 ($0.22 loss per fully diluted share) for the nine months ended March 31, 2014 compared to a loss from continuing operations of $3,214 ($0.34 loss per fully diluted share) for the nine months ended March 31, 2013. The decreased loss for the nine months ended March 31, 2014 resulted from the decreased operating loss and from decreased interest expense partially offset by a decreased income tax benefit as compared to the comparable prior year period.

Loss from discontinued operations of $53 for the three months ended March 31, 2014 resulted from a pre-tax earnings from operations of Dexter of $34. The loss from discontinued operations for the three months ended March 31, 2014 also was also partially due to $82 of pre-tax loss from operations of Memorial and $40 of pre-tax loss resulting from pension items relating to discontinued operations. Tax benefit for discontinued operations for the three months ended March 31, 2014 was $35. Earnings from discontinued operations of $203 for the nine months ended March 31, 2014 resulted from pre-tax earnings from operations of Dexter of $516. The loss from discontinued operations for the nine months ended March 31, 2014 also was also partially due to $94 of pre-tax loss from operations of Memorial and $119 of pre-tax loss resulting from pension items relating to discontinued operations. Tax expense for discontinued operations for the nine months ended March 31, 2014 was $100.

Net loss for the three months ended March 31, 2014 was $964 ($0.10 loss per fully diluted share) compared to net loss of $186 ($0.02 loss per fully diluted share) for the three months ended March 31, 2013. Net loss for the nine months ended March 31, 2014 was $1,895 ($0.20 loss per fully diluted share) compared to net earnings of $2,325 ($0.25 earnings per fully diluted share) for the nine months ended March 31, 2013.

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 existing debt and to satisfy capital requirements. EBITDA, however, is not a measure of financial performance under accounting principles generally 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 for non-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 Segment Adjusted EBITDA and Specialty Pharmacy Segment 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 the non-cash adjustments, which we also report as a separate line item in Adjusted EBITDA. Net cash provided by operations for the three and nine months ended March 31, 2014 and 2013, respectively, is shown below.


	Three Months Ended						Nine Months Ended
	March 31,						March 31,
	2014			2013			2014			2013
Healthcare Facilities Adjusted EBITDA	$	367		$	1,158		$	2,354		$	2,292
Specialty Pharmacy Adjusted EBITDA		692			590			1,181			794
Corporate overhead costs		(1,147	)		(994	)		(2,870	)		(3,035	)
Taxes and interest expense		105			60			(165	)		(4,090	)
Other non-cash expenses and net change in operating assets and liabilities		(243	)		(5,281	)		2,819			(308	)

Net cash provided by (used in) operations	$	(226	)	$	(4,467	)	$	3,319		$	(4,347	)

Liquidity and Capital Resources

Overview

Our primary sources of liquidity are cash on hand and one facility-based revolving loan facility of $1,000, which has limited availability due to facility cash on hand restrictions. The Company does not believe it is currently able to raise capital (debt or equity) in the public or private markets on what it considers acceptable terms. We are actively seeking options to provide financing for the Company’s liquidity needs. We generated $3,319 of cash from continuing operations during the nine months ended March 31, 2014 compared to cash used of $4,347 during the nine months ended March 31, 2013. Cash generated resulted from the decreased loss from continuing operations, income taxes refunds of $1,696, EHR incentive payments received of $3,005 and reductions in accounts receivable and amounts due to third party payors.

Although three of the Company’s subsidiaries have been able to borrow money through facility based mortgages, each of which is guaranteed by the Company, utilizing USDA Rural Development Authority guaranties, (individually, an “RDA Loan” and collectively, the “RDA Loans”), and, in the case of our Trace hospital subsidiary, obtain a working revolving capital loan facility of $1,000, the Company and its subsidiaries currently must fund working capital needs from cash from operations or from the sale of additional assets. See “Subsidiary Loans” below.

As further discussed below, on December 31, 2012, in connection with the maturity of the Company’s then existing Credit Facility, the Company repaid all then outstanding borrowings thereunder and such facility terminated. The total amount repaid at maturity including associated fees was approximately $5,000. If we are able to obtain a replacement credit facility in the future, we cannot assure you that the size of any such facility will be adequate for our entire working capital needs or that the terms of any potential replacement facility will be acceptable to us or the timing of the implementation of any replacement facility. See “Termination and Repayment of Credit Facility” below.

The Company believes its four current hospital facilities and its specialty pharmacy business are currently underperforming. The Company has incurred losses from continuing operations in thirteen of the last fifteen fiscal quarters through the quarter ended March 31, 2014. The Company lost $2,098 from continuing operations after income taxes in the nine months ended March 31, 2014. Continuing losses from operations may have a material adverse effect on our liquidity.

