Table of Contents

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

FORM 10-Q

(Mark One)

x

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

For the quarterly period ended September 30, 2017 

For the quarterly period ended September 30, 2021

¨

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

Commission File Number 000-52566

SUMMIT HEALTHCARE REIT, INC. AND SUBSIDIARIES

(Exact name of registrant as specified in its charter)

MARYLAND
73-1721791

MARYLAND

73-1721791

(State or other jurisdiction of

(I.R.S. Employer

incorporation or organization)

Identification No.)

2 SOUTH POINTE DRIVE, SUITE 100,

LAKE FOREST, CA

92630

(Address of principal executive offices)

(Zip Code)

800-978-8136800-978-8136

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Ticker symbol(s)

Name of each exchange on which registered

N/A

N/A

N/A

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. x Yes  ¨ No

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (Sec.232.405(Sec. 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). x Yes  ¨ No

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

Large accelerated filer

¨

Accelerated filer

¨

Non-accelerated filer

¨   (Do not check if a smaller reporting company)

Smaller reporting company

x

Emerging growth company

¨

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.¨

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

As of November 7, 2017,6, 2021, we had 23,027,978 shares of common stock of Summit Healthcare REIT, Inc. outstanding.

FORM 10-Q

SUMMIT HEALTHCARE REIT, INC. AND SUBSIDIARIES

TABLE OF CONTENTS

PART I.
FINANCIAL INFORMATION

Item 1.PART I.

Financial Statements:FINANCIAL INFORMATION

3

Item 1.

Financial Statements:

3

Condensed Consolidated Balance Sheets (unaudited)

3

Condensed Consolidated Statements of Operations (unaudited)

4

Condensed Consolidated StatementStatements of Equity (unaudited)

5

Condensed Consolidated Statements of Cash Flows (unaudited)

6

Notes to Condensed Consolidated Financial Statements (unaudited)

7

Item 2.

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

23

22

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

33

34

Item 4.

Controls and Procedures

33

34

PART II.

OTHER INFORMATION

Item 1.

Legal Proceedings

33

35

Item 1A.

Risk Factors

34

35

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

34

35

Item 3.

Defaults Upon Senior Securities

34

35

Item 4.

Mine Safety Disclosures

34

35

Item 5.

Other Information

34

35

Item 6.

Exhibits

35

36

SIGNATURES

36

37

EX-31.1

EX-31.2

EX-32

Page 2 of 36

Page 2

PART I — FINANCIAL INFORMATION

Item 1. Financial Statements.

SUMMIT HEALTHCARE REIT, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited)

  September 30,
2017
  December 31,
2016
 
       
ASSETS        
Cash and cash equivalents $4,235,000  $10,757,000 
Restricted cash  3,575,000   3,806,000 
Real estate properties, net  70,111,000   58,739,000 
Notes receivable  4,777,000   4,801,000 
Deferred costs and deposits  500,000   240,000 
Tenant and other receivables, net  4,315,000   4,262,000 
Deferred leasing commissions, net  1,308,000   1,413,000 
Other assets, net  250,000   290,000 
Equity-method investments  8,369,000   5,095,000 
Total assets $97,440,000  $89,403,000 
         
LIABILITIES AND EQUITY        
         
Accounts payable and accrued liabilities $3,438,000  $2,979,000 
Accrued salaries and benefits  210,000   256,000 
Security deposits  1,208,000   1,208,000 
Loans payable, net of debt issuance costs  61,002,000   51,717,000 
Total liabilities  65,858,000   56,160,000 
         
Commitments and contingencies        
         
Stockholders’ Equity        
Preferred stock, $0.001 par value; 10,000,000 shares authorized; no shares issued or outstanding at September 30, 2017 and December 31, 2016      
Common stock, $0.001 par value; 290,000,000 shares authorized; 23,027,978 shares issued and outstanding at September 30, 2017 and December 31, 2016  23,000   23,000 
Additional paid-in capital  117,326,000   117,243,000 
Accumulated deficit  (86,468,000)  (84,767,000)
Total stockholders’ equity  30,881,000   32,499,000 
Noncontrolling interest  701,000   744,000 
Total equity  31,582,000   33,243,000 
Total liabilities and equity $97,440,000  $89,403,000 

September 30, 

December 31, 

    

2021

    

2020

ASSETS

  

  

Cash and cash equivalents

$

17,000,000

$

14,658,000

Restricted cash

 

2,999,000

 

2,933,000

Real estate properties, net

 

62,835,000

 

44,921,000

Notes receivable

 

65,000

 

262,000

Tenant and other receivables, net

 

3,622,000

 

4,677,000

Deferred leasing commissions, net

 

484,000

 

536,000

Other assets, net

 

1,512,000

 

1,203,000

Equity-method investments

 

7,597,000

 

11,375,000

Total assets

$

96,114,000

$

80,565,000

LIABILITIES AND EQUITY

 

 

  

Accounts payable and accrued liabilities

$

2,898,000

$

2,530,000

Security deposits

 

1,182,000

 

664,000

Loans payable, net of debt issuance costs

 

59,329,000

 

45,274,000

Total liabilities

 

63,409,000

 

48,468,000

Commitments and contingencies

 

 

  

Stockholders’ Equity

 

 

  

Preferred stock, $0.001 par value; 10,000,000 shares authorized; 0 shares issued or outstanding at September 30, 2021 and December 31, 2020

 

0

 

0

Common stock, $0.001 par value; 290,000,000 shares authorized; 23,027,978 shares issued and outstanding at September 30, 2021 and December 31, 2020

 

23,000

 

23,000

Additional paid-in capital

 

116,391,000

 

116,335,000

Accumulated deficit

 

(83,910,000)

 

(84,456,000)

Total stockholders’ equity

 

32,504,000

 

31,902,000

Noncontrolling interests

 

201,000

 

195,000

Total equity

 

32,705,000

 

32,097,000

Total liabilities and equity

$

96,114,000

$

80,565,000

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.

Page 3 of 36

Page 3

SUMMIT HEALTHCARE REIT, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited)

  Three Months Ended September 30,  Nine Months Ended September 30, 
  2017  2016  2017  2016 
Revenues:            
Rental revenues $1,644,000  $1,639,000  $4,488,000  $5,183,000 
Resident services and fee income, net  2,413,000   2,017,000   6,829,000   6,162,000 
Tenant reimbursements and other income  224,000   217,000   596,000   665,000 
Acquisition and asset management fees  293,000   206,000   594,000   338,000 
Interest income from notes receivable  44,000   44,000   132,000   119,000 
   4,618,000   4,123,000   12,639,000   12,467,000 
Expenses:                
Property operating costs  395,000   404,000   1,187,000   1,332,000 
Resident services costs  1,658,000   1,750,000   4,917,000   5,267,000 
General and administrative  1,688,000   1,411,000   4,004,000   3,524,000 
Depreciation and amortization  823,000   898,000   2,307,000   2,791,000 
   4,564,000   4,463,000   12,415,000   12,914,000 
Operating income (loss)  54,000   (340,000)  224,000   (447,000)
                 
Income from equity-method investees  73,000   68,000   251,000   167,000 
Other income  5,000   21,000   37,000   93,000 
Interest expense  (806,000)  (755,000)  (2,173,000)  (2,344,000)
Net loss  (674,000)  (1,006,000)  (1,661,000)  (2,531,000)
Noncontrolling interests’ share in net income  (15,000)  (19,000)  (40,000)  (53,000)
Net loss applicable to common stockholders $(689,000) $(1,025,000) $(1,701,000) $(2,584,000)
                 
Basic and diluted loss per common share:                
Net loss applicable to common stockholders $(0.03) $(0.04) $(0.07) $(0.11)
                 
Weighted average shares used to calculate basic and diluted net loss per common share  23,027,978   23,027,978   23,027,978   23,027,978 

Three Months Ended

 

Nine Months Ended

September 30, 

 

September 30, 

    

2021

    

2020

    

2021

    

2020

Revenues:

 

  

 

  

Total rental revenues

$

1,853,000

$

1,624,000

$

4,061,000

$

4,828,000

Acquisition and asset management fees

 

165,000

 

292,000

 

789,000

 

910,000

Interest income from notes receivable

 

7,000

 

7,000

 

20,000

 

21,000

Total operating revenue

 

2,025,000

 

1,923,000

 

4,870,000

 

5,759,000

Expenses:

 

 

 

 

Property operating costs

 

264,000

 

252,000

 

694,000

 

722,000

General and administrative

 

933,000

 

779,000

 

3,426,000

 

2,566,000

Depreciation and amortization

 

524,000

 

417,000

 

1,316,000

 

1,252,000

Total operating expenses

 

1,721,000

 

1,448,000

 

5,436,000

 

4,540,000

Operating income (loss)

 

304,000

 

475,000

 

(566,000)

 

1,219,000

Income (loss) from equity-method investees

 

191,000

 

179,000

 

(595,000)

 

346,000

Gain on sale of equity-method investment

0

0

3,515,000

0

Other income

 

5,000

 

5,000

 

17,000

 

53,000

Interest expense

 

(729,000)

 

(531,000)

 

(1,767,000)

 

(1,754,000)

Net (loss) income

 

(229,000)

 

128,000

 

604,000

 

(136,000)

Noncontrolling interests’ share in net (income) loss

 

(18,000)

 

(16,000)

 

(58,000)

 

(39,000)

Net (loss) income applicable to common stockholders

$

(247,000)

$

112,000

$

546,000

$

(175,000)

Earnings per common share:

 

  

 

  

 

  

 

  

Basic:

 

  

 

  

 

  

 

  

Net (loss) income applicable to common stockholders

$

(0.01)

$

0.00

$

0.02

$

(0.01)

Diluted:

 

 

 

 

Net (loss) income applicable to common stockholders

$

(0.01)

$

0.00

$

0.02

$

(0.01)

Weighted average shares used to calculate earnings per common share

 

 

 

 

  

Basic

 

23,027,978

 

23,027,978

 

23,027,978

 

23,027,978

Diluted

 

23,027,978

 

23,515,414

 

23,553,606

 

23,027,978

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.

Page 4 of 36

Page 4

SUMMIT HEALTHCARE REIT, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTSTATEMENTS OF EQUITY

For the Nine Months Ended September 30, 2017(Unaudited)

(Unaudited)

Common Stock

Common

Number

Stock

Additional

Total

of

Par

Paid-In

Accumulated

Stockholders’

Noncontrolling 

Total

    

Shares

    

Value

    

Capital

    

Deficit

    

Equity

    

Interests

    

Equity

Balance — January 1, 2021

 

23,027,978

$

23,000

$

116,335,000

$

(84,456,000)

$

31,902,000

$

195,000

$

32,097,000

Stock-based compensation

 

0

 

0

 

36,000

 

0

 

36,000

 

0

 

36,000

Distributions paid to noncontrolling interests

 

0

 

0

 

0

 

0

 

0

 

(16,000)

 

(16,000)

Net (loss) income

 

0

 

0

 

0

 

(1,758,000)

 

(1,758,000)

 

18,000

 

(1,740,000)

Balance — March 31, 2021

23,027,978

$

23,000

$

116,371,000

$

(86,214,000)

$

30,180,000

$

197,000

$

30,377,000

Stock-based compensation

0

0

11,000

0

11,000

0

11,000

Distributions paid to noncontrolling interests

0

0

0

0

0

(19,000)

(19,000)

Net income (loss)

0

0

0

2,551,000

2,551,000

22,000

2,573,000

Balance — June 30, 2021

23,027,978

$

23,000

$

116,382,000

$

(83,663,000)

$

32,742,000

$

200,000

$

32,942,000

Stock-based compensation

0

0

9,000

0

9,000

0

9,000

Distributions paid to noncontrolling interests

0

0

0

0

0

(17,000)

(17,000)

Net (loss) income

0

0

0

(247,000)

(247,000)

18,000

(229,000)

Balance — September 30, 2021

 

23,027,978

$

23,000

$

116,391,000

$

(83,910,000)

$

32,504,000

$

201,000

$

32,705,000

  Common Stock             
  Number
of
Shares
  Common
Stock
Par
Value
  Additional
Paid-In
Capital
  Accumulated
Deficit
  Total
Stockholders’
Equity
  Noncontrolling
Interests
  Total
Equity
 
Balance — January 1, 2017  23,027,978  $23,000  $117,243,000  $(84,767,000) $32,499,000  $744,000  $33,243,000 
Stock-based compensation        83,000      83,000      83,000 
Distributions paid to noncontrolling interests                 (83,000)  (83,000)
Net (loss) income           (1,701,000)  (1,701,000)  40,000   (1,661,000)
Balance — September 30, 2017  23,027,978  $23,000  $117,326,000  $(86,468,000) $30,881,000  $701,000  $31,582,000 

Common

Number

Stock

Additional

Total

of

Par

Paid-In

Accumulated

Stockholders’

Noncontrolling 

Total

    

Shares

    

Value

    

Capital

    

Deficit

    

Equity

    

Interests

    

Equity

Balance — January 1, 2020

 

23,027,978

$

23,000

$

116,184,000

$

(83,843,000)

$

32,364,000

$

200,000

$

32,564,000

Stock-based compensation

 

0

 

0

 

42,000

 

0

 

42,000

 

0

 

42,000

Distributions paid to noncontrolling interests

 

0

 

0

 

0

 

0

 

0

 

(12,000)

 

(12,000)

Net (loss) income

 

0

 

0

 

0

 

(213,000)

 

(213,000)

 

12,000

 

(201,000)

Balance — March 31, 2020

23,027,978

$

23,000

$

116,226,000

$

(84,056,000)

$

32,193,000

$

200,000

$

32,393,000

Stock-based compensation

0

0

38,000

0

38,000

0

38,000

Distributions paid to noncontrolling interests

0

0

0

0

0

(15,000)

(15,000)

Net (loss) income

0

0

0

(74,000)

(74,000)

11,000

(63,000)

Balance — June 30, 2020

23,027,978

$

23,000

$

116,264,000

$

(84,130,000)

$

32,157,000

$

196,000

$

32,353,000

Stock-based compensation

0

0

35,000

0

35,000

0

35,000

Distributions paid to noncontrolling interests

0

0

0

0

0

(17,000)

(17,000)

Net income

0

0

0

112,000

112,000

16,000

128,000

Balance — September 30, 2020

 

23,027,978

$

23,000

$

116,299,000

$

(84,018,000)

$

32,304,000

$

195,000

$

32,499,000

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.

Page 5 of 36

Page 5

SUMMIT HEALTHCARE REIT, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

  Nine months Ended September 30, 
  2017  2016 
Cash flows from operating activities:        
Net loss $(1,661,000) $(2,531,000)
Adjustments to reconcile net loss to net cash and cash equivalents provided by operating activities:        
Amortization of debt issuance costs  136,000   103,000 
Depreciation and amortization  2,307,000   2,791,000 
Straight-line rents  (337,000)  (466,000)
Bad debt expense  148,000   32,000 
Stock-based compensation expense  83,000   22,000 
    Income from equity-method investees  (251,000)  (167,000)
Change in operating assets and liabilities:        
Restricted cash related to current activities  116,000   (87,000)
Tenant and other receivables, net  398,000   269,000 
Other assets  62,000   203,000 
Accounts payable and accrued liabilities  235,000   525,000 
Accrued salaries and benefits  (46,000)  (198,000)
Net cash and cash equivalents provided by operating activities  1,190,000   496,000 
         
Cash flows from investing activities:        
Restricted cash  340,000   293,000 
Deferred costs and deposits  (482,000)  (345,000)
Real estate acquisitions  (13,452,000)   
Real estate improvements  (122,000)  (144,000)
Proceeds from contribution of properties, net of cash and restricted cash contributed     2,814,000 
Investment in equity-method investees  (3,694,000)  (1,845,000)
Distributions received from equity-method investees  608,000   173,000 
Payments from notes receivable  24,000   24,000 
Net cash and cash equivalents (used in) provided by investing activities  (16,778,000)  970,000 
         
Cash flows from financing activities:        
Proceeds from issuance of loans payable  10,050,000    
Payments of loans payable  (729,000)  (710,000)
Distributions paid to noncontrolling interests  (83,000)  (41,000)
Deferred financing costs  (172,000)  (29,000)
Net cash and cash equivalents provided by (used in) financing activities  9,066,000   (780,000)
Net (decrease) increase in cash and cash equivalents  (6,522,000)  686,000 
Cash and cash equivalents – beginning of period  10,757,000   6,603,000 
Cash and cash equivalents – end of period $4,235,000  $7,289,000 
         
Supplemental disclosure of cash flow information:        
Cash paid for interest $1,800,000  $2,214,000 

Nine months ended September 30,

    

2021

    

2020

Cash flows from operating activities:

  

  

Net income (loss)

$

604,000

$

(136,000)

Adjustments to reconcile net income (loss) to net cash provided by operating activities:

 

 

Amortization of debt issuance costs

 

72,000

 

72,000

Depreciation and amortization

 

1,316,000

 

1,252,000

Amortization of above/below market lease intangible

16,000

0

Straight-line rents

 

435,000

 

(178,000)

Write-off of debt issuance costs

 

0

77,000

Stock-based compensation expense

 

56,000

 

115,000

Gain on sale of equity-method investment

 

(3,515,000)

0

Loss (income) from equity-method investees

 

595,000

 

(346,000)

Change in operating assets and liabilities:

 

 

Tenant and other receivables, net

 

634,000

 

591,000

Other assets

 

561,000

 

102,000

Accounts payable and accrued liabilities

 

436,000

 

162,000

Security deposits

594,000

0

Net cash provided by operating activities

 

1,804,000

 

1,711,000

Cash flows from investing activities:

 

 

Real estate acquisitions

 

(20,133,000)

 

0

Investment in equity-method investees

 

(140,000)

 

0

Proceeds from sale of equity-method investment

5,411,000

0

Distributions received from equity-method investees

 

1,339,000

 

866,000

Payments from notes receivable

 

196,000

 

250,000

Net cash (used in) provided by investing activities

 

(13,327,000)

 

1,116,000

Cash flows from financing activities:

 

 

Proceeds from issuance of loans payable

 

15,000,000

11,863,000

Payments of loans payable

 

(789,000)

 

(11,415,000)

Distributions paid to noncontrolling interests

 

(52,000)

 

(44,000)

Deferred financing costs

(228,000)

(656,000)

Net cash provided by (used in) financing activities

 

13,931,000

 

(252,000)

Net increase in cash, cash equivalents and restricted cash

 

2,408,000

 

2,575,000

Cash, cash equivalents and restricted cash – beginning of period

 

17,591,000

 

16,077,000

Cash, cash equivalents and restricted cash – end of period

$

19,999,000

$

18,652,000

Supplemental disclosure of cash flow information:

 

 

Cash paid for interest

$

1,382,000

$

1,391,000

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.

