UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

ý

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

For the quarterly period ended September 30, 2017

March 31, 2018

o

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 001-33135

Regional Health Properties, Inc.

(Exact name of registrant as specified in its charter)

Georgia

81-5166048

Georgia
81-5166048

(State or other jurisdiction


of incorporation)

(I.R.S. Employer
Identification Number)

454 Satellite Boulevard NW, Suite 100, Suwanee, GA 30024

(Address of principal executive offices)

(678) 869-5116

(Registrant’s telephone number, including area code)


(Former name, former address and former fiscal year, if changed since last report)

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

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 (or for such shorter period that the registrant was required to submit and post such files).  Yes ý  No o

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

Large accelerated filero

Accelerated filero

Non-accelerated filero

Smaller reporting company

(Do not check if a

smaller reporting company)

Smaller reporting company ý

Emerging growth companyo


If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. Yes o    No o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  

.Yes Yes o  No ý

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

As of October 31, 2017:  19,762,036May 17, 2018:  20,303,733 shares of common stock, no par value, were outstanding.






Regional Health Properties, Inc.

Form 10-Q

Table of Contents

Page
Number

Page
Number

FINANCIAL INFORMATION

Financial Statements (unaudited)

3

Consolidated Balance Sheets as of September 30, 2017 (unaudited)March 31, 2018 and December 31, 20162017

3

Consolidated Statements of Operations for the three and nine months ended September 30,March 31, 2018 and 2017 and 2016 (unaudited)

4

Consolidated Statement of Stockholders' Equity (Deficit) for the ninethree months ended September 30, 2017 (unaudited)March 31, 2018

5

Consolidated Statements of Cash Flows for the ninethree months ended September 30,March 31, 2018 and 2017 and 2016 (unaudited)

6

Notes to Consolidated Financial Statements (unaudited)

8

Management’s Discussion and Analysis of Financial Condition and Results of Operations

30

Quantitative and Qualitative Disclosures About Market Risk

36

Controls and Procedures

36

OTHER INFORMATION

Legal Proceedings

38

Risk Factors

39

Unregistered Sales of Equity Securities and Use of Proceeds

40

Defaults upon Senior Securities

40

Mine Safety Disclosures

40

Other Information

41

Exhibits

41

45


Forward-Looking Statements
This Quarterly Report on Form 10-Q (this “Quarterly Report”) and certain information incorporated herein by reference contain forward-looking statements and information within the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. This information includes assumptions made by, and information currently available to management, including statements regarding future economic performance and financial condition, liquidity and capital resources, and management’s plans and objectives. In addition, certain statements included in this Quarterly Report, in the Company’s future filings with the Securities and Exchange Commission (“SEC”), in press releases, and in oral and written statements made by us or with our approval, which are not statements of historical fact, are forward-looking statements. Words such as “may,” “could,” “should,” “would,” “believe,” “expect,” “anticipate,” “estimate,” “intend,” “seek,” “plan,” “project,” “continue,” “predict,” “will,” and other words or expressions of similar meaning are intended by us to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Forward-looking statements are based on the Company’s current expectations about future events or results and information that is currently available to us, involve assumptions, risks, and uncertainties, and speak only as of the date on which such statements are made. 
All forward-looking statements are subject to the risks and uncertainties inherent in predicting the future. The Company’s actual results may differ materially from those projected, stated or implied in these forward-looking statements as a result of many factors, including the Company’s critical accounting policies and risks and uncertainties related to, but not limited to, the operating results of the Company’s tenants, the overall industry environment and the Company’s financial condition. These and other risks and uncertainties are described in more detail in the Company’s most recent Annual Report on Form 10-K, as well as other reports that the Company files with the SEC. 
Forward-looking statements speak only as of the date they are made and should not be relied upon as representing the Company’s views as of any subsequent date. The Company undertakes no obligation to update or revise such statements to reflect new circumstances or unanticipated events as they occur, except as required by applicable laws, and you are urged to review and consider disclosures that the Company makes in this Quarterly Report and other reports that the Company files with the SEC that discuss factors germane to the Company’s business.


Part I.  Financial Information

Item 1.  Financial Statements 

Item 1.

Financial Statements

REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(Amounts in 000’s)

(Unaudited)

 

 

March 31,

2018

 

 

December 31,

2017

 

 

 

 

 

 

 

 

 

 

ASSETS

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash

 

$

3,524

 

 

$

1,818

 

Restricted cash

 

 

833

 

 

 

960

 

Accounts receivable, net of allowance of $1,992 and $2,570

 

 

599

 

 

 

945

 

Prepaid expenses and other

 

 

521

 

 

 

304

 

Notes receivable

 

 

727

 

 

 

677

 

Total current assets

 

 

6,204

 

 

 

4,704

 

Restricted cash

 

 

2,640

 

 

 

2,581

 

Property and equipment, net

 

 

80,397

 

 

 

81,213

 

Intangible assets - bed licenses

 

 

2,471

 

 

 

2,471

 

Intangible assets - lease rights, net

 

 

1,945

 

 

 

2,187

 

Goodwill

 

 

2,105

 

 

 

2,105

 

Lease deposits

 

 

808

 

 

 

808

 

Straight-line rent receivable

 

 

6,383

 

 

 

6,400

 

Notes receivable

 

 

2,990

 

 

 

3,540

 

Other assets

 

 

55

 

 

 

542

 

Total assets

 

$

105,998

 

 

$

106,551

 

LIABILITIES AND EQUITY

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Current portion of notes payable and other debt

 

$

17,714

 

 

$

6,621

 

Current portion of convertible debt, net

 

 

 

 

 

1,469

 

Accounts payable

 

 

3,996

 

 

 

4,386

 

Accrued expenses and other

 

 

4,523

 

 

 

7,022

 

Total current liabilities

 

 

26,233

 

 

 

19,498

 

Notes payable and other debt, net of current portion:

 

 

 

 

 

 

 

 

Senior debt, net

 

 

53,297

 

 

 

57,801

 

Bonds, net

 

 

6,586

 

 

 

6,567

 

Other debt, net

 

 

572

 

 

 

644

 

Other liabilities

 

 

3,899

 

 

 

4,133

 

Deferred tax liabilities

 

 

38

 

 

 

38

 

Total liabilities

 

 

90,625

 

 

 

88,681

 

Commitments and contingencies (Note 13)

 

 

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

 

 

Common stock and additional paid-in capital, no par value; 55,000 shares

   authorized; 19,697 and 19,697 issued and outstanding at March 31,

   2018 and December 31, 2017, respectively

 

 

61,755

 

 

 

61,724

 

Preferred stock, no par value; 5,000 shares authorized; 2,812 and 2,812

   shares issued and outstanding, redemption amount $70,288 and $70,288 at

   March 31, 2018 and December 31, 2017, respectively

 

 

62,423

 

 

 

62,423

 

Accumulated deficit

 

 

(108,805

)

 

 

(106,277

)

Total stockholders’ equity

 

 

15,373

 

 

 

17,870

 

Total liabilities and stockholders’ equity

 

$

105,998

 

 

$

106,551

 

  September 30, 
 2017
 December 31, 
 2016
  (Unaudited)  
ASSETS  
  
Current assets:  
  
Cash and cash equivalents $1,115
 $14,045
Restricted cash 960
 1,600
Accounts receivable, net of allowance of $2,946 and $7,529, respectively 1,086
 2,429
Prepaid expenses and other 1,384
 2,395
Total current assets 4,545
 20,469
Restricted cash and investments 2,580
 3,864
Property and equipment, net 82,441
 79,168
Intangible assets - bed licenses 2,471
 2,471
Intangible assets - lease rights, net 2,253
 2,754
Goodwill 2,105
 2,105
Lease deposits 808
 1,411
Notes receivable 3,589
 3,000
Other assets 6,407
 4,244
Total assets $107,199
 $119,486
LIABILITIES AND EQUITY (DEFICIT)  
  
Current liabilities:  
  
Current portion of notes payable and other debt $6,828
 $4,018
Current portion of convertible debt, net 1,499
 9,136
Accounts payable 3,617
 3,037
Accrued expenses and other 8,582
 9,077
Total current liabilities 20,526
 25,268
Notes payable and other debt, net of current portion:  
  
Senior debt, net 58,212
 60,189
Bonds, net 6,548
 6,586
Other debt, net 731
 41
Other liabilities 3,785
 3,677
Deferred tax liabilities 226
 226
Total liabilities 90,028
 95,987
Commitments and contingencies (Note 15) 
 
Preferred stock, no par value; 5,000 shares authorized; 2,812 and 2,762 shares issued and outstanding, redemption amount $70,288 and $69,038 at September 30, 2017 and December 31, 2016, respectively 
 61,446
Stockholders’ equity (deficit):  
  
Common stock and additional paid-in capital, no par value; 55,000 shares authorized; 19,762 and 19,927 issued and outstanding at September 30, 2017 and December 31, 2016, respectively 61,738
 61,643
Preferred stock, no par value; 5,000 shares authorized; 2,812 and 2,762 shares issued and outstanding, redemption amount $70,288 and $69,038 at September 30, 2017 and December 31, 2016, respectively 62,423
 
Accumulated deficit (106,990) (99,590)
Total stockholders’ equity (deficit) 17,171
 (37,947)
Total liabilities and stockholders’ equity (deficit) $107,199
 $119,486

See accompanying notes to unaudited consolidated financial statements


REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

(Amounts in 000’s, except per share data)

(Unaudited)

 

 

Three Months Ended March 31,

 

 

 

2018

 

 

2017

 

Revenues:

 

 

 

 

 

 

 

 

Rental revenues

 

$

5,705

 

 

$

5,775

 

Management fees

 

 

234

 

 

 

229

 

Other revenues

 

 

48

 

 

 

131

 

Total revenues

 

 

5,987

 

 

 

6,135

 

Expenses:

 

 

 

 

 

 

 

 

Facility rent expense

 

 

2,171

 

 

 

2,171

 

Cost of management fees

 

 

157

 

 

 

176

 

Depreciation and amortization

 

 

1,221

 

 

 

1,135

 

General and administrative expense

 

 

879

 

 

 

1,446

 

Provision for doubtful accounts

 

 

1,938

 

 

 

466

 

Other operating expenses

 

 

343

 

 

 

89

 

Total expenses

 

 

6,709

 

 

 

5,483

 

(Loss) income from operations

 

 

(722

)

 

 

652

 

Other expense:

 

 

 

 

 

 

 

 

Interest expense, net

 

 

1,275

 

 

 

1,032

 

Loss on extinguishment of debt

 

 

441

 

 

 

63

 

Other expense

 

 

9

 

 

 

95

 

Total other expense, net

 

 

1,725

 

 

 

1,190

 

Loss from continuing operations before income taxes

 

 

(2,447

)

 

 

(538

)

Income tax expense

 

 

26

 

 

 

1

 

Loss from continuing operations

 

 

(2,473

)

 

 

(539

)

Loss from discontinued operations, net of tax

 

 

(55

)

 

 

(413

)

Net loss

 

 

(2,528

)

 

 

(952

)

Preferred stock dividends - declared

 

 

 

 

 

(1,878

)

Preferred stock dividends - undeclared

 

 

(1,912

)

 

 

 

Net loss attributable to Regional Health Properties, Inc.

   common stockholders

 

$

(4,440

)

 

$

(2,830

)

Net loss per share of common stock attributable to Regional

   Health Properties, Inc.

 

 

 

 

 

 

 

 

Basic and diluted:

 

 

 

 

 

 

 

 

Continuing operations

 

$

(0.23

)

 

$

(0.12

)

Discontinued operations

 

 

0.00

 

 

 

(0.02

)

 

 

$

(0.23

)

 

$

(0.14

)

Weighted average shares of common stock outstanding:

 

 

 

 

 

 

 

 

Basic and diluted

 

 

19,697

 

 

 

19,825

 

(Unaudited)
  Three Months Ended September 30, Nine Months Ended September 30,
  2017 2016 2017 2016
Revenues:  
  
  
  
Rental revenues $5,983
 $6,912
 $17,703
 $20,651
Management fee and other revenues 362
 253
 1,081
 760
Total revenues 6,345
 7,165
 18,784
 21,411
         
Expenses:  
  
  
  
Facility rent expense 2,171
 2,176
 6,512
 6,523
Depreciation and amortization 1,193
 1,124
 3,499
 4,176
General and administrative expense 1,063
 1,598
 3,507
 6,275
Other operating expenses 517
 241
 1,395
 1,413
Total expenses 4,944
 5,139
 14,913
 18,387
         
Income from operations 1,401
 2,026
 3,871
 3,024
         
Other expense:  
  
  
  
Interest expense, net 1,011
 1,801
 3,049
 5,377
Loss on extinguishment of debt 
 
 63
 
Other expense 105
 
 388
 51
Total other expense, net 1,116
 1,801
 3,500
 5,428
         
Income (loss) from continuing operations before income taxes 285
 225
 371
 (2,404)
Income tax expense 19
 3
 20
 3
Income (loss) from continuing operations 266
 222
 351
 (2,407)
         
Loss from discontinued operations, net of tax (1,032) (2,210) (2,049) (6,513)
Net loss (766) (1,988) (1,698) (8,920)
         
Preferred stock dividends 1,912
 1,879
 5,702
 5,457
Net loss attributable to Regional Health Properties, Inc. common stockholders $(2,678) $(3,867) $(7,400) $(14,377)
         
Net loss per share of common stock attributable to Regional Health Properties, Inc.  
  
  
  
Basic and diluted:  
  
  
  
Continuing operations $(0.08) $(0.08) $(0.27) $(0.39)
Discontinued operations (0.05) (0.11) (0.10) (0.33)
  $(0.13) $(0.19) $(0.37) $(0.72)
         
Weighted average shares of common stock outstanding:  
  
  
  
Basic and diluted 19,762
 19,917
 19,784
 19,909

See accompanying notes to unaudited consolidated financial statements


REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY (DEFICIT)

(Amounts in 000’s)

(Unaudited)

 

 

Shares of

Common

Stock

 

 

Shares of

Preferred

Stock

 

 

Common

Stock and

Additional

Paid-in

Capital

 

 

Preferred

Stock

 

 

Accumulated

Deficit

 

 

Total

 

Balances, December 31, 2017

 

 

19,697

 

 

 

2,812

 

 

$

61,724

 

 

$

62,423

 

 

$

(106,277

)

 

$

17,870

 

Stock-based compensation

 

 

 

 

 

 

 

 

31

 

 

 

 

 

 

 

 

 

31

 

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2,528

)

 

 

(2,528

)

Balances, March 31, 2018

 

 

19,697

 

 

 

2,812

 

 

$

61,755

 

 

$

62,423

 

 

$

(108,805

)

 

$

15,373

 

(Unaudited)

  Shares of Common Stock Shares of Preferred Stock Common Stock and Additional
Paid-in
Capital
 
Preferred Stock (a)
 Accumulated
Deficit
 Total
Balances, December 31, 2016 19,927
 
 $61,643
 $
 $(99,590) $(37,947)
             
Reclassification of preferred stock 
 2,812
 
 62,423
 
 62,423
             
Stock-based compensation 
 
 281
 
 
 281
             
Common stock repurchase program (118) 
 (186) 
 
 (186)
             
Issuance of restricted stock, net of forfeitures (47) 
 
 
 
 
             
Preferred stock dividends 
 
 
 
 (5,702) (5,702)
             
Net loss 
 
 
 
 (1,698) (1,698)
Balances, September 30, 2017 19,762
 2,812
 $61,738
 $62,423
 $(106,990) $17,171
(a) Adoption of the classification of the Regional Health Properties, Inc.'s Series A Preferred Stock as permanent equity, as a result of the ownership and transfer restrictions contained in the Amended and Restated Articles of Incorporation of Regional Health Properties, Inc. with respect to the common stock.

See accompanying notes to unaudited consolidated financial statements


REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)

(Amounts in 000’s)

(Unaudited)

 

 

Three Months Ended March 31,

 

 

 

2018

 

 

2017

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

Net loss

 

$

(2,528

)

 

$

(952

)

Loss from discontinued operations, net of tax

 

 

55

 

 

 

413

 

Loss from continuing operations

 

 

(2,473

)

 

 

(539

)

Adjustments to reconcile net loss from continuing operations to

   net cash provided by operating activities:

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

1,221

 

 

 

1,135

 

Stock-based compensation expense

 

 

31

 

 

 

234

 

Rent expense in excess of cash paid

 

 

113

 

 

 

158

 

Rent revenue in excess of cash received

 

 

(683

)

 

 

(768

)

Amortization of deferred financing costs, debt discounts and premiums

 

 

195

 

 

 

99

 

Loss on debt extinguishment

 

 

441

 

 

 

 

Bad debt expense

 

 

1,938

 

 

 

466

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

Accounts receivable

 

 

(271

)

 

 

163

 

Prepaid expenses and other

 

 

(22

)

 

 

(201

)

Other assets

 

 

33

 

 

 

(294

)

Accounts payable, and accrued expenses and other

 

 

209

 

 

 

236

 

Other liabilities

 

 

 

 

 

60

 

Net cash provided by operating activities - continuing operations

 

 

732

 

 

 

749

 

Net cash used in operating activities - discontinued operations

 

 

(735

)

 

 

(1,051

)

Net cash used in operating activities

 

 

(3

)

 

 

(302

)

Cash flows from investing activities:

 

 

 

 

 

 

 

 

Purchase of property and equipment

 

 

(163

)

 

 

(329

)

Net cash used in investing activities - continuing operations

 

 

(163

)

 

 

(329

)

Net cash used in investing activities

 

 

(163

)

 

 

(329

)

Cash flows from financing activities:

 

 

 

 

 

 

 

 

Proceeds from debt issuance

 

 

2,397

 

 

 

 

Repayment on notes payable

 

 

(503

)

 

 

(1,974

)

Repayment of convertible debt

 

 

 

 

 

(6,700

)

Repurchase of common stock

 

 

 

 

 

(187

)

Dividends paid on preferred stock

 

 

 

 

 

(1,878

)

Net cash provided by (used in) financing activities - continuing operations

 

 

1,894

 

 

 

(10,739

)

Net cash used in financing activities - discontinued operations

 

 

(90

)

 

 

(140

)

Net cash provided by (used in) financing activities

 

 

1,804

 

 

 

(10,879

)

Net change in cash and restricted cash

 

 

1,638

 

 

 

(11,510

)

Cash and  restricted cash, beginning

 

 

5,359

 

 

 

19,509

 

Cash and restricted cash, ending

 

$

6,997

 

 

$

7,999

 

  Nine Months Ended September 30,
  2017 2016
Cash flows from operating activities:    
Net loss $(1,698) $(8,920)
Loss from discontinued operations, net of tax 2,049
 6,513
Income (loss) from continuing operations 351
 (2,407)
Adjustments to reconcile net income (loss) from continuing operations to net cash provided by operating activities:  
  
Depreciation and amortization 3,499
 4,176
Settlement agreements in excess of cash paid 300
 
Stock-based compensation expense 281
 890
Rent expense in excess of cash paid 440
 721
Rent revenue in excess of cash received (2,138) (1,941)
Amortization of deferred financing costs 230
 614
Amortization of debt discounts and premiums 11
 11
Bad debt expense 455
 
Changes in operating assets and liabilities:    
Accounts receivable 409
 (657)
Prepaid expenses and other 202
 929
Other assets (16) 39
Accounts payable and accrued expenses 324
 (199)
Other liabilities 167
 630
Net cash provided by operating activities - continuing operations 4,515
 2,806
Net cash used in operating activities - discontinued operations (961) (3,470)
Net cash provided by (used in) operating activities 3,554
 (664)
     
Cash flows from investing activities:  
  
Change in restricted cash 1,889
 3,625
Purchase of real estate, net (1,375) 
Purchase of property and equipment (774)
(704)
Proceeds from the sale of property and equipment 
 1,546
Earnest money deposit


1,750
Net cash (used in) provided by investing activities - continuing operations (260) 6,217
Net cash used in investing activities - discontinued operations 
 
Net cash (used in) provided by investing activities (260) 6,217
     
Cash flows from financing activities:  
  
Proceeds from debt 
 3,940
Repayment on notes payable (3,038) (10,496)
Repayment on bonds payable (90) (85)
Repayment of convertible debt (7,700) 
Debt issuance costs 
 (116)
Proceeds from preferred stock issuances, net 977
 6,790
Repurchase of common stock (186) (312)
Dividends paid on preferred stock (5,702) (5,457)
Net cash used in financing activities - continuing operations (15,739) (5,736)
Net cash used in financing activities - discontinued operations (485) (1,080)
Net cash used in financing activities (16,224) (6,816)
Net change in cash and cash equivalents (12,930) (1,263)
Cash and cash equivalents, beginning 14,045
 2,720
Cash and cash equivalents, ending $1,115
 $1,457
     







REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES



CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)

(Amounts in 000’s)

(Unaudited)

 

 

Three Months Ended March 31,

 

 

 

2018

 

 

2017

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

 

 

 

Interest paid

 

$

755

 

 

$

682

 

Supplemental disclosure of non-cash activities:

 

 

 

 

 

 

 

 

Non-cash payments of long-term debt

 

$

(8,744

)

 

$

 

Non-cash payments of convertible debt

 

 

(1,500

)

 

 

 

Non-cash payments of professional liability settlements from financing

 

 

(2,371

)

 

 

 

Non-cash debt issuance costs and prepayment penalties

 

 

(1,238

)

 

 

 

Non-cash payments of professional liability settlements from prior insurer

 

 

(2,850

)

 

 

 

Net payments through escrow

 

$

(16,703

)

 

$

 

 

 

 

 

 

 

 

 

 

Non-cash proceeds from financing

 

$

13,853

 

 

$

 

Non-cash proceeds from prior insurer for professional liability settlements

 

 

2,850

 

 

 

 

Net proceeds through escrow

 

$

16,703

 

 

$

 

 

 

 

 

 

 

 

 

 

Non-cash deferred financing

 

$

488

 

 

$

 

Surrender of security deposit

 

$

245

 

 

$

500

 

Non-cash proceeds from vendor-financed insurance

 

$

194

 

 

$

193

 

Non-cash proceeds from financing of South Carolina Medicaid audit repayment

 

$

 

 

$

385

 

  Nine Months Ended September 30,
  2017 2016
Supplemental disclosure of cash flow information:  
  
Interest paid $2,840

$4,846
Income taxes paid $13

$3
Supplemental disclosure of non-cash activities:    
Non-cash proceeds from debt to purchase real estate $4,125
 $
Surrender of security deposit $500
 $
Settlement agreements in excess of cash paid $300
 $
Non-cash proceeds from vendor-financed insurance $198
 $
Non-cash proceeds from financing of South Carolina Medicaid audit repayment $385
 $

See accompanying notes to unaudited consolidated financial statements


REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

Notes to Unaudited Consolidated Financial Statements

March 31, 2018

September 30, 2017
NOTE 1.ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES

NOTE 1.

ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES


See Part II, Item 8, Notes to Consolidated Financial Statements, Note 1 - Organization and Significant Accounting Policies included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016, filed with the Securities and Exchange Commission (the “SEC”) on April 17, 2017 (the “Annual Report”), for a description of all significant accounting policies. 

Description of Business

AdCare Health Systems, Inc. (“AdCare”) is the former parent of, and the predecessor issuer to, Regional Health Properties, Inc. (“Regional Health”), through and, together with its subsidiaries, (together, the “Company” or “we”), is a self-managed real estate investment company that invests primarily in real estate purposed for long-term care and senior living. The Company’s business primarily consists of leasing and subleasing healthcare facilities to third-party tenants, which operate such facilities. The operators of the Company’s facilities provide a range of healthcare services, including skilled nursing and assisted living services, social services, various therapy services, and other rehabilitative and healthcare services for both long-term and short-stay patients and residents.


Regional Health’s predecessor was incorporated in Ohio on August 14, 1991, under the name Passport Retirement, Inc. In 1995, the company acquired substantially all of the assets and liabilities of AdCare Health Systems, Inc. and changed its name to AdCare Health Systems, Inc. (“AdCare”). AdCare completed its initial public offering in November 2006. Initially based in Ohio, AdCare expanded its portfolio through a series of strategic acquisitions to include properties in a number of other states, primarily in the Southeast. In 2012, AdCare relocated its executive offices and accounting operations to Georgia, and AdCare changed its state of incorporation from Ohio to Georgia on December 12, 2013. On September 29, 2017, AdCare merged (the “Merger”) with and into Regional Health, a Georgia corporation and wholly owned subsidiary of AdCare formed for the purposes of the Merger, with Regional Health continuing as the surviving corporation in the Merger.

As a consequence of the Merger:
the outstanding shares of AdCare’s common stock, no par value per share (the “AdCare common stock”), converted, on a one for one basis, into the same number of shares of Regional Health’s common stock, no par value per share (the “RHE common stock”);
the outstanding shares of AdCare’s 10.875% Series A Cumulative Redeemable Preferred Stock (the “AdCare Series A Preferred Stock”) converted, on a one for one basis, into the same number of shares of Regional Health’s 10.875% Series A Cumulative Redeemable Preferred Stock (the “RHE Series A Preferred Stock”);
the board of directors (the “AdCare Board”) and executive officers of AdCare immediately prior to the Merger are the board of directors (the “RHE Board”) and executive officers, respectively, of Regional Health immediately following the Merger, and each director and executive officer continued his directorship or employment, as the case may be, with Regional Health under the same terms as his directorship or employment with AdCare immediately following the Merger;
Regional Health assumed all of AdCare’s equity incentive compensation plans, and all rights to acquire shares of AdCare common stock under any AdCare equity incentive compensation plan converted into rights to acquire RHE common stock pursuant to the terms of the equity incentive compensation plans and other related documents, if any;
Regional Health began public trading as a NYSE American LLC (“NYSE American”) listed company as the successor issuer to AdCare and succeeded to the assets and continued the business and assumed the obligations of AdCare;
the rights of the holders of RHE common stock and RHE Series A Preferred Stock are governed by the amended and restated articles of incorporation of RHE (the “RHE Charter”) and the amended and restated bylaws of RHE (the “RHE Bylaws”). The RHE Charter is substantially equivalent to AdCare’s articles of incorporation, as amended (the “AdCare Charter”), except that the RHE Charter includes ownership and transfer restrictions related to the RHE common stock. The RHE Bylaws are substantially equivalent to the Bylaws of AdCare, as amended;
there was no change in the assets we hold or in the business we conduct; and
there is no fundamental change to our current operational strategy.


When used in this Quarterly Report on Form 10-Q, unless otherwise specifically stated or the context otherwise requires, the terms:

“Board” or “Board of Directors” refers to the AdCare Board with respect to the period prior to the Merger and to the RHE Board with respect to the period after the Merger;
“Company”, “we”, “our” and “us” refer to AdCare and its subsidiaries with respect to the period prior to the Merger and to Regional Health and its subsidiaries with respect to the period after the Merger;
“common stock” refers to the AdCare common stock with respect to the period prior to the Merger and to the RHE common stock with respect to the period after the Merger;
“Series A Preferred Stock” refers to the AdCare Series A Preferred Stock with respect to the period prior to the Merger and to the RHE Series A Preferred Stock with respect to the period after the Merger; and
“Charter” refers to the AdCare Charter with respect to the period prior to the Merger and to the RHE Charter with respect to the period after the Merger.

The Company leases its currently-owned healthcare properties, and subleases its currently-leased healthcare properties, on a triple-net basis, meaning that the lessee (i.e., the third-party operator of the property) is obligated under the lease or sublease, as applicable, for all costs of operating the property including insurance, taxes and facility maintenance, as well as the lease or sublease payments, as applicable. These leases are generally long-term in nature with renewal options and annual rent escalation clauses. The Companynow has many of the characteristics of a real estate investment trust (“REIT”) and is focused on the ownership, acquisition and leasing of healthcare related properties. AsSee Part II, Item 8, Notes to Consolidated Financial Statements, Note 1 – Summary of Significant Accounting Policies included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2017, filed with the Securities and Exchange Commission (“SEC”) on April 16, 2018 (the “Annual Report”), for a resultdescription of the Merger,Merger.

The Company is a self-managed real estate investment company that invests primarily in real estate purposed for long-term care and senior living. The Company’s business primarily consists of leasing and subleasing healthcare facilities to third-party tenants, which operate the RHE Charter contains ownershipfacilities. The operators of the Company’s facilities provide a range of healthcare services, including skilled nursing and transfer restrictions with respect to the common stock. These ownershipassisted living services, social services, various therapy services, and transfer restrictions will better positionother rehabilitative and healthcare services for both long-term and short-stay patients and residents.

As of March 31, 2018, the Company to comply with certain U.S. federal income tax rules applicable to REITs under the Internal Revenue Code of 1986, as amended (the “Code”) to the extent such rules relate to the common stock. The Board continues to analyze and consider: (i) whether and, if so, when, the Company could satisfy the requirements to qualify as a REIT under the Code; (ii) the structural and operational complexities which would need to be addressed before the Company could qualify as a REIT, including the disposition of certain assetsowned, leased, or the termination of certain operations which may not be REIT compliant; and (iii) if the Company were to qualify as a REIT, whether electing REIT status would be in the best interests of the Company and its shareholders in light of various factors, including our significant consolidated federal net operating loss carryforwards. There is no assurance that the Company will qualify as a REIT in future taxable years or, if it were to so qualify, that the Board would determine that electing REIT status would be in the best interests of the Company and its shareholders.


As of Septembermanaged for third parties 30 2017, the Company owns, leases, or manages 30 facilities, which are located primarily in the Southeast.Southeast United States. Of the 30 facilities, the Company: (i) leased 14 owned facilities and subleased 11 leased skilled nursing facilities to third-party tenants; (ii) leased two owned assisted living facilities to third-party tenants; and (iii) managed on behalf of third-party owners two skilled nursing facilities and one independent living facility (see Note 7 - Leases herein and Part II, Item 8, Notes to Consolidated Financial Statements,, Note 7 - Leases in the Annual Report for a more detailed description of the Company’s leases).

The Company leases its currently-owned healthcare properties, and subleases its currently-leased healthcare properties, on a triple-net basis, meaning that the lessee (i.e., the third-party operator of the property) is obligated under the lease or sublease, as applicable, for all costs of operating the property, including insurance, taxes and facility maintenance, as well as the lease or sublease payments, as applicable. These leases are generally long-term in nature with renewal options and annual rent escalation clauses.