In light of the current underperformance of the Company’s four current hospital facilities, the Company has engaged advisors to evaluate and conduct the possible sale of three such hospital facilities. There can be no assurance any sale will occur or that, if a sale occurs, it will be at a price that results in a gain or net proceeds after transaction costs, taxes and outstanding debt. The Company expects to use a portion of the net proceeds, if any, from future asset sales to fund its working capital needs because its remaining hospitals and its specialty pharmacy segment are not currently providing sufficient cash flow to fund working capital.

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.

Termination and Repayment of Credit Facility

On April 23, 2008, SunLink and substantially all of its subsidiaries entered into a $47,000 seven-year senior secured credit facility (“Credit Facility”) initially comprised of a revolving line of credit of up to $12,000 (the “Revolving Loan”) and a $35,000 term loan (the “Term Loan”). The Credit Facility was subsequently amended by eight modification agreements as a result of which the Revolving Loan commitment was reduced to $9,000 as of September 20, 2012 and the termination date of the Credit Facility was established as January 1, 2013. As of December 31, 2012, the Company paid all outstanding amounts under the Revolving Loan and the Term Loan and the Credit Facility was terminated.

Subsidiary Loans

Callaway RDA Loan - SunLink, HealthMont of Missouri, LLC (“HOM”), and HealthMont LLC (“HLLC”), the direct parent of HOM which owns Callaway Community Hospital in Fulton, Missouri (“Callaway”) closed on a $5,000 Loan Agreement dated as of March 16, 2012 (the “Callaway RDA Loan”) with a bank. The loan is guaranteed by the Company and HLLC. HealthMont of Missouri, LLC owns and operates Callaway in Fulton, Missouri. The Loan Agreement consists of a $4,000 term loan and $1,000 construction loan. The $4,000 term loan was drawn in its entirety at closing and, as of March 31, 2014, the entirety of the $1,000 construction loan has been drawn.

The Callaway RDA Loan has a term of 25 years with monthly payments of principal and interest. The Callaway RDA Loan bears interest at a floating interest rate computed as the prime rate (as published in The Wall Street Journal) plus 2% (5.25% at March 31, 2014). The Callaway RDA Loan is collateralized by Callaway’s real estate and equipment and is partially guaranteed under the U.S. Department of Agriculture, Rural Development Business and Industry Program. Of the Callaway RDA Loan proceeds, $3,250 was applied as payment against the Company’s senior debt under the Term Loan under the Company’s then outstanding Credit Facility. Approximately $1,000 of the Callaway RDA Loan proceeds were used to finance improvements, including to provide an inpatient geriatric psychiatry unit and an emergency department upgrade, with the remainder of the Callaway RDA Loan proceeds used for working capital and closing costs. The Callaway RDA Loan contains certain financial covenants with respect to the ratio of current assets to current liabilities and debt service coverage, all as defined in the Callaway RDA Loan Agreement and measured at the end of each fiscal year. The Callaway RDA Loan is guaranteed by HLLC and the Company.

Trace RDA Loan and Trace Working Capital Loan - On July 11, 2012, SunLink, MedCare South, LLC (f/k/a SunLink Healthcare, LLC) (“MedCare”) and SHCH, an indirect wholly-owned subsidiary of the Company which owns Trace Regional Hospital in Houston, Mississippi (“Trace”), closed on the $9,975 Trace RDA Loan and up to a $1,000 Trace Working Capital Loan, each dated as of July 5, 2012. SHCH owns and operates Trace in Houston, Mississippi.

The Trace RDA Loan has a term of 15 years with monthly payments of principal and interest until repaid. The Trace RDA Loan bears a floating rate of interest equal to the greater of (i) the prime rate (as published in The Wall Street Journal) plus 1.5%, or (ii) 6% (5.25% at March 31, 2014). The Trace RDA Loan is collateralized by Trace’s real estate and equipment and is partially guaranteed under the U.S. Department of Agriculture, Rural Development Business and Industry Program. Approximately $8,500 of the Trace RDA Loan proceeds were used to refinance a portion of the Company’s senior debt under the Term Loan under the then outstanding Credit Facility. Approximately $850 of the Trace RDA Loan proceeds were used for improvements to the hospital and its medical office building with the remainder of the Trace RDA Loan proceeds used for working capital and closing costs.

The Trace Working Capital Loan provides for a revolving line of credit to SHCH equal to the lesser of (i) a Borrowing Base equal to eighty percent (80%) of Eligible Accounts Receivable (as defined in the Working Capital Loan Agreement) or (ii) $1,000. At March 31, 2014 and June 30, 2013, there were no outstanding borrowings under the Trace Working Capital Loan.