Page 6 of 36

Page 6

SUMMIT HEALTHCARE REIT, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

SEPTEMBER 30, 20172021

(Unaudited)

1. Organization

Summit Healthcare REIT, Inc. (“Summit”) is a real estate investment trust that owns 100% of six properties, 95.3% of four properties, 95% of one property, a 10% equity interest in an unconsolidated equity-method investment that holds 17 properties, a 35% equity interest in an unconsolidated equity-method investment that holds 2 properties, a 20% equity interest in twoan unconsolidated equity-method investmentsinvestment that each hold twoholds 2 properties, a 10% equity interest in an unconsolidated equity-method investment that holds 9 properties, and a 10% equity interest in an unconsolidated equity-method investment that holds ninesix properties. In June 2021, we sold our 15% equity interest in an unconsolidated equity-method investment that held 14 properties. Summit is a Maryland corporation, formed in 2004 under the General Corporation Law of Maryland for the purpose of investing in and owning real estate. As used in these notes, the “Company”, “we”, “us” and “our” refer to Summit and its consolidated subsidiaries, including but not limited to Summit Healthcare Operating Partnership, L.P. (the “Operating Partnership”), except where the context otherwise requires.

We conduct substantially all of our operations through Summit Healthcarethe Operating Partnership, L.P. (the “Operating Partnership”), which is a Delaware limited partnership. As of September 30, 2017, weWe own a 99.88% general partner interest in the Operating Partnership, and Cornerstone Realty Advisors, LLC (“CRA”), a former affiliate, owns a 0.12% limited partnership interest. Our financial statements

Summit and the financial statementsOperating Partnership are managed and operated as one entity, and Summit has no significant assets other than its investment in the Operating Partnership. Summit, as the general partner of the Operating Partnership, controls the Operating Partnership and consolidates the assets, liabilities, and results of operations of the Operating Partnership. Therefore, the assets and liabilities of Summit and the Operating Partnership are consolidated in the accompanying condensed consolidated financial statements.same.

Cornerstone Healthcare Partners LLC

 – Consolidated Joint Venture

We own 95% of Cornerstone Healthcare Partners LLC (“CHP LLC”), which was formed in 2012, and the remaining 5% non-controllingnoncontrolling interest is owned by Cornerstone Healthcare Real Estate Fund, Inc. (“CHREF”), an affiliate of CRA. CHP LLC is consolidated withwithin our condensed consolidated financial statements and owns fivefour properties (the “JV Properties”).

with another partially owned subsidiary. As of September 30, 2017,2021 and December 31, 2020, we own a 95.3%interest in the four of the JV Properties, and CHREF owns a 4.7% interest. We continue to own a 95% interest in the fifth JV Property, and CHREF owns a 5% interest.

Summit Union Life Holdings, LLC – Equity-Method Investment

OnIn April 29, 2015, through our Operating Partnership, we entered into a limited liability company agreement (as amended, the “SUL LLC Agreement”) with Best Years, LLC (“Best Years”), an unrelated entity and a U.S.-based affiliate of Union Life Insurance Co, Ltd. (a Chinese corporation), and formed Summit Union Life Holdings, LLC (the “SUL JV”). The SUL JV is not consolidated in our condensed consolidated financial statements and is accounted for under the equity-method in our condensed consolidated financial statements (see Note 5).equity-method. As of September 30, 20172021 and December 31, 2016,2020, we have a 10%interest in the SUL JV. As of September 30, 2017 and December 31, 2016, the SUL JV ownedwhich owns 17 properties.

Summit Fantasia Holdings, LLC – Equity-Method Investment

OnIn September 27, 2016, through our Operating Partnership, we entered into a limited liability company agreement (the “Fantasia LLC Agreement”) with Fantasia Investment III LLC (“Fantasia”), an unrelated entity and a U.S.-based affiliate of Fantasia Holdings Group Co., Limited (a Chinese corporation listed on the Stock Exchange of Hong Kong (HKEX)), and formed Summit Fantasia Holdings, LLC (the “Fantasia JV”). The Fantasia JV is not consolidated in our condensed consolidated financial statements and is accounted for under the equity-method in our condensed consolidated financial statements.equity-method. As of September 30, 20172021 and December 31, 2016,2020, we have a 20% 35%interest in the Fantasia JV. AsJV which owns 2 properties.

Page 7

Table of September 30, 2017 and December 31, 2016, the Fantasia JV owned two properties.Contents

Page 7 of 36

Summit Fantasia Holdings II, LLC – Equity-Method Investment

OnIn December 23, 2016, through our Operating Partnership, we entered into a limited liability company agreement (the “Fantasia II LLC Agreement”) with Fantasia, and formed Summit Fantasia Holdings II, LLC (the “Fantasia II JV”). The Fantasia II JV is not consolidated in our condensed consolidated financial statements and is accounted for under the equity-method in our condensed consolidated financial statements.equity-method. As of September 30, 20172021 and December 31, 2016,2020, we have a 20%interest in the Fantasia II JV. As of September 30, 2017, the Fantasia II JV owned twowhich owns 2 properties.

Summit Fantasia Holdings III, LLCLLC– Equity-Method Investment

OnIn July 27, 2017, through our Operating Partnership, we entered into a limited liability company agreement (“Fantasia III LLC Agreement”) with Fantasia and formed Summit Fantasia Holdings III, LLC (the “Fantasia III JV”). The Fantasia III JV is not consolidated in our condensed consolidated financial statements and is accounted for under the equity-method in the Company’s condensed consolidated financial statements.equity-method. As of September 30, 2017,2021 and December 31, 2020, we have a 10%interest in the Fantasia III JV. As of September 30, 2017, the Fantasia III JV owned ninewhich owns 9 properties.

Summit Fantasy Pearl Holdings, LLCLLC– Equity-Method Investment

OnIn October 2, 2017, through our Operating Partnership, we entered into a limited liability company agreement (“FPH LLC Agreement”) with Fantasia, Atlantis Senior Living 9, LLC, a Delaware limited liability company (“Atlantis”), and Fantasy Pearl LLC, a Delaware limited liability company (“Fantasy”), and formed Summit Fantasy Pearl Holdings, LLC (the “FPH JV”). The FPH JV is not consolidated in our condensed consolidated financial statements and will beis accounted for under the equity-methodequity-method. As of September 30, 2021 and December 31, 2020, we have a 10%interest in the Company’sFPH JV which owns 6 properties.

Indiana JV– Equity-Method Investment

In June 2021, we sold our 15% interest in the Indiana JV for approximately $5.4 million. See Note 5 for further information.

The Indiana JV was not consolidated in our condensed consolidated financial statements. See Note 13 – Subsequent Eventstatements and was accounted for further information.under the equity-method. As of September 30, 2021 and December 31, 2020, we had a 0% and 15% interest in the Indiana JV, respectively, which owned 14 properties.

Summit Healthcare Asset Management, LLC (TRS)

Summit Healthcare Asset Management, LLC (“SAM TRS”) is our wholly-owned taxable REIT subsidiary (“TRS”). We serve as the manager of the SUL JV, Fantasia JV, Fantasia II JV, Fantasia III JV, and FPH JV, and as the former operating member of the Indiana JV through June 11, 2021 (collectively, our “Equity-Method Investments”), and provide management services in exchange for fees and reimbursements. All acquisition fees and asset management fees earned by us are paid to SAM TRS and expenses incurred by us, as the manager, are reimbursed from SAM TRS. See Notes 5 and 7 for further information.

Friendswood TRS

Friendswood TRS (“Friendswood TRS”) is our wholly-owned TRS and the licensed operator and tenant of Friendship Haven Healthcare and Rehabilitation Center (“Friendship Haven”) (see Note 3).

2. Summary of Significant Accounting Policies

For more information regarding our significant accounting policies and estimates, please refer to “Summary of Significant Accounting Policies” contained in the consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 20162020 filed with the Securities and Exchange Commission (“SEC”) on March 29, 2017.2021. There have been no material changes to our policies since that filing.

filing except as noted under Recently Adopted Accounting Pronouncements.

The accompanying condensed consolidated balance sheet at December 31, 20162020 has been derived from the audited consolidated financial statements at that date. We assume that users of these condensed consolidated financial statements have read or have access to the audited December 31, 20162020 consolidated financial statements and Management’s Discussion and Analysis of Financial Condition and Results of Operations contained in our Annual Report on Form 10-K for the year ended December 31, 20162020 filed with the SEC on March 29, 20172021 and that the adequacy of additional disclosure needed for a fair presentation, except in regard to material contingencies, may be determined in that context. Accordingly, footnotes and other disclosures which would substantially duplicate those contained in our most recent Annual Report on Form 10-K for the year ended December 31, 20162020 have been omitted in this report.

Page 8 of 36

Page 8

Principles of Consolidation and Basis of Presentation

The accompanying condensed consolidated financial statements include the accounts of the Company, its wholly-owned subsidiaries, the Operating Partnership and CHP LLC (of which the Company owns 95%its consolidated companies and are prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”). All intercompany accounts and transactions have been eliminated in consolidation.

The accompanying financial information reflects all adjustments, which are, in the opinion of management, of a normal recurring nature and necessary for a fair presentation of our financial position, results of operations and cash flows for the interim periods. Interim results of operations are not necessarily indicative of the results to be expected for the full year. Operating results for the three and nine months ended September 30, 20172021 are not necessarily indicative of the results that may be expected for the year ending December 31, 2017.  2021.

Recently Issued Accounting Pronouncements

Restricted Cash

The Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2017-13. This ASU adds, amends, and supersedes SEC paragraphs of the Accounting Standards Codification (ASC) related to the adoption and transition provisions of ASU No. 2014-09, Revenue From Contracts with Customers and ASU 2016-02, Leases, for public business entities. The ASU is titled ASU No. 2017-13, Revenue Recognition (Topic 605), Revenue from Contracts with Customers (Topic 606), Leases (Topic 840), and Leases (Topic 842): Amendments to SEC Paragraphs Pursuant to the Staff Announcement at the July 20, 2017 EITF Meeting and Rescission of Prior SEC Staff Announcements and Observer Comments.

ASU 2017-13 codifies portions of an SEC Staff Announcement made at the July 20, 2017 Emerging Issues Task Force (EITF) meeting essentially delaying the effective date of the revenue recognition and leases standards forfollowing table provides a subset of public entities. The SEC Observer made the following SEC Staff Announcement, “Transition Related to Accounting Standards Updates No. 2014-09 and 2016-02,” at the July 20, 2017 EITF meeting:

The SEC staff would not object to a public business entity that otherwise would not meet the definition of a public business entity, except for a requirement to include or the inclusion of its financial statements or financial information in another entity’s filing with the SEC, adopting: (1) ASC Topic 606, Revenue from Contracts with Customers for annual reporting periods beginning after December 15, 2018, and interim reporting periods within annual reporting periods beginning after December 15, 2019, and (2) ASC Topic 842, Leases for fiscal years beginning after December 15, 2019, and interim periods within fiscal years beginning after December 15, 2020.

A public business entity that otherwise would not meet the definition of a public business entity except for a requirement to include or the inclusion of its financial statements or financial information in another entity’s filing with the SEC may still elect to adopt ASC Topic 606 and ASC Topic 842 according to the public business entity effective dates.

This announcement is applicable only to public business entities that otherwise would not meet the definition of a public business entity except for a requirement to include or the inclusion of its financial statements or financial information in another entity’s filing with the SEC. This announcement is not applicable to other public business entities. As we include our significant tenant’s financials as an exhibit to our Form 10-K report, we will adopt this ASU as it relates to those financial statements.

In November 2016, FASB issued ASU No. 2016-18, Statement of Cash Flows (Topic 230): Restricted Cash. The amendments apply to all entities that have restricted cash or restricted cash equivalents and are required to present a statement of cash flows. The amendments address diversity in practice that exists in the classification and presentation of changes in restricted cash on the statement of cash flows.

The amendments require that a statement of cash flows explain the change during the period in the totalreconciliation of cash, cash equivalents, and amounts generally described as restricted cash or restricted cash equivalents. As a result, amounts generally described as restricted cash and restricted cash equivalents should be included with cash and cash equivalents when reconcilingreported within the beginning-of-period and end-of-periodcondensed consolidated balance sheets that sum to the total of the same such amounts shown on the statement of cash flows. The amendments do not provide a definition of restricted cash or restricted cash equivalents.

Page 9 of 36

The amendments are effective for public business entities for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years. Early adoption is permitted. The amendments should be applied using a retrospective transition method to each period presented. We are currently evaluating the impact this guidance will have on our condensed consolidated financial statements; however, once adopted, restricted cash will be presented with cash and cash equivalents in our condensed consolidated statements of cash flows and, at September 30, 2017, that amount was approximately $3.6 million.flows.

September 30, 

December 31, 

    

2021

    

2020

Cash and cash equivalents

$

17,000,000

$

14,658,000

Restricted cash

 

2,999,000

 

2,933,000

Total cash, cash equivalents, and restricted cash shown on the condensed consolidated statements of cash flows

$

19,999,000

$

17,591,000

Recently Adopted Accounting Pronouncements

In February 2016,January 2020, the FASBFinancial Accounting Standards Board issued ASU No. 2016-02,Leases.Accounting Standard Update (“ASU”) 2020-01 to clarify the interaction among the accounting standards for equity securities, equity method investments and certain derivatives. The new standard requiresASU clarifies that a lessorcompany should consider observable transactions that require a company to classify leases as either sales-type, financeapply or operating. A lease will be treated as a sale if it transfers alldiscontinue the equity method of accounting under Topic 323, Investments—Equity Method and Joint Ventures, for the risks and rewards, as well as controlpurposes of applying the underlying asset, tomeasurement alternative in accordance with Topic 321 immediately before applying or upon discontinuing the lessee. If risks and rewardsequity method. For public business entities, the amendments in this ASU are conveyed without the transfer of control, the lease is treated as a financing lease. If the lessor does not convey risks and rewards or control, an operating lease results. The new standard is effective for fiscal years beginning after December 15, 2018, including2020, and interim periods within those fiscal years. A modified retrospective transition approach is required for lessors for sales-type, direct financing, and operating leases existing at, or entered into after, the beginningThe adoption of the earliest comparative period presentednew standard on January 1, 2021 did not have a material effect on the Company’s financial position, results of operations, or cash flows.

Coronavirus (COVID-19)

Since it was first reported in December 2019, COVID-19 has spread globally. The outbreak has led governments and other authorities around the world, including federal, state and local authorities in the United States, to impose measures intended to control its spread, including restrictions on freedom of movement and business operations such as travel bans, border closings, business closures, quarantines and shelter-in-place orders. The COVID-19 pandemic and measures to prevent its spread negatively impacted senior housing and skilled nursing facilities in a number of ways, including but not limited to:

Decreased occupancy and increased operating costs for the Company’s tenants and borrowers, which may adversely impact their ability to make full and timely rental and debt payments to the Company. The Company may have to restructure tenants’ long-term rent obligations in the future and may not be able to do so on terms that are as favorable to the Company as those currently in place. Reduced or modified rental and debt amounts could result in the determination that the full amounts of the Company’s real estate properties and notes receivable are not recoverable, which could result in an impairment charge.
Decreased occupancy and increased operating costs for the Company’s Equity-Method Investments that own senior housing and skilled nursing facilities, which may negatively impact the operating results of these investments. The Equity-Method Investments may have to restructure tenants’ long-term rent obligations and may not be able to do so on terms that are as favorable to the Equity-Method Investments as those currently in place. Prolonged deterioration in the operating results for these investments could result in the determination that the full amounts of the Company’s investments are not recoverable, which could result in an impairment charge.

Page 9

For the period ended September 30, 2021, two of our tenants experienced a material adverse effect on their operations related to COVID-19, and that has affected their ability to make their rent payments in 2021.  For one of the tenants, in October 2020, under a court order, a receiver assumed the responsibilities of operating and managing the Pennington Gardens facility in Chandler, Arizona. In October 2021, we reached an agreement with the tenant to terminate the lease, and we are currently negotiating with the U.S. Department of Housing and Urban Development (“HUD”) to approve the termination of the lease and approve the current receiver as the new operator/manager.  Once approved by HUD, the lease will be terminated and the operations of Pennington Gardens will be consolidated in our financial statements,statements. Beginning in March 2021, we recorded rent payments on a cash basis and wrote off the remaining straight-line rent receivable of $0.4 million. For the other tenant that is managing the Sundial Assisted Living facility, in October 2021, we reached an agreement with certain practical expedients available. We continuethe tenant to evaluateterminate the lease, and we are currently negotiating with HUD to approve the termination of the lease and install a new operator/manager. Once approved by HUD, the lease will be terminated and the operations of Sundial Assisted Living will be consolidated in our financial statements. Beginning in June 2021, we recorded rent payments on a cash basis and in May 2021, wrote off the remaining straight-line rent receivable of $0.1 million.

Additionally, some of our Equity-Method Investment tenants have experienced decreased occupancy and increased operating costs related to COVID-19, however; there have been no rent concessions for such tenants during 2021.

It is impossible to predict the continuing effect and ultimate impact of the COVID-19 pandemic on our adoptionoperations and results as the situation is continuing to evolve. Many of our consolidated and Equity Method Investments facilities have administered the vaccine to residents and employees. It is too early to assess the total effect of the vaccinations on the industry, but it is believed they will help save the lives of those who are most at risk, as well as lessen the operational and financial burden on our facilities and their employees. The rapid development and fluidity of this new standard in 2019 and we estimate the effect on our condensed consolidated financial statements could be approximately $0.3 million,situation precludes any prediction as we have an operating lease that will be added to the assets and liabilities of our condensed consolidated balance sheet. As generally accepted accounting principles for lessors remains mostly unchanged, we do not expect it to have anultimate material adverse impact on the demand for senior housing and skilled nursing and presents material uncertainty and risk with respect to our leases from our tenants.business, operations, financial condition and liquidity, including recording impairments, lease modifications and credit losses associated with notes receivable in future periods.

CARES Act

The FASB has issued ASU No. 2015-14,Revenue from Contracts with Customers (Topic 606): DeferralDuring 2020, the Coronavirus Aid, Relief, and Economic Security (CARES) Act was enacted to provide economic stimulus and assistance to business owners to help maintain on-going operations in the form of the Effective Date. In May 2014, the FASB issued ASU No. 2014-09,Revenue from Contracts with Customers (Topic 606). The amendments in ASU 2015-14 defer the effective date of ASU 2014-09 for all entities by one year. Public business entities should apply the guidance in ASU 2014-09 to annual reporting periods beginning after December 15, 2017, including interim reporting periods within that reporting period. Earlier application is permitted only as of annual reporting periods beginning after December 15, 2016, including interim reporting periods within that reporting period.

grants, forgivable loans and other relief. We did not obtain a paycheck protection program loan. We have evaluated the impactCARES Act and determined that our adoption of this new revenue recognition standard in the first quarter of 2018 will have on our rental revenues and we do not expect this to have a significantthere was no impact on our condensed consolidated financial statements as our rental revenue relates to triple net leases and related tenant reimbursements, which are excluded from this standard.  Non-lease componentsthe Company for the nine-month period ended September 30, 2021 or the year ended December 31, 2020. We will be evaluated under this standard upon adoption of ASU No. 2016-02.  Additionally, we continue to evaluate and monitor the CARES Act, and any new COVID-19-related legislation to determine the ultimate impact this standard may have on our interest income revenue and acquisition and asset management fees, which have historically been less than five percent of our total revenue.

We continue to evaluate the impact the adoption of this ASU will have on our resident services and fee income. Approximately 80% of this revenue is related to Medicare and Medicaid, for which the recorded revenue is already reducedbenefits, if any, to the net expected amounts we will be entitled to receive from these parties. Additional estimations using a portfolio approach may be required for certain insurance payors and private payments.Company.