When used in this Quarterly Report on Form 10-Q (this “Quarterly Report”), unless otherwise specifically stated or the context otherwise requires, the terms:

“Board” refers to the Board of Directors of AdCare with respect to the period prior to the Merger and to the Board of Directors of Regional Health with respect to the period after the Merger;


“common stock” refers to AdCare’s common stock with respect to the period prior to the Merger and to Regional Health’s common stock with respect to the period after the Merger; and

“Series A Preferred Stock” refers to AdCare’s 10.875% Series A Cumulative Redeemable Preferred Stock with respect to the period prior to the Merger and to Regional Health’s 10.875% Series A Cumulative Redeemable Preferred Stock with respect to the period after the Merger.

Basis of Presentation

The accompanying unaudited consolidated financial statements have been prepared in accordance with accounting principlesU.S. generally accepted in the United States of Americaaccounting principles (“GAAP”) for interim financial information and with the instructions to Form 10-Q and Rule 8-03 of Article 8 of Regulations S-X.  Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements.  In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation of the results of operations for the periods presented have been included.  Operating results for the three and nine months ended September 30,March 31, 2018 and 2017 and 2016 are not necessarily indicative of the results that may be expected for the fiscal year. The balance sheet at December 31, 20162017 has been derived from the audited consolidated financial statements at that date, but does not include all of the information and footnotes required by GAAP for complete financial statements. 

You should read the unaudited consolidated financial statements in this Quarterly Report together with the historical audited consolidated financial statements of the Company for the year ended December 31, 2016,2017, included in the Annual Report. 

See


Part II, Item 8, Notes to Consolidated Financial Statements, Note 1 – Summary of Significant Accounting Policies included in the Company’s Annual Report, for a description of all significant accounting policies. During the three months ended March 31, 2018, there were no material changes to the Company’s policies, except as noted below in RecentlyAdopted Standards.

Use of Estimates


The preparation of consolidated financial statements in conformity with GAAP requires management to make certain estimates and assumptions that affect the amounts reported amounts of assets and liabilities and disclosure of contingent assets and liabilities atin the date of theunaudited consolidated financial statements and the reported results of operations during the reporting period. Examples of significant estimates include allowance for doubtful accounts, self-insurance reserves, deferred tax valuation allowance, fair value of employee and nonemployee stock based awards, valuation of goodwill and other long-lived assets, and cash flow projections.accompanying notes. Actual results could differ materially from those estimates.


Adoption of the Classification of the Regional Health Properties, Inc.'s Series A Preferred Stock as Permanent Equity

The common stock is subject to the ownership and transfer restrictions set forth in the RHE Charter, which restrictions permit classification of the Series A Preferred Stock as permanent equity, under the Financial Accounting Standards Board’s (“FASB”) Accounting Standards Codification (“ASC”) Topic 480-10-S99-3A. The reclassification of the Series A Preferred Stock as permanent equity was adopted on a prospective basis as of September 29, 2017, upon completion of the Merger.

Revenue Recognition and

Allowances

Triple-Net Leased Properties. The Company's triple-net leases provide for periodic and determinable increases in rent. The Company recognizes rental revenues under these leases on a straight-line basis over the applicable lease term when collectibility is reasonably assured. Recognizing rental income on a straight-line basis generally results in recognized revenues during the first half of a lease term exceeding the cash amounts contractually due from our tenants, creating a straight-line rent receivable that is included in other assets on our consolidated balance sheets. In the event the Company cannot reasonably estimate the future collection of rent from one or more tenant(s) of the Company’s facilities, rental income for the affected facilities will be recognized only upon cash collection, and any accumulated straight-line rent receivable will be reversed in the period in which the Company first deems rent collection no longer reasonably assured.

Management Fee Revenue and Other. The Company recognizes management fee revenues as services are provided. Further, the Company recognizes income from lease inducement receivables and interest income from loans and investments, using the effective interest method when collectibility is reasonably assured. We apply the effective interest method on a loan-by-loan basis.

Allowances. The Company assesses the collectibilitycollectability of ourits rent receivables, including straight-line rent receivables and working capital loans to tenants. The Company bases its assessment of the collectibilitycollectability of rent receivables and working capital loans to tenants on several factors, including payment history, the financial strength of the tenant and any guarantors, the value of the underlying collateral, and current economic conditions. If the Company's evaluation of these factors indicates it is probable that the Company will be unable to receive the rent payments or payments on a working capital loan, the Company provides a reserve against the recognized straight-line rent receivable asset or working capital loan for the portion that we estimate may not be recovered. If the Company changes its assumptions or estimates regarding the collectibilitycollectability of future rent payments required by a lease or required from a working capital loan to a tenant, the Company may adjust its reserve to increase or reduce the rental revenue or interest revenue from working capital loans to tenants recognized in the period the Company makes such change in its assumptions or estimates.


As of September 30, 2017March 31, 2018 and December 31, 2016,2017, the Company allowed for approximately $2.9$2.0 million and $7.5$2.6 million, respectively, of gross patient care related receivables arising from ourits legacy operations. AllowanceAllowances for patient care receivables are estimated based on an aged bucket method as well as additional analyses of remaining balances incorporating different payor types. Any changes in patient care receivable allowances are recognized as a component of discontinued operations. All uncollected patient care receivables were fully allowed at September 30, 2017March 31, 2018 and December 31, 2016.2017.  Accounts receivable, net, totaled $1.1$0.6 million at September 30, 2017March 31, 2018 and $2.4$0.9 million at December 31, 2016,2017.

Pre-paid expenses and other

As of which $0.2March 31, 2018 and December 31, 2017, the Company had $0.5 million and $0.9$0.3 million, respectively, related to patient care receivables from our legacy operations.

in pre-paid expenses and other, primarily for directors’ and officers’ insurance and mortgage insurance premiums.

Self-Insurance

The Company has self-insured against professional and general liability claims since it discontinued its healthcare operations during 2014 and 2015 in connection with its transition from an owner and operator of healthcare properties to a healthcare property holding and leasing company (see Part II, Item 8, Notes to Consolidated Financial Statements, Note 15 - Commitments and Contingencies in the Annual Report for more information). The Company evaluates quarterly the adequacy of its self-insurance reserve based on a number of factors, including:including (i) the number of actions pending and the relief sought; (ii) analyses provided by defense counsel, medical experts or other information which comes to light during discovery; (iii) the legal fees and other expenses anticipated to be incurred in defending the actions; (iv) the status and likely success of any mediation or settlement discussions;discussions, including estimated settlement amounts and legal fees and other expenses anticipated to be incurred in such settlement, as applicable; and (v) the venues in which the actions have been filed or will be adjudicated. The Company currently believes that most of the professional


and general liability actions, and particularly many of the most recently filed actions are defensible and intends to defend them through final judgment. Consequently,judgment unless settlement is more advantageous to the Company. Accordingly, the self-insurance reserve primarily reflects the Company's estimatedestimate of settlement amounts for the pending actions, if applicable, and legal costs of settling or litigating the pending actions, accordingly.as applicable. Because the self-insurance reserve is based on estimates, the amount of the self-insurance reserve may not be sufficient to cover the settlement amounts actually incurred in settling the pending actions, or the legal costs actually incurred in settling or litigating the pending actions. Since these reserves are based on estimates, the actual expenses we incur may differ from the amount reserved (seeSee Note 8 - Accrued Expenses).
Fair Value Measurements and Financial Instruments 
Accounting guidance establishes a three-level valuation hierarchy for disclosure of fair value measurements. The valuation hierarchy is based upon the transparency of inputsOther.

Reclassifications

Certain reclassifications have been made to the valuation of an asset or liability as of the measurement date. The categorization of a measurement within the valuation hierarchy is based upon the lowest level of input that is significant2017 financial information to conform to the fair value measurement. The2018 presentation with no effect on the Company's consolidated financial position or results of operations. These reclassifications did not affect total assets, total liabilities, or stockholders' equity. Reclassifications were made to the consolidated statements of operations for the three levels are definedmonths ended March 31, 2017 to conform the presentation of management fee revenues and its related expense, previously reported as follows:general and administrative expense. Reclassifications were made to the consolidated statements of cash flows for


Level 1—     Quoted market prices

the three months ended March 31, 2017 to include restricted cash in active markets for identical assets or liabilities

Level 2—     Other observable market-based inputs or unobservable inputs that are corroborated by market data
Level 3—     Significant unobservable inputs
The respective carrying value of certain financial instruments ofcash and restricted cash at the beginning-of-period and end-of-period totals.

Recently Adopted Standards

On January 1, 2018 the Company approximates their fair value. These instruments include cash and cash equivalents, restricted cash and investments, accounts receivable, notes receivable, and accounts payable. Fair values were assumed to approximate carrying values for these financial instruments since they are short-term in nature and their carrying amounts approximate fair values, they are receivable or payable on demand, or the interest rates earned and/or paid approximate current market rates.


Adopted Standards

On April 1, 2017, we adopted Accounting Standards Update (“ASUASU”) 2017-01, Clarifying the Definition of a Business (“2014-09, Revenue from Contracts with CustomersASU 2017-01”), which narrows the FASB definition of a business and provides a framework that gives entities a basis for making reasonable judgments about whether a transaction involves an asset or a business. ASU 2017-01 states that when substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset or group of similar identifiable assets, the acquired asset is not a business. If this initial test is not met, an acquired asset cannot be considered a business unless it includes an input and a substantive process that together significantly contribute to the ability to create output. The primary differences between business combinations and asset acquisitions include recognition of goodwill at the acquisition date and expense recognition for transaction costs as incurred. We are applying ASU 2017-01 prospectively for acquisitions after April 1, 2017. Regardless of whether an acquisition is considered a business combination or an asset acquisition, we record the cost of the businesses (or assets) acquired as tangible and intangible assets and liabilities based upon their estimated fair values as of the acquisition date. Intangibles primarily include certificates of need ("CON") but could include value of in-place leases and acquired lease contracts. For an asset acquisition, the cost of the acquisition is allocated to the assets and liabilities acquired on a relative fair value basis and no goodwill is recognized. We estimate the fair value of assets in accordance with FASB ASC 805 and ASC 820. The fair value is estimated under market conditions observed at the time of the measurement date and depreciated over the remaining life of the assets.

In March 2016, the FASB issued ASU 2016-09, with the intention to simplify aspects of the accounting for share-based payment transactions, including income tax impacts, classification on the statement of cash flows, and forfeitures. ASU 2016-09 is effective for fiscal years and interim periods within those years beginning after December 15, 2016. The various amendments within the standard require different approaches to adoption, on a retrospective, modified retrospective or prospective basis. The Company adopted the various amendments in its consolidated financial statements for the three month period ending March 31, 2017 with an effective date of January 1, 2017. The Company has elected to continue to estimate forfeitures expected to occur to determine the amount of compensation cost to be recognized in each period. The adoption of ASU 2016-09 did not have a material effect on the Company’s consolidated financial statements.


Recent Accounting Pronouncements
In May 2014, the FASB issued ASU 2014-09 as codified in Accounting Standards Codification (“ASCASC”) 606,, which requires a company to recognize revenue when the company transfers control of promised goods and services to bea customer. Revenue is recognized in an amount that reflects the consideration expected to be receivedwhich a company expects to receive in exchange for such goods and services. ThisThe new revenue standard requiresdoes not apply to rental revenues, which are the disclosureCompany’s primary source of revenue. A company is also required to disclose sufficient quantitative and qualitative information for financial statement users to understand the nature, amount, timing and uncertainty of revenue and associated cash flows arising from contracts with customers. The new guidance does not affectFinancial Accounting Standards Board (“FASB”) has issued several amendments to the recognitionstandards, which are intended to promote a more consistent interpretation and application of revenue from leases, which is approximately 95% of our revenue.the principals outlined in the standard. The new revenue standard is effective for annual reporting periods beginning after December 15, 2017, including interim periods within those reporting periods. Early application is permitted, beginning after December 15, 2016. Our revenue streams also include loan interest and management fees. Based on our initial assessment, management fees for providing back office services and support in our Consolidated Statements of Income are subject to ASC 606, and the Company believes the pattern and timing of recognition of income for the management fees will be consistent with the current accounting model.

The Company does not expect adoptionhas one contract to manage (the “Management Contract”) two skilled nursing facilities and one independent living facility for a third-party, with payment for each month of thisservice received in full on a monthly basis.

Companies are permitted to adopt the standard using a retrospective transition method (i.e., restate all prior periods presented) or a cumulative effect method (i.e., recognize the cumulative effect of initially applying the guidance to have a material impact onat the Company’s consolidated financial condition, resultsdate of operations or cash flows.


In January 2016, the FASB issued ASU 2016-01, which provides revised accounting guidance related to the accounting for and reportinginitial application with no restatement of financial instruments. This guidance significantly revises an entity’s accounting related to (i) the classification and measurement of investments in equity securities and (ii) the presentation of certain fair value changes for financial liabilities measured at fair value. It also amends certain disclosure requirements associated with the fair value of financial instruments. The ASU is effective for annual periods and interim periods within those annual periods beginning after December 15, 2017; earlier adoption is permitted. The adoption of this guidance is not expected to have a material impact on the Company’s consolidated financial condition, results of operations or cash flows.

In February 2016, the FASB issued ASU 2016-02, as a comprehensive new lease standard that amends various aspects of existing guidance for leases and requires additional disclosures about leasing arrangements. It will requireprior periods). However, both methods allow companies to recognize lease assets and lease liabilities by lessees for those leases classified as operating leases under previous guidance, ASC 840,Leases. ASU 2016-02 createselect certain practical expedients on transition that will help to simplify how a new Topic, ASC 842, Leases. This new Topic retains a distinction between finance leases and operating leases. The classification criteria for distinguishing between finance leases and operating leases are substantially similar to the classification criteria for distinguishing between capital leases and operating leases in the previous leases guidance. The ASU is

effective for annual periods beginning after December 15, 2018, including interim periods within those fiscal years; earlier adoption is permitted. In the financial statements in which the ASU is first applied, leases shall be measured and recognized at the beginning of the earliest comparative period presented with an adjustment to equity.company restates its contracts. The Company is currently evaluatingadopted the impactstandard using the cumulative effect method. As a result of the adoption of this guidance, for the three months ended March 31, 2017, the Company reclassified expenses related to the Management Contract from General and administrative expense to Cost of management fees on itsthe consolidated financial condition, resultsstatements of operations and cash flows.operations.

In June 2016, the FASB issued ASU 2016-13, which changes the impairment model for most financial assets. The new model uses a forward-looking expected loss method, which will generally result in earlier recognition of allowances for losses. ASU 2016-13 is effective for annual and interim periods beginning after December 15, 2019 and early adoption is permitted for annual and interim periods beginning after December 15, 2018. We are currently evaluating the impact of adopting ASU 2016-13 on our consolidated financial statements.

In August 2016, the FASB issued ASU 2016-15, Classification of Certain Cash Receipts and Cash Payments, guidance which clarifies the treatment of several cash flow categories. In addition, the guidance clarifies that when cash receipts and cash payments have aspects of more than one class of cash flows and cannot be separated, classification will depend on the predominant source or use. This update is effective for annual periods beginning after December 15, 2017, and interim periods within those fiscal years,years. The Company adopted the guidance for the three month period ending March 31, 2018 with early adoption permitted, including adoption in an interim period.effective date of January 1, 2018. The adoption of this guidance isASU 2016-15 did not expected to have a material impacteffect on the Company’s consolidated financial statements.


In November 2016, the FASB issued ASU 2016-18, whichRestricted Cash, that requires that the statement of cash flows explain the change during the period in the total of cash, cash equivalents, and amounts generally described as restricted cash. Therefore, amounts generally described as restricted cash will be included with cash and cash equivalents when reconciling the beginning-of-period and end-of-period total amounts shown on the statement of cash flows. ASU 2016-18 is effective for annual and interim periods beginning after December 15, 2017 and early adoption is permitted using a retrospective transition method to each period presented. WeThe Company adopted the guidance with an effective date of January 1, 2018. Given this change, transfers between cash and restricted cash are currently evaluatingno longer reported as cash flow activities on the impactstatement of adopting ASU 2016-18 on ourcash flows and hence reclassifications were made to the consolidated financial statements.


statements of cash flows for the three months ended March 31, 2017 to include restricted cash in cash and restricted cash at the beginning-of-period and end-of-period totals.

Recent Significant Accounting Pronouncements

In January 2017,February 2016, the FASB issued ASU 2017-04, 2016-02, Leases, which simplifiesintroduces a lessee model that brings most leases on the required periodic testbalance sheet and, among other changes, eliminates the requirement in current GAAP for goodwill impairmentan entity to use bright-line tests in determining lease classification. The FASB also issued an Exposure Draft on January 5, 2018 proposing to amend ASU 2016-02, which would provide lessors with a practical expedient, by class of underlying assets, to not separate non-lease components from the related lease components and, modifiesinstead, to account for those components as a single lease component, if certain criteria are met. ASU 2016-02 and the concept of impairment of goodwill under previous guidance, ASC 350,Intangibles - Goodwill and Other. Under the updated guidance, a goodwill impairment test is performed by comparing the fair value of a reporting unit with its carrying amount. An entity should recognize an impairment chargerelated Exposure Draft are not effective for the amount by whichCompany until January 1, 2019, with early adoption permitted. The Company is evaluating this guidance and the carrying amount exceeds the reporting unit’s fair value, upimpact to the total amount of goodwill allocated to that reporting unit. This simplification eliminates previous requirements to determine the implied fair value of goodwillCompany, as both lessor and record a losslessee, on impairment equal to the carrying value of goodwill less the implied fair value. Further, the ASU modifies the concept of impairment from the condition that exists when the carrying amount of goodwill exceeds its implied fair value to the condition that exists when the carrying amount of a reporting unit exceeds its fair value. ASU 2017-04 is effective for annual and interim periods beginning after December 15, 2019, and early adoption is permitted on a prospective basis for annual and interim periods beginning after January 1, 2017. The adoption of this guidance is not expected to have a material impact on the Company’s consolidated financial condition, results of operations orand cash flows.

See Part II, Item 8, Notes to Consolidated Financial Statements,

Note 1 – Summary of Significant Accounting Policies included in the Annual Report, for a description of the other accounting pronouncements the Company is currently evaluating.



NOTE 2.EARNINGS PER SHARE

NOTE 2.

EARNINGS PER SHARE


Basic earnings per share is computed by dividing net income or loss attributable to common stockholders by the weighted averageweighted-average number of shares of common stock outstanding during the respective period. Diluted earnings per share is similar to basic earnings per share except: (i) net income or loss is adjusted by the impact of the assumed conversion of convertible debt into shares of common stock; and (ii) the weighted averageweighted-average number of shares of common stock outstanding includes potentially dilutive securities (such as options, warrants, non-vested common stock and additional shares of common stock issuable under convertible debt outstanding during the period) when such securities are not anti-dilutive. Potentially dilutive securities from options, warrants and warrantsunvested restricted shares are calculated in accordance with the treasury stock method, which assumes that proceeds from the exercise of all options and warrants with exercise prices exceeding the average market value are used to repurchase common stock at market value. The incremental shares remaining after the proceeds are exhausted represent the potentially dilutive effect of the securities. Potentially dilutive securities from convertible debt are calculated based on the assumed issuance at the beginning of the period, as well as any adjustment to income that would result from their assumed issuance. For the three and nine months ended September 30,March 31, 2018 and 2017, and 2016, approximately 2.41.2 million and 4.52.8 million shares, respectively, of potentially dilutive securities were excluded from the diluted income (loss)loss per share calculation because including them would have been anti-dilutive for such periods.


The following tables provide a reconciliation of net loss for continuing and discontinued operations and the number of shares of common stock used in the computation of both basic and diluted earnings per share:

 

 

Three Months Ended March 31,

 

(Amounts in 000’s, except per share data)

 

2018

 

 

2017

 

Numerator:

 

 

 

 

 

 

 

 

Loss from continuing operations

 

$

(2,473

)

 

$

(539

)

Preferred stock dividends - declared

 

 

 

 

 

(1,878

)

Preferred stock dividends - undeclared (1)

 

 

(1,912

)

 

 

 

Basic and diluted loss from continuing operations

 

 

(4,385

)

 

 

(2,417

)

Loss from discontinued operations, net of tax

 

 

(55

)

 

 

(413

)

Net loss attributable to Regional Health Properties, Inc.

   common stockholders

 

$

(4,440

)

 

$

(2,830

)

Denominator:

 

 

 

 

 

 

 

 

Basic - weighted average shares

 

 

19,697

 

 

 

19,825

 

Diluted - adjusted weighted average shares (2)

 

 

19,697

 

 

 

19,825

 

Basic and diluted loss per share:

 

 

 

 

 

 

 

 

Loss from continuing operations attributable to Regional

   Health

 

$

(0.23

)

 

$

(0.12

)

Loss from discontinued operations

 

 

0.00

 

 

 

(0.02

)

Loss attributable to Regional Health Properties, Inc.

   common stockholders

 

$

(0.23

)

 

$

(0.14

)

(1)

The Board suspended dividend payments with respect to the Series A Preferred Stock for the fourth quarter 2017 and first quarter 2018.

(2)

Securities outstanding that were excluded from the computation, because they would have been anti-dilutive were as follows:

 

 

March 31,

 

(Share amounts in 000’s)

 

2018

 

 

2017

 

Stock options

 

 

181

 

 

 

333

 

Warrants - employee

 

 

582

 

 

 

1,450

 

Warrants - non employee

 

 

437

 

 

 

437

 

Shares issuable upon conversion of convertible debt

 

 

 

 

 

588

 

Total anti-dilutive securities

 

 

1,200

 

 

 

2,808

 

  Three Months Ended 
 September 30,
 Nine Months Ended 
 September 30,
(Amounts in 000’s, except per share data) 2017 2016 2017 2016
Numerator:        
Income (loss) from continuing operations $266
 $222
 $351
 $(2,407)
Preferred stock dividends 1,912
 1,879
 5,702
 5,457
Basic and diluted loss from continuing operations (1,646) (1,657) (5,351) (7,864)
         
Loss from discontinued operations, net of tax (1,032) (2,210) (2,049) (6,513)
Net loss attributable to Regional Health Properties, Inc. common stockholders $(2,678) $(3,867) $(7,400) $(14,377)
         
Denominator:        
Basic - weighted average shares 19,762
 19,917
 19,784
 19,909
Diluted - adjusted weighted average shares (a)
 19,762
 19,917
 19,784
 19,909
         
Basic and diluted loss per share:        
Loss from continuing operations attributable to Regional Health $(0.08) $(0.08) $(0.27) $(0.39)
Loss from discontinued operations (0.05) (0.11) (0.10) (0.33)
Loss attributable to Regional Health Properties, Inc. common stockholders $(0.13) $(0.19) $(0.37) $(0.72)
         
(a) Securities outstanding that were excluded from the computation, because they would have been anti-dilutive were as follows:
  September 30,
(Share amounts in 000’s) 2017 2016
Stock options 245
 355
Warrants - employee 1,350
 1,559
Warrants - non employee 437
 437
Shares issuable upon conversion of convertible debt 353
 2,165
Total anti-dilutive securities 2,385
 4,516


NOTE 3.LIQUIDITY AND PROFITABILITY

NOTE 3.

LIQUIDITY


Sources of Liquidity

The Company continuesplans to undertake measures to grow its operations and to reducestreamline its expensescost infrastructure by: (i) increasing future lease revenue through acquisitions and investments in its existing properties; (ii) modifying the terms of existing leases; (iii) refinancing or repaying debt to reduce interest costs and mandatory principal repayments; and (iv) reducing general and administrative expenses.


At September 30, 2017, the Company had $1.1 million in cash and cash equivalents as well as restricted cash and investments of $3.5 million. In addition, management

Management anticipates access to several sources of liquidity, including cash on hand, cash flows from operations, and cash on hand. Management holds routine ongoing discussions with existing lenders and potential new lenders to refinance current debt on a longer term basis and, in recent years, has refinanced shorter term acquisition debt with traditional longer term mortgage notes, many of which have been executed under government guaranteed lending programs. Historically,refinancing. At March 31, 2018, the Company has raised capital through other sources, including issuances of preferred stock and convertible debt.


On May 27, 2017,had $3.5 million in unrestricted cash. During the three months ended March 31, 2018, the Company entered into an At Market Issuance Sales Agreement (the “2017 Sales Agreement”)generated positive cash flow from continuing operations of $0.7 million and anticipates continued positive cash flow from operations in the future. The Board suspended dividend payments with JMP Securities LLCrespect to sell, from time to time, shares of the Series A Preferred Stock having an aggregate offering price of upfor the fourth quarter 2017 and the first quarter 2018 dividend periods. The Board plans to $4,618,472, through an “at-the-market” offering program (the “ATM”). Fromrevisit the inception of the ATM through September 30, 2017, the Company sold 50,000 shares ofdividend payment policy with respect to the Series A Preferred Stock generating net proceedsin the second quarter of 2018.  The Board believes that the dividend suspension will provide the Company with additional funds to meet its ongoing liquidity needs.

As of March 31, 2018, the Company had total current liabilities of $26.2 million and total current assets of $6.2 million, resulting in a working capital deficit of approximately $20.0 million. Included in current liabilities at March 31, 2018 is the $17.7 million current portion of its $78.2 million in indebtedness. The current portion of such indebtedness is comprised of: (i) $15.4 million of long term debt classified as current due to concerns regarding the Company’s ability to comply with the terms of a forbearance agreement detailed below in this note, which may cause acceleration of the maturity of such debt, (ii) $1.3 million mortgage indebtedness under the Company’s senior guaranteed debt; and (iii) other debt of approximately $1.0 million, (see Note 12 - Commonwhich includes bond and Preferred Stock). On August 2, 2017other mortgage indebtedness. The Company anticipates net principal repayments of approximately $2.3 million (excluding the Company terminated the 2017 Sales Agreement and discontinued sales under the ATM.


On July 31, 2017, the Company extended the maturity date of a $1.2 million credit facility entered into in December 2012 between a certain wholly-owned subsidiaryacceleration of the Company$15.4 million debt described above), during the next twelve-month period, which includes approximately $0.6 million of payments on other non-routine debt, $1.6 million of routine debt service amortization, and First Commercial Bank associated with its Northwest Oklahoma facility (the “Northwest Credit Facility”), from December 31, 2017 to July 31, 2020.

On August 11, 2017, the Company extendeda $0.1 million payment of other debt. Management has obtained an additional extension of the maturity date of the credit facilities entered into in April 2015, with respect to an aggregate of $0.5 million of indebtedness between certain wholly-owned subsidiaries of the Company and the KeyBank National Association (the “Key Bank Credit Facility”), from October 17, 2017 to August 2, 2019.

To conserve cash while working towards a settlement of our on-going professional and general liability claims, the Company’s Board of Directors (the “Board”) voted to postpone the payment of the fourth quarter 2017 dividend on the Series A Preferred Stock. The Board will revisit the dividend payment in the first quarter 2018 meeting. The dividend suspension will allow the Company to pay outstanding vendors and fund ongoing legal expenses and settlement payments. The dividend suspension does not trigger a default under its outstanding indebtedness.

Beginning in the first quarter of 2018, the Company expects to receive full rent with respect to all the facilities (the “Peach Facilities”) subleased by a subsidiary of the Company to affiliates (collectively, “Peach Health Sublessee”) of Peach Health Group, LLC (“Peach Health”). The Peach Facilities were previously subleased to affiliates of New Beginnings Care, LLC (“New Beginnings”) prior to the bankruptcy of New Beginnings and are comprised of: (i) an 85-bed skilled nursing facility located in Tybee Island, Georgia (the “Oceanside Facility”); (ii) a 50-bed skilled nursing facility located in Tybee Island, Georgia (the “Savannah Beach Facility”); and (iii) a 131-bed skilled nursing facility located in Jeffersonville, Georgia (the “Jeffersonville Facility”). Rent for the Savannah Beach Facility, the Oceanside Facility, and the Jeffersonville Facility is $0.3 million, $0.4 million and $0.6 million per annum, respectively; but such rent was only $1 per month for the Oceanside Facility and Jeffersonville Facility until the date such facilities were recertified by the Centers for Medicare and Medicaid Services (“CMS”) or April 1, 2017, whichever occurred first (the “Rent Commencement Date”). The Oceanside Facility and Jeffersonville Facility were recertified by CMS in February 2017 and December 2016, respectively. Furthermore, with respect to the Oceanside Facility and Jeffersonville Facility, Peach Health Sublessee is entitled to three months of $1 per month rent following the Rent Commencement Date and, following such three-month period, five months of rent discounted by 50%.

On September 19, 2016, the Company obtained options to extend the maturity date, subject to customary conditions, of a $4.3 million credit facility entered into in September 2013 between a certain wholly-owned subsidiary of the Company andwith Housing & Healthcare Funding, LLC (the "Quail“Quail Creek Credit Facility"Facility”) from September 2017, that is secured by a first mortgage on the real property and improvements constituting the Nursing & Rehabilitation Center located in Oklahoma City, Oklahoma, to September 2018. On August 10, 2017, the Company extended the maturity date ofApril 30, 2019. Management plans to refinance the Quail Creek Credit Facility to December 31, 2017 and retainswithin the option to further extend the maturity date of such credit facility to September 2018. Therenext twelve months, although there is no assurance that wethe Company will be able to refinance or further extend the maturity date of this credit facilitydo so on terms that are favorable to the Company or at all.




Cash Requirements

At September 30, 2017,

On February 15, 2018, the Company had $73.8entered into a debt refinancing (“Pinecone Credit Facility”) with Pinecone Realty Partners II, LLC (“Pinecone”), with an aggregate principal amount of $16.25 million, which refinanced existing mortgage debt in indebtednessan aggregate amount of which the current portion is $8.3 million. The current portion is comprised of the following components: (i) convertible debt of $1.5$8.7 million (ii) senior debt of $4.3 million attributable to the Company’son three skilled nursing facility known as the Quail Creek Nursing & Rehabilitation Center located in Oklahoma City, Oklahoma (the “Quail Creek Facility”);properties, and (iii) other debtprovided additional surplus cash flow of approximately $2.5$6.3 million which includes senior debt - bond and mortgage indebtedness (for a detailed listing of our debt, seeis available to fund general corporate needs (see Note 9 - Notes Payable and Other Debt).


