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Green Annual Report A green annual report is an annual report on a company's financial status that is printed using production processes that save energy, trees, water, and also reduce waste and greenhouse gases. According to a 2005 survey that studied trends in annual reporting, the average number of pages in an annual report was 65, and the number of copies produced averaged between more than 5,000 to less than 50,000.Green annual reports are frequently printed using eco-friendly soy inks.
Defined by Struggle Defined by Struggle is an album by the metalcore band Nodes of Ranvier, released in 2007. It was the band's final album.
Private Securities Litigation Reform Act The Private Securities Litigation Reform Act of 1995, Pub.L. 104–67 (text) (PDF), 109 Stat. 737 (codified as amended in scattered sections of 15 U.S.C.) ("PSLRA") implemented several substantive changes in the United States, affecting certain cases brought under the federal securities laws, including changes related to pleading, discovery, liability, class representation, and awards fees and expenses.
Securities Act of 1933 The Securities Act of 1933, also known as the 1933 Act, the Securities Act, the Truth in Securities Act, the Federal Securities Act, and the '33 Act, was enacted by the United States Congress on May 27, 1933, during the Great Depression and after the stock market crash of 1929. It is an integral part of United States securities regulation.
Securities fraud Securities fraud, also known as stock fraud and investment fraud, is a deceptive practice in the stock or commodities markets that induces investors to make purchase or sale decisions on the basis of false information, frequently resulting in losses, in violation of securities laws.Securities fraud can also include outright theft from investors (embezzlement by stockbrokers), stock manipulation, misstatements on a public company's financial reports, and lying to corporate auditors. The term encompasses a wide range of other actions, including insider trading, front running and other illegal acts on the trading floor of a stock or commodity exchange.
Balance sheet In financial accounting, a balance sheet (also known as statement of financial position or statement of financial condition) is a summary of the financial balances of an individual or organization, whether it be a sole proprietorship, a business partnership, a corporation, private limited company or other organization such as government or not-for-profit entity. Assets, liabilities and ownership equity are listed as of a specific date, such as the end of its financial year.
Opportunity cost In microeconomic theory, the opportunity cost of a particular activity option is the loss of value or benefit that would be incurred (the cost) by engaging in that activity, relative to engaging in an alternative activity offering a higher return in value or benefit. \nThe smaller the opportunity cost, the greater the comparative advantage.
Agile management Agile management is the application of the principles of Agile software development to various management processes, particularly project management. Following the appearance of the Manifesto for Agile Software Development in 2001, Agile techniques started to spread into other areas of activity.
Battle of Berlin The Battle of Berlin, designated as the Berlin Strategic Offensive Operation by the Soviet Union, and also known as the Fall of Berlin, was one of the last major offensives of the European theatre of World War II.After the Vistula–Oder Offensive of January–February 1945, the Red Army had temporarily halted on a line 60 km (37 mi) east of Berlin. On 9 March, Germany established its defence plan for the city with Operation Clausewitz.
Dunkin' Brands Dunkin' Brands Group, Inc. was an American restaurant holding company which ran three chains of fast-food restaurants: Dunkin' Donuts, Mister Donut, and Baskin-Robbins.
Journal of Individual Differences The Journal of Individual Differences is an academic journal covering personality psychology published by Hogrefe Publishing. The editor in chief is Martin Voracek (University of Vienna).
List of oldest universities in continuous operation This article contains a list of the oldest existing universities in continuous operation in the world. Inclusion in this list is determined by the date at which the educational institute first met the traditional definition of a university used by academic historians although it may have existed as a different kind of institution before that time.
Political obligation Political obligation refers to a moral requirement to obey national laws. Its origins are unclear, however it traces to the Ancient Greeks.
Positive obligations Positive obligations in human rights law denote a State's obligation to engage in an activity to secure the effective enjoyment of a fundamental right, as opposed to the classical negative obligation to merely abstain from human rights violations.\nClassical human rights, such as the right to life or freedom of expression, are formulated or understood as prohibitions for the State to act in a way that would violate these rights.
Uncertainty Uncertainty refers to epistemic situations involving imperfect or unknown information. It applies to predictions of future events, to physical measurements that are already made, or to the unknown.
Eastern Time Zone The Eastern Time Zone (ET) is a time zone encompassing part or all of 23 states in the eastern part of the United States, parts of eastern Canada, the state of Quintana Roo in Mexico, Panama and Colombia, mainland Ecuador, Peru, and a small portion of westernmost Brazil in South America, along with certain Caribbean and Atlantic islands.\nPlaces that use:\n\nEastern Standard Time (EST), when observing standard time (autumn/winter), are five hours behind Coordinated Universal Time (UTC−05:00).