The Company has elected the modified retrospective transition method. Upon adoption of this ASU in 2018, the Company anticipates that additional disclosures will be necessary to separately disclose the components of our total revenue. The Company expects to complete its evaluation of this ASU during the fourth quarter of 2017.

3. Investments in Real Estate Properties

As of September 30, 20172021 and December 31, 2016,2020, our investments in our 11 real estate properties which includeincluding those acquired throughheld by our consolidated subsidiaries (excluding the 36 and CHP, LLC, but excluding the 3050 properties, respectively, owned by our unconsolidated Equity-Method Investments, were as follows:Investments) are set forth below:

Page 10 of 36

September 30, 

December 31, 

    

2021

    

2020

Land

$

8,530,000

$

6,237,000

Buildings and improvements

 

64,203,000

 

48,295,000

Less: accumulated depreciation

 

(10,959,000)

 

(9,853,000)

Buildings and improvements, net

 

53,244,000

 

38,442,000

Furniture and fixtures

 

4,678,000

 

4,230,000

Less: accumulated depreciation

 

(4,134,000)

 

(3,988,000)

Furniture and fixtures, net

 

544,000

 

242,000

Intangible lease assets

526,000

Less: accumulated amortization

(9,000)

Intangible lease assets, net

517,000

Real estate properties, net

$

62,835,000

$

44,921,000

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Table of Contents

  

September 30,

2017

  

December 31,

2016

 
Land $7,318,000  $5,548,000 
Buildings and improvements  69,467,000   58,450,000 
Less: accumulated depreciation  (8,496,000)  (7,011,000)
Buildings and improvements, net  60,971,000   51,439,000 
Furniture and fixtures  6,943,000   6,165,000 
Less: accumulated depreciation  (5,121,000)  (4,413,000)
Furniture and fixtures, net  1,822,000   1,752,000 
Real estate properties, net $70,111,000  $58,739,000 

For the three months ended September 30, 20172021 and 2016,2020, depreciation and amortization expense (excluding leasing commission amortization) was approximately $0.8$0.5 million and $0.9$0.4 million, respectively. For the nine months ended September 30, 20172021 and 2016,2020, depreciation and amortization expense (excluding leasing commission amortization) was approximately $2.2$1.3 million and $2.7$1.2 million, respectively.

As of September 30, 2017,2021, our portfolio consisted of 1110 real estate properties which were 100% leased to the tenants of the related facilities.

The following table provides summary information regarding our portfolio (excluding the 3036 properties owned by our unconsolidated Equity-Method Investments) as of September 30, 2017:2021:

Property Location Date Purchased Type(2) Purchase 
Price
  

Loans 

Payable,
Excluding

Debt
Issuance
Costs

  Number of
Beds
 
               
Sheridan Care Center Sheridan, OR August 3, 2012 SNF $4,100,000  $4,813,000   51 
Fernhill Care Center Portland, OR August 3, 2012 SNF  4,500,000   4,222,000   63 

Friendship Haven Healthcare

and Rehabilitation Center(1)

 Galveston County, TX September 14, 2012 SNF  15,000,000   6,904,000   150 
Pacific Health and
Rehabilitation Center
 Tigard, OR December 24, 2012 SNF  8,140,000   7,038,000   73 
Danby House Winston-Salem, NC January 31, 2013 AL/MC  9,700,000   7,671,000   100 
Brookstone of Aledo Aledo, IL July 2, 2013 AL  8,625,000   7,244,000   66 
The Shelby House Shelby, NC October 4, 2013 AL  4,500,000   4,740,000   72 
The Hamlet House Hamlet, NC October 4, 2013 AL  6,500,000   4,005,000   60 
The Carteret House Newport, NC October 4, 2013 AL  4,300,000   3,379,000   64 
Sundial Assisted Living Redding, CA December 18, 2013 AL  3,500,000   2,800,000   65 
Pennington Gardens Chandler, AZ July 17, 2017 AL/MC  13,400,000   10,050,000   90 
Total:       $82,265,000  $62,866,000   854 

Loans

Payable,

Excluding

Debt

Purchase

Issuance

Property

    

Location

    

Date Purchased

    

Type(1)

    

Price

    

Costs

Sheridan Care Center

 

Sheridan, OR

August 3, 2012

 

SNF

$

4,100,000

$

4,210,000

Fernhill Care Center

 

Portland, OR

August 3, 2012

 

SNF

 

4,500,000

 

3,693,000

Friendship Haven Healthcare and Rehabilitation Center

 

Galveston County, TX

September 14, 2012

 

SNF

 

15,000,000

 

11,592,000

Pacific Health and Rehabilitation Center

 

Tigard, OR

December 24, 2012

 

SNF

 

8,140,000

 

6,157,000

Brookstone of Aledo

 

Aledo, IL

July 2, 2013

 

AL

 

8,625,000

 

6,764,000

Sundial Assisted Living

 

Redding, CA

December 18, 2013

 

AL

 

3,500,000

 

3,752,000

Pennington Gardens

 

Chandler, AZ

July 17, 2017

 

AL/MC

 

13,400,000

 

10,232,000

Yucaipa Hill Post Acute

Yucaipa, CA

July 2, 2021

SNF

10,715,000

8,014,000

Creekside Post Acute

Yucaipa, CA

July 2, 2021

SNF

4,780,000

3,575,000

University Post Acute

Mentone, CA

July 2, 2021

SNF

4,560,000

3,411,000

Total:

 

$

77,320,000

$

61,400,000

(1)We became the licensed operator and tenant of the facility on May 1, 2014 through Friendswood TRS. Upon becoming the licensed operator and tenant of the facility, we entered into a management agreement with an affiliate of Stonegate Senior Living (“Stonegate”). As of December 31, 2016, we terminated the management agreement with Stonegate and entered into a new three-year management agreement with HMG Services, L.L.C. (“HMG”), whereby HMG will receive a management fee of up to 5% of certain adjusted gross revenues from operations of the facility (see Note 10).

(2)SNF is an abbreviation for skilled nursing facility.

AL is an abbreviation for assisted living facility.

MC is an abbreviation for memory care facility.

Page 11 of 36

Future Minimum Lease Payments

The future minimum lease payments to be received under our existing tenant operating leases for our 11 real estate properties, which include those acquired through our subsidiaries and CHP, LLC, but excluding(excluding the 3036 properties owned by our unconsolidated Equity-Method Investments,Investments) as of September 30, 2021, for the period from October 1, 20172021 to December 31, 2017 and for each of the four following years and thereafter ending December 31 are as follows(1):

Years ending   
October 1, 2017 to December 31, 2017 $1,555,000 
2018  6,296,000 
2019  6,429,000 
2020  6,565,000 
2021  6,703,000 
Thereafter  51,195,000 
  $78,743,000 

(1)This schedule does not reflect future rental revenues from the potential renewal or replacement of existing and future leases, tenant reimbursements, and the rental revenues for the tenant (Friendswood TRS) of Friendship Haven.

2017 Acquisition - Chandler, AZ

On July 17, 2017, we acquired a 100% interest in Pennington Gardens, a 90-bed assisted living/memory care facility located in Chandler, Arizona (“Pennington Gardens”) for a purchase price of $13.4 million plus approximately $52,000 in acquisition costs, which was funded through cash on hand plus a collateralized loan (see Note 4). Pennington Gardens is leased pursuant to a 15-year triple net lease with two five-year renewal options.

Leasing Commissions

As a self-managed REIT, we no longer pay leasing commissions. Leasing commissions are capitalized at cost and amortized on a straight-line basis over the related lease term. As of September 30, 2017 and December 31, 2016, total costs incurred were $1.9 million and $1.9 million, respectively, and the unamortized balance of capitalized leasing commissions was approximately $1.3 million and $1.4 million, respectively. Amortization expense for the three months ended September 30, 2017 and 2016 was $35,000 and $40,000, respectively. Amortization expense for the nine months ended September 30, 2017 and 2016 was $0.1 million and $0.1 million, respectively.

4. Loans Payable

As of September 30, 2017 and December 31, 2016, our loans payable consisted of the following:

  September 30, 2017  December 31, 2016 
Loan payable to Capital One, National Association in monthly installments of approximately $36,000, including interest at LIBOR plus 2.95% (4.2% at September 30, 2017), due in July 2018, and collateralized by Pennington Gardens. $10,050,000  $- 
         
Loan payable to Healthcare Financial Solutions, LLC in monthly installments of approximately $15,000, including interest at LIBOR (floor of 0.50%) plus 4.0% (5.3% at September 30, 2017 and 5.0% at December 31, 2016, respectively), due in October 2018, and collateralized by Sundial Assisted Living. $2,800,000  $2,800,000 
         
Loan payable to Oxford Finance, LLC in monthly installments of approximately $53,000, including interest at LIBOR (floor of 0.75%) plus 6.50% (7.8% as of September 30, 2017 and 7.25% as of December 31, 2016, respectively) due in October 2019, collateralized by Friendship Haven.  6,904,000   6,978,000 
         
Loans payable to Lancaster Pollard (insured by HUD) in monthly installments of approximately $209,000, including interest, ranging from a fixed rate of 3.70% to 3.78%, due in September 2039 through January 2051, and collateralized by Sheridan, Fernhill, Pacific Health, Shelby, Hamlet, Carteret, Aledo and Danby.  43,112,000   43,768,000 
   62,866,000   53,546,000 
Less debt issuance costs  (1,864,000)  (1,829,000)
Total loans payable $61,002,000  $51,717,000 

Page 12 of 36

As of September 30, 2017, we have total debt obligations of approximately $62.9 million that will mature between 2018 and 2051. See Note 3 for loans payable balance for each property. All of the loans payable have certain financial and non-financial covenants, including ratios and financial statement considerations. As of September 30, 2017, we were in compliance with all of those covenants.

In connection with our loans payable, we incurred debt issuance costs. The unamortized balance of the debt issuance costs was approximately $1.9 million and $1.8 million as of September 30, 2017 and December 31, 2016, respectively. These debt issuance costs are being amortized over the life of their respective financing agreements using the straight-line basis which approximates the effective interest rate method. For the three months ended September 30, 2017 and 2016, $69,000 and $34,000, respectively, of debt issuance costs were amortized and included in interest expense in our condensed consolidated statements of operations. For the nine months ended September 30, 2017 and 2016, $0.1 million and $0.1 million, respectively, of debt issuance costs were amortized and included in interest expense in our condensed consolidated statements of operations.

During the three months ended September 30, 2017 and 2016, we incurred approximately $0.7 million and $0.7 million, respectively, of interest expense (excluding debt issuance costs amortization) related to our loans payable.  During the nine months ended September 30, 2017 and 2016, we incurred approximately $2.0 million and $2.2 million, respectively, of interest expense (excluding debt issuance costs amortization) related to our loans payable.

The principal payments due on the loans payable (excluding debt issuance costs) for the period from October 1, 2017 to December 31, 20172021 and for each of the four following years and thereafter ending December 31 are as follows:

Years Ending Principal
Amount
 
October 1, 2017 to December 31, 2017 $249,000 
2018  13,870,000 
2019  7,725,000 
2020  986,000 
2021  1,024,000 
Thereafter  39,012,000 
  $62,866,000 

Years ending

    

October 1, 2021 to December 31, 2021

$

1,481,000

2022

 

5,998,000

2023

 

6,107,000

2024

 

6,218,000

2025

 

6,332,000

Thereafter

 

37,010,000

$

63,146,000

2021 Acquisitions

On July 2, 2021, through our wholly-owned subsidiary, we acquired 3 skilled nursing facilities, 2 located in Yucaipa, California and 1 located in Mentone, California (collectively, the “CA3 Properties”), for the purchase price of $20,055,000, which was funded through cash on hand plus the proceeds from the loan described in Note 4. We incurred approximately $80,000 in acquisition costs in connection with these acquisitions. The CA3 Properties are leased to 3 unrelated parties under three separate 15-year triple net leases, each of which has two five-year renewal options.

Page 11

The following information describes our loan activitytable represents the allocation of the relative fair value of the real estate acquired for the CA3 Properties acquisition:

Land

    

$

2,293,000

Building and improvements

 

15,908,000

Furniture and fixtures

 

448,000

Intangible lease assets and above/below market leases(1)

 

1,486,000

Total purchase price plus acquisition costs

$

20,135,000

(1)Above/below market leases intangible asset is included in other assets, net on the condensed consolidated balance sheets.

Leasing Commissions

As a self-managed REIT, we no longer pay leasing commissions. Leasing commissions which were capitalized prior to April 2014 at cost and are amortized on a straight-line basis over the related lease term. As of September 30, 2021 and December 31, 2020, total costs incurred were $1.1 million, and the unamortized balance of capitalized leasing commissions was approximately $0.5 million. Amortization expense for each of the three months ended September 30, 2021 and 2020 was approximately $18,000. Amortization expense for each of the nine months ended September 30, 20172021 and as2020 was approximately $53,000.

4. Loans Payable

As of September 30, 20172021 and December 31, 2016:2020, our loans payable consisted of the following:

Page 13 of 36

    

September 30, 2021

    

December 31, 2020

Loan payable to Capital One Multifamily Finance, LLC (insured by HUD) in monthly installments of approximately $49,000, including interest at a fixed rate of 4.23%, due in September 2053, and collateralized by Pennington Gardens.

$

10,232,000

$

10,330,000

Loans payable to Lument Capital (formerly ORIX Real Estate Capital, LLC) (insured by HUD) in monthly installments of approximately $183,000, including interest, ranging from a fixed rate of 2.79% to 4.2%, due in September 2039 through April 2055, and as of September 30, 2021 and December 31, 2020, collateralized by Sheridan, Fernhill, Pacific Health, Friendship Haven, Aledo and Sundial Assisted Living.

$

36,168,000

$

36,857,000

Loans payable to CIBC Bank, USA in monthly installments of approximately $65,000, interest only through July 2022 at LIBOR (with a floor of 1%) plus 4% (5% at September 30, 2021), due in July 2024, and collateralized by Yucaipa Post Acute, Creekside Post Acute and University Post Acute)

15,000,000

 

61,400,000

 

47,187,000

Less debt issuance costs

 

(2,071,000)

 

(1,913,000)

Total loans payable

$

59,329,000

$

45,274,000

Capital One, National Association

In July 2017, in conjunction with the acquisitionAs of Pennington Gardens (see Note 3),September 30, 2021, we entered into a $10.1have total debt obligations of approximately  $61.4 million first priority mortgage loan collateralized by Pennington Gardens with Capital One, National Association. The loan, which bears interest at the One Month LIBOR (London Interbank Offered Rate) plus 2.95%, matures on July 17, 2018, with the option for two six-month extensions. The loan may be prepaid with no penalty if the property is refinanced through United States Department of Housingthat will mature between 2024 and Urban Development (“HUD”); otherwise we will be required to pay an exit fee, as defined in the loan agreement. We incurred approximately $0.2 million in deferred financing costs.

Healthcare Financial Solutions, LLC (a.k.a. Capital One)

We have an amended loan agreement for the Sundial Assisted Living property located in Redding with Healthcare Financial Solutions, LLC (“HFS”).2055. See table above listing loans payable for further information.  The loan was interest-only through January 2017 and then the loan payments increased to approximately $15,000 a month, including interest. The principal payment portion of this loan payment commencing in February 2017 is being held in a sinking fund until maturity date. If the loan is refinanced prior to the maturity date, the loan payments in the sinking fund will be released to us; otherwise at the maturity date, the loan payments in the sinking fund will be released to the lender and applied to the outstanding principal balance. Additionally, the loan is collateralized by the property and cross-guaranteed with several properties owned by the SUL JV, which will be released from the guarantee when the property is refinanced with a HUD-insured loan or upon repayment at the maturity date.

Oxford Finance, LLC

We have a secured term loan agreement with Oxford Finance, LLC collateralized by the Friendship Haven facility. See table above listingNote 3 for loans payable balance for further information. Prior to the maturity date, we may prepay the loan, in whole, subject to certain terms and by paying an exit fee as further described in the loan agreement.each property.

Lancaster Pollard Mortgage Company, LLC

We have severalSeven of our properties are financed with HUD-insured loans from the Lancaster Pollard Mortgage Company, LLC (“Lancaster Pollard”). See table above listing loans payable for further information.

by various lenders as noted above. All of theour HUD-insured loans are subject to customary representations, warranties and ongoing covenants and agreements with respect to the operation of the facilities, including the provision for certain maintenance and other reserve accounts for property tax, insurance, and capital expenditures, with respect to the facilities all as described in the HUD agreements. These reserves are included in restricted cash in our condensed consolidated balance sheets. Additionally, all of our HUD-insured loans have certain financial and non-financial covenants, including ratios and financial statement considerations.

On July 2, 2021, in conjunction with the acquisition of the CA3 Properties (see Note 3), we entered into a first priority $15.0 million mortgage loan collateralized by the CA3 Properties with CIBC Bank, USA (“CIBC”). The loan bears interest at the One Month London Interbank Offer Rate (LIBOR) (with a floor of 1%) plus 4.00%, and matures on July 2, 2024. In the absence of LIBOR, the interest rate on this loan will be based on the banks base or prime rate plus 2.0%. The loan is interest only for the first year and thereafter requires

5. Equity-Method InvestmentsPage 12

additional monthly installments of principal that are held by the lender in a cash loan guarantee fund until maturity. The loan may be prepaid at any time with no penalty if the CA3 Properties are refinanced through HUD, otherwise we would be required to pay an exit fee as defined in the agreement. Additionally, the CIBC loan has certain financial and non-financial covenants.

As of September 30, 20172021, we were in compliance with all of our debt covenants.

In connection with our loans payable, we incurred debt issuance costs. As of September 30, 2021 and December 31, 2016,2020, the unamortized balance of the debt issuance costs was approximately $2.1 million and $1.9 million, respectively. These debt issuance costs are being amortized over the life of their respective financing agreements using the straight-line basis which approximates the effective interest rate method. For the three months ended September 30, 2021 and 2020, $37,000 and $18,000, respectively, of debt issuance costs were amortized and included in interest expense in our condensed consolidated statements of operations. For each of the nine months ended September 30, 2021 and 2020, $0.1 million of debt issuance costs were amortized and included in interest expense in our condensed consolidated statements of operations. Included in the amortization of debt issuance costs for the nine months ended September 30, 2020 is $77,000 related to the write off of debt issuance costs for CHP Friendswood SNF, LLC’s prior loan.

During the three months ended September 30, 2021 and 2020, we incurred approximately $0.7 million and $0.5 million of interest expense (excluding debt issuance costs amortization), respectively, related to our loans payable. During the nine months ended September 30, 2021 and 2020, we incurred approximately $1.7 million and $1.6 million, respectively, of interest expense (excluding debt issuance costs amortization) related to our loans payable.