SHPP RDA Loan - On October 31, 2012, SunLink Healthcare Professional Property, LLC closed on a $2,100 term loan dated as of October 31, 2012 (the “SHPP RDA Loan”) with a bank. SHPP owns and leases a medical office building to Southern Health Corporation of Ellijay, Inc. (“SHC Ellijay”). SHC Ellijay owns and operates North Georgia Medical Center (“North Georgia”), located in Ellijay, Georgia.

The SHPP RDA Loan has a term of 25 years with monthly payments of principal and interest until repaid. The SHPP RDA Loan bears interest at a floating rate of interest equal to the greater of (i) the prime rate (as published in The Wall Street Journal) plus 2.0%, or (ii) 5% (5.25% at March 31, 2014). The SHPP RDA Loan is collateralized by SHPP’s real estate, equipment and leases and is partially guaranteed under the U.S. Department of Agriculture, Rural Development Business and Industry Program. Of the SHPP RDA Loan proceeds, $1,800 was used by SHC Ellijay to acquire a medical office building in Ellijay, Georgia which was then sold to SHPP, with the remainder of the SHPP RDA Loan proceeds used for SHPP working capital and closing costs. The SHPP RDA Loan contains certain financial covenants with respect to the ratio of current assets to current liabilities and debt service coverage, all as defined in the SHPP RDA Loan Agreement, which SHPP must maintain and that are measured at the end of each fiscal year. The SHPP RDA Loan is guaranteed by the Company and MedCare.

Contractual Obligations, Commitments and Contingencies


Payments due in:	Long-Term Debt		Operating Leases		Interest on Outstanding Debt
1 year	$	9,198	$	1,664	$	556
2 years		475		875		478
3 years		1,580		717		399
4 years		175		450		334
5+ years		6,223		161		3,361

	$	17,651	$	3,867	$	5,128

At March 31, 2014, SunLink had a guarantee agreement with one physician. A physician with whom a guarantee agreement is made generally agrees to maintain his or her practice within a hospital geographic area for a specific period (normally three years) or be liable to repay all or a portion of the guarantee received. The physician’s liability for any guarantee repayment due to non-compliance with the provisions of a guarantee agreement generally is collateralized by the physician’s patient accounts receivable and/or a promissory note from the physician. All potential payments payable under this one guarantee have been paid as of March 31, 2014. SunLink expensed $16 and $20 on physician guarantees and recruiting for the three months ended March 31, 2014 and 2013, respectively. SunLink expensed $83 and $51 on physician guarantees and recruiting for the nine months ended March 31, 2014 and 2013, respectively. There were no remaining non-cancelable commitments under guarantee agreements with physicians as of March 31, 2014.

At March 31, 2014, we had outstanding long-term debt of $17,651 of which $4,828 was incurred under the Callaway RDA Loan, $8,733 was incurred under the Trace RDA Loan, $2,043 was incurred under the SHPP RDA Loan, $2,002 was incurred under the Carmichael Notes, and $45 was related to capital leases.

Discontinued Operations

Dexter Hospital – On December 31, 2012, the Company completed the sale of substantially all the assets and the leasehold interest of its subsidiary, Dexter Hospital, LLC (“Dexter”), to Southeast Health Center of Stoddard County, LLC, an indirect subsidiary of Southeast Missouri Hospital Association (“SoutheastHEALTH”). The assets of Dexter consist of a leased 50-bed acute care hospital and related clinics, equipment, and home health services in Dexter, Missouri. Subsequent to the sale, Dexter managed the hospital and related businesses for Southeast Health Center of Stoddard County, LLC through a transition period ended June 30, 2013. Dexter retained accounts receivable and certain other assets, including the right to Medicare and Medicaid incentive payments (“EHR Funds”) for meaningful use of electronic health record technology and substantially all liabilities of the hospital as of December 31, 2012. The sale of the assets and leasehold interest of Dexter for approximately $9,800, less estimated sale expenses and taxes, resulted in net proceeds of approximately $7,400. Approximately $5,200 of the net proceeds from the sale were used to pay off the outstanding balance of the Company’s senior credit facility under the Term Loan of the Company’s then outstanding Credit Facility. Dexter’s operations have been reclassified as discontinued operations in our condensed consolidated financial statements for the three and nine month periods ended March 31, 2014 and 2013.

Memorial Hospital of Adel - On July 2, 2012, the Company and its HealthMont of Georgia, Inc. subsidiary completed the sale of substantially of all the assets of the Company’s subsidiary, Memorial, to the Hospital Authority of Tift County, Georgia (“Tift”) for approximately $8,350. SunLink and its HealthMont of Georgia, Inc. subsidiary entered into an Asset Purchase Agreement by and among HealthMont of Georgia, Inc., Excluded assets include accounts receivable as of the September 30, 2012 (“Cutoff Date”) and all EHR Funds and all receivables, claims and settlements made pursuant to the Indigent Care Trust Fund of the State of Georgia (“ICTF”) paid with respect to the State of Georgia’s fiscal year ended June 30, 2013. Retained liabilities consist of liabilities incurred prior to July 2, 2012. Approximately $7,500 of the net proceeds from the sale were used to repay a portion of the Company’s senior credit facility under the Term Loan of the Company’s then outstanding Credit Facility. Memorial’s operations have been reclassified as discontinued operations in our condensed consolidated financial statements for the three and nine month periods ended March 31, 2014 and 2013.