The Company anticipates net principal disbursements, oversurplus cash flow from the next twelve months, of approximately $8.3 million, which includes $1.5Pinecone Credit Facility was used to fund $2.4 million of convertible debt, $4.3 million of senior debt attributable to the Quail Creek Facility, approximately $0.2 million of payments on shorter term vendor notes, $1.6 million of routine debt service amortization, and $0.7 million payment of other debt. Based on the described sources of liquidity, the Company expects sufficient fundsself-insurance reserves for its operations and scheduled debt service, at least through the next twelve months. On a longer term basis, at September 30, 2017, the Company had approximately $11.0 million of debt maturities due over the two-year period ending September 30, 2019. These debt maturities include the aforementioned $1.5 million of convertible promissory notes, which are convertible into shares of the common stock, in addition to $4.3 million with respect tothe Quail Creek Credit Facility. The Company believes its long-term liquidity needs will be satisfied by cash flows from operations, cash on hand, borrowings as required to refinance indebtedness as well as other sources, including issuances of convertible debt.

The Company is a defendant in a total of 42 unsettled professional and general liability cases. The claims generally seek unspecified compensatory and punitive damages for former patients of the Company who were allegedly injured or died while patients of facilities operated by the Company due to professional negligence or understaffing. The Company established a self-insurance reserve for these professional and general liability claims included within “Accrued expenses and other” in the Company’s unaudited consolidated balance sheets, of $6.7 million and $6.9 million at September 30, 2017, and December 31, 2016, respectively. The Company currently believes that most of thewith respect to 25 professional and general liability actions, and particularlyto fund repayment of $1.5 million in convertible debt. The remaining $2.4 million in surplus cash proceeds from the Pinecone Credit Facility refinancing will be used for general corporate purposes.

Under the accounting guidance related to the presentation of financial statements, the Company is required to evaluate, on a quarterly basis, whether or not the entity’s current financial condition, including its sources of liquidity at the date that the consolidated financial statements are issued, will enable the entity to meet its obligations as they come due arising within one year of the date of the issuance of the Company’s consolidated financial statements and to make a determination as to whether or not it is probable, under the application of this accounting guidance, that the entity will be able to continue as a going concern. The Company’s consolidated financial statements have been presented on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business.

On May 10, 2018, management was notified by Pinecone that the Company was in default on a number of administrative items as outlined in the Pinecone Credit Facility. Management also informed Pinecone that the Company had failed to meet one of its financial covenant obligations, the minimum fixed charge coverage ratio, as outlined in the loan agreement to the Pinecone Credit Facility for the period ended March 31, 2018.

In order to alleviate such defaults, on May 18, 2018, the Company entered into a forbearance agreement with Pinecone (the “Forbearance Agreement”), in which, Pinecone provides a timeline and a number of remedies available to cure all default items and to regain compliance under the Pinecone Credit Facility. The forbearance period is from May 18, 2018, the date of the


execution of the Forbearance Agreement, to July 20, 2018, during which time, the Company must comply with all benchmarks as outlined in the Forbearance Agreement.

Management believes that the overall plan of correction as outlined in the Forbearance Agreement is achievable, however many of the most recently filed actions, are defensiblebenchmarks, as articulated in the Forbearance Agreement, fall outside of the control of management, and intendsif the Company is unable to defend them through final judgment. Accordingly,satisfy the self-insurance reserve primarily reflectsrequirements as outlined, then one of the Company's estimated legal costsremedies available to Pinecone is that the entire principal balance of litigating the pending actions, which are expectedPinecone Credit Facility, plus interest and fees, will become immediately due and payable, indicating that substantial doubt exists about whether or not the Company will be able to be paid over timecontinue as litigation continues. The duration of such legal proceedings could be greater thana going concern within one year subsequentafter the date that the consolidated financial statements are issued.

In applying the accounting guidance, management considered the Company’s current financial condition and liquidity sources, including current funds available, forecasted future cash flows, and the Company’s obligations due over the next twelve months in addition to also considering the period ended September 30, 2017; however, management cannot reliably estimatelikelihood that the exact timing of payments. The Company expects to fund litigationwill comply with the requisites as outlined in the Forbearance Agreement and potential indemnity costs through cash on handthe implications thereof, as well as other sources as described above.


During the three months ended September 30, 2017,Company’s recurring costs of operating its business.

There can be no assurance that the Company generated positive cash flow from operations and anticipates positive cash flow from operations through the remainderwill be able to cure all of the current year. In orderdeficiencies as listed in the Forbearance Agreement or that the Company will be able to continue to comply with all of the various covenants as required by the loan agreement of the Pinecone Credit Facility. The Company’s ability to cure its non-compliance with the Pinecone Credit Facility depends, in part, on its ability to work with outside parties, which is not within the Company’s exclusive control. If Pinecone were to call the balance of the Pinecone Credit Facility for any reason, and the Company were unable to cure such deficiency, it could have a material adverse consequence on the Company’s ability to meet its obligations arising within one year of the date of issuance of these financial statements.

The Company plans to continue to undertake measures to refinance certain loans and to streamline its cost infrastructure. But due to the inherent risks, unknown results and significant uncertainties associated with each of these matters and the direct correlation between these matters and the Company’s ability to satisfy its financial obligations that may arise over the Company’s capital needs,applicable one-year period, the Company seeks to: (i) refinance debt where possibleis unable to obtain more favorable terms; (ii) raise capital throughconclude that it is probable that the Company will be able to meet its obligations arising within one year of the date of issuance of debt or equity securities; and (iii) increase operating cash flows through acquisitions. The Company anticipates that these actions, if successful, will provideconsolidated financial statements within the opportunity to maintain its liquidity, thereby permittingparameters set forth in the Company to better meet its operating and financing obligations for the next twelve months. However, there is no guarantee that such actions will be successful. Management’s ability to raise additional capital through the issuance of equity securities and the terms upon which we are able to raise such capital may be adversely affected if we are unable to maintain the listing of the common stock and the Series A Preferred Stock on the NYSE American, formerly known as the NYSE MKT.accounting guidance.

NOTE 4.

CASH AND RESTRICTED CASH


NOTE 4.                        ��RESTRICTED CASH AND INVESTMENTS

The following presents the Company's cash and restricted cash, escrow deposits and investments: cash:

(Amounts in 000’s)

 

March 31,

2018

 

 

December 31,

2017

 

Cash

 

$

3,524

 

 

$

1,818

 

 

 

 

 

 

 

 

 

 

Restricted cash:

 

 

 

 

 

 

 

 

Cash collateral

 

 

87

 

 

 

63

 

Replacement reserves

 

 

242

 

 

 

260

 

Escrow deposits

 

 

504

 

 

637

 

Total current portion

 

 

833

 

 

 

960

 

Restricted cash for debt obligations

 

 

405

 

 

 

405

 

HUD and other replacement reserves

 

 

2,235

 

 

 

2,176

 

Total noncurrent portion

 

 

2,640

 

 

 

2,581

 

Total restricted cash

 

 

3,473

 

 

 

3,541

 

 

 

 

 

 

 

 

 

 

Total cash and restricted cash

 

$

6,997

 

 

$

5,359

 

(Amounts in 000’s) September 30, 2017 December 31, 2016
Cash collateral $40
 $260
Replacement reserves 278
 811
Escrow deposits 642
 529
Total current portion 960
 1,600
     
Restricted investments for other debt obligations and certificates of deposit 405
 2,274
HUD and other replacement reserves 2,175
 1,590
Total noncurrent portion 2,580
 3,864
Total restricted cash and investments $3,540
 $5,464

Cash collateral—In securing mortgage financing from certain lending institutions, the Company and certain of its wholly-owned subsidiaries are required to deposit cash to be held as collateral in accordance with the terms of such loan agreements.

Replacement reserves—Cash reserves set aside for non-critical building repairs to be completed within the next 12 months, pursuant to loan agreements.

Escrow deposits—In connection with financing secured through ourthe Company’s lenders, several wholly-owned subsidiaries of the Company are required to make monthly escrow deposits for taxes and insurance.


Restricted investmentscash for other debt obligations and certificates of deposit—In compliance with certain financing and insurance agreements, the Company and certain wholly-owned subsidiaries of the Company are required to deposit cash and/or certificates of deposit held as collateral by the lender or in escrow with certain designated financial institutions.

HUD and other replacement reserves—The regulatory agreements entered into in connection with the financing secured through the U.S. Department of Housing and Urban Development (“HUD”) require monthly escrow deposits for replacement and improvement of the HUD project assets.

NOTE 5.PROPERTY AND EQUIPMENT

NOTE 5.

PROPERTY AND EQUIPMENT

The following table sets forth the Company’s property and equipment:

(Amounts in 000’s)

 

Estimated

Useful

Lives (Years)

 

 

March 31,

2018

 

 

December 31,

2017

 

Buildings and improvements

 

5-40

 

 

$

89,684

 

 

$

89,665

 

Equipment and computer related

 

2-10

 

 

 

10,893

 

 

 

10,893

 

Land

 

 

 

 

 

4,268

 

 

 

4,248

 

Construction in process

 

 

 

 

 

173

 

 

 

49

 

 

 

 

 

 

 

 

105,018

 

 

 

104,855

 

Less: accumulated depreciation and amortization

 

 

 

 

 

 

(24,621

)

 

 

(23,642

)

Property and equipment, net

 

 

 

 

 

$

80,397

 

 

$

81,213

 

(Amounts in 000’s) 
Estimated Useful
Lives (Years)
 September 30, 2017 December 31, 2016
Buildings and improvements
5-40 $89,954
 $84,108
Equipment and computer related*
2-10 10,883
 12,286
Land
 4,248
 3,988
Construction in process  
 602
    105,085
 100,984
Less: accumulated depreciation and amortization*   (22,644) (21,816)
Property and equipment, net   $82,441
 $79,168
*The Company retired approximately $2.2 million of fully depreciated assets during the nine months ended September 30, 2017.
On May 1, 2017, the Company completed the acquisition of an assisted living and memory care community with 106 operational beds in Glencoe, Alabama (“the Meadowood Facility”) from Meadowood Retirement Village, LLC and Meadowood Properties, LLC (see Note 10 - Acquisitions).
Buildings and improvements includes the capitalization of costs incurred for the respective CON’s. For additional information on the CON amortization, see Note 6 - Intangible Assets and Goodwill.

The following table summarizes total depreciation and amortization expense for the three and nine months ended September 30, 2017March 31, 2018 and 2016:2017:

 

 

Three Months Ended March 31,

 

(Amounts in 000’s)

 

2018

 

 

2017

 

Depreciation

 

$

808

 

 

$

797

 

Amortization

 

 

413

 

 

 

338

 

Total depreciation and amortization expense

 

$

1,221

 

 

$

1,135

 

  Three Months Ended September 30, Nine Months Ended September 30,
(Amounts in 000’s) 2017 2016 2017 2016
Depreciation $857
 $786
 $2,486
 $3,000
Amortization 336
 338
 1,013
 1,176
Total depreciation and amortization $1,193
 $1,124
 $3,499
 $4,176
         



NOTE 6.INTANGIBLE ASSETS AND GOODWILL

NOTE 6.

INTANGIBLE ASSETS AND GOODWILL

Intangible assets consist of the following:

(Amounts in 000’s)

 

Bed licenses

(included

in property

and

equipment)(a)

 

 

Bed Licenses -

Separable

 

 

Lease

Rights

 

 

Total

 

Balances, December 31, 2017

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross

 

$

22,811

 

 

$

2,471

 

 

$

7,181

 

 

$

32,463

 

Accumulated amortization

 

 

(4,166

)

 

 

 

 

 

(4,994

)

 

 

(9,160

)

Net carrying amount

 

$

18,645

 

 

$

2,471

 

 

$

2,187

 

 

$

23,303

 

Amortization expense

 

 

(171

)

 

 

 

 

 

(242

)

 

 

(413

)

Balances, March 31, 2018

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross

 

 

22,811

 

 

 

2,471

 

 

 

7,181

 

 

 

32,463

 

Accumulated amortization

 

 

(4,337

)

 

 

 

 

 

(5,236

)

 

 

(9,573

)

Net carrying amount

 

$

18,474

 

 

$

2,471

 

 

$

1,945

 

 

$

22,890

 

(a)

Non-separable bed licenses are included in property and equipment as is the related accumulated amortization expense (see Note 5 – Property and Equipment).

(Amounts in 000’s) CON (included in property and equipment) Bed Licenses - Separable Lease Rights Total
Balances, December 31, 2016  
  
  
  
Gross $22,811
 $2,471
 $6,881
 $32,163
Accumulated amortization (3,483) 
 (4,127) (7,610)
Net carrying amount $19,328
 $2,471
 $2,754
 $24,553
         
Amortization expense (512) 
 (501) (1,013)
         
Balances, September 30, 2017        
Gross 22,811
 2,471
 6,881
 32,163
Accumulated amortization (3,995) 
 (4,628) (8,623)
Net carrying amount $18,816
 $2,471
 $2,253
 $23,540

The following table summarizes total amortization expense for the three and nine months ended September 30, 2017March 31, 2018 and 2016:2017:

 

 

Three Months Ended March 31,

 

(Amounts in 000’s)

 

2018

 

 

2017

 

Bed licenses

 

$

171

 

 

$

171

 

Lease rights

 

 

242

 

 

 

167

 

Total amortization expense

 

$

413

 

 

$

338

 

  Three Months Ended September 30, Nine Months Ended September 30,
(Amounts in 000’s) 2017 2016 2017 2016
CON $169
 $171
 $512
 $676
Lease rights 167
 167
 501
 500
Total amortization $336
 $338
 $1,013
 $1,176
         

Expected amortization expense for all definite-lived intangibles for each of the years ended December 31 is as follows: 

(Amounts in 000’s)

 

Bed Licenses

 

 

Lease Rights

 

2018(a)

 

$

512

 

 

$

525

 

2019

 

 

683

 

 

 

667

 

2020

 

 

683

 

 

 

482

 

2021

 

 

683

 

 

 

203

 

2022

 

 

683

 

 

 

68

 

Thereafter

 

 

15,230

 

 

 

-

 

Total expected amortization expense

 

$

18,474

 

 

$

1,945

 

(a)

Estimated amortization expense for the year ending December 31, 2018, includes only amortization to be recorded after March 31, 2018.

(Amounts in 000’s) Bed Licenses Lease Rights
2017(a)
 $171
 $166
2018 683
 667
2019 683
 667
2020 683
 482
2021 683
 203
Thereafter 15,913
 68
Total expected amortization expense $18,816
 $2,253
(a) Estimated amortization expense for the year ending December 31, 2017, includes only amortization to be recorded after September 30, 2017.

The following table summarizes the carrying amount of goodwill:

(Amounts in 000’s) September 30, 2017 December 31, 2016

 

March 31,

2018

 

 

December 31,

2017

 

Goodwill $2,945
 $2,945

 

$

2,945

 

 

$

2,945

 

Accumulated impairment losses (840) (840)

 

 

(840

)

 

 

(840

)

Net carrying amount $2,105
 $2,105

 

$

2,105

 

 

$

2,105

 

The Company does not amortize indefinite-lived intangibles, which consist of separable bed licenses and goodwill.


NOTE 7.

NOTE 7.

LEASES

Operating Leases

The Company leases a total of eleven skilled nursing facilities from unaffiliated owners under non-cancelable leases, all of which have rent escalation clauses and provisions requiring payment of real estate taxes, insurance and maintenance costs by the lessee. Each of the skilled nursing facilities that are leased by the Company are subleased to and operated by third-party tenants. The Company also leases certain office space located in Suwanee, Georgia and Atlanta, Georgia. The Atlanta office space is subleased to a third-party tenant.


As of September 30, 2017,March 31, 2018, the Company is in compliance with all operating lease financial covenants.

Future Minimum Lease Payments

Future minimum lease payments for each of the next five years ending December 31, are as follows:

 

 

(Amounts

in 000’s)

 

2018 (a)

 

$

6,262

 

2019

 

 

8,492

 

2020

 

 

8,671

 

2021

 

 

8,830

 

2022

 

 

9,026

 

Thereafter

 

 

37,430

 

Total

 

$

78,711

 

(a)

Estimated minimum lease payments for the year ending December 31, 2018 include only payments to be paid after March 31, 2018.

  (Amounts in 000’s)
2017 (a)
 $2,069
2018 8,331
2019 8,492
2020 8,671
2021 8,830
Thereafter 46,456
Total $82,849
(a) Estimated minimum lease payments for the year ending December 31, 2017 include only payments to be recorded after September 30, 2017.

Leased and Subleased Facilities to Third-Party Operators

The Company leases or subleases 27 facilities (16 owned by the Company and 11 leased to the Company) to third-party tenants on a triple net basis, meaning that the lessee (i.e., the third-party tenant of the property) is obligated under the lease or sublease, as applicable, for all costs of operating the property, including insurance, taxes and facility maintenance, as well as the lease or sublease payments, as applicable.

Peach Health. On June 18, 2016, the Company entered into a master sublease agreement (the “Peach Health Sublease”) with Peach Health Sublessee, providing that Peach Health Sublessee would take possession of and operate the Peach Facilities as subtenant. The Jeffersonville Facility and the Oceanside Facility were previously decertified by CMS in February and May 2016, respectively, for deficiencies related to the operations and maintenance of the facility while operated by the previous sublessee (seePart II, Item 8, Notes to Consolidated Financial Statements, Note 7 - Leases included in the Annual Report for additional information). The Jeffersonville Facility and the Oceanside Facility were recertified by CMS as of December 20, 2016 and February 7, 2017, respectively, which are the Rent Commencement Dates for such facilities.

The Peach Health Sublease became effective for the Jeffersonville Facility on June 18, 2016, and for the Savannah Beach Facility and the Oceanside Facility on July 13, 2016 (the date on which the Company accepted possession of the facilities from the previous sublessee). The Peach Health Sublease is structured as a triple net lease, except that the Company assumes responsibility for the cost of certain deferred maintenance at the Savannah Beach Facility and capital improvements that may be necessary for the Oceanside Facility and the Jeffersonville Facility in connection with recertification by CMS. Rent for the Savannah Beach Facility, the Oceanside Facility and the Jeffersonville Facility is $0.3 million, $0.4 million and $0.6 million per annum, respectively; provided, however, that rent was only $1 per month for the Oceanside Facility and the Jeffersonville Facility until the respective Rent Commencement Dates. In addition, for the Oceanside Facility and the Jeffersonville Facility, Peach Health Sublessee is entitled to three months of $1 per month rent following the respective Rent Commencement Dates and, following such three-month period, five months of rent discounted by 50%. The annual rent for each of the Peach Facilities will escalate at a rate of 3% each year pursuant to the Peach Health Sublease, and the term of the Peach Health Sublease for all three Peach Facilities expires on August 31, 2027.

In connection with the Peach Health Sublease, the Company extended a line of credit to Peach Health Sublessee for up to $1.0 million for operations at the Peach Facilities (the “Peach Line”), with interest accruing on the unpaid balance under the Peach Line at a starting interest rate of 13.5%, increasing by 1% per annum. The entire principal amount due under the Peach Line, together with all accrued and unpaid interest thereunder, was due one year from the date of the first disbursement. The Peach Line

is secured by a first priority security interest in Peach Health Sublessee’s assets and accounts receivable pursuant to a security agreement executed by Peach Health Sublessee.

On April 6, 2017, the Company modified certain terms of the Peach Line in connection with Peach Health Sublessee's securing a $2.5 million working capital loan from a third party lender (the “Peach Working Capital Facility”). Borrowings under the Peach Working Capital Facility are based on a borrowing base of eligible accounts receivable. The modifications of the Peach Line include (as so amended, the “Peach Note”): (i) reducing the loan balance to $0.8 million and restricting further borrowings; (ii) extending the maturity of the loan to October 1, 2020 and adding a six month extension option by Peach Health Sublessee, assuming certain conditions precedent are met at the time of the exercise of the option; (iii) increasing the interest rate from 13.5% per annum by 1% per year; and (iv) establishing a four year amortization schedule. Payment of principal and interest under the Peach Note shall be governed by certain financial covenants limiting distributions under the Peach Working Capital Facility. Furthermore, the Company guaranteed Peach Health Sublessee’s borrowings under the Peach Working Capital Facility subject to certain burn-off provisions (i.e., the Company’s obligations under such guaranty cease after the later of 18 months or achievement of a certain financial ratio by Peach Health Sublessee).

At September 30, 2017, there was a $0.9 million outstanding balance on the Peach Note.

Arkansas Leases and Facilities.  Until February 3, 2016, the Company subleased through its subsidiaries (the “Aria Sublessors”) nine facilities located in Arkansas (collectively, the(the “Arkansas Facilities”) to affiliates (the “Aria Sublessees”) of Aria Health Group, LLC (“Aria”) pursuant to separate sublease agreements (the “Aria Subleases”). Effective February 3, 2016, the Company terminated each Aria Sublease due to the applicable Aria Sublessee’saffiliate’s failure to pay rent pursuant to the terms of such sublease. From February 5,April 1, 2016 to October 6, 2016, nine wholly-owned subsidiaries of the Company (each, a “Skyline Lessor”) leased the Arkansas Facilities to Skyline Healthcare LLC (“Skyline”), or an affiliate of Skyline (the “Skyline Lessee”), pursuant to a Master Lease Agreement, dated February 5, 2016 (the “Skyline Lease”). The term of the Skyline Lease commenced on April 1, 2016. In connection with the Skyline Lease, the Skyline LessorsCompany entered into an Option Agreement, dated February 5, 2016, with Joseph Schwartz, the manager of Skyline, pursuant to which Mr. Schwartz, or an entity designated by Mr. Schwartz (the “Purchaser”), had an exclusive and irrevocable option to purchase the Arkansas Facilities at a purchase price of $55.0 million, consisting of cash consideration in the amount of $52.0 million and a promissory note with a principal amount of $3.0 million.million and a maturity date of March 31, 2022 (the “Skyline Note”). The Company completed the sale of the Arkansas Facilities to the Purchaser on October 6, 2016. For further information see2016 in accordance with the terms of the Option Agreement. The Skyline Note is guaranteed by Joseph Schwartz and Roselyn Schwartz (collectively, the “Guarantors”), pursuant to a Guaranty Agreement, dated September 30, 2016 (the “Guaranty”), executed by the Guarantors in favor of the Company (see Part II, Item 8, Notes to Consolidated Financial Statements Note 710 - Leases– Acquisitions and Dispositions included in the Annual Report).

In connection with the closing of the sale of the Arkansas Facilities, the Company entered into a Subordination and Standstill Agreement, dated September 26, 2016 (the “Subordination Agreement”), with CIBC (formerly the PrivateBank and Trust Company), as agent for the lenders specified therein (collectively, the “Lenders”). Pursuant to the Subordination Agreement, the Company agreed to subordinate its claims and rights to receive payment under the Skyline Note or any document which may evidence or secure the indebtedness evidenced by such note, other than the Guaranty (collectively, the “Subordinated Debt”), to the claims and rights of the Lenders to receive payment under certain revolving loans, with an initial aggregate principal amount of $6.0 million, and certain term loans, with an aggregate principal amount of $45.6 million (collectively, the “Loans”), each extended by certain of the Lenders to affiliates of Skyline (collectively, the “Skyline Borrowers”). Pursuant to the Subordination Agreement, the Company may not accept payment of the Subordinated Debt, or take any action to collect


Meadowood.

such payment, if: (i) the Company has received notice from the Lenders that the Skyline Borrowers have failed to meet a specified financial covenant with respect to the Loans; or (ii) a default has occurred or is continuing with respect to the Loans. Pursuant to the Guaranty, the Guarantors have agreed to pay the outstanding principal amount of the Skyline Note, together with all accrued and unpaid interest: (x) on the date on which the Skyline Borrowers or an affiliate thereof repays or refinances any of the Loans; (y) on the date on which the Skyline Borrowers or its affiliates sells any of the Arkansas Facilities which the Skyline Borrowers or its affiliates purchased with proceeds from the Loans; or (z) upon written notice from the Company to the Guarantors any time on or after the two year anniversary of the Skyline Note. As of the date of filing, the Company has not received written notice from the Lenders regarding conditions prohibiting repayment of the Skyline Note.

On April 24, 2018, Skyline entered into a management contract with a third-party to manage the Arkansas Facilities. The Company is negotiating an arrangement with such third-party, pursuant to which the Company would: (i) accept a cash payment from such third-party, within the next few months, in full satisfaction of the Skyline Note at a discount from the full amount outstanding thereunder, and (ii) agree to release the Guarantors from their obligations under the Guaranty. The Company estimates the recoverable amount of the Skyline Note to be in the range of $0.5 million to $2.5 million. Consequently, during the three months ended March 31, 2018, the Company recorded an allowance of $0.5 million on the Skyline Note. On March 31, 2018, the net balance of the Skyline Note was $2.5 million. In the course of on-going negotiations, as additional facts are known, additional losses on the Skyline Note may be incurred.

Beacon. On March 8, 2017, AdCare executedAugust 1, 2015, the Company entered into a purchase and salelease inducement fee agreement with Meadowood Retirement Village,certain affiliates (collectively, the "Beacon Affiliates") of Beacon Health Management, LLC and Meadowood Properties, LLC (the “Meadowood Purchase Agreement”(“Beacon”), pursuant to which the Company paid a fee of $0.6 million as a lease inducement for certain Beacon Affiliates (collectively “Beacon Sublessee”) to acquireenter into sublease agreements and to commence such subleases and transfer operations thereunder (the “Beacon Lease Inducement”). As of March 31, 2018 the Meadowoodbalance of the Beacon Lease Inducement was approximately $0.5 million. On April 24, 2018, five Beacon affiliates (the “Ohio Beacon Affiliates”) informed the Company in writing that they would no longer be operating five (four owned and one leased by the Company) of the Company’s facilities located in Ohio (the “Ohio Beacon Facilities”) and that they would surrender operation of such facilities to the Company on June 30, 2018. Consequently, the Company is recognizing revenue on a cash basis with respect to the Ohio Beacon Facilities and has expensed approximately $0.7 million straight-line rent asset and recorded an allowance of $0.5 million against the Beacon Lease Inducement and $0.3 million allowance for other receivables (see Note 15- Subsequent Events).

Peach Health. On June 18, 2016, the Company entered into a master sublease agreement (the “Peach Health Sublease”) with affiliates (collectively, “Peach Health Sublessee”) of Peach Health Group, LLC (“Peach Health”), providing that Peach Health Sublessee would take possession of and operate the three facilities located in Georgia (the “Peach Facilities”) as subtenant. The Peach Facilities are comprised of: (i) an 85-bed skilled nursing facility located in Tybee Island, Georgia (the “Oceanside Facility”); (ii) a 50-bed skilled nursing facility located in Tybee Island, Georgia (the “Savannah Beach Facility”); and (iii) a 131-bed skilled nursing facility located in Jeffersonville, Georgia (the “Jeffersonville Facility”). The Jeffersonville Facility and the Oceanside Facility were previously decertified by the U.S. Department of Health and Human Services Centers for $5.5 million cash. Medicare and Medicaid Services (“CMS”) in February and May 2016, respectively, for deficiencies related to the operations and maintenance of the facility while operated by the previous sublessee. The Jeffersonville Facility and the Oceanside Facility (the “Peach Recertified Facilities”) were recertified by CMS as of December 20, 2016 and February 7, 2017, respectively, which are the rent commencement dates for such facilities. The lease provided for a period of de minimis rent and base rent discounted by 50%.

On March 21,30, 2018 the Company and Peach Health Sublessee entered into an amendment to the Peach Health Sublease.  The amendment provides for: (i) additional four and six month periods of base rent of $37,080 and $54,590, discounted by 50%, which rate continued through March 1, 2018, for the Oceanside Facility and the Jeffersonville Facility, respectively and (ii) beginning April 1, 2018 provides for additional rent payment amounts of $2,500 and $3,400 per month for the Oceanside Facility and the Jeffersonville Facility, respectively. The additional rent for each of the Peach Facilities will escalate at a rate of 3% each year on April 1st of each remaining year of the term, and any extension thereof.

In connection with the Peach Health Sublease, the Company extended a line of credit to Peach Health Sublessee for up to $1.0 million for operations at the Peach Facilities (the “Peach Line”), with interest accruing on the unpaid balance under the Peach Line at a starting interest rate of 13.5%, which increases by 1% per annum. The entire principal amount due under the Peach Line, together with all accrued and unpaid interest thereunder, was due one year from the date of the first disbursement. The Peach Line was secured by a first priority security interest in Peach Health Sublessee’s assets and accounts receivable. On April 6, 2017, AdCare executedthe Company modified certain terms of the Peach Line in connection with Peach Health Sublessee securing a long-term lease$2.5 million revolving working capital loan from a third party lender (the “Peach Working Capital Facility”), subsequently capped at $1.75 million, which matures April 5, 2020. The Peach Working Capital Facility is secured by the eligible accounts receivable, and all the collections on the eligible accounts receivable are remitted to a lockbox controlled by the lender. The modifications of the Peach Line include (as so amended, the “Peach Note”): (i) reducing the loan balance to $0.8 million and restricting


further borrowings; (ii) extending the maturity of the loan to October 1, 2020 and adding a six month extension option by Peach Health Sublessee, assuming certain conditions precedent are met at the time of the exercise of the option; (iii) increasing the interest rate from 13.5% per annum by 1% per annum; and (iv) establishing a four year amortization schedule. Payment of principal and interest under the Peach Note is governed by certain financial covenants limiting distributions under the Peach Working Capital Facility. Furthermore, the Company guaranteed Peach Health Sublessee’s borrowings under the Peach Working Capital Facility subject to certain burn-off provisions (i.e., the Company’s obligations under such guaranty cease after the later of 18 months or achievement of a certain financial ratio by Peach Health Sublessee). The Company is obligated to pay the outstanding balance on the Peach Working Capital Facility (after application of all eligible accounts receivable collections by the lender) if Peach Health Sublessee fails to comply with an affiliatethe Peach Working Capital Facility obligations and covenants. Fair value of C.R. Management (the “Meadowood Operator”) to lease the Meadowood Facility effectiveliability using the expected present value approach is immaterial.