The principal payments due on the loans payable (excluding debt issuance costs) for the period from October 1, 2021 to December 31, 2021 and for each of the four following years and thereafter ending December 31 are as follows:

Principal

Years Ending

    

Amount

October 1, 2021 to December 31, 2021

$

273,000

2022

 

1,269,000

2023

 

1,475,000

2024

 

15,730,000

2025

 

1,246,000

Thereafter

 

41,407,000

$

61,400,000

5. Equity-Method Investments

As of September 30, 2021 and December 31, 2020, the aggregate balances of our Equity-Method Investments were approximately $8.4$7.6 million and $5.1$11.4 million, respectively, and are as follows:

Summit Union Life Holdings, LLC

In April 2015, we formed the SUL JV, which is owned 10% by the Operating Partnership and 90% by Best Years. The SUL JV will continueexist until an event of dissolution occurs, as defined in the SUL LLC Agreement.

During 2015, we contributed our limited liability company interests in six properties (“JV 2 Properties”) toagreement of the SUL JV and retained a 10% interest in those six properties. Concurrent with this contribution, the Operating Partnership recorded a receivable for approximately $362,000 for distributions that could not be paid prior to the contribution of the JV 2 Properties due to cash restrictions related to the loans payable for the contributed JV 2 Properties. In April 2017, we received approximately $122,000 to pay down the distribution receivable from one of the JV 2 properties. As of September 30, 2017 and December 31, 2016, the receivable of $240,000 and $362,000, respectively, due from the JV 2 properties, is included in tenant and other receivables in our condensed consolidated balance sheets.

(the “SUL LLC Agreement”).

Under the SUL LLC Agreement, net operating cash flow of the SUL JV will beis distributed monthly, first to the Operating Partnership and Best Yearspari passu up to a 9% to 10% annual return, as defined, and thereafter to Best Years 75% and the Operating Partnership 25%. All capital proceeds from the sale of the properties held by the SUL JV, a refinancing or another capital event will be paid first to the Operating Partnership and Best Yearspari passu until each has received an amount equal to its accrued but unpaid 9% to 10% return plus its total contribution, and thereafter to Best Years 75% and the Operating Partnership 25%.

Page 14 of 36

In April 2017, one of the JV 2 properties that owed Summit approximately $110,000 in distributions payable was able to repay the funds; however, the cash was retained by the property to fund future capital calls. Through September 2017, we applied approximately $5,000 of this as additional capital. As of September 30, 2017, the remaining balance of $105,000 is included in tenant2021 and other receivables in our condensed consolidated balance sheets.

As of September 30, 2017,December 31, 2020, the balance of our equity-method investment related to the SUL JV was approximately $3.5 million.$2.4 million and $2.7 million, respectively.

Page 13

Summit Fantasia Holdings, LLC

In September 2016, we formed the Fantasia JV, which is owned 20% by the Operating Partnership and 80% by Fantasia. The Fantasia JV will continueexist until an event of dissolution occurs, as defined in the limited liability company agreement of the Fantasia JV (the “Fantasia LLC Agreement.

Agreement”).

Under the Fantasia LLC Agreement, net operating cash flow of the Fantasia JV will beis distributed quarterly, first to the Operating Partnership and Fantasiapari passu until each member has received an amount equal to its accrued, but unpaid 8% return, and thereafter 70%50% to Fantasia and 30%50% to the Operating Partnership. All capital proceeds from the sale of the properties held by the Fantasia JV, a refinancing or another capital event, will be paid first to the Operating Partnership and Fantasiapari passu until each has received an amount equal to its accrued but unpaid 8% return plus its total capital contribution, and thereafter 70%50% to Fantasia and 30%50% to the Operating Partnership.

As of September 30, 2017,2021 and December 31, 2020, the balance of our equity-method investment related to the Fantasia JV was approximately $1.1 million.$2.1 million and $2.0 million, respectively.

Summit Fantasia Holdings II, LLC

In December 2016, we formed the Fantasia II JV, which is owned 20% by the Operating Partnership and 80% by Fantasia. The Fantasia II JV will continueexist until an event of dissolution occurs, as defined in the Fantasia II LLC Agreement.

On February 28, 2017, through the Fantasia II JV, we acquired a 20% interest in two skilled nursing facilities, located in Rhode Island, for a total aggregate purchase price of $27 million, which was funded through capital contributions from the memberslimited liability company agreement of the Fantasia II JV plus the proceeds from a collateralized loan. The facilities consist of a total of 318 licensed beds, and are operated by and leased to a third party operator. We contributed approximately $1.9 million for the acquisition, which includes approximately $0.2 million of acquisition costs paid in 2016.

(the “Fantasia II LLC Agreement”).

Under the Fantasia II LLC Agreement, net operating cash flow of the Fantasia JV will beis distributed quarterly, first to the Operating Partnership and Fantasiapari passu until each member has received an amount equal to its accrued, but unpaid 8% return, and thereafter 70% to Fantasia and 30% to the Operating Partnership. All capital proceeds from the sale of the properties held by the Fantasia II JV, a refinancing or another capital event, will be paid first to the Operating Partnership and Fantasiapari passu until each has received an amount equal to its accrued but unpaid 8% return plus its total capital contribution, and thereafter 70% to Fantasia and 30% to the Operating Partnership.

As of September 30, 2017,2021 and December 31, 2020, the balance of our equity-method investment related to the Fantasia II JV was approximately $1.8 million.$1.3 million and $1.4 million, respectively.

Summit Fantasia Holdings III, LLC

On July 27, 2017, through our Operating Partnership, we entered into aThe Fantasia III JV will continue until an event of dissolution occurs, as defined in the limited liability company agreement (“Fantasia III LLC Agreement”) with Fantasia and formed Summit Fantasia Holdings III, LLC (the “Fantasia III JV”). The Fantasia III JV is not consolidated in our condensed consolidated financial statements and is accounted for under the equity-method in the Company’s condensed consolidated financial statements.

Page 15 of 36

On August 10, 2017, through the Fantasia III JV, we acquired a 10% interest in nine skilled nursing facilities, located in Connecticut, for a total aggregate purchase price of $60 million for the properties, which was funded through capital contributions from the members of the Fantasia III JV plus the proceeds from a collateralized loan. The facilities consist of a total of 1,285 licensed beds, and will be operated by and leased to a third party operator. We contributed approximately $2.0 million to the Fantasia(the “Fantasia III JV in connection with the acquisition.

LLC Agreement”).

Under the Fantasia III LLC Agreement, net operating cash flow of the Fantasia III JV will beis distributed quarterly, first to the Operating Partnership and Fantasiapari passu until each member has received an amount equal to its accrued, but unpaid 9% return, and thereafter 75% to Fantasia and 25% to the Operating Partnership. All capital proceeds from the sale of the properties held by the Fantasia III JV, a refinancing or another capital event, will be paid first to the Operating Partnership and Fantasiapari passu until each has received an amount equal to its accrued but unpaid 9% return plus its total capital contribution, and thereafter 75% to Fantasia and 25% to the Operating Partnership.

As of September 30, 2017,2021 and December 31, 2020, the balance of our equity-method investment related to the Fantasia III JV was approximately $1.9 million.$1.5 million and $1.6 million, respectively.

Summit Fantasy Pearl Holdings, LLC

The FPH JV will continue until an event of dissolution occurs, as defined in the limited liability company agreement of the FPH JV (the “FPH LLC Agreement”).

On October 2, 2017, through our Operating Partnership, we entered intoUnder the FPH LLC Agreement, with Fantasia, Atlantis and Fantasy, and formednet operating cash flow of the FPH JV. The FPH JV is not consolidated in our consolidated financial statementsdistributed quarterly, first to the members pari passu until each member has received an amount equal to its accrued, but unpaid 9% return, and thereafter 65.25% to Fantasy, 7.5% to Atlantis, 7.25% to Fantasia and 20% to the Operating Partnership. All capital proceeds from the sale of the properties held by the FPH JV, a refinancing or another capital event, will be accounted for underpaid to the equity-method inmembers pari passu until each has received an amount equal to its accrued but

Page 14

unpaid 9% return plus its total capital contribution, and thereafter 65.25% to Fantasy, 7.5% to Atlantis, 7.25% to Fantasia, and 20% to the Company’s condensed consolidated financial statements. See Note 13 for further information.

Distributions from Equity-Method Investments

Operating Partnership.

As of September 30, 20172021 and December 31, 2016,2020, the balance of our equity-method investment related to the FPH JV was approximately $0.3 million and $0.2 million, respectively.

Indiana JV

In June 2021, we sold our 15% interest in the Indiana JV for approximately $5.4 million in cash. For the nine months ended September 30, 2021, we recorded approximately $3.5 million in gain on the sale from this equity-method investment which is included in our condensed consolidated statements of operations under gain on sale of equity-method investment.

As of September 30, 2021 and December 31, 2020, the balance of our equity-method investment related to the Indiana JV was approximately $0 and $3.5 million, respectively.

Summarized Financial Data for Equity-Method Investments

Our Equity-Method Investments are significant equity-method investments in the aggregate. The information for the Indiana JV is through the date of the sale of our interest, June 11, 2021.

The results of operations of our Equity-Method Investments for the nine months ended September 30, 2021 are summarized below:

Fantasia 

Fantasia  

Fantasia 

FPH  

Indiana 

Combined 

    

SUL JV

    

JV

    

II JV

    

III JV

    

JV

    

JV

    

Total

Revenue

$

15,339,000

$

2,860,000

$

2,759,000

$

6,156,000

$

2,731,000

$

(1,695,000)

$

28,150,000

Income (loss) from operations

$

5,072,000

$

282,000

$

1,448,000

$

3,094,000

$

1,255,000

$

(5,093,000)

$

6,058,000

Net income (loss)

$

1,421,000

$

369,000

$

738,000

$

1,510,000

$

1,205,000

$

(8,567,000)

$

(3,324,000)

Summit interest in Equity-Method Investments net income (loss)

$

142,000

$

129,000

$

148,000

$

151,000

$

121,000

$

(1,286,000)

$

(595,000)

The results of operations of our Equity-Method Investments for the nine months ended September 30, 2020 are summarized below:

    

    

Fantasia

    

Fantasia

    

Fantasia

    

FPH

    

    

Combined

SUL JV

 

JV

 

II JV

 

III JV

 

JV

Indiana JV

 

Total

Revenue

$

13,703,000

$

3,106,000

$

2,668,000

$

5,986,000

$

2,650,000

$

8,839,000

$

36,952,000

Income from operations

$

5,851,000

$

460,000

$

1,474,000

$

3,240,000

$

1,256,000

$

5,579,000

$

17,860,000

Net income (loss)

$

2,467,000

$

(72,000)

$

748,000

$

1,437,000

$

(1,175,000)

$

(356,000)

$

3,049,000

Summit interest in Equity-Method Investments net income (loss)

$

247,000

$

(25,000)

$

150,000

$

144,000

$

(117,000)

$

(53,000)

$

346,000

Distributions from Equity-Method Investments

As of September 30, 2021 and December 31, 2020, we have distributions receivable, which isare included in tenant and other receivables in our condensed consolidated balance sheets, as follows:

 September 30,
2017
  December 31,
2016
 

September 30, 

December 31, 

    

2021

    

2020

SUL JV $168,000  $365,000 

$

324,000

$

466,000

Fantasia JV  29,000   31,000 

 

162,000

 

36,000

Fantasia II JV  60,000   - 

 

53,000

 

51,000

Fantasia III JV  59,000   - 

 

331,000

 

257,000

FPH JV

 

26,000

 

26,000

Indiana JV

 

 

498,000

Total $316,000  $396,000 

$

896,000

$

1,334,000

Page 15

For the nine months ended September 30, 20172021 and 2016,2020, we have received cash distributions, which are included in our cash flows from operating activities in tenant and other receivables, and cash flows from investing activities, as follows:

 Nine Months Ended September 30, 2017 Nine months Ended September 30, 2016 
 

Total Cash
Distributions

Received

  Cash Flow
from
Operating
  Cash Flow
 from
Investing
  

Total Cash
Distributions

Received

 

Cash Flow
from

Operating

  Cash Flow
from
Investing
 
             

Nine months ended September 30, 2021

Nine months ended September 30, 2020

Cash Flow

Cash Flow

Cash Flow

Cash Flow

Total Cash 

from

from

Total Cash 

from

from

Distributions

Operating

Investing

Distributions

Operating

Investing

    

Received

    

Activities

    

Activities

    

Received

    

Activities

    

Activities

SUL JV $556,000  $117,000  $439,000  $340,000  $167,000  $173,000 

$

631,000

$

142,000

$

489,000

$

352,000

$

246,000

$

106,000

Fantasia JV  136,000   19,000   117,000   -   -   - 

 

0

 

0

 

0

 

144,000

 

0

 

144,000

Fantasia II JV  148,000   96,000   52,000   -   -   - 

 

225,000

 

148,000

 

77,000

 

219,000

 

150,000

 

69,000

Fantasia III JV  -   -   -   -   -   - 

 

123,000

 

123,000

 

 

104,000

 

104,000

 

0

FPH JV

 

114,000

 

114,000

 

0

 

118,000

 

0

 

118,000

Indiana JV

773,000

0

773,000

429,000

0

429,000

Total $840,000  $232,000  $608,000  $340,000  $167,000  $173,000 

$

1,866,000

$

527,000

$

1,339,000

$

1,366,000

$

500,000

$

866,000

Page 16 of 36

Acquisition and Asset Management Fees

We serve as the manager of our Equity-Method Investments and provide management services in exchange for fees and reimbursements. As the manager, we are paid an acquisition fee, as defined in the applicable joint venture agreements. Additionally, we are paid an annual asset management fee for managing the properties held by our Equity-Method Investments, as defined in thethose agreements. For the three months ended September 30, 20172021 and 2016,2020, we recorded approximately $0.3$0.2 million and $0.2$0.3 million,respectively, in acquisition and asset management fees from our Equity-Method Investments. For the nine months ended September 30, 20172021 and 2016,2020, we recorded approximately $0.6$0.8 million and $0.3$0.9 million, respectively,in acquisition and asset management fees from our Equity-Method Investments.Investments (see Note 7).

6. Receivables

Notes Receivable

Fernhill Note

In September 2014, we loaned approximately $140,000 to the operator of the Fernhill facility for certain property improvements at a fixed rate of interest of 6% payable in monthly installments through January 2019. As of September 30, 2017 and December 31, 2016, the balance on the note was approximately $47,000 and $71,000, respectively.

Nantucket Note

On January 7, 2015, through our Operating Partnership, we sold Sherburne Commons to The Residences at Sherburne Commons, Inc. (“Sherburne Buyer”), an unaffiliated Massachusetts non-profit corporation, in exchange for $5.0 million, as evidenced by a purchase money note from Sherburne Buyer to us as the lender.

The $5.0 million purchase money note is collateralized by the Sherburne Commons property, bears an annual interest rate of 3.5% and matures on December 31, 2017. Interest payments on the note are due monthly and are recorded as payments are received. Outstanding and unpaid principal due shall be paid from the net proceeds payable to Sherburne Buyer from the sale of the residential cottages in Sherburne Commons. We may also participate in additional interest of up to $1 million from 50% of the net proceeds of cottage sales through December 31, 2018.

As of September 30, 2017, we have not collected any funds related to the principal on the note and the net carrying amount of the note receivable was approximately $4.7 million. For the three months ended September 30, 2017 and 2016, we received interest payments from the note of approximately $43,000 and $43,000, which is recorded as interest income from notes receivable in our condensed consolidated statements of operations. For the nine months ended September 30, 2017 and 2016, we received interest payments from the note of approximately $129,000 and $115,000, which is recorded as interest income from notes receivable in our condensed consolidated statements of operations.

Tenant and Other Receivables, Net

Tenant and other receivables, net consists of:

 September 30,
2017
  December 31,
2016
 
Accounts receivable from resident services, net of allowance for doubtful accounts of $332,000 and $267,000, respectively $775,000  $866,000 

September 30, 

December 31, 

    

2021

    

2020

Straight-line rent receivables  2,721,000   2,384,000 

$

2,337,000

$

2,772,000

Distribution receivables from Equity-Method Investments  316,000   396,000 

 

896,000

 

1,334,000

Receivable from JV 2 properties  240,000   362,000 

Asset management fees

 

348,000

 

432,000

Other receivables  263,000   254,000 

 

41,000

 

139,000

Total $4,315,000  $4,262,000 

$

3,622,000

$

4,677,000

Page 17 of 36

Page 16

7. Related Party Transactions

CRA

Prior to the termination of our advisory agreement on April 1, 2014 with CRA (our former advisor, a related party), we incurred costs related to fees paid and costs reimbursed for services rendered to us by CRA through March 31,September 30, 2014. Some of the fees we had paid to CRA were considered to be in excess of allowed amounts and, therefore, CRA was required to reimburse us for the amount of the excess costs we paid to them. As of September 30, 20172021 and December 31, 2016,2020, the receivables from CRA are fully reserved due to the uncertainty of collectability and are included in tenant and other receivables in our condensed consolidated balance sheets.

sheets (see Note 10).

As of September 30, 20172021 and December 31, 2016,2020, we had the following receivables and reserves:reserves related to CRA:

 Receivables  Reserves  Balance 

    

Receivables

    

Reserves

    

Balance

Organizational and offering costs $738,000  $(738,000) $- 

$

738,000

$

(738,000)

$

Asset management fees and expenses  32,000   (32,000)  - 

 

32,000

 

(32,000)

 

Operating expenses (direct and indirect)  189,000   (189,000)  - 

 

189,000

 

(189,000)

 

Operating expenses (2%/25% Test)  1,717,000   (1,717,000)  - 

 

1,717,000

 

(1,717,000)

 

Total $2,676,000  $(2,676,000) $- 

$

2,676,000

$

(2,676,000)

$

Equity-Method Investments

See NoteNotes 5 and 6 for further discussion of distributions and acquisition and asset management fees related to our Equity-Method Investments.

8. Concentration of Risk

Our cash is generally invested in short-term money market instruments. As of September 30, 2017,2021, we had cash and cash equivalent accounts in excess of FDIC-insured limits. However, we do not believe the risk associated with this excess is significant.

As of September 30, 2017,2021, we owned one property4 properties in California, three3 properties in Oregon, four properties in North Carolina, one1 property in Texas, one1 property in Illinois, and one1 property in Arizona (excluding the 3036 properties held by our Equity-Method Investments). Accordingly, there is a geographic concentration of risk subject to economic conditions in certain states.

Additionally, for the three months ended September 30, 2017,2021, we leased our 1110 real estate properties to four8 different tenants under long-term triple net leases, threeand 4 of which comprise 50%, 30% and 19%the eight tenants each represented more than 10% of our tenant rental revenue. For the three months ended September 30, 2016,2020, we leased our 11 healthcare7 real estate properties to five5 different tenants under long-term triple net leases, twoand 4 of which comprised 51% and 30%the five tenants each represented more than 10% of our tenantrental revenue.

For the nine months ended September 30, 2021, we leased our 10 real estate properties to 8 different tenants under long-term triple net leases, and 3 of the eight tenants each represented more than 10% of our rental revenue.  For the nine months ended September 30, 2017,2020, we leased our 11 healthcare7 real estate properties to four5 different tenants under long-term triple net leases, threeand 4 of which comprise 55%, 33% and 11%the five tenants each represented more than 10% of our tenant rental revenue. For the nine months ended September 30, 2016, we leased our 11 healthcare properties to five different tenants under long-term triple net leases, two of which comprise 48% and 28% of our tenant rental revenue.

revenue .