Related Party Transactions

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

Disclosure Controls and Procedures - We maintain controls and procedures designed to ensure that we are able to collect the information we are required to disclose in the reports we file with the SEC, and to process, summarize and disclose this information within the time periods specified in the rules of the SEC.

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 as amended (the “Exchange Act”)) as of the end of the period covered by this report. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of the end of such period, our disclosure controls and procedures are effective in providing reasonable assurances that information required to be disclosed by the Company in the reports filed or submitted under the Exchange Act are recorded, processed, summarized and reported in a timely manner.

PART II. OTHER INFORMATION

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

ITEM 1.

LEGAL PROCEEDINGS

Legal Proceedings

In 2007, Southern Health Corporation of Ellijay, Inc. (“SHC-Ellijay”) filed a Complaint against James P. Garrett and Roberta Mundy, both individually and as Fiduciary of the Estate of Randy Mundy (collectively, “Defendants”), seeking specific performance of an Option Agreement (the “Option Agreement”) dated April 17, 2007, between SHC-Ellijay, Mr. Garrett, and Ms. Mundy as Executrix of the Estate of Randy Mundy for the sale of approximately 24.74 acres of real property located in Gilmer County, Georgia, and recovery of SHC-Ellijay’s damages suffered as a result of Defendants’ failure to close the transaction in accordance with the Option Agreement. SHC-Ellijay also stated alternative claims for breach of the Option Agreement and fraud, along with claims to recover attorney’s fees and punitive damages and the defendants filed counterclaims against SHC-Ellijay.

On April 11, 2012, the Court granted SHC-Ellijay’s motion for partial summary judgment and denied Defendants’ motions for summary judgment. In April 2012, Defendants filed a notice of appeal to the Georgia Court of Appeals. In March 2013, the Georgia Court of Appeals issued an opinion affirming in part and reversing in part the summary judgment entered for the Company. The appellate court rejected all of the Sellers’ various contract-law defenses. The appellate court also held that the Sellers intentionally breached the Option Agreement by failing to close the transaction and satisfy their other obligations. The appellate court reversed, however, on the question of whether Sellers’ breach was also willful, reasoning that willfulness carries with it an aspect of bad faith. The case has been remanded to the Superior Court for trial on the willfulness/bad faith issue and damages. A settlement has been reached but documentation thereof has not been finalized is in negotiation. While the ultimate outcome and materiality of the litigation cannot be determined, in management’s opinion the litigation should not have a material adverse effect on SunLink’s financial condition or results of operations.

Recent Accounting Pronouncements

Office of Inspector General Investigation

In March 2013, SunLink received a document subpoena from the United States Department of Health and Human Services Office of Inspector General (“OIG”) in connection with an investigation of possible improper claims submitted to Medicare and Medicaid. The subpoena was directed to SunLink’s indirect subsidiary Southern Health Corporation of Dahlonega, Inc. (“SHCD”), which owns and operates Chestatee Regional Hospital in Dahlonega, Georgia, and requested documents concerning possible false or fraudulent claims made for intensive outpatient psychiatric services provided by and billed for a third-party outpatient psychiatric service provider. The subpoena also sought information about SHCD’s relationship with the outpatient psychiatric service provider,

including financial arrangements. SHCD is continuing to cooperate with the government with respect to an ongoing document production, as well as conducting a joint medical necessity review of a sampling of medical records. We cannot at this time estimate what, if any, impact these matters and any results from these matters could have on our business, financial position, operating results or cash flows.

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 Form 10-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 Form 10-K for the year ended June 30, 2013. 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 Form 10-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:



31.1		Chief Executive Officer’s Certification Pursuant to Rule 13a-14(a) of the Securities Exchange Act of 1934.

31.2		Chief Financial Officer’s Certification Pursuant to Rule 13a-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 Form 10-Q for the three months ended March 31, 2014, formatted in XBRL (eXtensible Business Reporting Language): (i) Condensed Consolidated Balance Sheets as of March 31, 2014 (unaudited) and June 30, 2013, (ii) Condensed Consolidated Statements of Operations for the three and nine months ended March 31, 2014 and 2013 (unaudited), (iii) Condensed Consolidated Statements of Cash Flows, for the three and nine months ended March 31, 2014 and 2013 (unaudited), and (iv) Notes to Condensed Consolidated Financial Statements (unaudited), tagged as blocks of text.

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 14, 2014

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