At March 31, 2018, there was approximately $1.0 million outstanding on May 1, 2017. For further information, see Note 10 - Acquisitions.


the Peach Note.

Future minimum lease receivables from the Company’s facilities leased and subleased to third party tenants for each of the next five years ending December 31 are as follows:

 

 

(Amounts

in 000's) (a)

 

2018 (a)

 

$

15,248

 

2019

 

 

19,651

 

2020

 

 

20,112

 

2021

 

 

20,619

 

2022

 

 

21,140

 

Thereafter

 

 

103,721

 

Total

 

$

200,491

 

(a)

Estimated minimum lease receivables for the year ending December 31, 2018, include only payments to be received after March 31, 2018.

  (Amounts in 000's)
2017 (a)
 $5,460
2018 22,281
2019 22,764
2020 23,299
2021 23,886
Thereafter 136,813
Total $234,503
(a) Estimated minimum lease receivables for the year ending December 31, 2017, include only payments to be received after September 30, 2017.

For further details regarding the Company’s leased and subleased facilities to third-party operators, see Note 10 -15 – Subsequent Events Acquisitions below and Part II, Item 8, Notes to Consolidated Financial Statements, Note 7 - Leases and Note 10 – Acquisitions and Dispositions included in the Annual Report.



NOTE 8.ACCRUED EXPENSES AND OTHER

NOTE 8.

ACCRUED EXPENSES AND OTHER

Accrued expenses and other consist of the following:

(Amounts in 000’s)

 

March 31,

2018

 

 

December 31,

2017

 

Accrued employee benefits and payroll-related

 

$

281

 

 

$

290

 

Real estate and other taxes

 

 

676

 

 

 

423

 

Self-insured reserve (1)

 

 

2,436

 

 

 

5,077

 

Accrued interest

 

 

333

 

 

 

260

 

Other accrued expenses

 

 

797

 

 

 

972

 

Total accrued expenses and other

 

$

4,523

 

 

$

7,022

 

(Amounts in 000’s) September 30, 2017 December 31, 2016
Accrued employee benefits and payroll-related $387
 $442
Real estate and other taxes 435
 557
Self-insured reserve (1)
 6,683
 6,924
Accrued interest 248
 251
Other accrued expenses 829
 903
Total accrued expenses and other $8,582
 $9,077

(1)

The Company self-insures against professional and general liability casesclaims and uses a third party administrator and outside counsel to manage and defend the claims. The decreaseAdditionally, for the period ended March 31, 2018 and the year ended December 31, 2017, $0.1 million and $0.2 million is accrued in “Other liabilities” in the reserve at September 30, 2017 primarily reflects the legal and associated settlementCompany’s consolidated balance sheets for amounts paiddue in excess of twelve months, respectively (see Note 1513 - Commitments and Contingencies).


NOTE 9.

NOTE 9.

NOTES PAYABLE AND OTHER DEBT

See Part II, Item 8, Notes to Consolidated Financial Statements,Note 9 - Notes Payable and Other Debt included in the Annual Report for a detailed description of all the Company’s debt facilities.

Notes payable and other debt consists of the following:

(Amounts in 000’s)

 

March 31,

2018

 

 

December 31,

2017

 

Senior debt—guaranteed by HUD

 

$

33,479

 

 

$

33,685

 

Senior debt—guaranteed by USDA (a)

 

 

14,040

 

 

 

20,320

 

Senior debt—guaranteed by SBA (b)

 

 

683

 

 

 

2,210

 

Senior debt—bonds

 

 

7,055

 

 

 

7,055

 

Senior debt—other mortgage indebtedness

 

 

25,044

 

 

 

9,486

 

Other debt

 

 

1,098

 

 

 

1,050

 

Convertible debt

 

 

 

 

 

1,500

 

Subtotal

 

 

81,399

 

 

 

75,306

 

Deferred financing costs

 

 

(3,056

)

 

 

(2,027

)

Unamortized discount on bonds

 

 

(174

)

 

 

(177

)

Total debt

 

 

78,169

 

 

 

73,102

 

Less: current portion of debt

 

 

17,714

 

 

 

8,090

 

Notes payable and other debt, net of current portion

 

$

60,455

 

 

$

65,012

 

(Amounts in 000’s) September 30, 2017 December 31, 2016
Senior debt—guaranteed by HUD $33,887
 $34,473
Senior debt—guaranteed by USDA (a)
 20,477
 22,518
Senior debt—guaranteed by SBA (b)
 2,236
 2,319
Senior debt—bonds 7,055
 7,145
Senior debt—other mortgage indebtedness 9,572
 5,639
Other debt 1,322
 1,063
Convertible debt 1,500
 9,200
Subtotal 76,049
 82,357
Deferred financing costs, net (2,050) (2,196)
Unamortized discount on bonds (181) (191)
Total debt 73,818
 79,970
Less: current portion of debt 8,327
 13,154
Notes payable and other debt, net of current portion $65,491
 $66,816

(a)

U.S. Department of Agriculture (“USDA”)

(b)

U.S. Small Business Administration (“SBA”)


The following is a detailed listing of the debt facilities that comprise each of the above categories:

(Amounts in 000’s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility

 

Lender

 

Maturity

 

Interest Rate (a)

 

 

March 31,

2018

 

 

December 31,

2017

 

Senior debt - guaranteed by HUD (b)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Pavilion Care Center

 

Red Mortgage

 

12/01/2027

 

Fixed

 

 

4.16

%

 

$

1,302

 

 

$

1,329

 

Hearth and Care of

   Greenfield

 

Red Mortgage

 

08/01/2038

 

Fixed

 

 

4.20

%

 

 

2,111

 

 

 

2,127

 

Woodland Manor

 

Midland State Bank

 

10/01/2044

 

Fixed

 

 

3.75

%

 

 

5,305

 

 

 

5,334

 

Glenvue

 

Midland State Bank

 

10/01/2044

 

Fixed

 

 

3.75

%

 

 

8,235

 

 

 

8,283

 

Autumn Breeze

 

KeyBank

 

01/01/2045

 

Fixed

 

 

3.65

%

 

 

7,160

 

 

 

7,199

 

Georgetown

 

Midland State Bank

 

10/01/2046

 

Fixed

 

 

2.98

%

 

 

3,624

 

 

 

3,644

 

Sumter Valley

 

KeyBank

 

01/01/2047

 

Fixed

 

 

3.70

%

 

 

5,742

 

 

 

5,769

 

Total

 

 

 

 

 

 

 

 

 

 

 

$

33,479

 

 

$

33,685

 

Senior debt - guaranteed by USDA (c)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attalla (e)

 

Metro City

 

09/30/2035

 

Prime + 1.50%

 

 

5.50

%

 

$

 

 

$

6,169

 

Coosa

 

Metro City

 

09/30/2035

 

Prime + 1.50%

 

 

5.50

%

 

 

5,517

 

 

 

5,562

 

Mountain Trace

 

Community B&T

 

01/24/2036

 

Prime + 1.75%

 

 

5.75

%

 

 

4,227

 

 

 

4,260

 

Southland

 

Bank of Atlanta

 

07/27/2036

 

Prime + 1.50%

 

 

6.00

%

 

 

4,296

 

 

 

4,329

 

Total

 

 

 

 

 

 

 

 

 

 

 

$

14,040

 

 

$

20,320

 

Senior debt - guaranteed by SBA (d)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

College Park (e)

 

CDC

 

10/01/2031

 

Fixed

 

 

2.81

%

 

$

 

 

$

1,523

 

Southland

 

Bank of Atlanta

 

07/27/2036

 

Prime + 2.25%

 

 

5.75

%

 

 

683

 

 

 

687

 

Total

 

 

 

 

 

 

 

 

 

 

 

$

683

 

 

$

2,210

 

(Amounts in 000’s)           
Facility Lender Maturity 
Interest Rate (a)
 September 30, 2017 December 31, 2016
Senior debt - guaranteed by HUD          
The Pavilion Care Center Red Mortgage 12/01/2027  Fixed 4.16% $1,355
 $1,434
Hearth and Care of Greenfield Red Mortgage 08/01/2038  Fixed 4.20% 2,143
 2,191
Woodland Manor Midland State Bank 10/01/2044  Fixed 3.75% 5,363
 5,447
Glenvue Midland State Bank 10/01/2044  Fixed 3.75% 8,327
 8,457
Autumn Breeze KeyBank 01/01/2045  Fixed 3.65% 7,238
 7,352
Georgetown Midland State Bank 10/01/2046  Fixed 2.98% 3,664
 3,723
Sumter Valley 
 KeyBank 01/01/2047  Fixed 3.70% 5,797
 5,869
 Total         $33,887
 $34,473
              
Senior debt - guaranteed by USDA (b)








Attalla
Metro City
09/30/2035
Prime + 1.50%
5.50%
$6,218

$7,189
Coosa
Metro City
09/30/2035
Prime + 1.50%
5.50%
5,607

6,483
Mountain Trace
Community B&T
01/24/2036
Prime + 1.75%
5.75%
4,292

4,384
Southland
Bank of Atlanta
07/27/2036
Prime + 1.50%
6.00%
4,360

4,462

Total







 $20,477
 $22,518
              
Senior debt - guaranteed by SBA



    
College Park
CDC
10/01/2031
Fixed
2.81% $1,545
 $1,611
Southland
Bank of Atlanta
07/27/2036
Prime + 2.25% 5.75% 691
 708
 Total         $2,236
 $2,319

(a)

Represents cash interest rates as of September 30, 2017March 31, 2018 as adjusted for applicable interest rate floor limitations, if applicable. The rates exclude amortization of deferred financing costs which range from 0.08% to 0.53% per annum.

(b)

For the seven skilled nursing facilities, the Company has term loans insured 100% by HUD with financial institutions. The loans are secured by, among other things, an assignment of all rents paid under any existing or future leases and rental agreements with respect to the underlying facility. The loans contain customary events of default, including fraud


or material misrepresentations or material omission, the commencement of a forfeiture action or proceeding, failure to make required payments, and failure to perform or comply with certain agreements. Upon the occurrence of certain events of default, the lenders may, after receiving the prior written approval of HUD, terminate the loans and all amounts under the loans will become immediately due and payable. In connection with entering into each loan, the Company entered into a healthcare regulatory agreement and a promissory note, each containing customary terms and conditions.

(b)(c)

For the four skilled nursing facilities, the Company has term loans insured 70% to 80% by the USDA with financial institutions. The loans have an annual renewal fee for the USDA guarantee of 0.25% of the guaranteed portion. The loans have prepayment penalties of 3% to 4% through 2017,2018, which declines 1% each year, capped at 1% for the remainder of the first 10 years of the term and 0% thereafter.

(Amounts in 000’s)

           
Facility Lender Maturity 
Interest Rate (a)
 September 30, 2017 December 31, 2016
Senior debt - bonds          
Eaglewood Bonds Series A City of Springfield, Ohio 05/01/2042  Fixed 7.65% $6,610
 $6,610
Eaglewood Bonds Series B City of Springfield, Ohio 05/01/2021  Fixed 8.50% 445
 535
 Total         $7,055
 $7,145

(d)

For each of the two facilities, the Company has a term loan with a financial institution, which is insured 75% by the SBA.

(e)

On February 15, 2018, the Company repaid these loans with proceeds from the Pinecone Credit Facility (described below, see “Senior debt - other mortgage indebtedness” in this Note below).

(Amounts in 000’s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility

 

Lender

 

Maturity

 

Interest Rate (a)

 

 

March 31,

2018

 

 

December 31,

2017

 

Senior debt - bonds

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Eaglewood Bonds Series A

 

City of Springfield, Ohio

 

05/01/2042

 

Fixed

 

 

7.65

%

 

$

6,610

 

 

$

6,610

 

Eaglewood Bonds Series B

 

City of Springfield, Ohio

 

05/01/2021

 

Fixed

 

 

8.50

%

 

 

445

 

 

 

445

 

Total

 

 

 

 

 

 

 

 

 

 

 

$

7,055

 

 

$

7,055

 

(a)

Represents cash interest rates as of September 30, 2017.March 31, 2018. The rates exclude amortization of deferred financing of approximately 0.26% per annum.

(Amounts in 000’s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility

 

Lender

 

Maturity

 

Interest Rate (a)

 

 

March 31,

2018

 

 

December 31,

2017

 

Senior debt - other mortgage indebtedness

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quail Creek (c)

 

Congressional Bank

 

04/30/2019

 

LIBOR + 4.75%

 

 

5.75

%

 

$

4,290

 

 

$

4,314

 

Northwest (d)

 

First Commercial

 

07/31/2020

 

Prime

 

 

5.00

%

 

 

 

 

 

1,122

 

Meadowood

 

Exchange Bank of Alabama

 

05/01/2022

 

Fixed

 

 

4.50

%

 

 

4,016

 

 

 

4,050

 

College Park

 

Pinecone (b)

 

08/15/2020

 

Fixed

 

 

12.50

%

 

 

2,573

 

 

 

 

Northwest

 

Pinecone (b)

 

08/15/2020

 

Fixed

 

 

12.50

%

 

 

2,059

 

 

 

 

Attalla

 

Pinecone (b)

 

08/15/2020

 

Fixed

 

 

12.50

%

 

 

8,499

 

 

 

 

Adcare Property Holdings

 

Pinecone (b)

 

08/15/2020

 

Fixed

 

 

12.50

%

 

 

3,607

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

$

25,044

 

 

$

9,486

 

(Amounts in 000’s)

        
FacilityLenderMaturity
Interest Rate (a)
 September 30, 2017 December 31, 2016
Senior debt - other mortgage indebtedness



    
Quail Creek (b)
Congressional Bank12/31/2017
LIBOR + 4.75%
5.75% $4,346
 $4,432
Northwest (c)
First Commercial07/31/2020
Prime
5.00% 1,143
 1,207
Meadowood (d)
Exchange Bank of Alabama05/01/2022
Fixed
4.50% 4,083
 
 Total       $9,572
 $5,639

(a)

Represents cash interest rates as of September 30, 2017March 31, 2018 as adjusted for applicable interest rate floor limitations, if applicable.     The rates exclude amortization of deferred financing costs which approximate 1.03%range from approximately 0.3% to 2.56% per annum.annum and excludes the 3% finance fee described below.

(b)

On September 19, 2016,February 15, 2018, the Company obtained an option to extendentered into the maturity date, subject to customary conditions, of the Quail CreekPinecone Credit Facility from September 2017 to Septemberwith Pinecone. The amounts above include a combined 3% finance fee of approximately $0.5 million due upon maturity (for further information (see “New Financing” below in this Note).

(c)

On April 30, 2018, which management intends to exercise. On August 10, 2017, the Company extended the maturity date of the Quail Creek Credit Facility to December 31, 2017 and retains the option to further extend the maturity date of such credit facility to September 2018.April 30, 2019.


(d)

(c)

On July 31, 2017,February 15, 2018, the Company extendedrepaid this loan with proceeds from the maturity date of the NorthwestPinecone Credit Facility from December 2017 to July 31, 2020.described below, see New Financing below.


(d)
On May 1, 2017, in connection with the Meadowood Purchase Agreement, a wholly-owned subsidiary of the Company entered into a Loan Agreement (the “Meadowood Credit Facility”) with the Exchange Bank of Alabama, which provides for a $4.1 million principal amount secured credit facility maturing on May 1, 2022. Interest on the Meadowood Credit Facility accrues on the principal balance thereof at 4.5% per annum. The Meadowood Credit Facility is secured by the Meadowood Facility.


(Amounts in 000’s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lender

 

Maturity

 

Interest Rate

 

 

March 31,

2018

 

 

December 31,

2017

 

Other debt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Insurance Funding

 

03/01/2019

 

Fixed

 

 

4.24

%

 

$

194

 

 

$

20

 

Key Bank

 

08/02/2019

 

Fixed

 

 

0.00

%

 

 

495

 

 

 

495

 

McBride Note (a)

 

09/30/2019

 

Fixed

 

 

4.00

%

 

 

227

 

 

 

264

 

Pharmacy Care of Arkansas

 

02/08/2018

 

Fixed

 

 

2.00

%

 

 

 

 

 

42

 

South Carolina Department of Health & Human

   Services (b)

 

02/24/2019

 

Fixed

 

 

5.75

%

 

 

182

 

 

 

229

 

Total

 

 

 

 

 

 

 

 

 

$

1,098

 

 

$

1,050

 

(Amounts in 000’s)          
Lender Maturity Interest Rate September 30, 2017 December 31, 2016
Other debt          
First Insurance Funding 02/28/2018  Fixed 4.24% $81
 $20
Key Bank (a)
 08/02/2019  Fixed 0.00% 495
 496
McBride Note (b)
 09/30/2019  Fixed 4.00% 300
 
Pharmacy Care of Arkansas 02/08/2018  Fixed 2.00% 169
 547
South Carolina Department of Health & Human Services (c)
 02/24/2019 Fixed 5.75% 277
 
Total       $1,322
 $1,063

(a)

On August 11, 2017, the Company extended the maturity date of the Key Bank Credit Facility from October 17, 2017 to August 2, 2019.

(b)

The Company executed an unsecured promissory note in favor of William McBride III, the Company’s former Chairman and Chief Executive Officer, pursuant to a settlement agreement dated September 26, 2017, between Mr. McBride and the Company.


(b)

(c)

On February 21, 2017, the South Carolina Department of Health and Human Services (“SCHHS”) issued fiscal year 2013 Medicaid audit reports for two facilities operated by the Company during 2013. In its fiscal year 2013 Medicaid audit reports, SCHHS determined that the Company owed an aggregate $0.4 million related to patient-care related payments made by SCHHS during 2013. Repayment of the $0.4 million began on March 24, 2017 in the form of a two-year note bearing interest of 5.75% per annum.


(Amounts in 000’s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Facility

 

Maturity

 

Interest Rate

 

 

March 31,

2018

 

 

December 31,

2017

 

Convertible debt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issued July 2012 (a)

 

04/30/2018

 

Fixed

 

 

14.00

%

 

$

 

 

$

1,500

 

Total

 

 

 

 

 

 

 

 

 

$

 

 

$

1,500

 

(Amounts in 000’s)          
Facility Maturity 
Interest Rate (a)
 September 30, 2017 December 31, 2016
Convertible debt          
Issued July 2012 (C)
 04/30/2018  Fixed 14.00% $1,500
 $1,500
Issued March 2015 (b)
 04/30/2017  Fixed 10.00% 
 7,700
 Total       $1,500
 $9,200

(a)

(a)
Represents cash interest rates as of September 30, 2017. The rates exclude amortization of deferred financing costs which range from 0.25% to 1.92% per annum.
(b)

On December 8, 2016,February 15, 2018, the Company announced a tender offer (the “Tender Offer”) for any and all ofrepaid the Company’s 10% convertible subordinated notes due April 30, 2017 (the “2015 Notes”) at a cash purchase price equaloutstanding principal balance to $1,000 per $1,000 principal amount ofCantone Asset Management, LLC, together with accrued interest thereon with proceeds from the 2015 Notes purchased, plus accrued and unpaid interest to, but not including, the payment date. The Tender Offer expired on January 9, 2017, and $6.7 million in aggregate principal amount of the 2015 Notes were tendered and paid on January 10, 2017. On April 30, 2017, the remaining $1.0 million in aggregate principal amount of the 2015 Notes outstanding was repaid plus accrued and unpaid interest in accordance with the terms of such notes, and all related obligations owed under the 2015 Notes were extinguished at that time.Pinecone Credit Facility (described above).

(c)
On November 8, 2017, the Company extended the maturity date of the convertible debt issued in July 2012 from October 31, 2017 to April 30, 2018. Pursuant to the maturity date extension, the interest rate increased to 14.00% from 10.00% and the annual default interest rate increased from 14.00% to 18.00% per annum. In addition the Company agreed to grant a second priority security interest in the Company’s College Park facility, located in College Park, Georgia (the “College Park Facility”) no later than December 22, 2017. Failure to grant the security interest by December 22, 2017, will constitute an event of default under the promissory note.

New Financing

On February 15, 2018 (the “Closing Date”), the Company entered into the Pinecone Credit Facility with Pinecone. The Company borrowed an aggregate principal amount of $16.25 million. The Pinecone Credit Facility refinanced existing mortgage debt in an aggregate amount of $8.7 million on three skilled nursing properties, as shown in the table below (the “Facilities”).

Facility

 

Prior Lender

 

Prior Balance

 

 

Refinanced Balance*

 

Attalla

 

Metro City

 

$

6,137

 

 

$

8,250

 

College Park

 

CDC

 

 

1,492

 

 

 

2,500

 

Northwest

 

First Commercial

 

 

1,115

 

 

 

2,000

 

 

 

Sub Total

 

$

8,744

 

 

$

12,750

 

AdCare Property Holdings

 

 

 

 

 

 

 

3,500

 

 

 

Total

 

$

8,744

 

 

$

16,250

 

*Excludes 3% finance fee due upon maturity

The maturity date of the Pinecone Credit Facility is August 15, 2020 and bears interest at a fixed rate equal to 10% per annum for the first three months after the Closing Date and at a fixed rate equal to 12.5% per annum thereafter, subject to adjustment upon an event of default and specified regulatory events. The Pinecone Credit Facility is secured by, among other things, first priority liens on the Facilities and all tangible and intangible assets of the borrowers owning the Facilities, including all rent payments received from the operators thereof.  Beginning March 1, 2018, the first payment date, accrued and unpaid interest on the outstanding principal amount of the Pinecone Credit Facility is payable in consecutive monthly installments. The entire unpaid principal amount of the Pinecone Credit Facility is due on the maturity date, together with all accrued and unpaid interest and a finance fee equal to 3% of the original principal amount.






The Pinecone Credit Facility is subject to customary operating and financial covenants and regulatory conditions for each of the Facilities, which could result in additional monthly interest charges during any non-compliance and cure period. The Pinecone Credit Facility is prepayable in full beginning on the date that is thirteen months after the Closing Date, subject to the payment of a specified finance fee and, with respect to any prepayment made between March 15, 2019 and September 15, 2019, a prepayment premium equal to 1% of the principal amount being repaid. A specified early termination fee is payable in the event any amount is prepaid (in whole or in part) or is accelerated on or before the first anniversary of the Closing Date.

The Pinecone Credit Facility and the related documentation provide for customary events of default. Upon the occurrence of certain events of default, Pinecone may declare the entire unpaid principal balance under the Pinecone Credit Facility, together with all accrued interest and other amounts payable, immediately due and payable.

On May 10, 2018, management was notified by Pinecone that the Company was in default on a number of administrative items as outlined in the Pinecone Credit Facility, consequently the fixed interest rate will be equal to 13.5% commencing May 18, 2018. For further information, see Note 3 Liquidity and Note 15 – Subsequent Events.

Debt Covenant Compliance

As of September 30, 2017,March 31, 2018, the Company had approximately 2823 credit related instruments outstanding that include various financial and administrative covenant requirements. Covenant requirements include, but are not limited to, fixed charge coverage ratios, debt service coverage ratios, minimum EBITDA or EBITDAR, and current ratios. Certain financial covenant requirements are based on consolidated financial measurements whereas others are based on measurements at the subsidiary level (i.e., facility, multiple facilities or a combination of subsidiaries).  The subsidiary level requirements are as follows: (i) financial covenants measured against subsidiaries of the Company; and (ii) financial covenants measured against third-party operator performance. Some covenants are based on annual financial metric measurements whereas others are based on monthly and quarterly financial metric measurements. The Company routinely tracks and monitors its compliance with its covenant requirements.

The Company’s credit-related instruments were allCompany was not in compliance with various non-financial covenants and the combined fixed charge coverage ratio required under the Pinecone Credit Facility as of September 30, 2017.


March 31, 2018. The Pinecone Credit Facility requires the Company maintain a combined fixed charge coverage ratio of 1.2, and the Company’s combined fixed charge coverage ratio was equal to 1.1 as of March 31, 2018. On May 18, 2018 the Company entered into the Forbearance Agreement, pursuant to which Pinecone granted a waiver with respect to such covenant violations. For further information see Note 3 – Liquidity and Note 15 – Subsequent Events.

Scheduled Maturities

The schedule below summarizes the scheduled gross maturities for the twelve months ended September 30March 31 of the respective year (not adjusted for commitments to refinance or extend the maturities of debt as noted above):year:

For the twelve months ended March 31,

 

(Amounts in 000’s)

 

2019

 

$

2,330

 

2020

 

 

6,178

 

2021 (1)

 

 

18,425

 

2022

 

 

1,768

 

2023

 

 

5,135

 

Thereafter

 

 

47,563

 

Subtotal

 

$

81,399

 

Less: unamortized discounts

 

 

(174

)

Less: deferred financing costs, net

 

 

(3,056

)

Total notes and other debt

 

$

78,169

 

(1)

The Pinecone Credit Facility matures on August 15, 2020.

For the twelve months ended September 30,(Amounts in 000’s)
2018$8,328
20192,719
20202,955
20212,088
20225,552
Thereafter54,407
Subtotal$76,049
Less: unamortized discounts(181)
Less: deferred financing costs, net(2,050)
Total notes and other debt$73,818


NOTE 10. ACQUISITIONS
On March 8, 2017, the Company executed the Meadowood Purchase Agreement with Meadowood Retirement Village, LLC and Meadowood Properties, LLC to acquire the Meadowood Facility for $5.5 million cash. In addition, on March 21, 2017, the Company executed a long-term, triple net operating lease with the Meadowood Operator to lease the facility upon purchase. Lease terms include: (i) a 13-year initial term with one five-year renewal option; (ii) base rent of $37,500 per month; (iii) a rental escalator of 2.0% per annum in the initial term and 2.5% per annum in the renewal term; (iv) a cross renewal provision, whereby the Meadowood Operator may exercise the lease renewal for the Meadowood Facility if its affiliate exercises the lease renewal option for Coosa Valley Health Care, a 124-bed skilled nursing facility located in Gadsden, Alabama (the “Coosa Valley Facility”); and (v) a security deposit equal to one month of base rent. The Company completed the purchase of the Meadowood Facility on May 1, 2017 pursuant to the Meadowood Purchase Agreement, at which time the lease commenced and operations of the Meadowood Facility transferred to the Meadowood Operator.

The following table sets forth the preliminary purchase price allocation of the Meadowood Facility:
(Amounts in 000’s) 
Estimated Useful
Lives (Years)
 May 1, 2017
Buildings and improvements 15-32 $4,700
Equipment and computer related 10 400
Land  100
Property and equipment   5,200
In place occupancy (a)
 32 300
Purchase Price   $5,500
(a) In place occupancy is included in property and equipment, net on the Company’s unaudited consolidated balance sheets.

On May 1, 2017, in connection with the Meadowood Purchase Agreement, a wholly-owned subsidiary of the Company entered into the Meadowood Credit Facility with the Exchange Bank of Alabama, which provides for a $4.1 million principal amount secured credit facility maturing on May 1, 2022. Interest on the Meadowood Credit Facility accrues on the principal balance thereof at 4.5% per annum. The Meadowood Credit Facility is secured by the Meadowood Facility.


NOTE 11.

NOTE 10.

DISCONTINUED OPERATIONS


For the discontinued operations, the patient care revenue and related cost of services, prior to the commencement of subleasingprimarily accruals for professional and general liability claims and bad debt expense are classified in the activities below. For a historical listing and description of the Company’s discontinued entities, see Part II, Item 8, Notes to Consolidated Financial Statements,Note 11 - Discontinued Operations included in the Annual Report.

The following table summarizes certainthe activity of discontinued operations for the three and ninemonths ended March 31, 2018 and September 30, 2017 and 2016:

 

 

Three Months Ended March 31,

 

(Amounts in 000’s)

 

2018

 

 

2017

 

Cost of services

 

$

52

 

 

$

409

 

Interest expense, net

 

 

3

 

 

 

4

 

Net loss

 

$

(55

)

 

$

(413

)

   Three Months Ended September 30, Nine Months Ended September 30,
(Amounts in 000’s)  2017 2016 2017 2016
Total revenues  $
 $
 $
 $
Cost of services  1,026
 2,200
 2,032
 6,478
Interest expense, net  6
 10
 17
 35
Net loss  $(1,032) $(2,210) $(2,049) $(6,513)

NOTE 12.COMMON AND PREFERRED STOCK

NOTE 11.

COMMON AND PREFERRED STOCK


Common and Preferred Stock Repurchase Activity


In November 2016, the Board approved two share repurchase programs (collectively, the "November 2016 Repurchase Program"), pursuant to which AdCaremanagement was authorized to repurchase up to 1.0 million shares of the common stock and 100,000 shares of the Series A Preferred Stock during a twelve-month period. The November 2016 Repurchase Program succeeded the repurchase program announced on November 12, 2015 (the “November 2015 Repurchase Program”), which terminated in accordance with its terms. Share repurchases under the November 2016 Repurchase Program could be made from time to time through open market transactions, block trades or privately negotiated transactions and were subject to market conditions, as well as corporate, regulatory and other considerations. The Company could suspend or continue the November 2016 Repurchase Program at any time and had no obligation to repurchase any amount of the common stock or the Series A Preferred Stock under such program. The November 2016 Repurchase Program was suspended in February 2017.


During the nine months ended September 30, 2016, the Company repurchased 150,000 shares of common stock pursuant to the November 2015 Repurchase Program for $0.3 million at an average purchase price of approximately $2.05 per share, exclusive of commissions and related fees and made no repurchases during the three months ended September 30, 2016. Pursuant to the November 2015 Repurchase Program, the Company was authorized to repurchase up to 500,000 shares of its outstanding common stock during a twelve-month period. During the three and nine months ended September 30, 2016, the Company made no repurchases of the Series A Preferred Stock.


During the nine months ended September 30,March 31, 2017, the Company repurchased 118,199 shares of the common stock pursuant to the November 2016 Repurchase Program for $0.2 million at an average price of $1.54 per share, exclusive of commissions and related fees, and made no repurchases during the three months ended September 30, 2016.March 31, 2018. During the three and nine months ended September 30,March 31, 2018 and 2017, respectively, the Company made no repurchases of the Series A Preferred Stock.