As of September 30, 2017 and December 31, 2016, we have one tenant that constitutes2021, no tenants constituted a significant asset concentration as the net assets ofleased to the tenant are 36% and 38%, respectively,tenants were not greater than 20% of our total assets asassets.

Page 17

Table of December 31, 2016.Contents

Page 18 of 36

9. Fair Value Measurements of Financial Instruments

Our condensed consolidated balance sheets include the following financial instruments: cash and cash equivalents, restricted cash, notes receivable, deposits, tenant and other receivables, certain other assets, accounts payable and accrued liabilities, accrued salaries and benefits, security deposits and loans payable. With the exception of the Nantucket note receivable (see Note 6) and loans payable discussed below, we consider the carrying values to approximate fair value for such financial instruments because of the short period of time between origination of the instruments and their expected payment.

As of September 30, 20172021 and December 31, 2016,2020, the fair value of the Nantucket note receivable (see Note 6)loans payable was approximately $4.9$55.6 million and $52.6 million, compared to the carrying valueprincipal balance (excluding debt discount) of approximately $4.7 million. The fair value of the note receivable was estimated based on cash flow analysis at an assumed market rate of interest. As the inputs to our valuation estimate are neither observable in nor supported by market activity, our notes receivable are classified as Level 3 assets within the fair value hierarchy.

As of September 30, 2017 and December 31, 2016, the fair value of our loans payable was approximately $63.4$61.4 million and $54.3 million compared to the carrying value of approximately $62.9 million and $53.5$47.2 million, respectively. The fair value of our loans payable iswas estimated using lending rates available to us for financial instruments with similar terms and maturities. To estimate fair value as of September 30, 2017,2021, we utilized a discount raterates ranging from 4.4%2.8% to 7.8%5.0% and a weighted-averageweighted average discount rate of 4.9%5.0%. As the inputs to our valuation estimate are neither observable in nor supported by market activity, our loans payable are classified as Level 3 assetsliability within the fair value hierarchy.

As a result of our ongoing analysis for potential impairment of our investments in real estate, we may be required to adjust the carrying value of certain assets to their estimated fair values, or estimated fair value less selling costs, under certain circumstances. NoNaN impairments were recorded during the three and nine months ended September 30, 20172021 and 2016.

2020.

At September 30, 20172021 and December 31, 2016,2020, we do not have any financial assets or financial liabilities that are measured at fair value on a recurring basis in our condensed consolidated financial statements.

10. Commitments and Contingencies

We conductinspect our properties under a Phase I assessment for eachthe presence of our properties at acquisition to evaluate whether hazardous or toxic substances are present on the properties.substances. While there can be no assurance that a material environmental liability does not exist, we are not currently aware of any environmental liability with respect to the properties that would have a material effect on our consolidated financial condition, results of operations and cash flows. Further, we are not aware of any environmental liability or any unasserted claim or assessment with respect to an environmental liability that we believe would require additional disclosure or the recording of a loss contingency.

Our commitments and contingencies include the usual obligations of real estate owners and licensed operators in the normal course of business. In the opinion of management, these matters are not expected to have a material impact on our consolidated financial condition, results of operations and cash flows. We are also subject to contingent losses resulting from litigation against the Company.

Page 18

Legal Proceedings

On April 1, 2014, CRA and Cornerstone Ventures, Inc. filed a complaint in the Superior Court of California for the County of Orange-Central Justice Center, Case No. 30-2014-00714004-CU-BT-CJC, naming the Company, its former directors, and twoone of its officers and one of its former officers as defendants, seeking declaratory and injunctive relief and compensatory and punitive damages. On AprilSeptember 17, 2014, Judge Nakamura denied in its entirety plaintiffs’ ex parte application forwe filed a temporary restraining orderFirst Amended Cross-Complaint seeking compensatory damages and an accounting pursuant to show cause whySections 10(c)(i) and 17(c)(ii) of the Advisory Agreement and including any monies Plaintiffs and Terry Roussel directly or indirectly received from or paid to the Company. On February 22, 2018, the action was assigned to a preliminary injunction against the defendants should not issue.different trial judge. On May 19, 2014,29, 2018, the Company filed a counter claimmotion for terminating and monetary sanctions against plaintiffsCRA, Cornerstone Ventures, Inc. and certain individuals affiliated withtheir counsel, Winget Spadafora & Schwartzberg.  On November 30, 2018, the new trial judge vacated the trial date, pending resolution of the Company’s motion for terminating and monetary sanctions against CRA and affiliated entities. TheCornerstone Ventures, Inc. and denied the Company’s motion for sanctions against Winget Spadafora & Schwartzberg. On February 13, 2019, the trial judge held another hearing on the Company’s motion for terminating and monetary sanctions and indicated that it intended to grant the Company’s motion for terminating sanctions and award the Company continues to believe that allmonetary sanctions. On March 14, 2019, the Court entered an Order and Judgment granting the Company’s motion for terminating sanctions, awarding the Company monetary sanctions in the amount of plaintiffs’ claims are without merit$588,672, and will continue to vigorously defend itself. .. Wedismissing CRA and Cornerstone Ventures Inc.’s Complaint with prejudice. On May 21, 2019, CRA and Cornerstone Ventures, Inc. filed motions for summary adjudication on plaintiffs’ claimsa notice of appeal from the Judgment and, on our cross claims.June 3, 2019, the Company filed a notice of cross-appeal from the Judgment. On July 9, 2019, the California Court of Appeal, Fourth District dismissed CRA and Cornerstone Ventures, Inc.’s appeal with prejudice. The court heard oral argumentbriefing to the Court of Appeal, Fourth District on the motions for summary adjudicationCompany’s appeals against CRA, Cornerstone Ventures, Inc and grantedWinget Spadafora & Schwartzberg was completed on April 27, 2020. On October 28, 2020, the motionsCourt of Appeal issued an opinion affirming in part, and deniedreversing, in part, the motions part. A trial is scheduledcourt’s opinion and remanded the action back to commence on March 26, 2018.the trial court. On February 11, 2021, the trial court issued an order awarding an additional $189,645 in monetary sanctions for the period prior to July 12, 2016 in favor of the Company and against CRA and CVI.

Page 19 of 36

AIn September 2015, a bankruptcy petition was filed against Healthcare Real Estate Partners, LLC (“HCRE”) by the investors in Healthcare Real Estate Fund, LLC orand Healthcare Real Estate Qualified Purchasers Fund, LLC.LLC (collectively, the “Funds”). HCRE did not timely respond to the involuntary petition and the Bankruptcy Court entered an Order of Relief making HCRE a debtor in bankruptcy. As a result, HCRE was removed as manager under the Funds’ operating agreement. Thereafter the Company became the manager of the Funds and purchased the investors’ interests in the Funds for approximately $0.9 million. Following the subsequent dismissal of the involuntary bankruptcy petition filed against it, HCRE filed a motion for attorneys’ fees and damages and a separate complaint for violation of the automatic stay against the petitioning creditors and the Company in the United States Bankruptcy Court of the District of Delaware. At a status hearing, the Bankruptcy Court expressed concern about HCRE commencing this litigation and urged the parties to mediate the issues. A mediation was held but the parties did not reach a settlement. The Bankruptcy Court recently granted a motion to dismiss the complaint for violation of the automatic stay filed jointly by the petitioning creditors and us, and dismissed the complaint with prejudice. HCRE appealed the Bankruptcy Court’s decision to the United States District Court for the District of Delaware which affirmed the Bankruptcy Court’s dismissal of the complaint in a decision dated September 9, 2018. On October 11, 2018, HCRE appealed the District Court’s decision affirming the Bankruptcy Court’s dismissal of the complaint to the United States Court of Appeals for the Third Circuit. On October 22, 2019, the Third Circuit granted HCRE’s appeal, reversing the District Court and holding that HCRE could assert the adversary complaint seeking damages for violation of the automatic stay. The Company filed a Petition for Rehearing on November 5, 2019 asserting that HCRE is not entitled to assert a claim for damages for violation of the automatic stay. This Petition was denied and the mandate was issued sending the matter back to the Bankruptcy Court. The Bankruptcy Court held a status conference on February 4, 2021, and subsequently entered scheduling orders to govern discovery and pretrial matters, and discovery is ongoing. The parties have filed dispositive motions, including a motion filed by the Company and the petitioning creditors for judgment on the pleadings.  Following a further status conference on October 14, 2021, the parties agreed to postpone remaining discovery until after the Court rules on the pending motions.Based on the assessment by management of the numerous legal arguments that can be raised on this claim, the Company believes that a loss is currently not probable or estimable under ASC 450, “Contingencies”, and as of September 30, 2021 no accrual has been made with regard to the claim. We believe that all of HCRE’s remaining alleged claims are without merit and will vigorously defend ourselves.

Page 19

Friendship Haven and HMG Services Management AgreementTable of Contents

Under our three-year management agreement with HMG (see Note 3), dated January 1, 2017, either party may terminate the agreement by written notice to the other party. However, if we terminate the agreement within one year, we are obligated to pay a termination fee up to three times the highest monthly management fee paid to HMG prior to the termination. For 2017, if we terminated the agreement, we expect the termination fee could be approximately $130,000.

Indemnification and Employment Agreements

We have entered into indemnification agreements with certain of our executive officers and directors which indemnify them against all judgments, penalties, fines and amounts paid in settlement and all expenses actually and reasonably incurred by him or her in connection with any proceeding. Additionally, in September 2015,effective October 19, 2021, we entered into three-yearamended our employment agreements with our executive officers whichto extend the term of each agreement for an additional three years. These employment agreements include customary terms relating to salary, bonus, position, duties and benefits (including eligibility for equity compensation), as well as a cash payment following a change in control of the Company, as defined in such agreements.

Management of our Equity-Method Investments

As the manager of our Equity-Method Investments, we are responsible for managing the day-to-day operations and are, thus, subject to contingencies that may arise in the normal course of their operations.management. Additionally, we could be subject to a capital call from our Equity-Method Investments.

11. Equity

Share-Based Compensation Plans

Upon the grant of stock options, we determine the exercise price by using our estimated per-share value, which is calculated by aggregating the estimated fair value of our investments in real estate and the estimated fair value of our other assets, subtracting the estimated fairbook value of our liabilities, which approximate book value, utilizing a discount for the fact that the shares are not currently traded on a national securities exchange and a lack of a control premium, and divided by the total by the number of our common shares outstanding at the time the options were granted.

The fair value of each grant is estimated on the date of grant using the Black-Scholes option-pricing model. Assumptions required by the model include the risk-free interest rate, the expected life of the options, the expected stock price volatility over the expected life of the options, and the expected distribution yield. Compensation expense for employee stock options is recognized ratably over the vesting term. The expected life of the options was based on evaluations of expected futurethe simplified method as we do not have sufficient historical exercise behavior.data. The risk-free interest rate was based on the U.S. Treasury yield curve at the date of grant with maturity dates approximating the expected term of the options at the date of grant. Volatility was based on historical volatility of the stock prices for a sample of publicly traded companies with risk profiles similar to ours. The valuation model applied in this calculation utilizes highly subjective assumptions that could potentially change over time, including the expected stock price volatility and the expected life of an option.

On January 1, 2017, the Compensation Committee of the Board of Directors approved the issuance of 99,000 stock options under our Summit Healthcare REIT, Inc. 2015 Omnibus Incentive Plan (“Incentive Plan”) to our directors and employees. The stock options vest monthly beginning on February 1, 2017 and continuing over a three-year period through January 1, 2020. The options expire 10 years from the grant date. The weighted-average fair value per share of the stock options granted was $0.35.

Page 20 of 36

In March 2017, 182,796 stock options were issued under our Incentive Plan to executive management as part of their 2016 performance bonus arrangement. The options vested 33% on the grant date and the remaining 67% will vest in equal monthly installments beginning January 1, 2017 and continuing over a two-year period through December 31, 2018. The options expire 10 years from the grant date. The weighted-average fair value per share of the stock options granted was $0.29.

On April 3, 2017, the Compensation Committee of the Board of Directors approved the issuance of 170,000 stock options to executive management related to their performance goals for 2016. The stock options were granted under the Incentive Plan, with 33% vesting on the grant date and the remaining 67% vesting in equal monthly installments beginning May 1, 2017 and continuing over a two-year period through April 2019. The options expire 10 years from the grant date. The weighted-average fair value per share of the stock options granted was $0.30.

The estimated fair value using the Black-Scholes option-pricing model with the following weighted average assumptions:

  2017 
Stock options granted  451,796 
Expected Volatility  23.58%
Expected lives  2.22 years 
Risk-free interest rate  1.24%
Dividends  0%
Fair value per share $0.31 

The following table summarizes our stock options as of September 30, 2017:2021:

 Options  Weighted
Average
Exercise
Price
  Weighted
Average
Remaining
Contractual
Term
  Aggregate
Intrinsic
Value
 
Options outstanding at January 1, 2017  400,000  $1.72         

Weighted

Weighted

Average

Average

Remaining

Aggregate

Exercise

Contractual

Intrinsic

    

Options

    

Price

    

Term

    

Value

Options outstanding at January 1, 2021

 

1,871,908

$

2.09

 

 

Granted  451,796   2.03         

 

0

 

 

 

Exercised               

 

0

 

 

 

Cancelled/forfeited               

 

(1,333)

 

2.26

 

 

Options outstanding at September 30, 2017  851,796  $1.88   9.05  $551,000 
                
Options exercisable at September 30, 2017  575,409  $1.83   8.62  $402,000 

Options outstanding at September 30, 2021

 

1,870,575

$

2.09

 

6.06

$

1,524,000

Options exercisable at September 30, 2021

 

1,828,685

$

2.08

 

6.06

$

1,497,000

Page 20

For our outstanding non-vested options as of September 30, 2017,2021, the weighted average grant date fair value per share was  $0.29.$0.59. As of September 30, 2017,2021, we have unrecognized stock-based compensation expense related to unvested stock options net of forfeitures, which is expected to be recognized as follows:

Years Ending December 31,   
October 1, 2017 to December 31, 2017 $18,000 
2018  46,000 
2019  17,000 
2020  1,000 
  $82,000 

Years Ending December 31,

    

October 1, 2021 to December 31, 2021

$

10,000

2022

 

14,000

2023

 

1,000

$

25,000

The stock-based compensation expense reported for the three months ended September 30, 20172021 and 20162020 was approximately $18,000$9,000 and $7,000,$35,000, respectively, and is included in general and administrative expense in the condensed consolidated statements of operations. The stock-based compensation expense reported for the nine months ended September 30, 20172021 and 20162020 was approximately $83,000$56,000 and $22,000,$115,000, respectively, and is included in general and administrative expense in the condensed consolidated statements of operations.

Page

 21 of 36

12. Dispositions

In accordance with ASC 360, Property, Plant & Equipment, we report results of operations from real estate assets that meet the definition of a component of an entity that have been sold, or meet the criteria to be classified as held for sale, as discontinued operations.

Disposal of Real EstateEarnings Per Share

On April 29, 2016, we contributed RiverglenThe following table presents the calculation of basic and diluted earnings per share (“EPS”) for the Company’s common stock for the three and nine months ended September 30, 2021 and 2020, and reconciles the weighted-average common shares outstanding used in the calculation of basic EPS to the SUL JV (see Note 5) and, therefore, Riverglen is no longer consolidated in our condensed consolidated financial statements. The aggregate net value of Riverglen at the date of the contribution was approximately $3.9 million, which approximated the Operating Partnership’s carrying value on the date of contribution (total assets were approximately $9.2 million less liabilities of approximately $5.3 million, which included approximately $4.7 million in a HUD insured loan payable).

Medford Purchase Option and Sale

In September 2016, the option holder for our Medford property provided notice to us to exercise its option to purchase the property. On October 31, 2016, we sold the Medford property. The total sale price was $10.8 million, of which we received approximately $3.8 million in cash. The aggregate carrying value of Medford at the date of the sale was approximately $1.3 million, (total assets were approximately $8.0 million less liabilities of approximately $6.7 million, which included approximately $6.7 million in a HUD-insured loan payable). As a result of the sale, as of November 1, 2016, Medford is no longer consolidated in our consolidated financial statements. Additionally, in October 2016, we recorded a net gain of approximately $2.8 million related to the sale.

13. Subsequent Event

Summit Fantasy Pearl Holdings, LLC

On October 2, 2017, through our Operating Partnership, we entered into the FPH LLC Agreement with Fantasia, Atlantis, and Fantasy and formed the FPH JV. The FPH JV is not consolidated in our consolidated financial statements and will be accounted for under the equity-methodweighted-average common shares outstanding used in the Company’s condensed consolidated financial statements.calculation of diluted EPS:

    

Three Months Ended September 30,

    

Nine months ended September 30,

    

2021

    

2020

    

2021

    

2020

Numerator:

(Loss) income

$

(229,000)

$

128,000

$

604,000

$

(136,000)

(Income) loss attributable to noncontrolling interest

 

(18,000)

 

(16,000)

 

(58,000)

 

(39,000)

Net (loss) income applicable to common stockholders

$

(247,000)

$

112,000

$

546,000

$

(175,000)

Denominator:

 

 

 

 

Basic:

 

 

 

 

Denominator for basic EPS - weighted average shares

 

23,027,978

 

23,027,978

 

23,027,978

 

23,027,978

Effect of dilutive shares:

 

 

 

 

Stock options

 

 

487,436

 

525,628

 

Denominator for diluted EPS – adjusted weighted average shares

 

23,027,978

 

23,515,414

 

23,553,606

 

23,027,978

Basic EPS

$

(0.01)

$

0.00

$

0.02

$

(0.01)

Diluted EPS

$

(0.01)

$

0.00

$

0.02

$

(0.01)

In November 2017, through the FPH JV, we acquired a 10% interest in six skilled nursing facilities, located in Iowa, for a total aggregate purchase price of $29.5 million for the properties, which was funded through capital contributions from the members of the FPH JV plus the proceeds from a collateralized loan. The facilities consist of a total of 551 licensed beds, and will be operated by and leased to a third party operator.

Under the FPH LLC Agreement, net operating cash flow of the FPH JV will be distributed quarterly, first to the memberspari passu until each member has received an amount equal to its accrued, but unpaid 9% return, and thereafter 65.25% to Fantasy, 7.5% to Atlantis, 7.25% to Fantasia and 20% to the Operating Partnership. All capital proceeds from the sale of the properties held by the FPH JV, a refinancing or another capital event, will be paid to the memberspari passu until each has received an amount equal to its accrued but unpaid 9% return plus its total capital contribution, and thereafter 65.25% to Fantasy, 7.5% to Atlantis, 7.25% to Fantasia, and 20% to the Operating Partnership.

We serve as the manager of the FPH JV and provide management services in exchange for fees and reimbursements. Under the FPH LLC Agreement, as the manager, we are paid an acquisition fee upon closing of an acquisition, as defined in the agreement, based on the purchase price paid for the properties. Additionally, we are paid on a quarterly basis an annual asset management fee equal to 0.75% of the initial capital contribution of the members.

We contributed approximately $1.0 million for the acquisition.