Biblical infallibility Biblical infallibility is the belief that what the Bible says regarding matters of faith and Christian practice is wholly useful and true. It is the "belief that the Bible is completely trustworthy as a guide to salvation and the life of faith and will not fail to accomplish its purpose."\n\n\n== Background ==\nHistorically, Jewish and Christian interpreters of the Bible have seen it as reliable and trustworthy, but such views do not imply in equating veracity to historicity, scientificity or even facticity.
PayPal Park PayPal Park (formerly Earthquakes Stadium and Avaya Stadium) is a Footballer stadium in San Jose, California, United States, and is the home of Major League Soccer's San Jose Earthquakes. The stadium is located on the Airport West site that is located to the west of San Jose International Airport.PayPal Park officially opened on February 27, 2015, and has a capacity of approximately 18,000.
Local government Local government is a generic term for the lowest tiers of public administration within a particular sovereign state. This particular usage of the word government refers specifically to a level of administration that is both geographically-localised and has limited powers.
Material adverse change In the fields of mergers and acquisitions and corporate finance, a material adverse change (abbreviated MAC), material adverse event (MAE), or material adverse effect (also MAE) is a change in circumstances that significantly reduces the value of a company. A contract to acquire, invest in, or lend money to a company often contains a term that allows the acquirer, investor, or lender to cancel the transaction if a material adverse change occurs.
Physical therapy Physical therapy (PT), also known as physiotherapy, is one of the medical profession. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, prognosis, patient education, physical intervention, rehabilitation, disease prevention, and health promotion.
Food and Drug Administration The United States Food and Drug Administration (FDA or USFDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food safety, tobacco products, dietary supplements, prescription and over-the-counter pharmaceutical drugs (medications), vaccines, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices (ERED), cosmetics, animal foods & feed and veterinary products.
Drug labelling Drug labelling is also referred to as prescription labelling, is a written, printed or graphic matter upon any drugs or any of its container, or accompanying such a drug. Drug labels seek to identify drug contents and to state specific instructions or warnings for administration, storage and disposal.
United States federal budget The United States federal budget comprises the spending and revenues of the U.S. federal government. The budget is the financial representation of the priorities of the government, reflecting historical debates and competing economic philosophies.
Fiscal year A fiscal year (or financial year, or sometimes budget year) is used in government accounting, which varies between countries, and for budget purposes. It is also used for financial reporting by businesses and other organizations.
Generation Alpha Generation Alpha (or Gen Alpha for short) is the demographic cohort succeeding Generation Z. Researchers and popular media use the early-to-mid 2010s as starting birth years. Named after the first letter in the Greek alphabet, Generation Alpha is the first to be born entirely in the 21st century.
Net present value The net present value (NPV) or net present worth (NPW) applies to a series of cash flows occurring at different times. The present value of a cash flow depends on the interval of time between now and the cash flow.
Securities and Exchange Board of India The Securities and Exchange Board of India (SEBI) is the regulatory body for securities and commodity market in India under the ownership of Ministry of Finance , Government of India. It was established on 12 April 1988 and given Statutory Powers on 30 January 1992 through the SEBI Act, 1992.
Singapore Armed Forces The Singapore Armed Forces (SAF) are the military services of the Republic of Singapore, responsible for its defence and national interests. A military component of the Ministry of Defence (MINDEF), it is one of the most capable, robust technologically sophisticated and powerful militaries in Southeast Asia and the surrounding regions.The SAF consists of three branches: the Singapore Army, the Republic of Singapore Navy (RSN), and the Republic of Singapore Air Force (RSAF).
Equal Justice Initiative The Equal Justice Initiative (EJI) is a non-profit organization, based in Montgomery, Alabama, that provides legal representation to prisoners who may have been wrongly convicted of crimes, poor prisoners without effective representation, and others who may have been denied a fair trial. It guarantees the defense of anyone in Alabama in a death penalty case.
Healthcare reform in China The healthcare reform in China refers to the previous and ongoing healthcare system transition in modern China. China's government, specifically the National Health and Family Planning Commission (formerly the Ministry of Health), plays a leading role in these reforms.
Healthcare in India India has a multi-payer universal health care model that is paid for by a combination of public and private health insurance funds along with the element of almost entirely tax-funded public hospitals. The public hospital system is essentially free for all Indian residents except for small, often symbolic co-payments in some services.
Research Excellence Framework The Research Excellence Framework (REF) is a research impact evaluation of British higher education institutions. It is the successor to the Research Assessment Exercise and it was first used in 2014 to assess the period 2008–2013.
You are either with us, or against us In political communication, the phrase "you are either with us, or against us" and similar variations are used to generate polarisation and reject non-partisanship. The implied consequence of not joining the partisan effort of the speaker is to be deemed an enemy.
Flight Facilities Flight Facilities is an Australian electronic producer duo that also performs as Hugo & Jimmy. In 2009, they began mixing songs by other artists before crafting their own original material.