Preferred Stock Offerings and Dividends


No dividends were declared or paid on the Series A Preferred Stock for the three months ended March 31, 2018. Dividends declared and paid on shares of the Series A Preferred Stock were $0.68 per share per quarter, or $1.9 million, and $5.7 million for the three and nine months ended September 30, 2017, respectively, and $1.9 million and $5.5 million forMarch 31, 2017.

As of March 31, 2018, as a result of the three and nine months ended September 30, 2016, respectively.


Duringsuspension of the three and nine months ended September 30, 2016,dividend payment on the Company sold 106,796 and 336,905 shares of Series A Preferred Stock underfor the Company’s At Market Issuance Sales Agreement, dated July 21, 2015 (the “2015 Sales Agreement”), at an average sale price of $21.49fourth quarter 2017 and $20.60 (excluding fees and commissions) per share, respectively. The Company received net proceeds of approximately $2.2 million during the three months ended September 30, 2016 and $6.8 million during the nine months ended September 30, 2016, after payment of sales commissions and discounts and all other expenses incurred by the Company. The 2015 Repurchase Program expired in accordance with its terms.


During the nine months ended September 30, 2017,first quarter 2018, the Company sold, under the ATM and pursuant to the 2017 Sales Agreement, dated May 26,2017, a totalhas $3.8 million of 50,000 sharesundeclared preferred stock dividends in arrears, $1.9 million per quarter.  Holders of the Series A Preferred Stock generating net proceedsare entitled to receive, when and as declared by the Board out of $1.0 millionfunds of the Company legally available for the payment of distributions, cumulative preferential cash dividends at an average priceannual rate equal to 10.875% of $21.80the $25.00 per share exclusivestated liquidation preference of commissions and related fees, and made no sales during the three months endedSeries A Preferred Stock, which is equivalent to an annual rate of $2.72 per share. Dividends on the Series A Preferred Stock are payable quarterly in arrears, on March 31, June 30, September 30, 2017. and December 31, of each year, although the Board has suspended dividend payments for the fourth quarter 2017 and first quarter 2018 dividend periods. Under the terms of the Series A Preferred Stock, dividends on the Series A Preferred Stock shall continue to accrue and accumulate regardless of whether such dividends are declared by the Board.  If the Company fails to pay cash dividends on the outstanding Series A Preferred Stock in full for any four consecutive or non-consecutive dividends periods, then (i) the annual dividend rate on the Series A Preferred Stock will be increased to 12.875%, commencing on the first day after the missed fourth quarterly payment and continuing until the second consecutive dividend payment date following such time as the Company has paid all accumulated and unpaid dividends on the Series A Preferred Stock in full in cash; and (ii) the holders of the Series A Preferred Stock will be entitled to vote, as a single class, for the election of two additional directors to serve on the Board.

As of September 30, 2017,March 31, 2018, the Company had 2,811,535 shares of the Series A Preferred Stock issued and outstanding. On August 2, 2017, the Company terminated the 2017 Sales Agreement and discontinued sales under the ATM.


Holders of the Series A Preferred Stock generally have no voting rights but have limited voting rights under certain circumstances. The Company may not redeem the Series A Preferred Stock before December 1, 2017, except the Company is required to redeem the Series A Preferred Stock following a "Change of Control," as defined in the Charter. On and after December 1, 2017, the Company may, at its option, redeem the Series A Preferred Stock, in whole or in part, by paying $25.00 per share, plus any accrued and unpaid dividends to the redemption date.


Prior to the Merger, the Company was required to classify the Series A Preferred Stock as temporary equity due to the change-in-control redemption provision contained in the Charter because, although deemed a remote possibility, a purchaser could acquire a majority of the voting power of the outstanding common stock without Company approval, thereby triggering redemption of the Series A Preferred Stock. FASB ASC Topic 480-10-S99-3A, SEC Staff Announcement: Classification and Measurement of Redeemable Securities, requires classification outside of permanent equity for redeemable instruments for which the redemption triggers are outside of the issuer's control. The assessment of whether the redemption of an equity security could occur outside of the issuer's control is required to be made without regard to the probability of the event or events that may result in the instrument becoming redeemable.

As a result of the Merger, the rights of the holders of the common stock and Series A Preferred Stock are now governed by the RHE Charter and the RHE Bylaws. The RHE Charter contains ownership and transfer restrictions with respect to the common stock which, among other things, prohibit any person (as defined in the RHE Charter) from beneficially or constructively owning, or being deemed to beneficially or constructively own by virtue of the attribution provisions of the Code, more than 9.9%, by value or number of shares, whichever is more restrictive, of the outstanding shares of common stock. As such, a change of control redemption can no longer be triggered outside of the Company’s control, thus permitting the Series A Preferred Stock to be classified as permanent equity. As a result, the Company reclassified the Series A Preferred Stock from temporary equity to permanent equity on a prospective basis as of September 29, 2017, the effective date of the Merger, in accordance with applicable accounting guidance.

For historical information regarding the Series A Preferred Stock, the ATMCompany’s former “at-the-market” offering program and prior share repurchase programs, see Part II, Item 8, Notes to Consolidated Financial Statements, Note 12 - Common and Preferred Stock included in the Annual Report.


NOTE 13.STOCK BASED COMPENSATION

NOTE 12.

STOCK BASED COMPENSATION


For the three and nine months ended March 31, 2018 and September 30, 2017 and 2016, the Company recognized stock-based compensation expense as follows:

 

 

Three Months Ended March 31,

 

(Amounts in 000’s)

 

2018

 

 

2017

 

Employee compensation:

 

 

 

 

 

 

 

 

Restricted stock

 

$

3

 

 

$

118

 

Warrants

 

 

 

 

 

60

 

Total employee stock-based compensation

   expense

 

$

3

 

 

$

178

 

Non-employee compensation:

 

 

 

 

 

 

 

 

Board restricted stock

 

$

28

 

 

$

44

 

Board stock options

 

 

 

 

 

12

 

Total non-employee stock-based compensation

   expense

 

$

28

 

 

$

56

 

Total stock-based compensation expense

 

$

31

 

 

$

234

 

  Three Months Ended September 30, Nine Months Ended September 30,
(Amounts in 000’s) 2017 2016 2017 2016
Employee compensation:      
  
Restricted stock $47
 $118
 $81
 $494
Stock options 
 
 
 112
Warrants 19
 62
 23
 213
Total employee stock-based compensation expense $66
 $180
 $104
 $819
Non-employee compensation:      
  
Board restricted stock $48
 $(23) $140
 $34
Board stock options 13
 13
 37
 37
Total non-employee stock-based compensation expense $61
 $(10) $177
 $71
Total stock-based compensation expense $127
 $170
 $281
 $890

Stock Incentive Plan

The AdCare Health Systems, Inc. 2011 Stock Incentive Plan, as amended (the “2011 Stock Incentive Plan”), was assumed by Regional Health pursuant to the Merger.  As a result of the Merger, all rights to acquire shares of AdCare common stock under


any AdCare equity incentive compensation plan have been converted into rights to acquire RHERegional Health common stock pursuant to the terms of the equity incentive compensation plans and other related documents, if any.  The 2011 Stock Incentive Plan expires March 28, 2021 and provides for a maximum of 2,027,393 shares of common stock to be issued. The 2011 Stock Incentive Plan permits the granting of incentive or nonqualified stock options and the granting of restricted stock. The plan is administered by the Compensation Committee of the Board (the “Compensation Committee”), pursuant to authority delegated to it by the Board. The Compensation Committee is responsible for determining the employees to whom awards will be made, the amounts of the awards, and the other terms and conditions of the awards. As of September 30, 2017,March 31, 2018, the number of securities remaining available for future issuance is 594,179.
723,530.

In addition to the 2011 Stock Incentive Plan, the Company grants stock warrants to officers, directors, employees and certain consultants to the Company from time to time as determined by the Board and, when appropriate, the Compensation Committee.

The assumptions used in calculating

For the fair value of employee common stock options and warrants granted during the ninethree months ended September 30, 2017March 31, 2018 and September 30, 2016, using the Black-Scholes-Merton option-pricing model, are set forth in the following table:

 Nine Months Ended September 30,
 2017*2016
Dividend yield% %
Expected volatility% 41%
Risk-free interest rate% 1.43%
Expected term (in years)n/a
 5.0
* 2017No, there were no issuances of common stock options or warrants during the current period.
warrants.

Common Stock Options

The following table summarizes the Company’s common stock option activity for the ninethree months ended September 30, 2017:March 31, 2018:

 

 

Number of

Shares (000's)

 

 

Weighted

Average

Exercise

Price

 

 

Weighted

Average

Remaining

Contractual

Term

(in years)

 

 

Aggregate

Intrinsic

Value

(in 000's)

 

Outstanding, December 31, 2017

 

 

181

 

 

$

3.98

 

 

 

6.4

 

 

$

 

Granted

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Forfeited

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Expired

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Outstanding, March 31, 2018

 

 

181

 

 

$

3.98

 

 

 

6.1

 

 

$

 

Vested, March 31, 2018

 

 

181

 

 

$

3.98

 

 

 

6.1

 

 

$

 


  Number of Shares (000's) Weighted Average Exercise Price Weighted Average Remaining Contractual Term (in years) Aggregate Intrinsic Value (in 000's)
Outstanding, December 31, 2016355
 $3.21
 5.6 $
 Granted
 $
    
 Forfeited
 $
    
 Expired(110) $2.62
    
Outstanding, September 30, 2017245
 $3.48
 5.8 $
Vested, September 30, 2017210
 $3.41
 5.5 $

The following table summarizes the common stock options outstanding and exercisable as of September 30, 2017:March 31, 2018:

 

 

Stock Options Outstanding

 

 

Options Exercisable

 

Exercise Price

 

Number of

Shares (000's)

 

 

Weighted

Average

Remaining

Contractual

Term

(in years)

 

 

Weighted

Average

Exercise

Price

 

 

Vested,

March 31,

2018

 

 

Weighted

Average

Exercise

Price

 

$1.31 - $3.99

 

 

115

 

 

 

6.5

 

 

$

3.90

 

 

 

115

 

 

$

3.90

 

$4.00 - $4.30

 

 

66

 

 

 

5.5

 

 

$

4.12

 

 

 

66

 

 

$

4.12

 

Total

 

 

181

 

 

 

6.1

 

 

$

3.98

 

 

 

181

 

 

$

3.98

 

 Stock Options Outstanding Options Exercisable
Exercise PriceNumber of Shares Weighted Average Remaining Contractual Term (in years) Weighted Average Exercise Price Vested, September 30, 2017 Weighted Average Exercise Price
$1.31 - $3.99180
 5.7 $3.25
 145
 $3.09
$4.00 - $4.3065
 6.0 $4.12
 65
 $4.12
Total245
 5.8 $3.48
 210
 $3.41
For options unvested at September 30, 2017, $0.01 million in compensation expense will be recognized over the next 0.2 years.

Common Stock Warrants

The following table summarizes the Company’s common stock warrant activity for the ninethree months ended September 30, 2017:March 31, 2018:

 

 

Number of

Warrants (000's)

 

 

Weighted

Average

Exercise

Price

 

 

Weighted

Average

Remaining

Contractual

Term

(in years)

 

 

Aggregate

Intrinsic

Value

(in 000's)

 

Outstanding, December 31, 2017

 

 

1,019

 

 

$

3.79

 

 

 

4.7

 

 

$

 

Granted

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Forfeited

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Expired

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Outstanding, March 31, 2018

 

 

1,019

 

 

$

3.79

 

 

 

4.4

 

 

$

 

Vested, March 31, 2018

 

 

1,019

 

 

$

3.79

 

 

 

4.4

 

 

$

 

  Number of Warrants (000's) Weighted Average Exercise Price Weighted Average Remaining Contractual Term (in years) Aggregate Intrinsic Value (in 000's)
Outstanding, December 31, 20161,887
 $3.58
 4.1 $11
 Granted
 $
    
 Forfeited(100) $4.49
    
 Expired
 $
    
Outstanding, September 30, 20171,787
 $3.53
 3.1 $
Vested, September 30, 20171,695
 $3.49
 2.9 $

The following table summarizes the common stock warrants outstanding and exercisable as of September 30, 2017:March 31, 2018:

 

 

Warrants Outstanding

 

 

Warrants Exercisable

 

Exercise Price

 

Number of

Shares (000's)

 

 

Weighted

Average

Remaining

Contractual

Term

(in years)

 

 

Weighted

Average

Exercise

Price

 

 

Vested at

March 31,

2018

 

 

Weighted

Average

Exercise

Price

 

$0 - $1.99

 

 

110

 

 

 

1.6

 

 

$

1.93

 

 

 

110

 

 

$

1.93

 

$2.00 - $2.99

 

 

110

 

 

 

1.6

 

 

$

2.57

 

 

 

110

 

 

$

2.57

 

$3.00 - $3.99

 

 

274

 

 

 

3.2

 

 

$

3.71

 

 

 

274

 

 

$

3.71

 

$4.00 - $4.99

 

 

502

 

 

 

6.3

 

 

$

4.42

 

 

 

502

 

 

$

4.42

 

$5.00 - $5.90

 

 

23

 

 

 

5.1

 

 

$

5.90

 

 

 

23

 

 

$

5.90

 

Total

 

 

1,019

 

 

 

4.4

 

 

$

3.79

 

 

 

1,019

 

 

$

3.79

 

 Warrants Outstanding Warrants Exercisable
Exercise PriceNumber of Shares (000's) Weighted Average Remaining Contractual Term (in years) Weighted Average Exercise Price Vested at September 30, 2017 Weighted Average Exercise Price
$0 - $1.99218
 0.1 $1.82
 218
 $1.82
$2.00 - $2.99335
 0.8 $2.58
 335
 $2.58
$3.00 - $3.99500
 2.1 $3.59
 500
 $3.59
$4.00 - $4.99711
 5.8 $4.38
 619
 $4.40
$5.00 - $5.9023
 5.6 $5.90
 23
 $5.90
Total1,787
 3.1 $3.53
 1,695
 $3.49
For warrants unvested at September 30, 2017, $0.04 million in compensation expense will be recognized over the next 0.5 years.

Restricted Stock

The following table summarizes the Company’s restricted stock activity for the ninethree months ended September 30, 2017:March 31, 2018:

 

 

Number of

Shares (000's)

 

 

Weighted Avg.

Grant Date

Fair Value

 

Unvested, December 31, 2017

 

 

152

 

 

$

1.83

 

Granted

 

 

 

 

$

 

Vested

 

 

(61

)

 

$

1.85

 

Forfeited

 

 

 

 

$

 

Unvested, March 31, 2018

 

 

91

 

 

$

1.81

 

  Number of Shares (000's) Weighted Avg. Grant Date Fair Value
Unvested, December 31, 2016404
 $2.84
 Granted23
 $1.07
 Vested(78) $3.21
 Forfeited(70) $4.29
Unvested, September 30, 2017279
 $2.22

For restricted stock unvested at September 30, 2017, $0.4March 31, 2018, $0.1 million in compensation expense will be recognized over the next 1.51.3 years.

NOTE 14. .                     VARIABLE INTEREST ENTITIES
Non-consolidated Variable Interest Entities
Aria. On April 30, 2015, the Company entered into a lease inducement (the “Aria Lease Inducement”) with Aria Health Consulting, LLC with respect to the Aria Subleases. The Aria Lease Inducement provided for a one-time payment from the Company to Aria Health Consulting, LLC equal to $2.0 million minus the security deposits and first month’s base and special rent for all Aria Subleases. On April 30, 2015, in connection with the Aria Lease Inducement, eight of the Aria Subleases were amended to, among


other things, provide that the Aria Sublessees shall, collectively, pay to the Aria Sublessors special rent in the amount of $29,500 per month payable in advance on or before the first day of each month (except for the first special rent payment, which was subtracted from the lease inducement fee paid by the Company under the Aria Lease Inducement).
On July 17, 2015, the Company made a short-term loan to Highlands Arkansas Holdings, LLC, an affiliate of Aria (“HAH”), for working capital purposes, and, in connection therewith, HAH executed a promissory note (the “ HAH Note”) in favor of the Company. Since July 17, 2015, the HAH Note has been amended from time to time and currently has an outstanding principal amount of $1.0 million and matured on December 31, 2016. On October 6, 2015, HAH and the Company entered into a security agreement, whereby HAH granted the Company a security interest in all accounts arising from the business of HAH and the Aria Sublessees, and all rights to payment from patients, residents, private insurers and others arising from the business of HAH and the Aria Sublessees (including any proceeds thereof), as security for payment of the HAH Note, as amended, and certain rent and security deposit obligations of the Aria Sublessees under Aria Subleases. Effective February 3, 2016, each Aria Sublessor terminated the applicable Aria Sublease due to the applicable Aria Sublessee’s failure to pay rent pursuant to the terms of such sublease. On May 31, 2016, HAH and nine of its affiliates filed petitions for relief under Chapter 7 (“Chapter 7”) of the  United States Bankruptcy Code, as amended (see Note 15 - Commitments and Contingencies). On March 1, 2017, the bankruptcy trustee in the Aria bankruptcy proceeding, advised the Company that $0.8 million was available for repayment of all of Aria’s remaining obligations, including the HAH Note. Accordingly, the Company has charged a $0.2 million bad debt expense to the Company’s unaudited consolidated statement of operations during the nine months ended September 30, 2017. Though management continues to believe that the remaining receivable balance on the HAH Note is collectible, there is no guarantee that the bankruptcy court will approve full repayment of the HAH Note to the Company or that the Company will prevail in any avoidance action that may be filed against it, which could have an adverse effect on the Company’s business, results of operations and financial condition. For further information, see Note 7 - Leases and Note 15 - Commitments and Contingencies.

The Aria Lease Inducement and HAH Note entered into by the Company create a variable interest that may absorb some or all of the expected losses of the Variable Interest Entity (“VIE”). The Company does not consolidate the operating activities of the Aria Sublessees as the Company does not have the power to direct the activities that most significantly impact the VIE’s economic performance.

Peach Health. In connection with the Peach Health Sublease, the Company extended the Peach Line to Peach Health Sublessee in an amount of up to $1.0 million, with interest accruing on the unpaid balance under the Peach Line at a rate of 13.5% per annum. The entire principal amount due under the Peach Line, together with all accrued and unpaid interest thereunder, was due one year from the date of the first disbursement. The Peach Line is secured by a first priority security interest in Peach Health Sublessee’s assets and accounts receivable pursuant to a security agreement executed by Peach Health Sublessee.

On April 6, 2017, the Company modified certain terms of the Peach Line in connection with Peach Health Sublessee's securing the Peach Working Capital Facility in the amount of $2.5 million. Borrowings under the Peach Working Capital Facility are based on a borrowing base of eligible accounts receivable. The modifications of the Peach Line include: (i) reducing the loan balance to $0.8 million and restricting further borrowings; (ii) extending the maturity of the loan to October 1, 2020 and adding a six month extension option by Peach Health Sublessee, assuming certain conditions precedent are met at the time of the exercise of the option; (iii) increasing the interest rate from 13.5% per annum by 1% per year; and (iv) establishing a four year amortization schedule. Payment of principal and interest under the Peach Note shall be governed by certain financial covenants limiting distributions under the Peach Working Capital Facility. Furthermore, the Company guaranteed Peach Health Sublessee’s borrowings under the Peach Working Capital Facility subject to certain burn-off provisions (i.e., the Company’s obligations under such guaranty cease after the later of 18 months or achievement of a certain financial ratio by Peach Health Sublessee). As of September 30, 2017, $0.9 million was outstanding on the Peach Note. For further information on the Peach Health Sublease and Peach Line and Note, see Note 7 - Leases.

The Peach Note creates a variable interest that may absorb some or all of a VIE’s expected losses. The Company does not consolidate the operating activities of the affiliates of Peach Health as the Company does not have the power to direct the activities that most significantly impact the VIE’s economic performance.


NOTE 15.COMMITMENTS AND CONTINGENCIES

NOTE 13.

COMMITMENTS AND CONTINGENCIES


Regulatory Matters


Laws and regulations governing federal Medicare and state Medicaid programs are complex and subject to interpretation. Compliance with such laws and regulations can be subject to future governmental review and interpretation as well as significant regulatory action including fines, penalties, and exclusion from certain governmental programs. As of September 30, 2017,March 31, 2018, all of the Company’s facilities leased and subleased to third-party operators and managed for third-parties are certified by CMS and operational (see Note 7 - Leases).


Legal Matters


The Company is party to various legal actions and administrative proceedings and is subject to various claims arising in the ordinary course of business, including claims that the services the Company provided during the time it operated skilled nursing facilities resulted in injury or death to the patients of the Company’s facilities and claims related to professional and general negligence, employment, staffing requirements and commercial matters. Although the Company intends to vigorously defend itself in these matters, there is no assurance that the outcomes of these matters will not have a material adverse effect on the Company’s business, results of operations and financial condition.


The Company previously operated, and the Company’s tenants now operate, in an industry that is extremely regulated. As such, in the ordinary course of business, the Company’s tenants are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. In addition, we believe that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations against or involving the Company, for the Company’s prior operations, or the Company’s tenants, whether currently asserted or arising in the future, could have a material adverse effect on the Company’s business, results of operations and financial condition.


Professional and General Liability Claims. As of September 30, 2017,March 31, 2018, the Company wasis a defendant in a total of 42 unsettled34 professional and general liability actions commenced on behalf of former patients, of which 28 cases were filed in the State of Arkansas by the same plaintiff attorney who represented the plaintiffs in the lawsuit captioned Amy Cleveland et. al. v. APHR&R Nursing, LLC et. al. filed on March 4, 2015 with the Circuit Court of Pulaski County, Arkansas, 16th Division, 6th Circuit. During the three months ended September 30, 2017, one professional and general liability claim against the Company was settled for $0.8 million and two previously dismissed without prejudice cases were refiled.patients. These actions generally seek unspecified compensatory and punitive damages for former patients of the Company who were allegedly injured or died while patients of facilities operated by the Company due to professional negligence or understaffing. TwoAs of March 31, 2018, 22 of such actions were filed in the State of Arkansas by the same plaintiff attorney who represented the plaintiffs in a purported class action lawsuit against the Company previously disclosed as the Amy Cleveland Class Action (which settled in December 2015), and such 22 actions were subject to a settlement in principle as discussed below, subject to approval of the probate court. Of the original 25 actions subject to the settlement in principle, the probate court approved settlements with respect to three of such actions during the quarter ended March 31, 2018 and approved settlements with respect to 15 of such actions subsequent to March 31, 2018. Of the 12 actions not subject to settlement in principle, two of such pending actions are covered by insurance, except that any award of punitive damages would be excluded from such coverage.  

On March 12, 2018, the Company entered into a separate mediation settlement agreement with respect to each of the original 25 actions (22 such actions remaining subject to settlement in principle, at March 31, 2018), filed in the State of Arkansas relating to the settlement in principle of such actions, subject to the satisfaction of certain specified conditions. Each mediation settlement agreement provides for payment by the Company of a specified settlement amount, which settlement amount with respect to each action was deposited into the mediator’s trust account. The aggregate settlement amount, for all such 25 actions arebefore related insurance proceeds is $5.2 million. The settlement of each such action must be individually approved by the probate court, and the settlement of one action is not conditioned upon receipt of the probate court’s approval with respect the settlement of any other action. Upon the probate court approving, with respect to a particular action, the settlement and an executed settlement and release agreement, the settlement amount with respect to such action will be disbursed to the plaintiff’s counsel. Under the settlement and release agreement with respect to a particular action, the Company will be released from any and all claims arising out of the applicable plaintiff’s care while the plaintiff was a resident of one of the Company’s facilities.

In connection with a dispute between the Company and the Company’s former commercial liability insurance provider regarding, among other things, the Company’s insurance coverage with respect to the 25 actions filed in various stagesthe State of discovery,Arkansas, the former insurer filed a complaint in May 2016 against the Company seeking, among other things, a determination that the former insurer had properly exhausted the limits of liability of certain of the Company’s insurance policies issued by the former insurer, and the Company intendssubsequently filed a counterclaim against the former insurer regarding such matters (collectively, the “Coverage Litigation”).  On March 12, 2018, the former insurer and the Company entered into a settlement agreement (the


“Coverage Settlement Agreement”), providing for, among other things, a settlement payment by the former insurer in the amount of approximately $2.8 million, (the “Insurance Settlement Amount”), the dismissal with prejudice of the Coverage Litigation, a customary release of claims by the former insurer and the Company, and agreement that that the former insurer has exhausted the policies’ respective limits of liability and has no further obligations under the policies. Pursuant to vigorously defend the claims.Coverage Settlement Agreement: (i) on March 16, 2018, the former insurer deposited the Insurance Settlement Amount into the trust account of the mediator with respect to the 25 actions; and (ii) on March


20, 2018,the former insurer and the Company caused the Coverage Litigation, including the counterclaim, to be dismissed with prejudice.

Assuming, and subject to, the approval by the probate court of the settlement of each of the original 25 actions filed in the State of Arkansas and related matters, and the satisfaction of the other conditions with respect thereto, the Company will pay, net of the Insurance Settlement Amount, an aggregate of approximately $2.4 million in settlement of such actions. The probate court approved settlements with respect to three of the 25 Arkansas actions during the quarter ended March 31, 2018 and approved settlements with respect to 15 of the 25 actions subsequent to March 31, 2018, and approximately $0.5 million and $3.3 million, respectively, was paid from the mediator’s trust account in such settlements. The Company gives no assurance that the probate court will approve the settlement of the remaining 7 Arkansas actions pending approval or that the other conditions to such settlements will be satisfied, or that such actions will be settled on the terms described herein or at all.

In the first quarter of 2018, the Company settled four professional and general liability actions (other than those subject to mediation settlement agreements as discussed above) for the total of $670,000. A majority of the settlements include payment terms greater than one year.  

The Company established a self-insurance reserve for these professional and general liability claims, included  within “Accrued expenses and other” in the Company’s unaudited consolidated balance sheets of $6.7$2.4 million and $6.9$5.1 million at September 30, 2017,March 31, 2018, and December 31, 2016,2017, respectively. The decreaseAdditionally as of March 31, 2018, and December 31, 2017, $0.1 and $0.2 million respectively, was reserved for settlement amounts in “Other liabilities”, and $0.6 million and $0.5 million in “Accounts payable” in the reserve at September 30, 2017, primarily reflects the legal and associated settlement amounts paid.Company’s consolidated balance sheets, respectively. For additional information regarding the Company’s self-insurance reserve, please see Part II, Item 8, Notes to Consolidated Financial Statements,Note 15 - Commitments and Contingencies included in the Annual Report.


Ohio Attorney General Action. On October 27, 2016, the Attorney General of Ohio (the “OAG”) filed in the Court of Common Pleas, Franklin County, Ohio a complaint against The Pavilion Care Center, LLC, Hearth & Home of Greenfield, LLC (each a subsidiary of the Company), and certain other parties (including parties for which the Company provides or provided management services). The lawsuit alleges that defendants submitted improper Medicaid claims for independent laboratory services for glucose blood tests and capillary blood draws and further alleges that defendants (i) engaged in deception, (ii) willfully received Medicaid payments to which they were not entitled or in a greater amount than that to which they were entitled, and (iii) obtained payments under the Medicaid program to which they were not entitled pursuant to their provider agreements and applicable Medicaid rules and regulations. The OAG is seeking, among other things, triple the amount of damages proven at trial (plus interest) and not less than $5,000 and not more than $10,000 for each deceptive claim or falsification. As previously disclosed, the Company received a letter from the OAG in February 2014 demanding repayment of allegedly improper Medicaid claims related to glucose blood tests and capillary blood draws and penalties of approximately $1.0 million, and the Company responded to such letter in July 2014 denying all claims. The Company filed an answer to the complaint on January 27, 2017 in which it denied the allegations. An order granting a motion to stay this proceeding was granted in the Court of Common Pleas, Franklin County, Ohio on July 12,

2017. Although there is no assurance as to the ultimate outcome of this matter or its impact on the Company’s business or its financial condition, the Company believes it has meritorious defenses and intends to vigorously defend the claim.

Aria Bankruptcy Proceeding. On May 31, 2016, HAHHighlands Arkansas Holdings, LLC, an affiliate of Aria (“HAH”) and nine affiliates of HAH (Highland of Stamps, LLC; Highlands of Rogers Dixieland, LLC; Highlands of North Little Rock John Ashley, LLC; Highlands of Mountain View SNF, LLC; Highlands of Mountain View RCF, LLC; Highlands of Little Rock West Markham, LLC; Highlands of Little Rock South Cumberland, LLC; Highlands of Little Rock Riley, LLC; and Highlands of Fort Smith, LLC (collectively with HAH, the “Debtors”)), filed petitions in the United States Bankruptcy Court for the District of Delaware for relief under Chapter 7.7 of the United States Bankruptcy Code. Following venue transfer from the Delaware court, these cases are pending in the United States Bankruptcy Court for the Eastern District of Arkansas.

On July 17, 2015, the Company made a short-term loan to HAH, for working capital purposes, and, in connection therewith, HAH executed a promissory note (the “HAH Note”) in favor of the Company. Since July 17, 2015, the HAH Note has been amended from time to time and currently has an outstanding principal balance of $1.0 million that matured on December 31, 2015. On October 6, 2015, HAH and the Company entered into a security agreement, whereby HAH granted the Company a security interest in all accounts arising from the business of HAH and the Aria Sublessees, and all rights to payment from patients, residents, private insurers and others arising from the business of HAH and the Aria Sublessees (including any proceeds thereof), as security for payment of the HAH Note, as amended, and certain rent and security deposit obligations of the Aria Sublessees under Aria Subleases.