Page 22 of 36

Page 21

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

The following “Management’s Discussion and Analysis of Financial Condition and Results of Operations” should be read in conjunction with our unaudited condensed consolidated financial statements and notes thereto contained elsewhere in this report. This section contains forward-looking statements, including estimates, projections, statements relating to our business plans, objectives and expected operating results, and the assumptions upon which those statements are based. These forward-looking statements generally are identified by the words “believes,” “project,” “expects,” “anticipates,” “estimates,” “intends,” “strategy,” “plan,” “may,” “will,” “would,” “will be,” “will continue,” “will likely result,” and similar expressions. Forward-looking statements are based on current expectations and assumptions that are subject to numerous risks and uncertainties which may cause actual results to differ materially from the forward-looking statements. Forward-looking statements that were true at the time made may ultimately prove to be incorrect or false. We undertake no obligation to update or revise publicly any forward-looking statements, whether as a result of new information, future events or otherwise. All forward-looking statements should be read in light of the risks identified in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 20162020 filed with the U.S. Securities and Exchange Commission (the “SEC”) on March 29, 2017.2021.

Overview

As of September 30, 2017,2021, our ownership interests in our 1110 real estate properties of senior housing facilities was as follows: 100% ownership of six properties fiveand a 95.3% interest in four properties in a consolidated joint venture, Cornerstone Healthcare Partners LLC, of which we have a 95.3% interest in four properties and a 95% interest in the fifth property.LLC. Additionally, we have a 10% interest in an unconsolidated equity-method investment that owns 17 properties, a 20%35% equity interest in twoan unconsolidated equity-method investmentsinvestment that each ownholds two properties, anda 20% equity interest in an unconsolidated equity-method investment that holds two properties, a 10% equity interest in an unconsolidated equity-method investment that holds nine properties, and a 10% equity interest in an unconsolidated equity-method investment that holds six properties (collectively, our “Equity-Method Investments”). In June 2021, we sold our 15% equity interest in an unconsolidated equity-method investment that held 14 properties. As used in this report, the “Company,” “we,” “us” and “our” refer to Summit Healthcare REIT, Inc. and its consolidated subsidiaries, except where the context otherwise requires.

Our revenues are comprised largely of tenant rental income from our 1110 real estate properties, including rents reported on a straight-line basis, where applicable, over the initial term of each tenant lease, and acquisition and asset management fees resulting from our Equity-Method Investments, and fees earned for resident care from Friendship Haven (see Note 3 to the accompanying Notes to Condensed Consolidated Financial Statements).Investments. We also receive cash distributions from our Equity-Method Investments, which are included in net cash provided by operating activities and net cash provided by investing activities in our condensed consolidated statements of cash flows. Our growth depends, in part, on our ability to continue to raise joint venture equity or other equity, acquire new healthcare properties at attractive prices, negotiate long-term tenant leases with favorablesustainable rental rate escalation terms and control our expenses. Our operations are impacted by property-specific, market-specific, general economic, regulatory and other conditions.

We believe that continued investing in senior housing facilities is accretive to earnings and stockholder value. Senior housing facilities include independent living facilities (“IL”), skilled-nursingskilled nursing facilities (“SNF”), assisted living facilities (“AL”), memory care facilities (“MC”) and continuing care retirement communities (“CCRC”). Each of these types of facilities caters tofocuses on different segments of the senior population.

Coronavirus (COVID-19)

Since it was first reported in December 2019, COVID-19 has spread globally. The COVID-19 pandemic and measures to prevent its spread negatively impacted senior housing and skilled nursing facilities in a number of ways, including decreased occupancy and increased operating costs, which could have a material adverse effect on the ability of our tenants to meet their financial and other contractual obligations to us, including the payment of rent (see Note 2 to the accompanying Notes to Condensed Consolidated Financial Statements for further information). Furthermore, infections at our facilities could lead to material increases in litigation costs for which our tenants, or possibly we, may be liable.

If these types of developments continue or increase in severity, or arise with more frequency, including but not limited to developments in connection with emerging variants of COVID-19, they are likely to have a material adverse effect on our business and results of operations. The extent to which COVID-19 could impact our business and results of operations will depend on future developments, which are highly uncertain and cannot be predicted with confidence, including the duration of the outbreak, new information that may emerge concerning the severity of COVID-19 and the actions taken to contain COVID-19 or treat its impact, among others.

Page 22

The healthcare industry was among those most adversely affected by the COVID-19 pandemic. During 2020, the Coronavirus Aid, Relief and Economic Security (CARES) Act was enacted to provide economic stimulus and assistance to business owners to help maintain on-going operations in the form of grants, forgivable loans and other relief. The skilled nursing and assisted living operators in the Company’s portfolio have been able to benefit from these federal and state government assistance programs.

Healthcare personnel and residents of long-term care facilities, including SNF, AL, and MC facilities, were included among those offered the first supply of the COVID-19 vaccines. Many of our consolidated and Equity Method Investments facilities have administered the vaccine to residents and employees. It is too early to assess the total effect of the vaccinations on the industry, but it is believed they will help save the lives of those who are most at risk, as well as lessen the operational and financial burden on our facilities and their employees.

Summit Portfolio Properties

At September 30, 2017,2021, our portfolio consisted of 1110 real estate properties as noted above. All of the properties are 100% leased on a triple net basis. The following table provides summary information (excluding the 3036 properties held by our unconsolidated Equity-Method Investments) regarding these properties as of September 30, 2017:2021:

 Properties  Beds  Square
Footage
  Purchase
Price
 
         

    

    

    

Square

    

Purchase

Properties

Beds

Footage

Price

SNF  4   337   109,306  $31,740,000 

 

7

 

528

 

158,595

$

51,795,000

AL or AL/MC  7   517   250,750   50,525,000 

 

3

 

221

 

136,765

 

25,525,000

Total Real Estate Properties  11   854   360,056  $82,265,000 

 

10

 

749

 

295,360

$

77,320,000

    

    

    

    

2021

Rental

Property

    

Location

    

Date Purchased

    

Type

    

Beds

    

Revenue1

Sheridan Care Center

 

Sheridan, OR

August 3, 2012

 

SNF

 

51

$

369,000

Fernhill Care Center

 

Portland, OR

August 3, 2012

 

SNF

 

63

 

394,000

Friendship Haven Healthcare and Rehabilitation Center

 

Galveston County TX

September 14, 2012

 

SNF

 

150

 

1,059,000

Pacific Health and Rehabilitation Center

 

Tigard, OR

December 24, 2012

 

SNF

 

73

 

726,000

Brookstone of Aledo

 

Aledo, IL

July 2, 2013

 

AL

 

66

 

573,000

Sundial Assisted Living

 

Redding, CA

December 18, 2013

 

AL

 

65

 

167,000

Pennington Gardens

 

Chandler, AZ

July 17, 2017

 

AL/MC

 

90

 

278,000

Yucaipa Hill Post Acute

Yucaipa, CA

July 2, 2021

SNF

82

264,000

Creekside Post Acute

Yucaipa, CA

July 2, 2021

SNF

59

118,000

University Post Acute

Mentone, CA

July 2, 2021

SNF

50

112,000

Total

 

 

  

 

  

 

749

 

  

Page 23 of 36

Property Location Date Purchased Type Beds  2017
Revenue1
 
             
Sheridan Care Center Sheridan, OR August 3, 2012 SNF  51  $369,000 
Fernhill Care Center Portland, OR August 3, 2012 SNF  63   394,000 
Friendship Haven Healthcare and Rehabilitation Center Galveston County TX September 14, 2012 SNF  150   2
Pacific Health and Rehabilitation Center Tigard, OR December 24, 2012 SNF  73   726,000 
Danby House Winston-Salem, NC January 31, 2013 AL/MC  100   721,000 
Brookstone of Aledo Aledo, IL July 2, 2013 AL  66   573,000 
The Shelby House Shelby, NC October 4, 2013 AL  72   342,000 
The Hamlet House Hamlet, NC October 4, 2013 AL  60   493,000 
The Carteret House Newport, NC October 4, 2013 AL  64   326,000 
Sundial Assisted Living Redding, CA December 18, 2013 AL  65   269,000 
Pennington Gardens Chandler, AZ July 17, 2017 AL/MC  90   221,000 
Total        854     

1Represents year-to-date through September 30, 2017rental revenue based on in-place leases, including straight-line rent.

2 Rent due under a lease between usrent and our wholly-owned taxable REIT subsidiary (“Friendswood TRS”) was approximately $1.2excluding straight-line rent write offs of $0.5 million, year-to-date through September 30, 2017. Such rental income is eliminated2021 and excluding $0.5 million in consolidation.tenant reimbursements.

On July 2, 2021, we acquired three properties in California (the “CA3 Properties”) for approximately $20.1 million.  See Note 3 to the accompanying Notes to Condensed Consolidated Financial Statements for further information.

Summit Equity-Method Investment Portfolio Properties

We continue to believe that raising institutional joint venture equity to make acquisitions will be accretive to shareholder value and will move us closer to our goal of resuming shareholder distributions.value. Our soleprimary source of equity since 2015 has been institutional funds raised through a joint venture structure and accounted for as equity-method investments. We continue to believe this is the mosta prudent strategy for growth and our shareholders benefitgrowth.

Page 23

A summary of the condensed combined financial data for the following reasons:balance sheets and statements of income for all unconsolidated Equity-Method Investments are as follows (see below under Indiana JV for information regarding the sale of our equity interest in the Indiana JV on June 11, 2021 and see Note 5 to the accompanying Notes to Condensed Consolidated Financial Statements; accordingly, the financial information for the Indiana JV is not included in the September 30, 2021 combined balance sheet and the three and nine months ended September 30, 2021 combined statements of income below):

·We have not incurred the expense of organizational and offering costs, including brokerage commissions, that could amount to 15% or more of the actual capital raised through a registered secondary offering;

    

September 30,

    

December 31,

Condensed Combined Balance Sheets:

2021

2020

Total Assets

$

287,086,000

$

415,591,000

Total Liabilities

$

218,462,000

$

324,414,000

Members Equity:

 

 

Summit

$

7,712,000

$

11,489,000

JV Partners

$

60,912,000

$

79,688,000

Total Members Equity

$

68,624,000

$

91,177,000

·We have not diluted our shareholders;

    

Three Months Ended

 

Nine Months Ended

September 30,

 

September 30,

Condensed Combined Statements of Income:

 2021

    

2020

    

2021

    

2020

Total Revenue

$

9,960,000

$

12,282,000

$

29,845,000

$

36,952,000

Income from Operations

$

3,797,000

$

6,007,000

$

11,151,000

$

17,860,000

Net Income

$

1,660,000

$

1,583,000

$

5,243,000

$

3,049,000

Summit equity interest in Equity-Method Investments net income

$

190,000

$

177,000

$

691,000

$

345,000

JV Partners interest in Equity-Method Investments net income

$

1,470,000

$

1,406,000

$

4,552,000

$

2,704,000

·We earn acquisition fees and asset management fees from our joint venture partners, as opposed to paying fees to an advisor, broker or other third party; and

·We have attractive waterfall terms for both net operating cash flow and all sales proceeds, which increases our cash on cash return and our internal rate of return considerably compared to our non-joint venture assets.

Summit Union Life Holdings, LLC

In April 2015, through our operating partnership (“Operating Partnership”), we formed Summit Union Life Holdings, LLC (“SUL JV”) with Best Years, LLC (“Best Years”), an unrelated entity and a U.S.-based affiliate of Union Life Insurance Co, Ltd. (a Chinese corporation), and entered into a limited liability company with Best Years with respect to the SUL JV (the “SUL LLC Agreement”). The SUL JV is not consolidated in our condensed consolidated financial statements and is accounted for under the equity-method in the Company’s condensed consolidated financial statements.

Page 24 of 36

Under the SUL LLC Agreement, as amended, net operating cash flow of the SUL JV will be distributed monthly, first to the Operating Partnership and Best Yearspari passu up to a 9% to 10% annual return, as defined, and thereafter to Best Years 75% and the Operating Partnership 25%. All capital proceeds from the sale of the properties held by the SUL JV, a refinancing, or another capital event will be paid first to the Operating Partnership and Best Yearspari passu until each has received an amount equal to its accrued but unpaid 9% to 10% return plus its total contribution, and thereafter to Best Years 75% and the Operating Partnership 25%.

equity-method.

The following reconciles our 10% equity investment in the SUL JV from inception through September 30, 2017:2021:

JV 2 Properties (Colorado, Oregon and Virginia) – April 2015 $1,007,000 

    

$

1,076,000

Creative Properties (Texas) – October 2015  837,000 

 

837,000

Cottage Properties (Wisconsin) – December 2015  544,000 

 

736,000

Riverglen (New Hampshire) – April 2016  392,000 

 

424,000

Delaware Properties – September 2016  1,783,000 

 

1,846,000

Total investments  4,563,000 

 

4,919,000

Income from equity-method investee  417,000 

 

1,455,000

Distributions  (1,468,000)

 

(3,930,000)

Total investment at September 30, 2017 $3,512,000 

Total investment at September 30, 2021

$

2,444,000

Page 24

A summary of the unaudited condensed consolidated financial data for the balance sheets and statements of income for the unconsolidated SUL JV, of which we own a 10% equity interest, is as follows:

    

September 30,

    

December 31,

Condensed Consolidated Balance Sheets of SUL JV: September 30,
2017
  December 31,
2016
 

 2021

 2020

Real estate properties and intangibles, net $147,210,000  $151,439,000 

$

126,175,000

$

129,793,000

Cash and cash equivalents  7,832,000   4,750,000 

 

5,353,000

 

6,548,000

Other assets  7,222,000   4,860,000 

 

13,568,000

 

11,932,000

Total Assets: $162,264,000  $161,049,000 
        

Total Assets

$

145,096,000

$

148,273,000

Loans payable, net $109,443,000  $104,717,000 

$

103,374,000

$

104,552,000

Other liabilities  11,883,000   13,185,000 

 

8,455,000

 

9,115,000

Members’ equity:        

 

 

Best Years  37,313,000   39,186,000 

 

30,708,000

 

31,841,000

Summit  3,625,000   3,961,000 

 

2,559,000

 

2,765,000

Total Liabilities and Members’ Equity $162,264,000  $161,049,000 

$

145,096,000

$

148,273,000

    

Three Months Ended

 

Nine Months Ended

September 30,

 

September 30,

Condensed Consolidated Statements of Income of SUL JV:

 2021

    

2020

    

2021

    

2020

Total revenue

$

5,072,000

$

4,553,000

$

15,339,000

$

13,703,000

Property operating expenses

 

(2,084,000)

 

(1,124,000)

(6,241,000)

(3,533,000)

Net operating income

 

2,988,000

 

3,429,000

9,098,000

10,170,000

General and administrative expense

 

(99,000)

 

(96,000)

(307,000)

(294,000)

Depreciation and amortization expense

 

(1,174,000)

 

(1,338,000)

(3,719,000)

(4,025,000)

Income from operations

 

1,715,000

 

1,995,000

5,072,000

5,851,000

Interest expense

 

(1,149,000)

 

(1,171,000)

(3,463,000)

(3,581,000)

Amortization of debt issuance costs

 

(49,000)

 

(54,000)

(153,000)

(160,000)

Other income (expense)

 

117,000

 

1,000

(35,000)

357,000

Net income

$

634,000

$

771,000

$

1,421,000

$

2,467,000

Summit equity interest in SUL JV net income

$

63,000

$

77,000

$

142,000

$

247,000

Condensed Consolidated Statements

Page 25

Table of Income of SUL JV:Contents

  Three Months Ended September 30,  Nine months Ended September 30, 
  2017  2016  2017  2016 
Revenues:            
Revenue $3,853,000  $3,149,000  $11,773,000  $8,195,000 
Property and general expenses  (412,000)  (321,000)  (1,337,000)  (1,016,000)
Depreciation and amortization expense  (1,432,000)  (1,068,000)  (4,292,000)  (2,682,000)
Income from operations  2,009,000   1,760,000   6,144,000   4,497,000 
Interest expense  (1,480,000)  (994,000)  (4,241,000)  (2,589,000)
Amortization and write-off of debt issuance costs  (449,000)  (90,000)  (731,000)  (239,000)
 Net Income $80,000  $676,000  $1,172,000  $1,669,000 
                 
Summit equity interest in SUL JV net income $8,000  $68,000  $117,000  $167,000 

Page 25 of 36

As of September 30, 2017,2021, the 17 properties held by SUL JV, our unconsolidated 10% equity-method investment, in SUL JV11 of which are 100% leased on a triple net basis, and are as follows:

Property

Location

Type

Number of
Beds

Lamar Estates

Lamar, CO

SNF

60

Number of 

Property

Location

Type

Beds

Lamar Estates

Lamar, CO

SNF

60

Monte Vista Estates

Monte Vista, CO

SNF

60

Myrtle Point Care Center

Myrtle Point, OR

SNF

55

Gateway Care and Retirement Center

Portland, OR

SNF/IL

91

Applewood Retirement Community

Salem, OR

IL

69

Loving Arms Assisted

Shenandoah Senior Living

Front Royal, VA

AL

78

Pine Tree Lodge Nursing Center

Longview, TX

SNF

92

Granbury Care Center

Granbury, TX

SNF

181

Twin Oaks Nursing Center

Jacksonville, TX

SNF

116

Dogwood Trails Manor

Woodville, TX

SNF

90

Carolina Manor

Appleton, WI

AL

45

Carrington Manor

Green Bay, WI

AL

20

Marla Vista Manor

Green Bay, WI

AL

40

Marla Vista Gardens

Green Bay, WI

AL

20

Riverglen House of Littleton

Littleton, NH

AL

59

Atlantic Shore Rehabilitation and Health Center

Millsboro, DE

SNF

181

Pinnacle Rehabilitation and Health Center

Smyrna, DE

SNF

151

Total:

1,408

SummitEquity-Method Partner – Fantasia Holdings,Investment III LLC

On September 27,In 2016 and 2017, through our Operating Partnership, we entered into athree separate limited liability company agreement (theagreements (collectively, the “Fantasia LLC Agreement”Agreements”) with Fantasia Investment III LLC (“Fantasia”), an unrelated entity and a U.S.-based affiliate of Fantasia Holdings Group Co., Limited (a Chinese corporation listed on the Stock Exchange of Hong Kong (HKEX)), and formed three separate companies, Summit Fantasia Holdings, LLC (the(“Fantasia I”), Summit Fantasia Holdings II, LLC (“Fantasia II”) and Summit Fantasia Holdings III, LLC (“Fantasia III”) (collectively, the “Fantasia JV”JVs”). The Fantasia JV isJVs are not consolidated in our condensed consolidated financial statements and isare accounted for under the equity-method in the Company’s condensed consolidated financial statements.

On October 31, 2016, throughequity-method. Through the Fantasia JV,JVs: we acquiredown a 20%35% interest in two senior housing facilities, one located in Citrus Heights, California and one located in Corvallis, Oregon, for a total purchase price of $23 million.

Under the Fantasia LLC Agreement, net operating cash flow of the Fantasia JV will be distributed quarterly, first to the Operating Partnership and Fantasiapari passu until each member has received an amount equal to its accrued, but unpaid 8% return, and thereafter 70% to Fantasia and 30% to the Operating Partnership. All capital proceeds from the sale of the properties held by the Fantasia JV, a refinancing or another capital event, will be paid first to the Operating Partnership and Fantasiapari passu until each has received an amount equal to its accrued but unpaid 8% return plus its total capital contribution, and thereafter 70% to Fantasia and 30% to the Operating Partnership.