Future Culture () is an umbrella term which encompasses the social behavior, institutions, and norms found in human societies, as well as the knowledge, beliefs, arts, laws, customs, capabilities, and habits of the individuals in these groups. Culture is often originated from or attributed to a specific region or location.
United Federation of Planets In the fictional universe of Star Trek the United Federation of Planets (UFP) is the interstellar government with which, as part of its space force Starfleet, most of the characters and starships of the franchise are affiliated. Commonly referred to as "the Federation", it was introduced in the original Star Trek television series.
Risk Factors
SUN HEALTHCARE GROUP INC Item 1A Risk Factors Information provided in this Annual Report on Form 10-K ( &quote Annual Report &quote ) contains &quote forward-looking &quote information as that term is defined by the Private Securities Litigation Reform Act of 1995 (the &quote Act &quote )
All statements regarding our expected future financial position, results of operations, cash flows, liquidity, financing plans, business strategy, budgets, the impact of changes in government reimbursement programs, projected costs and capital expenditures, competitive position, growth opportunities, plans and objectives of management for future operations and words such as &quote anticipate, &quote &quote believe, &quote &quote plan, &quote &quote estimate, &quote &quote expect, &quote &quote intend, &quote &quote may &quote and other similar expressions are forward-looking statements
The forward-looking statements are qualified in their entirety by these cautionary statements, which are being made pursuant to the provisions of the Act and with the intention of obtaining the benefits of the &quote safe harbor &quote provisions of the Act
We caution 10 ______________________________________________________________________ SUN HEALTHCARE GROUP, INC AND SUBSIDIARIES investors that any forward-looking statements made by us are not guarantees of future performance and that actual results may differ materially from those in the forward-looking statements as a result of various factors, including, but not limited to, those set forth below and elsewhere herein
We do not intend, and undertake no obligation, to update our forward-looking statements to reflect future events or circumstances
Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements as a result of, but not limited to, the factors set forth below
You should carefully consider the risks described herein
There may be additional risks of which we are presently unaware or that we currently deem immaterial
Reductions in the reimbursement rates paid by Medicare and Medicaid agencies, and adverse changes in our payor mix could reduce our net earnings, and future reform legislation may directly impact our business
For the year ended December 31, 2005, we derived 78dtta3prca of our inpatient revenues from continuing operations (including Peak for the month of December) from Medicare and Medicaid
Federal and state governments continue to focus on methods to curb spending on health care programs such as Medicare and Medicaid, and have implemented or proposed to implement changes that will or could adversely affect our reimbursements
For example, among other things, (i) two temporary add-on payments were eliminated, the number of resource utilization group ( &quote RUG &quote ) categories was increased from 44 to 53, and the nursing case-mix weight for all 53 RUG categories was increased; (ii) &quote therapy caps &quote were implemented to limit the amount of Medicare Part B reimbursement we receive for providing rehabilitation therapy, and an exceptions process for Medicare beneficiaries who require medically necessary services in excess of the therapy caps was developed; (iii) Medicaid coverage of prescription drugs for Medicare beneficiaries who are also eligible for Medicaid, referred to as &quote dual eligibles &quote , was shifted to the new Part D Medicare program; and (iv) President Bushapstas budget proposal for the federal fiscal year beginning October 1, 2006 contains changes that, if enacted as proposed, would materially adversely affect our skilled nursing facilities
See Item 7 - &quote Managementapstas Discussion and Analysis of Financial Condition and Results of Operations - Revenues from Medicare, Medicaid and Other Sources &quote for a discussion of these changes and other changes to our Medicare and Medicaid reimbursements
In addition, the amount of our revenues is determined by a number of factors, including the mix of residents and patients and the rates of reimbursement among payors
Changes in the case mix of the residents and patients as well as payor mix among private pay, Medicare and Medicaid can affect our profitability
For instance, a significant increase in our Medicaid population could have a material adverse effect on our financial position, results of operations and cash flow, especially if states operating these programs continue to limit, or more aggressively seek limits on, reimbursement rates
In recent years, there have been numerous initiatives on the federal and state levels for comprehensive reforms affecting the payment for and availability of healthcare services
There can be no assurance as to the ultimate content, timing or effect of any healthcare reform legislation, nor is it possible at this time to estimate the impact of potential legislation on us
That impact may have an adverse effect on our financial condition and results of operations
We are subject to a number of lawsuits and rely primarily on self-funded insurance programs for general and professional liability claims against us
Skilled nursing facility operators, including SunBridge and our other inpatient services subsidiaries, are subject to lawsuits alleging negligence resulting in injury or death to residents of the facilities
We currently have numerous patient care lawsuits pending against us, as well as other types of lawsuits, many of which relate to facilities that we no longer operate
Adverse determinations in legal proceedings, whether currently asserted or 11 ______________________________________________________________________ SUN HEALTHCARE GROUP, INC AND SUBSIDIARIES arising in the future, could have a material adverse effect on our financial