On April 21, 2017, the Company moved for relief from the automatic stay seeking release of its collateral, the Debtors’ accounts and their proceeds, the value of which the trustee has represented as a total of approximately $800,000.$0.8 million. The Company’s motion was opposed by the Chapter 7 trustee and another creditor in May 2017.  In its objection, the Chapter 7 trustee asserts that the Company is not entitled to any of the $800,000$0.8 million with respect to the HAH Note. Discovery with respect to the motion is ongoing and the matter is currently not on the calendar. In addition to opposing the Company’s claim to the $800,000,$0.8 million, the Chapter 7 trustee has also taken the position thatindicated he iswas investigating avoidance claims against the Company with respect to funds itthe Company received from the Debtors prior to the bankruptcy filings. On March 28, 2018, such avoidance case was filed, requesting relief in an amount of $4.7 million, which the Company believes to be without merit and intends to vigorously defend against. For the year ended December 31, 2017 the Company has charged approximately $0.6 million to bad debt expense on the HAH Note. The trustee’s statute of limitation for filing avoidance actions runsCompany believes it acted in good faith and as it is the only secured creditor believes that the remaining balance on May 31, 2018.the HAH Note is collectible. There is no guarantee that the bankruptcy court will approve repayment of the HAH Note to the Company or that the Company will prevail in anythe avoidance action that may behas been filed against it.



NOTE 14.

RELATED PARTY TRANSACTIONS

McBride Matters

During the three months ended March 31, 2018 the Company paid $36,600 to NOTE 16.Mr. McBride, the Company’s former Chief Executive Officer and a former director, pursuant a Settlement Agreement and Mutual Release the Company entered into with Mr. McBride on September 26, 2017.RELATED PARTY TRANSACTIONS


For additional information regarding the Company’s related party transactions, see Part II, Item 8, Notes to Consolidated Financial Statements,Note 18 - Related Party Transactions included in the Annual Report.


Park City Capital
On March 31, 2015, the Company accepted a Subscription Agreement from Park City Capital Offshore Master, Ltd. (“Park City Offshore”), an affiliate of Michael J. Fox, for a 2015 Note with an aggregate principal amount of $1,000,000 and, in connection therewith, issued such note to Park City Capital Offshore on April 30, 2015. The 2015 Note was offered to Park City Offshore on the same terms and conditions as all other investors in the offering. In January 2017, the Company repurchased the $1,000,000 2015 Note held by Park City Offshore pursuant to the terms of the Tender Offer for any and all of the outstanding 2015 Notes (for a description of the Tender Offer, see Note 9 - Notes Payable and Other Debt). Mr. Fox is an affiliate of Park City Offshore, a director of the Company since October 2013, Lead Independent Director since April 1, 2015, and a beneficial owner of greater than 5% of the outstanding common stock.
Doucet Asset Management, LLC
On June 10, 2014 and on subsequent dates, Doucet Capital, LLC, Doucet Asset Management, LLC, Christopher L. Doucet and Suzette A. Doucet jointly filed with the SEC a Schedule 13D reporting beneficial ownership of greater than 5% of the common stock.
In January 2017, the Company repurchased the 2015 Notes held by Mr. and Ms. Doucet , which had an aggregate principal amount of $250,000, pursuant to the terms of the Tender Offer for any and all of the outstanding 2015 Notes (for a description of the Tender Offer, see Note 9 - Notes Payable and Other Debt).
On January 19, 2017, Doucet Capital, LLC, Doucet Asset Management, LLC and Mr. and Ms. Doucet jointly filed with the SEC a Schedule 13D reporting beneficial ownership of less than 5% of the common stock as a result of the 2015 Notes repurchased by the Company pursuant to the Tender Offer.
Brogdon Matters
Brogdon Promissory Note.On November 10, 2016, the Company and Mr. Brogdon (a beneficial owner of greater than 5% of the outstanding common stock) agreed to further amend the promissory note issued by Mr. Brogdon on December 31, 2013 to the Company to extend its maturity date to December 31, 2017. As a condition to such amendment, Winter Haven Homes, Inc. (“Winter Haven”), an entity owned and controlled by Mr. Brogdon, has agreed to waive payment of certain charges otherwise due and owing from the Company to Winter Haven from January 1, 2016 to July 31, 2016. As of September 30, 2017, principal due and payable under the promissory note issued by Mr. Brogdon to the Company was $268,663, which was fully allowed for in the Company’s unaudited consolidated statement of operations during the quarter ended March 31, 2017.
Indemnification Claim.On May 25, 2017, McKesson Corporation (“McKesson”) obtained a judgment against the Company in the principal amount of $232,439, plus accrued interest, court costs and legal fees, related to an unpaid debt incurred by certain entities affiliated with Mr. Brogdon located in Oklahoma, pursuant to a supply agreement between McKesson and Mr. Brogdon, as to which the Company was a guarantor. The Company has accrued for this judgment during the quarter ended June 30, 2017. Management has entered into settlement negotiations with McKesson and notified Mr. Brogdon of the amount owed. The Company intends to seek recovery of the judgment amount, or negotiated settlement amount, if applicable, from Mr. Brogdon under the Settlement and Indemnity Agreement entered into by the Company and Mr. Brogdon on March 26, 2015. 
McBride Matters
On September 26, 2017, the Company entered into a Settlement Agreement and Mutual Release (the “Settlement Agreement”), with Mr. McBride, our former Chief Executive Officer and director, pursuant to which, among other things, and in lieu of any other rights or obligations under Mr. McBride’s employment agreement: (i) the Company agreed to pay Mr. McBride $60,000 in cash for wage claims; (ii) the Company issued to Mr. McBride an Unsecured Negotiable Promissory Note with an original principal amount of $300,000 (the “McBride Note”); (iii) Mr. McBride released the Company from all claims and liabilities, including those arising out of his employment, and his employment agreement, with the Company and his separation therefrom (but excluding claims to enforce the provisions of the Settlement Agreement, the McBride Note and the indemnification provisions under his employment agreement); (iv) the Company released Mr. McBride from all claims and liabilities arising out of his employment,

and his employment agreement, with the Company and his separation therefrom (excluding (a) claims for intentional tortious conduct, fraud or arising out criminal misconduct other than in connection with such separation (provided such claims were not known to, or reasonably discoverable by the Company), and (b) claims to enforce the provisions of the Settlement Agreement and the restrictive covenants under the employment agreement); and (v) from after the effective date of the Settlement Agreement, the termination of Mr. McBride’s employment shall be deemed a resignation by Mr. McBride.
The McBride Note accrues interest at an annual rate of 4% and principal and interest is payable in 24 equal monthly installments of $13,027.42, which paymentscommenced on October 31, 2017 and shall end on September 30, 2019. Upon the existence and continuation of an Event of Default (as defined in the McBride Note), interest accrues at a default rate of eighteen percent 18% per annum.
Further it was agreed that the Company would pay Mr. McBride $200.00 per hour and reimburse other customary business expenses for consultancy services in relation to matters that may arise from his tenure with the Company.
NOTE 17.SUBSEQUENT EVENTS

NOTE 15.

SUBSEQUENT EVENTS


The Company has evaluated all subsequent events through the date the consolidated financial statements were issued and filed with the SEC. The following is a summary of the material subsequent events.


Maturity Date Extension on Convertible Debt

Forbearance Agreement

On November 8, 2017,May 18, 2018, (“the Forbearance Date”), the Company entered into a Forbearance Agreement in association with the Pinecone Credit Facility, whereby the Company was notified of certain events of default under the loan agreements of the Pinecone Credit Facility. Such Forbearance Agreement outlines a plan of correction whereby the Company may regain compliance under its obligations pertaining to the loan documents of the Pinecone Credit Facility, through a forbearance period ending July 20, 2018. Some requirements outlined in the Forbearance Agreement include, among other items, the hiring of a special consultant to advise Management on operational improvements and to assist in coordinating overall company strategy. Pursuant to the Forbearance Agreement, the Company and Pinecone agreed to amend certain provisions of the Pinecone Credit Facility.  Such amendments, among other things: (i) eliminate the Company’s obligation to complete the Lease Assignments; (ii) require the payment of a specified “break-up fee” upon certain events, including prepayment of the Pinecone Credit Facility or a change of control; (iii) increase the ongoing interest rate from 12.5% per annum to 13.5% effective May 18, 2018, and (iii) increase the outstanding principal balance of the Pinecone Credit Facility by 2.5%, as of the Forbearance Date.

Notification of Potential Employer Shared Responsibility Payment

On April 2, 2018, the Company received notification from the Internal Revenue Service (“IRS”), on Letter 226-J, that the Company may be liable for an Amendment No. 2Employer Shared Responsibility Payment (“ESRP”) in the amount of $2.9 million for the year ended December 31, 2015. The ESRP is applicable to Subordinated Convertible Note, with Cantone Asset Management LLCemployers that had 50 or more full-time equivalent employees, did not offer minimum essential coverage (“CAM”MEC”) to at least 70% of full-time employees (and their dependents) or did offer MEC to at least 70% of full time-employees (and their dependents), which amended, effective October 31, 2017,did not meet the $1.5 million convertible promissory note originally issued byaffordable or minimum value criteria and had one or more employees who claimed the Employee Premium Tax Credit (“PTC”) pursuant to the Affordable Care Act (the “ACA”). The IRS determines which employers receive Letter 226-J and the amount of the proposed ESRP from information that the employers complete on their information returns (IRS Forms 1094-C and 1095-C) and from the income tax returns of their employees. The letter indicated that none of the Company’s employees claimed the PTC. The Company engaged third party providers to assist the Company with complying with the provisions of the ACA for the year ended December 31, 2015 to CAMensure the Company offered plans that would not require ESRP. On April 10, 2018 the Company responded to the IRS with appropriate documentation to prove the Company has no ESRP liability, and on May 8, 2018 the Company received written confirmation from the IRS that is in July 2012, as subsequently amended, to: (i)agreement with the Company’s findings.

Extension of Quail Creek Credit Facility

On April 30, 2018, the Company extended the maturity date of the Quail Creek Credit Facility to April 30, 2019. There is no assurance that the Company will be able to refinance or further extend the maturity date from October 31, 2017of the Quail Creek Credit Facility on terms that are favorable to April 30, 2018; (ii) increase the annual interest rate from 10.00% to 14.00%; and (iii) increase the default annual interest rate from 14.00% to 18.00%. In addition, the Company agreed to grant to CAM a second security interest inor at all.

Notice of Facility Surrender by Tenants

On April 24, 2018, the Company received notice from five of its Ohio facility tenants, affiliated with Beacon, that they will be vacating the Company’s College Park Facility no later than December 22, 2017.properties on June 30, 2018. The security may be convertedCompany intends to 352,941 shares at a conversion price of $4.25 at the option of the holder. Failure to grant the security interest by December 22, 2017, will constitute an event of defaultenforce its rights under the promissory note.

Preferred Dividend Suspension
On November 8, 2017, the Board votedapplicable sublease agreements for such five facilities and pursue all remedies available to postpone the payment of the fourth quarter dividend on the Series A Preferred Stock. The Board will revisit the dividend payment in the first quarter 2018 meeting. The dividend suspension will allowit under such sublease agreements and applicable law. Consequently the Company to pay outstanding vendorsis recognizing revenue on a cash basis and fund ongoing legal expenseshas expensed approximately $0.7 million of straight-line rent asset and settlement payments.recorded an allowance of $0.5 million against the Beacon Lease Inducement and $0.3 million for other receivables. The dividend suspension does not trigger a default underCompany is in negotiations with new tenant operators for such facilities.


The annualized cash rent for 2018 per the Company’s outstanding indebtedness. Dividends on the Series A Preferred Stock will continue to accrue regardless of whether declared by the Board. A “dividend default” is deemed to occur if we fail to pay the accrued cash dividends on the outstanding Series A Preferred Stock in full for any four consecutive or non-consecutive quarterly periods. If we have committed a dividend default, then until we have paid all accrued dividends on the shares of the Series A Preferred Stock for all dividend periods up to, and including, the dividend payment date on which the accumulated and unpaid dividends are paid in full: (i) the annual dividend rate on the Series A Preferred Stock will be increased to 12.875% per annum, which we refer to as the “penalty rate,” commencing on the first day after the missed fourth quarterly payment; and (ii) the holders of the Series A Preferred Stock will have limited voting rights, namely to elect two additional directors, at a special meeting called upon the request of the holders of record of at least 25.00% of the outstanding shares of Series A Preferred Stock. Once we have paid all accumulated and unpaid dividends in full and have paid cash dividends at the penalty rate in full for an additional two consecutive quarters (or declared such dividends provided that a sum sufficientlease agreements for the payment thereofOhio Beacon Affiliates is set aside for such payment), the dividend rate will be restored to the stated rate and the foregoing provisions will not be applicable, unless we again fail to pay any quarterly dividend for any future quarter, at which time the term of any directors elected by holders of the Series A Preferred Stock shall immediately terminate and the number of directors constituting our board of directors shall be reduced accordingly.shown below:

 

 

 

 

 

 

 

 

Initial Lease Term

 

 

 

 

 

 

Operating

 

 

 

 

Commencement

 

Expiration

 

2018 Cash

 

Facility Name

 

Beds/Units

 

 

Structure

 

Date

 

Date

 

Annual Rent

 

Ohio

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Covington Care

 

 

94

 

 

Leased

 

8/1/2015

 

4/30/2025

 

$

818

 

Eaglewood ALF

 

 

80

 

 

Owned

 

8/1/2015

 

7/31/2025

 

 

764

 

Eaglewood Care Center

 

 

99

 

 

Owned

 

8/1/2015

 

7/31/2025

 

 

764

 

H&C of Greenfield

 

 

50

 

 

Owned

 

8/1/2015

 

7/31/2025

 

 

382

 

The Pavilion Care Center

 

 

50

 

 

Owned

 

8/1/2015

 

7/31/2025

 

 

382

 

Total

 

 

373

 

 

 

 

 

 

 

 

$

3,110

 







Item 2.Management’s Discussion and Analysis of Financial Condition and Results of Operations

Forward Looking Statements

This Quarterly Report and certain information incorporated herein by reference contain forward-looking statements and information within the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). This information includes assumptions made by, and information currently available to management, including statements regarding future economic performance and financial condition, liquidity and capital resources, and management’s plans and objectives. In addition, certain statements included in this Quarterly Report, in the Company’s future filings with the SEC, in press releases, and in oral and written statements made by us or with our approval, which are not statements of historical fact, are forward-looking statements. Words such as “may,” “could,” “should,” “would,” “believe,” “expect,” “anticipate,” “estimate,” “intend,” “seek,” “plan,” “project,” “continue,” “predict,” “will,” and other words or expressions of similar meaning are intended by us to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Forward-looking statements are based on the Company’s current expectations about future events or results and information that is currently available to us, involve assumptions, risks, and uncertainties, and speak only as of the date on which such statements are made.

All forward-looking statements are subject to the risks and uncertainties inherent in predicting the future. The Company’s actual results may differ materially from those projected, stated or implied in these forward-looking statements as a result of many factors, including the Company’s critical accounting policies and risks and uncertainties related to, but not limited to, the operating results of the Company’s tenants, the overall industry environment and the Company’s financial condition. These and other risks and uncertainties are described in more detail in the Company’s most recent Annual Report, as well as other reports that the Company files with the SEC.

Forward-looking statements speak only as of the date they are made and should not be relied upon as representing the Company’s views as of any subsequent date. The Company undertakes no obligation to update or revise such statements to reflect new circumstances or unanticipated events as they occur, except as required by applicable laws, and you are urged to review and consider disclosures that the Company makes in this Quarterly Report and other reports that the Company files with the SEC that discuss factors germane to the Company’s business.


Overview
The Company

Regional Health, through its subsidiaries (together, the “Company” or “we”), is a self-managed real estate investment company that invests primarily in real estate purposed for long-term care and senior living.  Our business primarily consists of leasing and subleasing healthcare facilities to third-party tenants. As of September 30, 2017,March 31, 2018, the Company owned, leased, or managed for third parties 30 facilities primarily in the Southeast.

The operators of the Company’s facilities provide a range of health care and related services to patients and residents, including skilled nursing and assisted living services, social services, various therapy services, and other rehabilitative and healthcare services for both long-term and short-stay patients and residents.


The following table provides summary information regarding the number of facilities and related operational beds/units as of September 30, 2017:March 31, 2018:

 

 

Owned

 

 

Leased

 

 

Managed for Third

Parties

 

 

Total

 

 

 

Facilities

 

 

Beds/Units

 

 

Facilities

 

 

Beds/Units

 

 

Facilities

 

 

Beds/Units

 

 

Facilities

 

 

Beds/Units

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alabama

 

 

3

 

 

 

410

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

410

 

Georgia

 

 

4

 

 

 

463

 

 

 

10

 

 

 

1,168

 

 

 

 

 

 

 

 

 

14

 

 

 

1,631

 

North Carolina

 

 

1

 

 

 

106

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

106

 

Ohio

 

 

4

 

 

 

279

 

 

 

1

 

 

 

94

 

 

 

3

 

 

 

332

 

 

 

8

 

 

 

705

 

Oklahoma

 

 

2

 

 

 

197

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

197

 

South Carolina

 

 

2

 

 

 

180

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

180

 

Total

 

 

16

 

 

 

1,635

 

 

 

11

 

 

 

1,262

 

 

 

3

 

 

 

332

 

 

 

30

 

 

 

3,229

 

Facility Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Skilled Nursing

 

 

14

 

 

 

1,449

 

 

 

11

 

 

 

1,262

 

 

 

2

 

 

 

249

 

 

 

27

 

 

 

2,960

 

Assisted Living

 

 

2

 

 

 

186

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

186

 

Independent Living

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

83

 

 

 

1

 

 

 

83

 

Total

 

 

16

 

 

 

1,635

 

 

 

11

 

 

 

1,262

 

 

 

3

 

 

 

332

 

 

 

30

 

 

 

3,229

 


  Owned Leased Managed for Third Parties Total
  Facilities Beds/Units Facilities Beds/Units Facilities Beds/Units Facilities Beds/Units
State                
Alabama 3
 410
 
 
 
 
 3
 410
Georgia 4
 463
 10
 1,168
 
 
 14
 1,631
North Carolina 1
 106
 
 
 
 
 1
 106
Ohio 4
 279
 1
 94
 3
 332
 8
 705
Oklahoma 2
 197
 
 
 
 
 2
 197
South Carolina 2
 180
 
 
 
 
 2
 180
Total 16
 1,635
 11
 1,262
 3
 332
 30
 3,229
Facility Type                
Skilled Nursing 14
 1,449
 11
 1,262
 2
 249
 27
 2,960
Assisted Living 2
 186
 
 
 
 
 2
 186
Independent Living 
 
 
 
 1
 83
 1
 83
Total 16
 1,635
 11
 1,262
 3
 332
 30
 3,229



The following table provides summary information regarding the number of facilities and related operational beds/units by operator affiliation as of September 30, 2017:March 31, 2018:

Operator Affiliation

 

Number of

Facilities (1)

 

 

Beds / Units

 

C.R. Management

 

 

8

 

 

 

936

 

Beacon Health Management (2)

 

 

7

 

 

 

585

 

Wellington Health Services

 

 

4

 

 

 

641

 

Peach Health Group

 

 

3

 

 

 

252

 

Symmetry Healthcare

 

 

3

 

 

 

286

 

Southwest LTC

 

 

2

 

 

 

197

 

Subtotal

 

 

27

 

 

 

2,897

 

Regional Health Managed

 

 

3

 

 

 

332

 

Total

 

 

30

 

 

 

3,229

 


Operator Affiliation 
Number of Facilities (1)
 Beds / Units
C.R. Management 8
 936
Beacon Health Management 7
 585
Wellington Health Services 4
 641
Peach Health Group 3
 252
Symmetry Healthcare 3
 286
Southwest LTC 2
 197
Subtotal 27
 2,897
Regional Health Managed 3
 332
Total 30
 3,229

(1)

Represents the number of facilities leased or subleased to separate tenants, of which each tenant is an affiliate of the entity named in the table above. For a more detailed discussion, see Note 7 - Leases and Note 15 – Subsequent Events located in Part I, Item 1, of this Quarterly ReportReport; Part II, Item 8, Notes to Consolidated Financial Statements, Note 7 – Leases

included in the Annual Report; and “Portfolio of Healthcare Investments” included in Part I, Item 1, Business included in the Annual Report.

(2)

On April 24, 2018, the Company received notice from the Ohio Beacon Affiliates, that they would no longer be operating five (four owned and one leased by the Company) of the Company’s facilities located in Ohio commencing July 1, 2018. Regional is currently in negotiations with suitably qualified replacement operators to take possession of the Ohio Beacon Facilities on July 1, 2018. There is no assurance that Regional will be able to execute new leases with respect to the Ohio Beacon Facilities on substantially equivalent terms to the Sublease Agreements or at all or that, if new leases are executed, the new tenants will be able to take possession of the Ohio Beacon Facilities on July 1, 2018.



on Form 10-Q; Part II, Item 8, Notes to Consolidated Financial Statements, Note 7 - Leases included in the Annual Report; and “Portfolio of Healthcare Investments” included in Part I, Item 1, Business included in the Annual Report.

Portfolio Occupancy Rates

The following table provides summary information regarding our portfolio facility-level occupancy rates for the periods shown:

 

 

For the Three Months Ended

 

Operating Metric (1)

 

June 30,

2017

 

 

September 30,

2017

 

 

December 31,

2017

 

 

March 31,

2018

 

Occupancy (%) (2)

 

 

83.1

%

 

 

81.8

%

 

 

80.0

%

 

 

79.5

%

  For the Three Months Ended
Operating Metric (1)
 December 31, 2016 March 31, 2017 June 30, 2017 September 30, 2017
Occupancy (%) (2)
 82.6% 82.6% 83.1% 84.0%
(1) Excludes the nine Arkansas Facilities, which were sold on October 6, 2016, the three Peach Facilities, which were operated by affiliates of New Beginnings prior to their bankruptcy and are currently operated by affiliates of Peach Health and the Meadowood Facility acquired on May 1, 2017, for all periods presented. Occupancy (%) for the Savannah Beach Facility, the one facility among the Peach Facilities which was not decertified by CMS and which has 50 operational beds, for the three months ending December 31, 2016, March 31, 2017, June 30, 2017 and September 30, 2017 was 92.3%, 86.6%, 82.0% and 84.9%, respectively.

(1)

Excludes the three Peach Facilities, which were operated by affiliates of New Beginnings Care LLC prior to their bankruptcy and are currently operated by affiliates of Peach Health and the Meadowood Facility acquired on May 1, 2017, for all periods presented. Occupancy (%) for the Savannah Beach Facility, the one facility among the Peach Facilities which was not decertified by CMS and which has 50 operational beds, for the three months ending June 30, 2017, September 30, 2017, December 31, 2017 and March 31, 2018 was 82.0%, 84.9%, 88.5% and 85.7%, respectively.

(2)

Occupancy percentages are based on operational beds. The number of operational beds is reported to us by our tenants and represents the number of available beds that can be occupied by patients. The number of operational beds is always less than or equal to the number of licensed beds with respect to any particular facility.

Lease Expiration

The following table provides summary information regarding our lease expirations for the years shown:

 

 

 

 

 

 

Operational Beds

 

 

Annual Lease Revenue (1)

 

 

 

Number of Facilities

 

 

Amount

 

 

Percent (%)

 

 

Amount ($)  '000's

 

 

Percent (%)

 

2024

 

 

1

 

 

 

126

 

 

 

4.3

%

 

 

965

 

 

 

4.0

%

2025 (2)

 

 

12

 

 

 

1,206

 

 

 

41.7

%

 

 

9,671

 

 

 

40.2

%

2026

 

 

 

 

 

 

 

—%

 

 

 

 

 

—%

 

2027

 

 

8

 

 

 

869

 

 

 

30.0

%

 

 

8,265

 

 

 

34.4

%

2028

 

 

 

 

 

 

 

—%

 

 

 

 

 

—%

 

Thereafter

 

 

6

 

 

 

696

 

 

 

24.0

%

 

 

5,129

 

 

 

21.4

%

Total

 

 

27

 

 

 

2,897

 

 

 

100.0

%

 

 

24,030

 

 

 

100.0

%

    
Operational Beds 
 
Annual Lease Revenue (1)
  Number of Facilities Amount Percent (%) 
Amount ($)  '000's
 Percent (%)
2024 1
 126
 4.3% 965
 4.0%
2025 12
 1,206
 41.7% 9,671
 40.2%
2026 
 
 % 
 %
2027 8
 869
 30.0% 8,265
 34.4%
Thereafter 6
 696
 24.0% 5,129
 21.4%
Total 27
 2,897
 100.0% 24,030
 100.0%

(1)

Straight-line rent.



(2)

On April 24, 2018, the Company received notice from the Ohio Beacon Affiliates, that they would no longer be operating five (four owned and one leased by the Company) of the Company’s facilities located in Ohio commencing July 1, 2018. Straight-line annual lease revenue included in the table above relating to these five facilities is approximately $3.3 million. The Company intends to enforce its rights under the applicable sublease agreements for such Ohio Beacon Facilities and pursue all remedies available to it under such sublease agreements and applicable law. Regional is currently in negotiations with suitably qualified replacement operators to take possession of the Ohio Beacon Facilities on July 1, 2018. There is no assurance that Regional will be able to execute new leases with respect to the Ohio Beacon Facilities on substantially equivalent terms to the Sublease Agreements or at all or that, if new leases are executed, the new tenants will be able to take possession of the Ohio Beacon Facilities on July 1, 2018. Regional intends to enforce its rights under the Sublease Agreements and pursue all remedies available to it under the Sublease Agreements and applicable law.

Liquidity Overview

During

Acquisitions

There were no acquisitions during the ninethree months ended September 30, 2017, the Company generated positive cash flow from operations and anticipates positive cash flow from operations for the remainder of the current year. At September 30, 2017, we had: (i) $1.1 million in cash and cash equivalents; (ii) restricted cash of $3.5 million; and (iii) $73.8 million in indebtedness, of which the current portion is $8.3 million. This current portion is comprised of the following components: (i) convertible debt of $1.5 million, (ii) senior debt of $4.3 million attributable to the Company’s skilled nursing facility known as the Quail Creek Nursing & Rehabilitation Center located in Oklahoma City, Oklahoma (the “Quail Creek Facility”), and (iii) remaining debt of approximately $2.5 million which includes senior debt - bond and mortgage indebtedness.


To conserve cash while working towards a settlement of our on-going professional and general liability claims, The Company’s Board of Directors (the “Board”) has voted to postpone the payment of the fourth quarter dividend on the Series A Preferred Stock. The Board will revisit the dividend payment in the first quarter ofMarch 31, 2018. The dividend suspension will allow the Company to pay outstanding vendors and fund ongoing legal expenses and settlement payments. Furthermore, the dividend suspension does not trigger a default under the Company’s outstanding indebtedness.” Dividends will continue to accumulate regardless of whether declared.


Over the next twelve months, we anticipate access to several sources of liquidity, including cash flows from operations and cash on hand. In addition, we hold routine ongoing discussions with existing lenders and potential new lenders to refinance current debt on a longer term basis and, in recent years, have refinanced shorter term acquisition debt, with traditional longer term mortgage notes, many of which have been executed under government guaranteed lending programs. Over the next twelve months, we anticipate net principal disbursements of approximately $8.3 million, which includes $1.5 million of convertible debt, $4.3 million of senior debt attributable to the Quail Creek Facility, approximately $0.2 million of payments on shorter term vendor notes, $1.6 million of routine debt service amortization, and $0.7 million payment of other debt. Based on the described sources of liquidity, we expect sufficient funds for our operations and scheduled debt service, at least through the next twelve months.

On a longer term basis, at September 30, 2017, the Company has approximately $11.0 million of debt maturities due over the next two year period ending September 30, 2019. These debt maturities include the aforementioned $1.5 million of convertible promissory notes, which are convertible into shares of the common stock, in addition to $4.3 million with respect tothe Quail Creek Credit Facility. We believe our long-term liquidity needs will be satisfied by these same sources, as well as borrowings as required to refinance indebtedness.

In order to satisfy our capital needs, we seek to: (i) refinance debt where possible to obtain more favorable terms; (ii) raise capital through the issuance of debt or equity securities ; and (iii) increase operating cash flows through acquisitions. We anticipate that these actions, if successful, will provide the opportunity to maintain our liquidity, thereby permitting the Company to better meet its operating and financing obligations. However, there is no guarantee that such actions will be successful. Our ability to raise additional capital through the issuance of equity securities and the terms upon which we are able to raise such capital may be adversely affected if we are unable to maintain the listing of the common stock and the Series A Preferred Stock on the NYSE American, formerly known as the NYSE MKT. In addition, the current dividend suspension prevents us from registering securities under the Securities Act of 1933 on Form S-3, which adversely impacts our ability to raise equity capital.

For a more detailed discussion, see Note 3 - Liquidity and Profitability and Note 17 - Subsequent Events to the Company’s Notes to Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report on Form 10-Q .

Acquisitions
Forhistorical information regarding the Company’s acquisitions, see Note 10 - Acquisitions, to the Company’sPart II, Item 8, Notes to Consolidated Financial Statements located, Note 10 – Acquisitions and dispositions included in Part I, Item 1, of this Quarterly Report on Form 10-Q.
the Annual Report.

Divestitures

There were no divestitures for the three and nine months ended September 30, 2017.March 31, 2018. For historical information regarding the Company’s divestitures, see Part II, Item 8, Notes to Consolidated Financial Statements, Note 11 - Discontinued Operations included in the Annual Report.


Critical Accounting Policies

We prepare our financial statements in accordance with GAAP for interim financial information and with the instructions to Form 10-Q and Rule 8-03 of Article 8 of Regulation S-X. The preparation of these financial statements requires us to make estimates and judgments that affect the reported amount of assets, liabilities, revenues and expenses. On an ongoing basis we review our judgments and estimates, including, but not limited to, those related to doubtful accounts, income taxes, stock compensation, intangible assets and loss contingencies. We base our estimates on historical experience, business knowledge and on various other assumptions that we believe to be reasonable under the circumstances at the time. Actual results may vary from our estimates. These estimates are evaluated by management and revised as circumstances change.

For a discussion of our critical accounting policies and recent accounting pronouncements not yet adopted by the Company see Note 1 - Organization and Significant Accounting Policies to the Company's Notes to Unaudited Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report on Form 10-Q.


Report.

Results of Operations


The following table sets forth, for the periods indicated, unaudited statement of operations items and the amounts and percentages of change of these items. The results of operations for any particular period are not necessarily indicative of results for any future period. The following data should be read in conjunction with our consolidated financial statements and the notes thereto, which are included herein.