The following reconciles our 20% equity investment in the Fantasia JV from inception through September 30, 2017:

Summit Citrus Heights ( California) – October 2016 $663,000 
Summit Corvallis (Oregon) – October 2016  611,000 
Total investment  1,274,000 
Income from equity-method investee  24,000 
Distributions  (166,000)
Total investment at September 30, 2017 $1,132,000 

As of September 30, 2017, the two properties of our unconsolidated 20% equity-method investment in Fantasia JV are as follows:

PropertyLocationTypeNumber of
Beds
Sun Oak Assisted LivingCitrus Heights, CAAL/MC78
Regent Court Senior LivingCorvallis, ORMC48
Total:126

Page 26 of 36

Summit Fantasia Holdings II, LLC

On December 23, 2016, through our Operating Partnership, we entered into a limited liability company agreement (the “Fantasia II LLC Agreement”) with Fantasia, and formed Summit Fantasia Holdings II, LLC (the “Fantasia II JV”). The Fantasia II JV is not consolidated in our condensed consolidated financial statements and is accounted for under the equity-method in the Company’s condensed consolidated financial statements.

On February 28, 2017, through the Fantasia II JV, we acquiredOregon; a 20% interest in two skilled nursing facilities located in Rhode Island, for a total purchase price of $27 million.

Under the Fantasia II LLC Agreement, net operating cash flow of the Fantasia II JV will be distributed quarterly, first to the Operating PartnershipIsland; and Fantasiapari passu until each member has received an amount equal to its accrued, but unpaid 8% return, and thereafter 70% to Fantasia and 30% to the Operating Partnership. All capital proceeds from the sale of the properties held by the Fantasia JV, a refinancing or another capital event, will be paid first to the Operating Partnership and Fantasiapari passu until each has received an amount equal to its accrued but unpaid 8% return plus its total capital contribution, and thereafter 70% to Fantasia and 30% to the Operating Partnership.

The following reconciles our 20% equity investment in the Fantasia II JV from inception through September 30, 2017:

Summit Woonsocket (Rhode Island) – February 2017 $1,285,000 
Summit Smithfield (Rhode Island) – February 2017  638,000 
Total investment  1,923,000 
Income from equity-method investee  96,000 
Distributions  (207,000)
Total investment at September 30, 2017 $1,812,000 

As of September 30, 2017, the two properties of our unconsolidated 20% equity-method investment in Fantasia II JV are as follows:

PropertyLocationTypeNumber of
Beds
Trinity Health and Rehabilitation CenterWoonsocket, Rhode IslandSNF185
Hebert Nursing HomeSmithfield, Rhode IslandSNF133
Total:318

Summit Fantasia Holdings III, LLC

On July 27, 2017, through our Operating Partnership, we entered into a limited liability company agreement (the “Fantasia III LLC Agreement”) with Fantasia and formed Summit Fantasia Holdings III, LLC (the “Fantasia III JV”). The Fantasia III JV is not consolidated in our condensed consolidated financial statements and will be accounted for under the equity-method in the Company’s condensed consolidated financial statements.

On August 10, 2017, through the Fantasia III JV, we acquired a 10% interest in nine skilled nursing facilities located in Connecticut, for a total aggregate purchase price of $60 million for the properties.

Under the Fantasia III LLC Agreement, net operating cash flow of the Fantasia III JV will be distributed quarterly, first to the Operating Partnership and Fantasiapari passu until each member has received an amount equal to its accrued, but unpaid 9% return, and thereafter 75% to Fantasia and 25% to the Operating Partnership. All capital proceeds from the sale of the properties held by the Fantasia III JV, a refinancing or another capital event, will be paid first to the Operating Partnership and Fantasiapari passu until each has received an amount equal to its accrued but unpaid 9% return plus its total capital contribution, and thereafter 75% to Fantasia and 25% to the Operating Partnership.

Page 27 of 36

Connecticut.

The following reconciles our 10% equity investmentinvestments in the Fantasia III JVJVs from inception through September 30, 2017:2021:

Connecticut properties $1,953,000 
Total investment  1,953,000 
Income from equity-method investee  19,000 
Distributions  (59,000)
Total investment at September 30, 2017 $1,913,000 

Summit Fantasia Holdings, LLC – October 2016

    

$

2,524,000

Summit Fantasia Holdings II, LLC – February 2017

 

1,923,000

Summit Fantasia Holdings III, LLC – August 2017

 

1,954,000

Total investment

 

6,401,000

Income from Fantasia JVs

 

1,463,000

Distributions

 

(2,962,000)

Total Fantasia investments at September 30, 2021

$

4,902,000

Page 26

A summary of the condensed combined financial data for the balance sheets and statements of income for the unconsolidated Fantasia JVs, of which we own a 10% to 35% equity interest, is as follows:

    

September 30,

    

December 31,

Condensed Combined Balance Sheets of Fantasia JVs:

 2021

 2020

Real estate properties, net

$

89,545,000

$

101,351,000

Cash and cash equivalents

 

7,667,000

 

7,497,000

Assets held for sale (1)

10,994,000

Other assets

 

5,926,000

 

6,526,000

Total Assets

$

114,132,000

$

115,374,000

Loans payable, net

$

66,696,000

$

75,661,000

Liabilities held for sale (1)

7,992,000

Other liabilities

 

8,382,000

 

8,359,000

Members’ equity:

 

 

Fantasia JVs

 

26,160,000

 

26,330,000

Summit

 

4,902,000

 

5,024,000

Total Liabilities and Members’ Equity

$

114,132,000

$

115,374,000

(1)In May 2021, the Fantasia I JV entered into an agreement to sell one of the properties in the Summit Fantasia Holdings, LLC equity-method investment; therefore, such property has been accounted for as Held for Sale.

    

Three Months Ended

 

Nine Months Ended

September 30,

 

September 30,

Condensed Combined Statements of Income of Fantasia JVs:

 2021

    

 2020

    

 2021

    

2020

Total revenue

$

3,940,000

$

3,904,000

$

11,775,000

$

11,760,000

Property operating expenses

 

(1,509,000)

 

(1,394,000)

 

(4,503,000)

 

(4,228,000)

Net operating income

 

2,431,000

 

2,510,000

 

7,272,000

 

7,532,000

General and administrative expense

 

(121,000)

 

(45,000)

 

(369,000)

 

(178,000)

Depreciation and amortization expense

 

(650,000)

 

(727,000)

 

(2,079,000)

 

(2,180,000)

Income from operations

 

1,660,000

 

1,738,000

 

4,824,000

 

5,174,000

Interest expense

 

(896,000)

 

(978,000)

 

(2,682,000)

 

(2,888,000)

Amortization of debt issuance costs

 

(16,000)

 

(45,000)

 

(48,000)

 

(192,000)

Other income

 

1,000

 

2,000

 

523,000

 

19,000

Net income

$

749,000

$

717,000

$

2,617,000

$

2,113,000

Summit equity interest in Fantasia JVs net income

$

99,000

$

97,000

$

428,000

$

268,000

Page 27

As of September 30, 2017,2021, the nine13 properties ofin Fantasia JVs, our unconsolidated 10% equity-method investment in Fantasia III JVinvestments, are all 100% leased on a triple net basis, and are as follows:

Property

Location

Type

Number of
Beds

Number of 

Property

Location

Type

Beds

Sun Oak Assisted Living

Citrus Heights, CA

AL/MC

78

Regent Court Senior Living

Corvallis, OR

MC

48

Trinity Health and Rehabilitation Center

Woonsocket, Rhode Island

SNF

185

Hebert Nursing Home

Smithfield, Rhode Island

SNF

133

Chelsea Place Care Center

Hartford, CT

SNF

234

Touchpoints at Manchester

Manchester, CT

SNF

131

Touchpoints at Farmington

Farmington, CT

SNF

105

Fresh River Healthcare

East Windsor, CT

SNF

140

Trinity Hill Care Center

Trinity Hill, CT

SNF

144

Touchpoints at Bloomfield

Bloomfield, CT

SNF

150

Westside Care Center

Westside, CT

SNF

162

Silver Springs Care Center

Meriden, CT

SNF

159

Touchpoints of Chestnut

Chestnut, CT

SNF

60

Total:

1,285

1,729

Summit Fantasy Pearl Holdings, LLC

OnIn October 2, 2017, through our Operating Partnership, we entered into a limited liability company agreement (the “FPH LLC Agreement”) with Fantasia, Atlantis Senior Living 9, LLC, a Delaware limited liability company (“Atlantis”), and Fantasy Pearl LLC, a Delaware limited liability company (“Fantasy”), and formed Summit Fantasy Pearl Holdings, LLC (the “FPH JV”). The FPH JV is not consolidated in our condensed consolidated financial statements and will be accounted for under the equity-methodequity-method.

The following reconciles our equity investment in the Company’s consolidated financial statements.

In November 2017, through the FPH JV from inception through September 30, 2021:

Iowa properties – November 2017

    

$

929,000

Total investment

 

929,000

Income from equity-method investee

 

6,000

Distributions

 

(684,000)

Total FPH investment at September 30, 2021

$

251,000

Page 28

A summary of the condensed consolidated financial data for the balance sheets and statements of operations for the unconsolidated FPH JV is as follows:

Condensed Consolidated Balance Sheets of FPH JV:

    

September 30,  2021

    

December 31,  2020

Real estate properties, net

$

25,147,000

$

26,068,000

Cash and cash equivalents

 

1,445,000

 

1,430,000

Other assets

 

1,266,000

 

1,079,000

Total Assets

$

27,858,000

$

28,577,000

Loans payable, net

$

20,872,000

$

21,195,000

Other liabilities

 

2,691,000

 

3,407,000

Members’ equity:

 

 

Fantasia JVs

 

4,044,000

 

3,730,000

Summit

 

251,000

 

245,000

Total Liabilities and Members’ Equity

$

27,858,000

$

28,577,000

    

Three Months Ended

 

Nine Months Ended

September 30,

September 30,

Condensed Consolidated Statements of Operations of FPH JV:

2021

    

2020

    

2021

    

2020

Total revenue

$

948,000

$

879,000

 

$

2,731,000

$

2,650,000

Property operating expenses

(182,000)

(117,000)

 

(445,000)

(364,000)

Net operating income

 

766,000

 

762,000

2,286,000

 

2,286,000

General and administrative expense

 

(37,000)

 

(38,000)

(110,000)

 

(109,000)

Depreciation and amortization expense

 

(307,000)

 

(307,000)

(921,000)

 

(921,000)

Income from operations

 

422,000

 

417,000

1,255,000

 

1,256,000

Interest expense

 

(254,000)

 

(260,000)

(757,000)

 

(777,000)

Amortization of debt issuance costs

 

(15,000)

 

(16,000)

(46,000)

 

(46,000)

Other income (expense)

 

124,000

 

89,000

753,000

 

(1,608,000)

Net income (loss)

$

277,000

$

230,000

$

1,205,000

$

(1,175,000)

Summit equity interest in FPH JV net income (loss)

$

28,000

$

23,000

$

121,000

$

(117,000)

As of September 30, 2021, the six properties of our unconsolidated equity-method investments in FPH JV, all of which are 100% leased on a triple net basis, are as follows:

Number of 

Property

Location

Type

Beds

Accura Healthcare of Bancroft

Bancroft, Iowa

SNF/AL

50

Accura Healthcare of Milford

Milford, Iowa

SNF/AL

94

Accura Healthcare of Carroll

Carroll, Iowa

SNF/IL

124

Accura Healthcare of Cresco

Cresco, Iowa

SNF

59

Accura Healthcare of Marshalltown

Marshalltown, Iowa

SNF

86

Accura Healthcare of Spirit Lake

Spirit Lake, Iowa

SNF

98

Total:

511

Indiana JV

In June 2021, we acquired a 10%sold our 15% interest in six senior housing facilities, locatedthe Indiana JV for approximately $5.4 million. The Indiana JV was not consolidated in Iowa,our condensed consolidated financial statements and was accounted for a total aggregate purchase priceunder the equity-method.

Page 29

The facilities consist of a total of 551 licensed beds, and will be operated by and leased to a third party operator.

Under the FPH LLC Agreement, net operating cash flow of the FPH JV will be distributed quarterly, first to the memberspari passu until each member has received an amount equal to its accrued, but unpaid 9% return, and thereafter 65.25% to Fantasy, 7.5% to Atlantis, 7.25% to Fantasia and 20% to the Operating Partnership. All capital proceeds from the sale of the properties held by the FPH JV, a refinancing or another capital event, will be paid to the memberspari passu until each has received an amount equal to its accrued but unpaid 9% return plus its total capital contribution, and thereafter 65.25% to Fantasy, 7.5% to Atlantis, 7.25% to Fantasia, and 20% to the Operating Partnership.

We serve as the manager of the FPH JV and provide management services in exchange for fees and reimbursements. Under the FPH LLC Agreement, as the manager, we are paid an acquisition fee upon closing of an acquisition, as definedfollowing reconciles our equity investment in the agreement, based on the purchase price paid for the properties. Additionally, we are paid on a quarterly basis an annual asset management fee equal to 0.75% of the initial capital contribution of the members.Indiana JV from inception through June 11, 2021:

Indiana properties – March 2019

    

$

4,906,000

Total investment

 

4,906,000

Loss from equity-method investee

 

(1,433,000)

Distributions

 

(1,577,000)

Total Indiana JV investment at June 11, 2021

1,896,000

Funds received from sale of interest in equity-method investment

5,411,000

Total gain on sale of Indiana JV equity-method investment at June 11, 2021

$

3,515,000

We contributed approximately $1.0 million for this acquisition.

Page 28 of 36

Distributions from Equity-Method Investments

For the three and nine months ended September 30, 20172021 and 2016,2020, we recorded distributions and cash received for distributions from our Equity-Method Investments as follows:

 Three Months Ended September 30,  Nine months Ended September 30, 
 2017  2016  2017  2016 

    

Nine months ended September 30,

2021

    

2020

Distributions $323,000  $163,000  $870,000  $458,000 

$

1,429,000

$

1,496,000

                

Cash received for distributions $312,000  $126,000  $840,000  $340,000 

$

1,866,000

$

1,366,000

Acquisition and Asset Management Fees

We serve as the manager of our Equity-Method Investments and provide management services in exchange for fees and reimbursements. As the manager, we are paid an acquisition fee, as defined in the agreements. Additionally, we are paid an annual asset management fee for managing the properties owned by our Equity-Method Investments, as defined in the agreements. For the three months ended September 30, 2017 and 2016, we recorded approximately $0.3 million and $0.2 million, respectively, in acquisition and asset management fees. For the nine months ended September 30, 2017 and 2016, we recorded approximately $0.6 million and $0.3 million, respectively, in acquisition and asset management fees.

Critical Accounting Policies

There have been no material changes to our critical accounting policies as previously disclosed in our Annual Report on Form 10-K for the year ended December 31, 20162020 as filed with the SEC on March 29, 2017.2021.

Page 30

Results of Operations

Our results of operations are described below:

Three Months Ended September 30, 20172021 Compared to Three Months Ended September 30, 20162020

  Three Months Ended
September 30,
    
  2017  2016  $ Change 
Rental revenues $1,644,000  $1,639,000  $5,000 
Tenant reimbursements and other income  224,000   217,000   7,000 
Resident services and fee income  2,413,000   2,017,000   396,000 
Total revenues  4,281,000   3,873,000   408,000 
Less expenses:            
Property operating costs  (395,000)  (404,000)  9,000 
Resident services costs  (1,658,000)  (1,750,000)  92,000 
Net operating income(1)  2,228,000   1,719,000   509,000 
Acquisition & asset management fees  293,000   206,000   87,000 
Interest income from notes receivable  44,000   44,000   - 
General and administrative  (1,688,000)  (1,411,000)  (277,000)
Depreciation and amortization  (823,000)  (898,000)  75,000 
Income from equity-method investees  73,000   68,000   5,000 
Other income  5,000   21,000   (16,000)
Interest expense  (806,000)  (755,000)  (51,000)
Net loss  (674,000)  (1,006,000)  332,000 
Noncontrolling interests’ share in income  (15,000)  (19,000)  4,000 
Net loss applicable to common stockholders $(689,000) $(1,025,000) $336,000 

    

Three Months Ended 

    

    

September 30,

2021

    

2020

    

$ Change

Total rental revenues

$

1,853,000

$

1,624,000

$

229,000

Property operating costs

 

(264,000)

 

(252,000)

 

(12,000)

Net operating income (1)

 

1,589,000

 

1,372,000

 

217,000

Acquisition & asset management fees

 

165,000

 

292,000

 

(127,000)

Interest income from notes receivable

 

7,000

 

7,000

 

General and administrative

 

(933,000)

 

(779,000)

 

(154,000)

Depreciation and amortization

 

(524,000)

 

(417,000)

 

(107,000)

Income from equity-method investees

 

191,000

 

179,000

 

12,000

Other income

 

5,000

 

5,000

 

Interest expense

 

(729,000)

 

(531,000)

 

(198,000)

Net (loss) income

 

(229,000)

 

128,000

 

(357,000)

Noncontrolling interests’ share in (income) loss

 

(18,000)

 

(16,000)

 

(2,000)

Net (loss) income applicable to common stockholders

$

(247,000)

$

112,000

$

(359,000)

Page 29 of 36

(1)Net operating income (“NOI”) is a non-GAAP supplemental measure used to evaluate the operating performance of real estate properties. We define NOI as total rental revenues tenant reimbursements and other income, resident services and fee income, less property operating and resident services costs. NOI excludes acquisition and asset management fees, interest income from notes receivable, general and administrative expense, depreciation and amortization, income from equity-method investees, gain on sale of equity-method investment, other income, and interest expense. We believe NOI provides investors relevant and useful information because it measures the operating performance of the REIT’s real estate at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess and compare property-level performance. We believe that net income (loss) is the most directly comparable GAAP measure to NOI. NOI should not be viewed as an alternative measure of operating performance to net income (loss) as defined by GAAP since it does not reflect the aforementioned excluded items. Additionally, NOI as we define it may not be comparable to NOI as defined by other REITs or companies, as they may use different methodologies for calculating NOI.

Total rental revenuerevenues for our properties includes rental revenues and tenant reimbursements for property taxes and insurance. Property operating costs include insurance, property taxes and other operating expenses, including management fees. Resident service and fee income and resident services costs are generated from Friendswood TRS.expenses. Net operating income increased approximately $0.2 million for the three months ended September 30, 20172021 compared to the three months ended September 30, 20162020 primarily due to the $0.4 million increaseacquisition of the CA3 Properties in July 2021 offset by the reduction in rental revenue from resident servicesPennington Gardens and fee incomeSundial Assisted Living (approximately $128,000) (see Note 2 to the accompanying Notes to Condensed Consolidated Financial Statements under Coronavirus (COVID-19) and by a corresponding $0.1 million decrease in resident services costs due to improvements in facility management at Friendship Haven.

Note 3 under 2021 Acquisitions).

The net increase in general and administrative expenses of $0.3$0.1 million is primarily due to an increase of approximately $0.2 million in legal expenses associated with the CRA litigation (see Notes 7 and 10 to the accompanying Notes to Condensed Consolidated Financial Statements).