 

 

Three Months Ended March 31,

 

(Amounts in 000’s)

 

2018

 

 

2017

 

 

Percent

Change

 

Revenues:

 

 

 

 

 

 

 

 

 

 

 

 

Rental revenues

 

$

5,705

 

 

$

5,775

 

 

 

(1.2

)%

Management fees

 

 

234

 

 

 

229

 

 

 

2.2

%

Other revenues

 

 

48

 

 

 

131

 

 

 

(63.4

)%

Total revenues

 

 

5,987

 

 

 

6,135

 

 

 

(2.4

)%

Expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Facility rent expense

 

 

2,171

 

 

 

2,171

 

 

 

 

Cost of management fees

 

 

157

 

 

 

176

 

 

 

(10.8

)%

Depreciation and amortization

 

 

1,221

 

 

 

1,135

 

 

 

7.6

%

General and administrative expenses

 

 

879

 

 

 

1,446

 

 

 

(39.2

)%

Provision for doubtful accounts

 

 

1,938

 

 

 

466

 

 

NM

 

Other operating expenses

 

 

343

 

 

 

89

 

 

NM

 

Total expenses

 

 

6,709

 

 

 

5,483

 

 

 

22.4

%

Loss (income) from operations

 

 

(722

)

 

 

652

 

 

NM

 

Other expense:

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense, net

 

 

1,275

 

 

 

1,032

 

 

 

23.5

%

Loss on extinguishment of debt

 

 

441

 

 

 

63

 

 

NM

 

Other expense

 

 

9

 

 

 

95

 

 

 

(90.5

)%

Total other expense, net

 

 

1,725

 

 

 

1,190

 

 

 

45.0

%

Loss from continuing operations before income taxes

 

 

(2,447

)

 

 

(538

)

 

 

354.8

%

Income tax expense

 

 

26

 

 

 

1

 

 

NM

 

Loss from continuing operations

 

 

(2,473

)

 

 

(539

)

 

 

358.8

%

Loss from discontinued operations, net of tax

 

 

(55

)

 

 

(413

)

 

 

(86.7

)%

Net loss

 

$

(2,528

)

 

$

(952

)

 

 

165.5

%

  Three Months Ended September 30, Nine Months Ended September 30,
(Amounts in 000’s) 2017 2016 Percent Change 2017 2016 Percent Change
Revenues:  
  
  
  
  
  
Rental revenues $5,983
 $6,912
 (13.4)% $17,703
 $20,651
 (14.3)%
Management fee and other revenues 362
 253
 43.1 % 1,081
 760
 42.2 %
Total revenues 6,345
 7,165
 (11.4)% 18,784
 21,411
 (12.3)%
Expenses:  
  
    
  
  
Facility rent expense 2,171
 2,176
 (0.2)% 6,512
 6,523
 (0.2)%
Depreciation and amortization 1,193
 1,124
 6.1 % 3,499
 4,176
 (16.2)%
General and administrative expenses 1,063
 1,598
 (33.5)% 3,507

6,275
 (44.1)%
Other operating expenses 517
 241
 114.5 % 1,395
 1,413
 (1.3)%
Total expenses 4,944
 5,139
 (3.8)% 14,913
 18,387
 (18.9)%
Income from operations 1,401
 2,026
 (30.8)% 3,871
 3,024
 28.0 %
Other expense:  
  
    
  
  
Interest expense, net 1,011
 1,801
 (43.9)% 3,049
 5,377
 (43.3)%
Loss on extinguishment of debt 
 
 NM
 63
 
 NM
Other expense 105
 
 NM
 388
 51
 NM
Total other expense, net 1,116
 1,801
 (38.0)% 3,500
 5,428
 (35.5)%
Income (loss) from continuing operations before income taxes 285
 225
 26.7 % 371
 (2,404) NM
Income tax expense 19
 3
 NM
 20
 3
 NM
Income (loss) from continuing operations 266
 222
 19.8 % 351
 (2,407) NM
Loss from discontinued operations, net of tax (1,032) (2,210) (53.3)% (2,049) (6,513) (68.5)%
Net loss $(766) $(1,988) (61.5)% $(1,698) $(8,920) (81.0)%


Three Months Ended September 30,March 31, 2018 and 2017 and 2016


Rental RevenuesTotal rentalRental revenue decreased by $0.9approximately $0.1 million, or 13.4%1.2%, to $6.0$5.7 million for the three months ended September 30, 2017,March 31, 2018, compared with $6.9$5.8 million for the same period in 2016.2017.  The decrease reflects lowerthe reduced payment of rent due to the sale of the Arkansas Facilities on October 6, 2016, partially off-set by lease revenuewe received from the Meadowood Facility (acquiredOhio Beacon Affiliates, who have notified us of their intention to vacate our facilities on May 1, 2017) and the Peach Facilities.June 30, 2018. The Company recognizes all rental revenues on a straight line rent accrual basis, except with respect to the Oceanside FacilityOhio Beacon Affiliates and the JeffersonvilleOceanside Facility under the Peach Health Sublease prior to recertification (which werewas recertified by CMS, in February 2017 and December 2016, respectively) and the Skyline Lease (which terminated upon sale of the Arkansas Facilities)2017), for which rental revenue is recognized based on cash amount owed.received.


Management Fee and Other Revenues—Management fee and other revenues increased by $0.1 million, or 43.1%, to $0.4 million for the three months ended September 30, 2017, compared with $0.3 million for the same period in 2016, due to $0.1 million increase from the recognition of interest income related to lease inducements and seller note receivables.

Facility Rent Expense—Facility rent expense was $2.2 million for the three months ended September 30, 2017,March 31, 2018, and $2.2 million for the same period in 2016. Rent expense year over year is comparable due to the completion of the Company's transition to a healthcare property holding and leasing company.2017. For further information, see Part II, Item 8, Notes to Consolidated Financial Statements, Note 7 - Leases, included in the Annual Report and Note 7 Leases to the Company’s Notes to Unaudited Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report on Form 10-Q.Report.

Depreciation and Amortization—Depreciation and amortization increased by $0.1 million, or 6.1%7.6%, to $1.2 million for the three months ended September 30, 2017,March 31, 2018, compared with $1.1 million for the same period in 2016.2017. The decreaseincrease is primarily due to the


saleamortization of the Arkansas Facilities on October 6, 2016,lease intangible related to the assisted living and memory care community with 106 operational beds in Glencoe, Alabama that were classified as held for sale beginningwe purchased in May 2016, with the subsequent cessation of depreciation expense partially offset by depreciation on the Meadowood Facility acquired on2017, which will be fully amortized in May 1, 2017 and leasehold improvements on the Peach Facilities.
2018.  

General and Administrative—General and administrative costs decreased by $0.5 million, or 33.5%39.2%, to $1.1$0.9 million for the three months ended September 30, 2017,March 31, 2018, compared with $1.6$1.4 million for the same period in 2016.2017. The net decrease is due to a continued reduction in overhead and specifically the following: (i) a decrease in salaries, wages and employee benefits expense of approximately $0.2 million and (ii) a decrease in legal, contract services, IT, insurance and other expenses of approximately $0.3 million.

Other Operating Expenses

Provision for doubtful accountsOther operatingProvision for doubtful accounts expense increased by $0.3approximately $1.4 million, or 114.5%, to $0.5$1.9 million for the three months ended September 30, 2017,March 31, 2018, compared with $0.2$0.5 million for the same period in 2016.2017. The increase is due to $0.3the Ohio Beacon Affiliates notifying the Company of their plan to cease operating our properties on June 30, 2018 and in addition the Company has also recorded an allowance of approximately $0.5 million settlement expense relatedon the $3.0 million Skyline Note.

Other operating expenses—Other operating expenses increased by $0.2 million, to the Settlement Agreement with Mr. McBride, the Company’s former Chief Executive Officer and Chairman of the Board, in the current year period.

Interest Expense, Net—Interest expense, decreased by $0.8 million, or 43.9%, to $1.0$0.3 million for the three months ended September 30, 2017,March 31, 2018, compared with $1.8$0.1 million for the same period in 2016.2017. The decreaseincrease is due to an accrual for $0.3 million in property taxes associated with the Ohio Beacon Affiliates notifying the Company of their plan to cease operating our properties on June 30, 2018, offset by $0.1 million in lower professional and general legal expenses and workers’ compensation expenses.

Interest Expense, Net—Interest expense increased by approximately $0.3 million, or 23.5%, to $1.3 million for the three months ended March 31, 2018, compared with $1.0 million for the same period in 2017. The increase is mainly due tothe net increase of debt principal year over year of approximately $6.3 million and approximately $1.0 million in capitalized deferred financing. The $16.25 million Pinecone Credit Facility, increased debt by approximately $7.5 million from February 15, 2018, which was partially offset by the repayment of $36.0$6.7 million in convertible debt in the prior year and $1.5 million repayment of convertible debt during the current quarter. The increase in interest is approximately $0.1 million for amortization of deferred financing and approximately $0.1 million due to interest.

Loss from Debt Extinguishment—The loss from debt extinguishment increased by approximately $0.3 million, to $0.4 million for the three months ended March 31, 2018, compared with $0.1 million for the same period in 2017. The increase is due to pre-payment penalties of $0.2 million and $0.2 million in expensed deferred financing fees from the repayment of debt and hence cessation of interest, in connection with the Arkansas Facilities and the sale thereof in October 2016 and $6.7 million principal repayment of the 2015 Notes on January 10, 2017 pursuant to the Tender Offer and the remaining $1.0 million on April 30, 2017, partially offset by $4.1 million in new financing for the MeadowoodPinecone Credit Facility.

Loss from Discontinued Operations—The loss from discontinued operations decreased by $1.2$0.3 million, or 53.3%86.7%, to $1.0$0.1 million for the three months ended September 30, 2017,March 31, 2018, compared with $2.2$0.4 million for the same period in 2016.2017. The decrease is primarily due to lower bad debt expense. Current period expense, comprises (i) an accrual for $0.8 million for a professional and general legal settlementexpenses and (ii) approximately $0.2 million for legalcollection activity expenses.

Nine Months Ended September 30, 2017 and 2016
Rental Revenues

Other ExpensesTotal rental revenueOther expense decreased by $2.9$0.1 million, or 14.3%90.5%, to $17.7$0.0 million for the ninethree months ended September 30, 2017,March 31, 2018, compared with $20.7$0.1 million for the same period in 2016.2017. The decrease reflects lower rent dueprior period charge was related to expenses for the saleMerger.

Liquidity and Capital Resources

Management anticipates access to several sources of liquidity, including cash on hand, cash flows from operations, and debt refinancing. At March 31, 2018, the Arkansas Facilities on October 6, 2016, partially off-set by lease revenueCompany had $3.5 million in unrestricted cash. During the three months ended March 31, 2018, the Company generated positive cash flow from continuing operations of $0.7 million and anticipates continued positive cash flow from operations in the Meadowood Facility (acquired on May 1, 2017) and the Peach Facilities.future. The Company recognizes all rental revenues on a straight line rent accrual basis exceptBoard suspended dividend payments with respect to the Oceanside FacilitySeries A Preferred Stock for the fourth quarter 2017 and the Jeffersonvillefirst quarter 2018 dividend periods. The Board plans to revisit the dividend payment policy with respect to the Series A Preferred Stock in the second quarter of 2018.  The Board believes that the dividend suspension will provide the Company with additional funds to meet its ongoing liquidity needs.

On February 15, 2018, the Company entered into a debt refinancing with Pinecone, with an aggregate principal amount of $16.25 million, that refinanced existing mortgage debt in an aggregate amount of $8.7 million on three skilled nursing properties, and provided additional surplus cash flow of $6.3 million. The surplus cash flow from the Pinecone Credit Facility was used to deposit $2.4 million of cash into escrow to fund self-insurance reserves for professional and general liability claims


with respect to 25 professional and general liability actions (included within current liabilities), and to fund repayment of $1.5 million in convertible debt.

On May 18, 2018, (“the Forbearance Date”), the Company entered into a Forbearance Agreement in association with the Pinecone Credit Facility, whereby the Company was notified of certain events of default under the Peach Health Sublease prior to recertification (which were recertified by CMS, in February 2017 and December 2016, respectively), the Aria Subleases (which were terminated for non-payment of rent) and the Skyline Lease (which terminated upon saleloan agreements of the Arkansas Facilities)Pinecone Credit Facility. Such Forbearance Agreement outlines a plan of correction whereby the Company may regain compliance under its obligations pertaining to the loan documents of the Pinecone Credit Facility, through a forbearance period ending July 20, 2018. Some requirements outlined in the Forbearance Agreement include, among other items: (i) the hiring of a special consultant to advise Management on operational improvements and to assist in coordinating overall company strategy, (ii) increase the ongoing interest rate to 13.5% effective May 18, 2018, and (iii) increase the outstanding principal balance of the Pinecone Credit Facility by 2.5%, for which rental revenueas of the Forbearance Date.

If the Company is recognized based on cash amount owed, and the sublease with affiliates of New Beginnings (which terminated in connectionable comply with the bankruptcy of such entities), for which rental revenue is recognized when cash is received.

Management Fee and Other Revenues—Management fee and other revenues increased by $0.3 million, or 42.2%, to $1.1 million for the nine months ended September 30, 2017, compared with $0.8 million for the same period in 2016, due to a $0.3 million increase from the recognition of interest income related to lease inducements and seller note receivables.
Facility Rent Expense—Facility rent expense was $6.5 million for the nine months ended September 30, 2017, and $6.5 million million for the same period in 2016. Rent expense year over year is comparable due to the completionterms of the Company's transitionForbearance Agreement, and Pinecone does not exercise rights or remedies against the Company on account of any event of default, then given current funds on hand and expected future cash flow from operations, management believes that the Company will be able to meet its obligations as they become due in the ordinary course, of business for a healthcareperiod of at least the next 12 months. Management's belief assumes that the Company will continue to be successful in implementing its business strategy and achieving forecasted results and that there will be no further material adverse developments in the Company’s business, liquidity or capital requirements.

The Company expects to use cash from operations, restricted replacement reserves and borrowings to: (i) invest in the Company’s existing property holdingportfolio, (ii) resolve our 12 outstanding legal actions, and leasing company. (iii) refinance or repay debt to minimize the average weighted cost of capital.

For furtheradditional information regarding the Company’s liquidity, see Note 73 – Liquidity - Leases, to the Company’s Notes to Unaudited Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report on Form 10-Q.

Depreciation and Amortization—Depreciation and amortization decreased by $0.7 million, or 16.2%, to $3.5 million for the nine months ended September 30, 2017, compared with $4.2 million for the same period in 2016. The decrease is primarily due to the sale of the Arkansas Facilities on October 6, 2016, that were classified as held for sale beginning May 2016, with the subsequent cessation of depreciation expense partially off-set by depreciation on the Meadowood Facility acquired on May 1, 2017 and leasehold improvements on the Peach Facilities.
General and Administrative—General and administrative costs decreased by $2.8 million, or 44.1%, to $3.5 million for the nine months ended September 30, 2017, compared with $6.3 million for the same period in 2016. The net decrease is due to a continued reduction in overhead and specifically the following: (i) a decrease in salaries, wages and employee benefits expense of approximately $1.0 million, (ii) a decrease in stock-based compensation expense of approximately $0.6 million and (iii) a decrease in legal, contract services, IT, insurance and other expenses of approximately $1.2 million.
Other Operating Expenses—Other operating expense decreased by $0.02 million, or 1.3%, to $1.4 million for the nine months ended September 30, 2017, compared with $1.4 million for the same period in 2016. The decrease is primarily due to (i) $0.8 million non-recurring prior year property and bed tax expenses, (ii) the release of $0.2 million workers compensation accrual in

the prior year, off set by, (iii) an accrual for an potential indemnity obligation of the Company of approximately $0.2 million and (iv) an approximately $0.3 million investigation expense related to an internal investigation with respect to the circumstances surrounding the inaccurate representation of the educational credentials of William McBride, III, the Company’s then Chief Executive Officer and Chairman of the Board, in the current year period, and (v) an accrual of $0.3 million settlement with Mr. McBride.
Interest Expense, Net—Interest expense, decreased by $2.3 million or 43.3% to $3.0 million for the nine months ended September 30, 2017, compared with $5.4 million for the same period in 2016. The decrease is mainly due to the repayment of $36.0 million of debt, and hence cessation of interest, in connection with the Arkansas Facilities and the sale thereof in October 2016 and $6.7 million principal repayment of the 2015 Notes pursuant to the Tender Offer on January 10, 2017 and the remaining $1.0 million on April 30, 2017, partially offset by $4.1 million in new financing for the Meadowood Facility.
Loss on Debt Extinguishment—Loss on extinguishment of debt of $0.1 million for the nine months ended September 30, 2017, was due to a pre payment penalty incurred on March 20, 2017, when mortgage indebtedness related to the Coosa Valley Facility, and Attalla Health Care, a 182-bed skilled nursing facility located in Attalla, Alabama (“the Attalla Facility”), was reduced by $0.7 million and $0.8 million, respectively through the application of restricted cash held as collateral against such indebtedness.
Loss from Discontinued Operations—The loss from discontinued operations decreased by $4.5 million or (68.5)% to $2.0 million for the nine months ended September 30, 2017, compared with $6.5 million for the same period in 2016. The decrease is primarily due to lower bad debt expense. Current period expenses comprise an $0.8 million accrual for a professional and general legal settlement, the remaining $1.2 million is related to legal expenses, collection activities and bad debt.

Liquidity and Capital Resources

For information regarding the Company’s liquidity, see Note 3 - Liquidity and Profitability, to the Company’s Notes to Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report on Form 10-Q and Liquidity Overview, to the Company’s Management’s Discussion and Analysis of Financial Condition and Results of Operations located in Part I, Item 2, of this Quarterly Report on Form 10-Q.

Report.

Cash Flows

The following table presents selected data from our consolidated statement of cash flows for the periods presented:

 

 

Three Months Ended March 31,

 

(Amounts in 000’s)

 

2018

 

 

2017

 

Net cash provided by operating activities -

   continuing operations

 

$

732

 

 

$

749

 

Net cash used in operating activities - discontinued

   operations

 

 

(735

)

 

 

(1,051

)

Net cash used in investing activities -

   continuing operations

 

 

(163

)

 

 

(329

)

Net cash provided by (used in) financing activities -

   continuing operations

 

 

1,894

 

 

 

(10,739

)

Net cash used in financing activities -

   discontinued operations

 

 

(90

)

 

 

(140

)

Net change in cash and restricted cash

 

 

1,638

 

 

 

(11,510

)

Cash and restricted cash at beginning of period

 

 

5,359

 

 

 

19,509

 

Cash and restricted cash at end of period

 

$

6,997

 

 

$

7,999

 

  Nine Months Ended September 30,
(Amounts in 000’s) 2017 2016
Net cash provided by operating activities - continuing operations $4,515
 $2,806
Net cash used in operating activities - discontinued operations (961) (3,470)
Net cash (used in) provided by investing activities - continuing operations (260) 6,217
Net cash used in financing activities - continuing operations (15,739) (5,736)
Net cash used in financing activities - discontinued operations (485) (1,080)
Net change in cash and cash equivalents (12,930) (1,263)
Cash and cash equivalents at beginning of period 14,045
 2,720
Cash and cash equivalents at end of period $1,115
 $1,457
Nine

Three Months Ended September 30, 2017


March 31, 2018

Net cash provided by operating activities—continuing operations for the ninethree months ended September 30, 2017March 31, 2018 was approximately $4.5$0.7 million, consisting primarily of our income from operations less changes in working capital, and noncash charges (primarily bad debt expense, depreciation and amortization and rent revenue in excess of cash received and bad debt expense), primarily the result of routine operating activity.received).

Net cash used in operating activities—discontinued operations for the ninethree months ended September 30, 2017March 31, 2018 was approximately $1.0 million.$0.7 million, excluding non-cash proceeds and payments. This amount was to fund legal and associated settlement costs related to our legacy professional and general liability claims and is net of $1.2 million of collections on patient care receivables.claims.


Net cash used investing activities—continuing operations for the ninethree months ended September 30, 2017March 31, 2018 was approximately $0.3$0.2 million. This is the result of a net decrease in restricted cash deposits of approximately $1.9 million offset by (i) $1.4 million for


the Meadowood acquisition transaction consisting of $5.5 million purchase price offset by the associated $4.1 million financing and (ii) capital expenditures of approximately $0.8 million on building improvements notably, for three of the Oceanside Facility and the Jeffersonville Facility to assist the Peach Health Sublessee in connection with recertification efforts and the purchase of land adjacent to our facility located in Georgetown, South Carolina.Company’s properties.


Net cash used inprovided by financing activities—continuing operations was approximately $15.7$1.9 million for the ninethree months ended September 30, 2017. ThisMarch 31, 2018. Excluding non-cash proceeds and payments, this is primarily the result of $2.4 million new financing from Pinecone offset by routine repayments of $7.7 million of convertible debt, $3.1$0.5 million of other existing debt obligations, $0.2 million payment to repurchase our common stock and $5.7 million payment of preferred stock dividends partially off-set by net proceeds of $1.0 million from issuances of shares of the Series A Preferred Stock.obligations.


Net cash used in financing activities—discontinued operations for the ninethree months ended September 30, 2017March 31, 2018 was approximately $0.5$0.1 million payments for Medicaid and vendor notes.


Nine

Three Months Ended September 30, 2016

March 31, 2017

Net cash provided inby operating activities—continuing operations for the ninethree months ended September 30, 2016March 31, 2017 was $2.8approximately $0.7 million, consisting primarily of our loss from operations less changes in working capital, and noncash charges (primarily depreciation and amortization, share-based compensation, rent revenue in excess of cash received, and amortization of debt discounts and related deferred financing costs),costs and bad debt expense) all primarily the result of routine operating activity.


Net cash used in operating activities—discontinued operations was approximately $1.1 million. This amount was to fund legal and associated settlement costs related to our legacy professional and general liability claims, in addition to settling legacy vendor liabilities.

Net cash used in investing activities—continuing operations for the ninethree months ended September 30, 2016March 31, 2017 was approximately $3.5 million as we continued to settle legacy vendor liabilities.


Net cash provided by investing activities—continuing operations for the nine months ended September 30, 2016 was approximately $6.2$0.3 million. This is primarily the result of a net releasecapital expenditures of $0.3 million on building improvements for Peach Recertified Facilities to assist Peach Health Sublessee in restricted cash deposits of approximately $3.6 million, earnest money deposit of $1.8 million received for the sale of the Arkansas Facilities on October 6, 2016 and proceeds from sale of property and equipment of approximately $1.5 million.connection with recertification efforts.

Net cash used in financing activities—continuing operations was approximately $5.7$10.7 million for the ninethree months ended September 30, 2016.March 31, 2017. This is primarily the result of repayments of $6.7 million of convertible debt, $2.0 million of other existing debt obligations of approximately $10.5and $2.0 million and paymentspayment of dividends of approximately $5.5 million. These uses were offset by net cash proceeds received from issuances of shares ofwith respect to the Series A Preferred Stock and additional debt borrowings of approximately $6.8 million and $3.9 million, respectively.Stock.


Net cash used in financing activities—discontinued operations was approximately $1.1$0.2 million payments for vendor notes.



Notes Payable and Other Debt


For information regarding the Company’s debt financings, see Note 9 - Notes Payable and Other Debt, to the Company’s Notes to Unaudited Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report, on Form 10-Q, and Part II, Item 8, Notes to Consolidated Financial Statements,Note 9 - Notes Payable and Other Debt included in the Annual Report.


Receivables


Our operations could be adversely affected if we experience significant delays in receipt of rental income from our tenants.


Accounts receivable, net totaled $1.1$0.6 million at September 30, 2017March 31, 2018 and $2.4$0.9 million at December 31, 2016, of which $0.2 million and $0.9 million, respectively, related to2017, with all uncollected patient care receivables from our legacy operations.

The allowance for doubtful accounts was $2.9 million and $7.5 millionfully allowed at September 30, 2017March 31, 2018 and December 31, 2016, respectively. We continually evaluate the adequacy of our bad debt reserves based on aging of older balances, payment terms and historical collection trends after facility operations transfer to third-party operators. We continue to evaluate and implement additional processes to strengthen our collection efforts and reduce the incidence of uncollectible accounts.

2017.

Operating Leases

For information regarding the Company’s operating leases, see Note 7 - Leases, to the Company’s Notes to Unaudited Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report, on Form 10-Q, and Part II, Item 8, Notes to Consolidated Financial Statements, Note 7 - Leases included in the Annual Report.


Item 3.  Quantitative and Qualitative Disclosures About Market Risk.

Item 3.

Quantitative and Qualitative Disclosures About Market Risk.


Disclosure in response to Item 3. of Form 10-Q is not required to be provided by smaller reporting companies.


Item 4. 

Item 4.

Controls and Procedures.

Evaluation of Disclosure Controls and Procedures


We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports filed pursuant to the Securities Exchange Act, of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the SEC and that such information is accumulated and communicated to our management, including our Interiminterim Chief Executive Officer and Interiminterim Chief Financial Officer, as appropriate, to allow for timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the


desired control objectives, and management is required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.


Our management, with the participation of our Interiminterim Chief Executive Officer and Interiminterim Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the end of the period covered by this Quarterly Report on Form 10-Q (the “Evaluation Date”). Based on such evaluation, our Interiminterim Chief Executive Officer and Interiminterim Chief Financial Officer have concluded that, as of the Evaluation Date, our disclosure controls and procedures are effective.

Changes in Internal Control Over Financial Reporting


There has been no change in the Company’s internal controls over financial reporting that occurred during the period covered by this report that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.


Part II. Other Other Information


Item 1. 

Item 1.

Legal Proceedings.


The Company is a defendant in various legal actions and administrative proceedings arising in the ordinary course of business, including claims that the services the Company provided during the time it operated skilled nursing facilities resulted in injury or death to patients. Although the Company settles cases from time to time when settlement can be achieved on a reasonable basis, the Company vigorously defends any matter in which it believes the claims lack merit and the Company has a reasonable chance to prevail at trial or in arbitration. Litigation is inherently unpredictable and there is risk in the Company's strategy of aggressively defending these cases. There is no assurance that the outcomes of these matters will not have a material adverse effect on the Company’s financial condition. Although arising in the ordinary course of the Company's business, certain of these matters are described below under "Professional and General Liability Claims."

Except as set forth in this Item 1., Legal Proceedings, there have been no new material legal proceedings and no material developments in the legal proceedings reported in Part I, Item 3, Legal Proceedings, in the Annual Report. For additional information with respect to legal proceedings, also see Note 13 - Commitments and Contingencies to the Company’s Notes to Unaudited Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report.

Professional and General Liability ClaimsClaims. . As of September 30, 2017,March 31, 2018, the Company wasis a defendant in a total of 42 unsettled34 professional and general liability actions commenced on behalf of former patients, of which 28 cases were filed in the State of Arkansas by the same plaintiff attorney who represented the plaintiffs in the lawsuit captioned Amy Cleveland et. al. v. APHR&R Nursing, LLC et al. filed on March 4, 2015 with the Circuit Court of Pulaski County, Arkansas, 16th Division, 6th Circuit. During the three months ended September 30, 2017, one professional and general liability claim against the Company was settled for $0.8 million and two previously dismissed without prejudice cases were refiled.patients. These actions generally seek unspecified compensatory and punitive damages for former patients of the Company who were allegedly injured or died while patients of facilities operated by the Company due to professional negligence or understaffing. TwoTwenty-two of these actions were filed in the pendingState of Arkansas by the same plaintiff attorney who represented the plaintiffs in a purported class action lawsuit against the Company previously disclosed as the Amy Cleveland Class Action (which settled in December 2015) and such 22 actions are subject to a settlement in principle as discussed below. Of the 12 not subject to settlement in principle: (i) two of such actions are covered by insurance, except that any award of punitive damages would be excluded from such coverage. Thecoverage; and (ii) three of such actions relate to events which occurred after the Company transitioned the operations of the facilities in question to a third-party operator and which are subject to such operators’ indemnification obligations in favor of the Company. These remaining 12 actions are in various stages of discovery, and the Company intends to vigorously defend such actions, where economically favorable to the claims.Company.  

On March 12, 2018, the Company entered into a separate mediation settlement agreement with respect to each of the original 25 actions (22 such actions remaining subject to settlement in principle, at March 31, 2018), filed in the State of Arkansas, relating to the settlement in principle of each such action, subject to the satisfaction of certain specified conditions. Each mediation settlement agreement provides for payment by the Company of a specified settlement amount, which settlement amount with respect to each action has been deposited into the mediator’s trust account.  The action must be individually approved by the probate court, and the settlement of one action is not conditioned upon receipt of the probate court’s approval with respect the settlement of any other action. Upon the probate court approving, with respect to a particular action, the settlement and an executed settlement and release agreement, the settlement amount with respect to such action will be disbursed to the plaintiff’s counsel.  Under the settlement and release agreement with respect to a particular action, the Company will be released from any and all claims arising out of the applicable plaintiff’s care while the plaintiff was a resident of one of the Company’s facilities. Of the original 25 actions subject to the settlement in principle, the probate court approved settlements with respect to three of such actions during the quarter ended March 31, 2018 and approved settlements with respect to 15 of such subsequent to March 31, 2018.

In connection with the Coverage Litigation between the Company and the Company’s former commercial liability insurance provider regarding, among other things, the Company’s insurance coverage with respect to the 25 actions filed in the State of Arkansas, the former insurer and the Company entered into the Coverage Settlement Agreement on March 12, 2018, providing for, among other things, Insurance Settlement Amount by the former insurer in the amount of approximately $2.8 million, the dismissal with prejudice of the Coverage Litigation, a customary release of claims by the former insurer and the Company, and agreement that that the former insurer has exhausted the policies’ respective limits of liability and has no further obligations under the policies. Pursuant to the Coverage Settlement Agreement: (i) on March 16, 2018, the former insurer deposited the Insurance Settlement Amount into the trust account of the mediator with respect to the 25 actions; and (ii) on March 20, 2018, the former insurer and the Company caused the Coverage Litigation, including the counterclaim, to be dismissed with prejudice.


Assuming, and subject to, the approval by the probate court of the settlement of each of the original 25 actions filed in the State of Arkansas and related matters, and the satisfaction of the other conditions with respect thereto, the Company will pay, net of the Insurance Settlement Amount, an aggregate of approximately $2.4 million in settlement of such actions. The probate court approved settlements with respect to three of the 25 Arkansas actions during the quarter ended March 31, 2018 and approved settlements with respect to 15 of the 25 Arkansas actions after March 31, 2018, and approximately $0.5 million and $3.3 million, respectively, was paid from the mediator’s trust account in such settlements. The Company gives no assurance that the probate court will approve the settlement of the remaining 7 Arkansas actions pending approval or that the other conditions to such settlements will be satisfied, or that such actions will be settled on the terms described herein or at all.

In the first quarter of 2018, the Company settled four previously disclosed professional and general liability actions (other than those subject to mediation settlement agreements as discussed above) for the total of $670,000. A majority of the settlements include payment terms greater than one year.  

The Company has self-insured against professional and general liability claims since it discontinued its healthcare operations. The Company established a self-insurance reserve for these professional and general liability claims, included within “Accrued expenses and other” in the Company’s unaudited consolidated balance sheets of $6.7$2.4 million and $6.9$5.1 million at September 30, 2017,March 31, 2018, and December 31, 2016,2017, respectively. The decreaseAdditionally, as of March 31, 2018, and December 31, 2017, $0.1 and $0.2 million respectively, was reserved for settlement amounts in “Other liabilities”, and $0.6 and $0.5 million in “Accounts payable” in the reserve at September 30, 2017 primarily reflects the legal costs and associated settlement amounts paid.Company’s consolidated balance sheets, respectively. For additional information regarding the Company’s self-insurance reserve, see Part II, Item 8, Notes to Consolidated Financial Statements,Note 15 - Commitments and Contingencies included in the Annual Report.


Ohio Attorney General Action. On October 27, 2016, the OAG filed in the Court of Common Pleas, Franklin County, Ohio a complaint against

The Pavilion Care Center, LLC, Hearth & Home of Greenfield, LLC (each a subsidiaryCompany believes that most of the Company),professional and certain other parties (including parties for which the Company provides or provided management services). The lawsuit alleges that defendants submitted improper Medicaid claims for independent laboratory services for glucose blood tests and capillary blood draws and further alleges that defendants (i) engaged in deception, (ii) willfully received Medicaid payments to which they were not entitled or in a greater amount than that to which they were entitled, and (iii) obtained payments under the Medicaid program to which they were not entitled pursuant to their provider agreements and applicable Medicaid rules and regulations. The OAG is seeking, among other things, triple the amount of damages proven at trial (plus interest) and not less than $5,000 and not more than $10,000 for each deceptive claim or falsification. As previously disclosed, the Company received a letter from the OAG in February 2014 demanding repayment of allegedly improper Medicaid claims related to glucose blood tests and capillary blood draws and penalties of approximately $1.0 million, and the Company responded to such letter in July 2014 denying all claims. The Company filed an answer to the complaint on January 27, 2017 in which it denied the allegations. An order granting a motion to stay this proceeding was granted in the Court of Common Pleas, Franklin County, Ohio on July 12, 2017. Although there is no assurance as to the ultimate outcome of this matter or its impact on the Company’s business or its financial condition, the Company believes it has meritorious defensesgeneral liability actions are defensible and intends to vigorously defend them through final judgement unless settlement is more advantageous to the claim.


For information with respect to Company.  Accordingly, the self-insurance reserve primarily reflects the Company’s estimate of settlement amounts for the pending actions, as appropriate and legal costs of settling or litigating the pending actions, as applicable.

Aria Avoidance Claims. On March 28, 2018, the Chapter 7 bankruptcy trustee in the Aria bankruptcy proceeding, see Note 15 - Commitments and Contingencies. Also see Part I, Item 3, Legal Proceedings includedtogether with an unsecured creditor, filed in the Company’s Annual Report on Form 10-KUnited States Bankruptcy Court for the year ended December 31, 2016 for a descriptionEastern District of all significant legal proceedings. 

Arkansas an avoidance claim, in the amount of $4.7 million, against the Company seeking to recover funds the Company received from the Debtors in the Aria bankruptcy proceeding (Highlands Arkansas Holdings, LLC, and nine of its affiliates, Highland of Stamps, LLC; Highlands of Rogers Dixieland, LLC; Highlands of North Little Rock John Ashley, LLC; Highlands of Mountain View SNF, LLC; Highlands of Mountain View RCF, LLC; Highlands of Little Rock West Markham, LLC; Highlands of Little Rock South Cumberland, LLC; Highlands of Little Rock Riley, LLC; and Highlands of Fort Smith, LLC) prior to the bankruptcy filings. The Company believes that this action is defensible and intends to defend through final judgement. There is no guarantee that the Company will prevail in the avoidance action that has been filed against it.


Item 1A. 

Item 1A.

Risk Factors.


If we lose

We depend on affiliates of C.R Management and Beacon Health Management for a significant portion of our key management personnel, we may not be ablerevenues and any inability or unwillingness by such entities to successfully manage our business or achieve our objectives, whichsatisfy their obligations to us could have a material adverse effect on our business, financial condition, resultsus.

Our 27 properties (excluding the three facilities that are managed by us) are operated by a total of operations and prospects.

We are dependent on our management team, and our future success depends largely upon the management experience, skill, and contacts27 separate tenants, with each of our management andtenants being affiliated with one of six local or regionally-focused operators. We refer to our tenants who are affiliated with the losssame operator as a group of anyaffiliated tenants. Each of our key management team could harmoperators operate (through a group of affiliated tenants) between two and eight of our business.

facilities, with our most significant operators, C.R Management and Beacon Health Management, each operating (through a group of affiliated tenants) eight and seven facilities, respectively, as of the date of filing of this Quarterly Report. We, therefore, depend, on tenants who are affiliated with C.R Management and Beacon Health Management for a significant portion of our revenues. Recently, the Company has experiencedwas notified by five of the departuretenants affiliated with Beacon Health Management affiliates, who each of certain key management personnel.  As a result,whom are one month in arrears on rental payments after application of the Company must now focus timeapplicable lease deposit, that they can no longer operate five of our facilities located in Ohio and resourceswill surrender the respective properties facilities on recruiting new members for its executive management team. Changes inJune 30, 2018. See Note 15 – Subsequent Events, to the Company’s executive management team mayNotes to Unaudited Consolidated Financial Statements located in Part I, Item 1, of this Quarterly Report.

Although we are currently in negotiations with suitably qualified replacement operators to take possession of the five Ohio facilities on July 1, 2018, there is no assurance that we will be disruptiveable to execute new leases with respect to such facilities on substantially equivalent terms to the sublease agreements for such facilities which we entered into with the Ohio Beacon affiliates or cause uncertainty in,at all or that, if new leases are executed, the Company’s business,new tenants will be able to take possession of such facilities on July 1, 2018. We intend to enforce our rights under the sublease agreements for such facilities which we entered into with the Ohio Beacon affiliates and pursue all remedies available to us under such sublease agreements and applicable law.


We cannot assure you that the tenants affiliated with C.R Management and Beacon will have sufficient assets, income and access to financing to enable them to make rental payments to us or to otherwise satisfy their obligations under the applicable leases and subleases, and any additional changesinability or unwillingness by such tenants to the executive management team could have a negative impact on the Company’s ability to manage and grow its business effectively.  Any such disruption or uncertainty or difficulty in efficiently and effectively filling key rolesdo so could have a material adverse effect on our business,us.

We depend on Pinecone not to call the entire principal balance, plus interest and fees of the Pinecone Credit Facility in the event the Company is unable to comply with all benchmarks as outlined in the Forbearance Agreement.

On May 10, 2018, management was notified by one of the Company’s lenders, Pinecone that the Company was in default on a number of administrative items as outlined in the Pinecone Credit Facility. Management also informed Pinecone that the Company had failed to meet one of its financial condition,covenant obligations, the minimum fixed charge coverage ratio, as outlined in the loan agreement to the Pinecone Credit Facility for the period ended March 31, 2018.

In order to alleviate such defaults, on May 18, 2018, the Company entered into a forbearance agreement with Pinecone (the “Forbearance Agreement”), in which, Pinecone provides a timeline and a number of remedies available to cure all default items and to regain compliance under the Pinecone Credit Facility. The forbearance period is from May 18, 2018, the date of the execution of the Forbearance Agreement, to July 20, 2018, during which time, the Company must comply with all benchmarks as outlined in the Forbearance Agreement. Management believes that the overall plan of correction as outlined in the Forbearance Agreement is achievable, however many of the benchmarks, as articulated in the Forbearance Agreement, fall outside of the control of management, and if the Company is unable to satisfy the requirements as outlined, then one of the remedies available to Pinecone is that the entire principal balance of the Pinecone Credit Facility, plus interest and fees, will become immediately due and payable, indicating that substantial doubt exists about whether or not the Company will be able to continue as a going concern within one year after the date that the financial statements are issued.

There can be no assurance that the Company will be able to cure all of the deficiencies as listed in the Forbearance Agreement or that the Company will be able to continue to comply with all of the various covenants as required by the loan agreement of the Pinecone Credit Facility. The Company’s ability to cure its non-compliance with the Pinecone Credit Facility depends, in part, on its ability to work with outside parties, which is not within the Company’s exclusive control. If Pinecone were to call the balance of the Pinecone Credit Facility for any reason, and the Company were unable to cure such deficiency, it could have a material adverse consequence on the Company’s ability to meet its obligations arising within one year of the date of issuance of these financial statements. The Company plans to continue to undertake measures to refinance certain loans and to streamline its cost infrastructure. But due to the inherent risks, unknown results and significant uncertainties associated with each of operationsthese matters and prospects.


the direct correlation between these matters and the Company’s ability to satisfy its financial obligations that may arise over the applicable one-year period, the Company is unable to conclude that it is probable that the Company will be able to meet its obligations arising within one year of the date of issuance of these financial statements within the parameters set forth in the accounting guidance.

For a detailed description of certain risk factors that could affect our business, operations and financial condition, see Part I, “ItemItem 1A., Risk Factors” of Factors, included in the Annual Report. The risk factors described in the Annual Report and this Quarterly Report. The risk factors described in the Annual Report (“Risk Factors”) do not describe all risks applicable to our business, and we intend it only as a summary of certain material factors. The Risk Factors should be considered in connection with evaluating the forward-looking statements contained in this Quarterly Report because the Risk Factors could cause the actual results and conditions to differ materially from those projected in forward-looking statements. If any of the risks actually occur, our business, financial condition or results of operations could be negatively affected. In that case, the trading price of the common stock and Series A Preferred Stock could continue to decline.


Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds.

None.

Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds.

For information regarding the Company’s new securities resulting from the modification of outstanding securities, see Item 5. - Other Information, located in Part II, Item 5, of this Quarterly Report on Form 10-Q.

Item 3.

Defaults upon Senior Securities.

The Board suspended dividend payments with respect to the Series A Preferred Stock for the fourth quarter 2017 and the first quarter 2018 dividend periods, and no dividends were declared or paid with respect to the Series A Preferred Stock for such dividend periods.  As a result of such suspension, the Company has $3.8 million of undeclared preferred stock dividends in arrears with respect to the Series A Preferred Stock as of the date of filing of this Quarterly Report. See Note 11– Common and Preferred Stock – “Preferred Stock Offerings and Dividends, to the Company’s Notes to Unaudited Consolidated Financial Statements located in Part I, Item 3.  Defaults upon Senior Securities.

1, of this Quarterly Report.

None. 

Item 4. 

Item 4.

Mine Safety Disclosures.

Not applicable.


Item 5.

Other Information.

Item 5.  Other Information.

McBride Matters
On September 26, 2017,May 18, 2018, the Company and Pinecone entered into a Settlementthe Forbearance Agreement, and Mutual Release (the “Settlement Agreement”), with Mr. McBride, our former Chief Executive officer and director, pursuant to which Pinecone agreed, subject to the terms and conditions set forth in the Forbearance Agreement, to forbear from exercising certain rights and remedies with respect to specified events of default under the Pinecone Credit Facility. Such events of default include, among other things,things: (i) the failure of a certain wholly-owned subsidiary (the “New Guarantor”) of the Company to assign certain operating leases required to be assigned by such subsidiary to certain other subsidiaries of the Company (the “Lease Assignments”); (ii) failure to deliver certain reports, notices and certificates required under the Pinecone Credit Facility; (iii) failure to obtain Pinecone’s prior written consent with respect to a certain lease amendment; (iv) certain inaccuracies in lieuthe representations and warranties made by the Company under the Pinecone Credit Facility; (v) certain healthcare regulatory matters with respect to two of any other rights orthe Company’s facilities; (vi) failure to comply with certain post-closing obligations under Mr. McBride’s employment agreement: (i)the Pinecone Credit Facility; and (vii) certain defaults by tenants of the Company agreed to pay Mr. McBride $60,000 in cash for wage claims; (ii)under the Company issued to Mr. McBride an Unsecured Negotiable Promissory Note with an original principal amount of $300,000 (the “McBride Note”); (iii) Mr. McBride released the Company from all claims and liabilities, including those arising out of his employment, and his employment agreement,applicable lease or sublease with the Company, and his separation therefrom (but excluding claims to enforce the provisions of the Settlement Agreement, the McBride Note and the indemnification provisions under his employment agreement); (iv) the Company released Mr. McBride from all claims and liabilities arising out of his employment, and his employment agreement, with the Company and his separation therefrom (excluding (a) claims for intentional tortious conduct, fraud or arising out criminal misconduct other than in connection with such separation (provided such claims were not known to, or reasonably discoverable by the Company), and (b) claims to enforce the provisions of the Settlement Agreement and the restrictive covenants under the employment agreement); and (v) from after the effective date of the Settlement Agreement, the termination of Mr. McBride’s employment shall be deemed a resignation by Mr. McBride.
The McBride Note accrues interest at an annual rate of 4% and principal and interest is payable in 24 equal monthly installments of $13,027.42, which paymentscommenced on October 31, 2017 and shall end on September 30, 2019. Upon the existence and continuation of an Event of Default (as defined in the McBride Note), interest accrues at a default rate of eighteen percent 18% per annum.
Maturity date extension on convertible debt
On November 8, 2017, the Company entered into an Amendment No. 2 to Subordinated Convertible Note, with Cantone Asset Management LLC (“CAM”), which amended, effective October 31, 2017, the $1.5 million convertible promissory note originally issued by the Company to CAM in July 2012, as subsequently amended, to: (i) extend the maturity date from October 31, 2017 to April 30, 2018; (ii) increase the annual interest rate from 10.00% to 14.00%; and (iii) increase the default annual interest rate from 14.00% to 18.00%. In addition, the Company agreed to grant to CAM a second priority security interest in the Company’s College Park facility no later than December, 22, 2017. Failure to grant the security interest by December 22, 2017, willdefaults constitute an eventevents of default under the promissory note.

The promissory note was issued,Pinecone Credit Facility.   

Pursuant to the Forbearance Agreement, the Company and subsequently amended, without registrationPinecone agreed to amend certain provisions of the Pinecone Credit Facility.  Such amendments, among other things: (i) eliminate the Company’s obligation to complete the Lease Assignments; (ii) require the payment of a specified “break-up fee” upon certain events, including prepayment of the Pinecone Credit Facility or a change of control; (iii) increase the ongoing interest rate from 12.5% per annum to 13.5% per annum; and (iv) increase the outstanding principal balance of the Pinecone Credit Facility by 2.5%.

Pursuant to the Forbearance Agreement, the New Guarantor entered into a guaranty agreement for the benefit of Pinecone, pursuant to which the New Guarantor agreed to guarantee the obligations of the borrowers under the Securities ActPinecone Credit Facility.  In connection therewith, the New Guarantor executed shall execute a pledge agreement in reliance uponfavor of Pinecone, pursuant to which the private placement exemption set forthNew Guarantor pledged the equity interests in Section 4(a)(2)the New Guarantor’s subsidiaries as security for the New Guarantor’s obligations under such guaranty.

The Forbearance Agreement outlines a plan of correction whereby the Company may regain compliance under the Pinecone Credit Facility during the Forbearance Period.  Among other things, the Company is required to complete certain post-closing actions required under the Pinecone Credit Facility no later than June 4, 2018 and to hire a consultant, acceptable to Pinecone and the Company, to advise management on operational improvements and to assist in coordinating overall company strategy.  The Company is also required to obtain Pinecone’s prior written consent prior to paying dividends on the Series A Preferred Stock and to increase the outstanding principal balance of the Securities Act, based upon CAM’s status as an accredited investor, representations madePinecone Credit Facility by CAM,2.5%. For additional information regarding the isolated natureCompany’s liquidity, see Note 3 – Liquidity and Note15 – Subsequent Events, to the Company’s Notes to Unaudited Consolidated Financial Statements located in Part I, Item 1, of the transaction and that the transaction did not involve a public offering. The promissory note may be converted to 352,941 shares of common stock at a conversion price of $4.25 at the option of the holder.

this Quarterly Report.


Item 6. 

Item 6.

Exhibits.

The agreements included as exhibits to this Quarterly Report are included to provide information regarding the terms of these agreements and are not intended to provide any other factual or disclosure information about the Company, its business or the other parties to these agreements. These agreements may contain representations and warranties by each of the parties to the


applicable agreement. These representations and warranties have been made solely for the benefit of the other parties to the applicable agreement and:

should not in all instances be treated as categorical statements of fact, but rather as a way of allocating the risk to one of the parties if those statements prove to be inaccurate; 

have been qualified by disclosures that were made to the other party in connection with the negotiation of the applicable agreement, which disclosures are not necessarily reflected in the agreement;

may apply standards of materiality in a way that is different from what may be viewed as material to investors; and

were made only as of the date of the applicable agreement or such other date or dates as may be specified in the agreement and are subject to more recent developments.

Accordingly, these representations and warranties may not describe the actual state of affairs as of the date they were made or at any other time, and should not be relied upon by investors.


EXHIBIT INDEX

Exhibit No.

Description

Description

Method of Filing

Asset Purchase Agreement, dated March 8, 2017, by and between Meadowood Retirement Village, LLC, and Meadowood Properties, LLC, and AdCare Health Systems, Inc.

Incorporated by reference to Exhibit 2.1 of the Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2016

  3.1

Agreement and Plan of Merger by and between AdCare Health Systems, Inc., and Regional Health Properties, Inc., dated July 7, 2017

Incorporated by reference to Exhibit 2.1 of the Registrant’s Current Report on Form 8-K filed on July 11, 2017
Amended and Restated Articles of Incorporation of Regional Health Properties, Inc., effective September 21, 2017

Incorporated by reference to Exhibit 3.1 of the Registrant’s Current Report on Form 8-K12B filed on October 10, 2017

  3.2

Certificate of Merger, effective September 29, 2017


Incorporated by reference to Exhibit 3.2 of the Registrant’s Current Report on Form 8-K12B filed on October 10, 2017

  3.3

Amended and Restated Bylaws of Regional Health Properties, Inc., effective September 21, 2017


Incorporated by reference to Exhibit 3.3 of the Registrant’s Current Report on Form 8-K12B filed on October 10, 2017

  4.1

Form of Common Stock Certificate of Regional Health Properties, Inc.

Incorporated by reference to Exhibit 4.2 of the Registrant’s Current Report on Form 8-K12B filed on October 10, 2017

  4.2

Description of Regional Health Properties, Inc. Capital Stock

Incorporated by reference to Exhibit 4.1 of the Registrant’s Current Report on Form 8-K12B filed on October 10, 2017

  4.3*

2005 Stock Option Plan of AdCare Health Systems, Inc.

Incorporated by reference to Exhibit 4.2 of the Registrant’s Registration Statement on Form S-8 (Registration No. 333-131542) filed October 27, 2011

  4.4*

AdCare Health Systems, Inc. 2011 Stock Incentive Plan

Incorporated by reference to Exhibit 4.3 of the Registrant’s Registration Statement on Form S-8 (Registration No. 333-131542) filed October 27, 2011

  4.5*

Form of Non-Statutory Stock Option Agreement

Incorporated by reference to Exhibit 4.4 of the Registrant’s Registration Statement on Form S-8 (Registration No. 333-131542) filed October 27, 2011

  4.6*

Form of Incentive Stock Option Agreement

Incorporated by reference to Exhibit 4.5 of the Registrant’s Registration Statement on Form S-8 (Registration No. 333-131542) filed October 27, 2011

Form of 8% Subordinated Convertible Note Due 2015 issued by AdCare Health Systems, Inc.

Incorporated by reference to Exhibit 99.3 to the Registrant’s Current Report on Form 8-K filed July 5, 2012

  4.7

Form of Warrant to Purchase Common Stock of the Company

Incorporated by reference to Exhibit 4.3 to the Registrant’s Registration Statement on Form S-3 (File No. 333-175541)

  4.8

Warrant to Purchase 50,000 Shares of Common Stock, dated December 28, 2012, issued by AdCare Health Systems, Inc. to Strome Alpha Offshore Ltd.

Incorporated by reference to Exhibit 4.21 of the Registrant’s Annual Report on Form 10-K for the year ended December 31, 2012

  4.9

Form of Warrant, dated March 28, 2014, issued by AdCare Health Systems, Inc. to the placement agent and its affiliates in connection with the offering of 10% Subordinated Convertible Notes Due April 30, 2015

Incorporated by reference to Exhibit 4.3 of the Registrant’s Quarterly Report on Form 10-Q for the three months ended March 31, 2014


  4.10

Form of Warrant granted to management to Purchase Shares of AdCare Health Systems, Inc. dated November 20, 2007

Incorporated by reference to Exhibit 10.23.2 of the Registrant’s Annual Report on Form 10-KSB as amended March 31, 2008

Registration Rights



2017

10.2

Form

Loan Agreement Dated as of 10% Convertible Subordinated Notes Due April 30, 2017February 15, 2018 among CP Property Holdings, LLC, Northwest Property Holdings, LLC and Attalla Nursing ADK, LLC as Borrowers, Hearth & Home of Ohio, Inc.., as Guarantor, AdCare Property Holdings, LLC, as Guarantor and Borrower, Regional Health Properties, Inc., as Guarantor, and Pinecone Reality Partners s II, LLC as Lender

Incorporated by reference to Exhibit 4.210.425 of the Registrant’s QuarterlyAnnual Report on Form 10-Q10-K for the quarteryear ended MarchDecember 31, 20152017

Form of 10% Convertible Subordinated Notes Due April 30, 2017 (Affiliate Form)

10.3

Promissory Note for $3.5 million dated February 15, 2018 by and among Pinecone Realty Partners Il, LLC, and AdCare Property Holdings, LLC.

Incorporated by reference to Exhibit 4.310.426 of the Registrant’s QuarterlyAnnual Report on Form 10-Q10-K for the quarteryear ended June 30, 2015December 31, 2017

10.4

Amendment to Subordinated Convertible

Promissory Note Issued March 31, 2015,for $8.25 million dated July 30, 2015,February 15, 2018 by and between AdCare Health Systems, Inc., and Cantone Asset Management,among Pinecone Realty Partners Il, LLC, and Cantone Research, Inc.Attalla Nursing ADK LLC.

Incorporated by reference to Exhibit 10.10510.427 of the Registrant’s QuarterlyAnnual Report on Form 10-Q10-K for the quarteryear ended June 30, 2015December 31, 2017

10.5

Amendment No.2 to subordinated Convertible Note, Issued July 2, 2012, dated November 8, 2017 between Regional Health Properties Inc., and Cantone Asset Management LLC.

Filed herewith
Unsecured Promissory Note pursuant to Settlement Agreementfor $2.5 million dated September 26, 2017, effective October 4, 2017February 15, 2018 by and between Regional Health Properties Inc.,among Pinecone Realty Partners Il, LLC, and William McBride, IIIFiled herewith
Lease Agreement, dated March 22, 2017, by and between MeadowoodCP Property Holdings, LLC and CRM of Meadowood, LLCLLC.

Incorporated by reference to Exhibit 10.110.428 of the Registrant’s QuarterlyAnnual Report on Form 10-Q10-K for the quarteryear ended MarchDecember 31, 2017

10.6

Promissory Note for $2.0 million dated February 15, 2018 by and among Pinecone Realty Partners Il, LLC, and Northwest Property Holdings, LLC.

Incorporated by reference to Exhibit 10.429 of the Registrant’s Annual Report on Form 10-K for the year ended December 31, 2017

10.7

2nd Amendment to Promissory Note,Master Lease dated April 7, 2017, issuedMarch, 30 2018 by and among ADK Georgia, LLC, OS Tybee, LLC, SB Tybee, LLC, and JV Jeffersonville, LLC, in favor of AdCare Health Systems, Inc.


LLC.

Incorporated by reference to Exhibit 10.210.430 of the Registrant’s QuarterlyAnnual Report on Form 10-Q10-K for the quarteryear ended MarchDecember 31, 2017

10.8

Loan

Settlement Agreement dated May 1, 2017,March 9th, 2018 by and between Meadowood Property Holdings, LLCPrior Insurer and the Exchange Bank of Alabama in the original amount of $4.1 million

Incorporated by reference to Exhibit 10.3 of the Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2017
Guaranty Agreement, dated April 6, 2017, executed by AdCare Health Systems, Inc., in favor of Congressional Bank, ; Regional Health Properties, Inc.; AdCare Administrative Services, LLC; Woodland Hills HC Nursing, LLC; Woodland Hills HC Property Holdings, LLC; AdCare Operations, LLC; APH&R Nursing LLC d/b/a Maryland chartered commercial bank
Cumberland Health and Rehabilitation Center; APH&R Property Holdings, LLC; Little Rock HC&R Nursing LLC d/b/a West Markham Sub Acute and Rehabilitation Center; Little Rock HC&R Property Holdings, LLC; Northridge HC&R Nursing, LLC d/b/a Northridge Healthcare and Rehabilitation; Northridge HC&R Property Holdings, LLC; Coosa Nursing ADK, LLC

Incorporated by reference to Exhibit 10.4 of the Registrant’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2017

Filed herewith

10.9

At Market Issuance Sales Agreement, dated May 26, 2017, between AdCare Health Systems, Inc. and JMP Securities LLC.

Incorporated by reference to Exhibit 1.1 of the Registrant's Current Report on Form 8-K filed on May 26, 2017
Third Amendment to Loan Agreement Issued September 27, 2013,Promissory Note dated August 10, 2017,April 30, 2018 by and between QC Property Holdings, LLC, a Georgia limited liability company and the Congressional Bank, a Maryland chartered commercial bank
Bank.

Incorporated by reference to Exhibit 10.6 of the Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2017

Filed herewith

10.10

Amendment to Loan

Forbearance Agreement Issued December 31, 2012, dated July 31, 2017, by and betweenMay 18, 2018 among CP Property Holdings, LLC, Northwest Property Holdings, LLC and the First Commercial Bank

Incorporated by reference to Exhibit 10.7Attalla Nursing ADK, LLC as Borrowers, Hearth & Home of the Registrant’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2017
Settlement Agreement, Mutual ReleaseOhio, Inc., as Guarantor, AdCare Property Holdings, LLC, as Guarantor and Form of Unsecured Promissory Note, dated September 26, 2017 by and between AdCare Health Systems Inc., and William McBride, IIIFiled herewith
Joinder and First Amendment to Guarantee Issued September 27, 2013, dated September 28, 2017, by and among AdCare Health Systems Inc.,Borrower, Regional Health Properties, Inc., as Guarantor, and Congressional Bank.Pinecone Reality Partners II, LLC as Lender

Filed herewith

10.11

Joinder and First Amendment to

Guarantee IssuedAgreement dated May 1, 2017, dated September 29, 2017,18, 2018 by and among AdCare Health Systems Inc., Regional Health Properties Inc., and Exchange BankOperations, LLC, a Georgia limited liability company for the benefit of AlabamaPinecone Reality Partners, II, LLC

Filed herewith

10.12

Affirmation and Assumption

Pledge Agreement dated May 18, 2018 by AdCare Operations, LLC, a Georgia limited liability company for the benefit of Loan Documents, Limited Guarantees and Security Agreements Issued September 29, 2017, by and Between Regional Health Properties, Inc., and Red Mortgage Capital,Pinecone Reality Partners, II, LLC

Filed herewith


Exhibit No.

Description

Method of Filing

31.1

Consent to Merger Issued October 2, 2017, pursuant to Third Amendment and Restated Multiple Facilities Lease dated October 29, 2010, as amended by the First Amendment and Restated Multiple Facilities Lease dated June 14, 2013, and a Second Amendment to Third Amended and Restated Facilities Lease dated September 1, 2015 (as amended, the :Mater Lease”); by and between Bonterra/Parkview, Inc., a Maryland corporation and ADK Bonterra/Parkview, LLC

Filed herewith
Certification of CEO pursuant to Section 302 of the Sarbanes-Oxley Act

Filed herewith

31.2

Certification of CFO pursuant to Section 302 of the Sarbanes-Oxley Act

Filed herewith

32.1

Certification of CEO pursuant to Section 906 of the Sarbanes-Oxley Act

Filed herewith

32.2

Certification of CFO pursuant to Section 906 of the Sarbanes-Oxley Act

Filed herewith

101

101

The following financial information from the Registrant’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2017,March 31, 2018, formatted in XBRL (eXtensible Business Reporting Language): (i)  Consolidated Balance Sheets as of September 30, 2017March 31, 2018 (unaudited) and December 31, 2016;2017; (ii) Consolidated Statements of Operations for the three and nine months ended September 30,March 31, 2018 and 2017 and 2016 (unaudited); (iii) Consolidated Statements of Stockholders’ DeficitEquity (Deficit) for the ninethree months ended September 30, 2017March 31, 2018 (unaudited); (iv) Consolidated Statements of Cash Flows for the ninethree months ended September 30,March 31, 2018 and 2017 and 2016 (unaudited); and (v) the Notes to Consolidated Financial Statements (unaudited).

Filed herewith


*

*

Identifies a management contract or compensatory plan or arrangement



SIGNATURES

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

REGIONAL HEALTH PROPERTIES, INC.

(Registrant)

Date:

November 14, 2017

May 21, 2018

/s/ Brent  Morrison

Brent Morrison

Interim Chief Executive Officer and Director (Principal Executive Officer)

Date:

November 14, 2017

May 21, 2018

/s/ E. Clinton Cain

E. Clinton Cain

Interim Chief Financial Officer, Senior Vice President and Chief Accounting Officer and Controller (Principal Financial and Accounting Officer)


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