The decrease in depreciation and amortization for the three months ended September 30, 2017 is primarily due2021 compared to the three months ended September 30, 2016 included two months for Medford (sold2020 is primarily due to an increase in October 2016) (see Note 12 to the accompanying Notes to Condensed Consolidated Financial Statements)payroll related expenses, legal fees and noneother professional expenses.

The net increase in depreciation and amortization and interest expense of $0.1 million and $0.2 million, respectively, for the three months ended September 30, 2017.

Nine Months Ended2021 compared to the three months ended September 30, 20172020 is primarily due to the acquisition of the CA3 Properties in July 2021.

Page 31

Nine months ended September 30, 2021 Compared to Nine Months Endedmonths ended September 30, 20162020

  Nine Months Ended
September 30,
    
  2017  2016  $ Change 
Rental revenues $4,488,000  $5,183,000  $(695,000)
Tenant reimbursements and other income  596,000   665,000   (69,000)
Resident services and fee income  6,829,000   6,162,000   667,000 
   Total revenues  11,913,000   12,010,000   (97,000)
Less expenses:            
   Property operating costs  (1,187,000)  (1,332,000)  145,000 
   Resident services costs  (4,917,000)  (5,267,000)  350,000 
Net operating income(1)  5,809,000   5,411,000   398,000 
Acquisition and asset management fees  594,000   338,000   256,000 
Interest income from notes receivable  132,000   119,000   13,000 
General and administrative  (4,004,000)  (3,524,000)  (480,000)
Depreciation and amortization  (2,307,000)  (2,791,000)  484,000 
Income from equity-method investees  251,000   167,000   84,000 
Other income  37,000   93,000   (56,000)
Interest expense  (2,173,000)  (2,344,000)  171,000 
Net loss  (1,661,000)  (2,531,000)  870,000 
Noncontrolling interests’ share in income  (40,000)  (53,000)  13,000 
Net loss applicable to common stockholders $(1,701,000) $(2,584,000) $883,000 

Nine months ended September 30,

    

2021

    

2020

    

$ Change

Total rental revenues

$

4,061,000

$

4,828,000

$

(767,000)

Property operating costs

 

(694,000)

 

(722,000)

 

28,000

Net operating income (1)

 

3,367,000

 

4,106,000

 

(739,000)

Acquisition & asset management fees

 

789,000

 

910,000

 

(121,000)

Interest income from notes receivable

 

20,000

 

21,000

 

(1,000)

General and administrative

 

(3,426,000)

 

(2,566,000)

 

(860,000)

Depreciation and amortization

 

(1,316,000)

 

(1,252,000)

 

(64,000)

(Loss) income from equity-method investees

 

(594,000)

 

346,000

 

(940,000)

Gain on sale of equity-method investment

 

3,515,000

 

3,515,000

Other income

 

16,000

 

53,000

 

(37,000)

Interest expense

 

(1,767,000)

 

(1,754,000)

 

(13,000)

Net income (loss)

 

604,000

 

(136,000)

 

740,000

Noncontrolling interests’ share in (income) loss

 

(58,000)

 

(39,000)

 

(19,000)

Net income (loss) applicable to common stockholders

$

546,000

$

(175,000)

721,000

Page 30 of 36

(1)NOI is a non-GAAP supplemental measure used to evaluate the operating performance of real estate properties. We define NOI as rental revenues, tenant reimbursements and other income, and resident services and fee income, less property operating costs and resident services costs. NOI excludes acquisition and asset management fees, interest income from notes receivable, general and administrative expense, depreciation and amortization, income from equity-method investees, other income, and interest expense,. We believe NOI provides investors relevant and useful information because it measures the operating performance of the REIT’s real estate at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess and compare property-level performance. We believe that net income (loss) is the most directly comparable GAAP measure to NOI. NOI should not be viewed as an alternative measure of operating performance to net income (loss) as defined by GAAP since it does not reflect the aforementioned excluded items. Additionally, NOI as we define it may not be comparable to NOI as defined by other REITs or companies, as they may use different methodologies for calculating NOI.

Total rental revenuerevenues for our properties includes rental revenues and tenant reimbursements for property taxes and insurance. Property operating costs include insurance, property taxes and other operating expenses, including management fees. Resident services and fee income and resident services costs are generated from Friendswood TRS.expenses. Net operating income increased bydecreased approximately $0.4$0.7 million for the nine months ended September 30, 20172021 compared to the nine months ended September 30, 2016. This was2020 primarily due to a $0.8 million decreasethe reduction in rental revenues and tenant reimbursements, as thetotal rental revenue for the nine months ended September 30, 2016 included four months($0.6 million) and write off of Riverglen (contributed to the SUL JV in April 2016)straight-line rent ($0.5 million) from Pennington Gardens and nine months of rental revenue and costs for Medford (sold in October 2016)Sundial Assisted Living (see Note 122 to the accompanying Notes to Condensed Consolidated Financial Statements) and none for the nine months ended September 30, 2017,Statements under Coronavirus (COVID-19) offset by a $0.7 million increase in resident service and fee income, due to improvement in facility management at Friendship Haven. The decrease in property operating costs and resident services costs are due to the same factors related to the revenues.

The increase in the acquisition and asset management fees of approximately $0.3 million is due to the acquisition fees earned on the Fantasia II properties of approximately $0.1 million (acquired in February 2017) and Fantasia III properties of approximately $0.1 million (acquired in August 2017) and an increase in asset management fees due to the addition of the Fantasia JV and SUL JV properties acquiredCA3 Properties in late 2016, Fantasia II JV properties acquired in February 2017 and Fantasia III JV properties acquired in August 2017.

July 2021.

The net increase in general and administrative expenses of $0.5$0.9 million for the nine months ended September 30, 2021 compared to the nine months ended September 30, 2020 is primarily due to an increasethe write off of approximately $0.4 million in legal expenses associated with a terminated transaction of approximately $0.6 million and an increase in payroll related expenses and other professional expenses of approximately $0.3 million.

The net decrease of approximately $1.0 million from income to loss from equity-method investments for the CRA litigationnine months ended September 30, 2021 compared to the nine months ended September 30, 2020 is primarily due to the increase in the net loss related to the Indiana JV, our former Equity-Method Investment (see Notes 7 and 10Note 5 to the accompanying Notes to Condensed Consolidated Financial Statements)Statements for further information related to the sale of our interest in the Indiana JV in June 2021).

The decreaseincrease in depreciation and amortization and interest expensegain on sale of equity-method investment of approximately $3.5 million for the nine months ended September 30, 2017 is primarily due2021 compared to the nine months ended September 30, 2016 included four months for Riverglen (contributed2020 is due to the SULsale of our equity interest in the Indiana JV in April 2016) and nine months for Medford (sold in October 2016) (see Note 125 to the accompanying Notes to Condensed Consolidated Financial Statements) and noneStatements for further information related to the nine months ended September 30, 2017.sale of our interest in the Indiana JV in June 2021).

Liquidity and Capital Resources

As of September 30, 2017,2021, we had approximately $4.2$17.0 million in cash and cash equivalents on hand. Based on current conditions, we believe that we have sufficient capital resources to sustain operations.

Going forward, we expect our primary sources of cash to be rental revenues, joint venture distributions, and acquisition and asset management fees and tenant reimbursements.fees. In addition, we may increase cash through the sale of additional properties, which may result in the deconsolidation of properties we already own, or borrowing against currently-owned properties. For the foreseeable future, we expect our primary uses of cash to be for funding future acquisitions, investments in joint ventures, operating expenses, interest expense on outstanding indebtedness and the repayment of principal on loans payable. We may also incur expenditures for renovations of our existing properties, such as increasing the sizemaking our facilities more appealing in their market.

Seven of the properties by developing additional rentable square feet and/or making the space more appealing.

We continue to pursue options for repaying and/or refinancingour debt obligations withare long-term, fixed rate U.S. Department of Housing and Urban Development (“HUD”) insured loans. In October and December 2015, we successfully refinanced two of our existing loan arrangements with Lancaster Pollard (HUD-insured) loans (see Note 4 to the accompanying Notes to Condensed Consolidated Financial Statements). We are currently in negotiations to refinance our two outstandingHUD-insured loans that mature between 2039 and 2055.  The other debt obligation is a short-term loan that matures in 2018July 2024 with HUD-insured loansa variable interest rate starting at 5% and expect these to close withinbased on the next 12 months. Additionally, in September and October 2017, as the manager of our Equity-Method Investments, we successfully refinanced four existing loan arrangements of our Equity-Method Investments with Lancaster Pollard (HUD-insured) loans.one-month LIBOR rate

Page 31 of 36

Page 32

Table of Contents

We believe that market conditions may be acceptable to continue to raise capital through additional joint venture arrangements with either our existing joint venture partners or new partners, although there can be no assurances that any such transactions will have terms acceptable to us or will be consummated.

Our liquidity will increase if cash from operations exceeds expenses, we receive net proceeds from the sale of whole or partial interest in a property or properties, or refinancing results in excess loan proceeds. Our liquidity will decrease as proceeds are expended in connection with our acquisitions and operation of properties.

CARES Act

During 2020, the Coronavirus Aid, Relief, and Economic Security (CARES) Act was enacted to provide economic stimulus and assistance to business owners to help maintain on-going operations in the form of grants, forgivable loans and other relief. We did not obtain a paycheck protection program loan. We have evaluated the CARES Act and determined that there was no impact to the Company for the three and nine-month period ended September 30, 2021 and for the year ended December 31, 2020. We will continue to evaluate and monitor the CARES Act, and any new COVID-19-related legislation to determine the ultimate impact and benefits, if any, to the Company.

Credit Facilities and Loan Agreements

As of September 30, 2017,2021, we had the following debt obligations which have not changed materially from those reported in Management’s Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report on Form 10-K for the fiscal year ended December 31, 2016, except for the addition of the Capital Oneapproximately $61.4 million. The outstanding balance by loan agreement is as follows (see Note 4 to the accompanying Notes to Condensed Consolidated Financial Statements)Statements for further information regarding our refinancing arrangements):

·Capital One National Association –approximately $10.1Multifamily Finance, LLC (HUD-insured) – approximately $10.3 million maturing July 2018September 2053
·Healthcare Financial Solutions, LLC–Lument Capital (formerly ORIX Real Estate Capital, LLC) (HUD-insured) – approximately $2.8 million maturing October 2018
·Oxford Finance, LLC– approximately $6.9 million maturing October 2019
·Lancaster Pollard (HUD insured)–approximately $43.1$36.1 million maturing from September 2039 through January 2051April 2055
CIBC Bank, USA - approximately $15.0 million maturing July 2024

Distributions

We made no stockholder distributions during the nine months ended September 30, 2017.2021.

Funds from Operations (“FFO”)

FFO is a non-GAAP supplemental financial measure that is widely recognized as a measure of REIT operating performance. We compute FFO in accordance with the definition outlined by the National Association of Real Estate Investment Trusts (“NAREIT”). NAREIT defines FFO as net income (loss), computed in accordance with GAAP, excluding gains or losses from sales of property, plus depreciation and amortization and after adjustments for unconsolidated partnerships and joint ventures.

Page 33

Our FFO may not be comparable to FFO reported by other REITs that do not define the term in accordance with the current NAREIT definition or that interpret the current NAREIT definition differently than we do. We believe that FFO is helpful to investors and our management as a measure of operating performance because it excludes depreciation and amortization, gains and losses from property dispositions, impairments and extraordinary items, and as a result, when compared period to period, reflects the impact on operations from trends in occupancy rates, rental rates, operating costs, development activities, general and administrative expenses, and interest costs, which is not immediately apparent from net income. Historical cost accounting for real estate assets in accordance with GAAP implicitly assumes that the value of real estate diminishes predictably over time. Since real estate values have historically risen or fallen with market conditions, many industry investors and analysts have considered the presentation of operating results for real estate companies that use historical cost accounting alone to be insufficient. As a result, our management believes that the use of FFO, together with the required GAAP presentations, provide a more complete understanding of our performance. Factors that impact FFO include start-up costs, fixed costs, delays in buying assets, lower yields on cash held in accounts pending investment, income from portfolio properties and other portfolio assets, interest rates on acquisition financing and operating expenses. FFO should not be considered as an alternative to net income (loss), as an indication of our performance, nor is it indicative of funds available to fund our cash needs, including our ability to make distributions.

Page 32 of 36

The following is the reconciliation from net lossincome (loss) applicable to common stockholders, the most direct comparable financial measure calculated and presented with GAAP, to FFO for the three months and nine months ended September 30, 20172021 and 2016: 2020:

  Three months ended  Nine months ended 
  September 30,  September 30, 
  2017  2016  2017  2016 
             
Net loss applicable to common stockholders (GAAP) $(689,000) $(1,025,000) $(1,701,000) $(2,584,000)
Adjustments:                
Depreciation and amortization  823,000   898,000   2,307,000   2,791,000 
Depreciation and amortization related to non-controlling interests  (20,000)  (24,000)  (60,000)  (72,000)
Depreciation related to SUL JV  143,000   107,000   429,000   268,000 
Depreciation related to Fantasia, Fantasia II and III JV  90,000      208,000    
Funds provided by operations (FFO) applicable to common stockholders $347,000  $(44,000) $1,183,000  $403,000 
Weighted-average number of common shares outstanding - basic and diluted  23,027,978   23,027,978   23,027,978   23,027,978 
FFO per weighted average common shares $0.02  $0.00  $0.05  $0.02 

Three Months Ended

Nine Months Ended

September 30,

September 30,

    

2021

    

 2020

    

2021

    

 2020

Net (loss) income applicable to common stockholders (GAAP)

$

(247,000)

$

112,000

$

546,000

$

(175,000)

Adjustments:

 

 

 

 

Depreciation and amortization

 

524,000

 

417,000

 

1,316,000

 

1,252,000

Depreciation and amortization related to non-controlling interests

 

(9,000)

 

(10,000)

 

(28,000)

 

(30,000)

Depreciation related to Equity-Method Investments

 

253,000

 

557,000

 

1,288,000

 

1,672,000

Gain on sale of equity-method investment

(3,515,000)

Funds provided from (used in) operations (FFO) applicable to common stockholders

$

521,000

$

1,076,000

$

(393,000)

$

2,719,000

Weighted-average number of common shares outstanding - basic

23,027,978

23,027,978

23,027,978

23,027,978

FFO per weighted average common shares - basic

$

0.02

$

0.05

$

(0.02)

$

0.12

Weighted-average number of common shares outstanding - diluted

 

23,027,978

 

23,515,414

 

23,553,606

 

23,027,978

FFO per weighted average common shares - diluted

$

0.02

$

0.05

$

(0.02)

$

0.12

Subsequent Event

See Note 13 to the accompanying Notes to Condensed Consolidated Financial Statements.

Item 3. Quantitative and Qualitative Disclosures about Market Risk.

Not applicable.

Item 4. Controls and Procedures.

We maintain disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities and Exchange Act of 1934, as amended (the “Exchange Act”)) that are designed to ensure that information required to be disclosed in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our senior management, including our PresidentChief Executive Officer (Principal Executive Officer) and our Chief Financial Officer (Principal Financial Officer), to allow timely decisions regarding required disclosure. 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 PresidentChief Executive Officer (Principal Executive Officer) and Chief Financial Officer (Principal Financial Officer) evaluated the effectiveness of our disclosure controls and procedures and concluded that the disclosure controls and procedures were effective as of the end of the period covered by this report.

There have been no changes in our internal control over financial reporting during our most recent fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Page 34

PART II — OTHER INFORMATION

Item 1.Legal Proceedings.

On April 1, 2014, CRA and Cornerstone Ventures, Inc. filed a complaint inSee Note 10 to the Superior Court of California for the County of Orange-Central Justice Center, Case No. 30-2014-00714004-CU-BT-CJC, naming the Company, its directors and two of its officers as defendants, seeking declaratory and injunctive relief and compensatory and punitive damages. On April 17, 2014, Judge Nakamura denied in its entirety plaintiffs’ ex parte applicationaccompanying Notes to Condensed Consolidated Financial Statements for a temporary restraining order to show cause why a preliminary injunction against the defendants should not issue.  On May 19, 2014, we filed a counter claim against plaintiffs and certain individuals affiliated with CRA and affiliated entities. The Company continues to believe that allsummary of plaintiffs’ claims are without merit and will continue to vigorously defend itself. Plaintiffs and defendants are conducting discovery. We filed motions for summary adjudication on plaintiffs’ claims and on our cross claims. The court heard oral argument on the motions for summary adjudication and granted the motions in part and denied the motions part. A trial is scheduled to commence on March 26, 2018.material legal proceedings.

Page 33 of 36

A bankruptcy petition was filed against Healthcare Real Estate Partners, LLC (“HCRE”) by the investors in Healthcare Real Estate Fund, LLC or Healthcare Real Estate Qualified Purchasers Fund, LLC.  Following the dismissal of the involuntary bankruptcy petition filed against it, HCRE filed a motion for attorneys’ fees and damages and a separate complaint for violation of the automatic stay against the petitioning creditors and the Company in the United States Bankruptcy Court of the District of Delaware.  At a status hearing, the Bankruptcy Court expressed concern about HCRE commencing this litigation and urged the parties to mediate the issues. A mediation was held but the parties did not reach a settlement. The Bankruptcy Court recently granted a motion to dismiss the complaint for violation of the automatic stay filed jointly by the petitioning creditors and us, and dismissed the complaint with prejudice.  We believe that all of HCRE’s remaining alleged claims are without merit and will vigorously defend ourselves.

Item 1A.Risk Factors.

There have been no material changes to the Risk Factors described in Part I, Item 1A, Risk Factors, in our Annual Report on Form 10-K for the year ended December 31, 2020.

Not applicable.

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

(a)We did not sell any equity securities that were not registered under the Securities Act of 1933, as amended, during the periods covered by this Form 10-Q.
(b)Not applicable.
(c)During the nine months ended September 30, 2021, we redeemed no shares pursuant to our stock repurchase program.

(a) We did not sell any equity securities that were not registered under the Securities Act of 1933, as amended, during the periods covered by this Form 10-Q.

(b) Not applicable.

(c) During the nine months ended September 30, 2017, we redeemed no shares pursuant to our stock repurchase program.

Item 3.Defaults Upon Senior Securities.

None.

None.

Item 4.Mine Safety Disclosures.

None.

None.

Item 5.Other Information.

None.

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Item 6. Exhibits

Exhibits.

Ex.
Description

Ex.

Description

3.1

Amendment and Restatement of Articles of Incorporation of the Company (incorporated by reference to Exhibit 3.2 to the Company’s Annual Report on Form 10-K filed on March 24, 2006).

3.2

Amended and Restated Bylaws of the Company (incorporated by reference to Exhibit 3.3 to Post-Effective Amendment No. 1 to the Registration Statement on Form S-11 (No. 333-121238) filed on December 23, 2005).

3.3

Articles of Amendment of the Company dated October 16, 2013 (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on October 22, 2013).

3.4

Second Articles of Amendment and Restatement of Articles of Incorporation of the Company dated June 30, 2010 (incorporated by reference to Exhibit 3.4 to the Company’s Annual Report on Form 10-K filed on March 20, 2015).

4.1

Subscription Agreement (incorporated by reference to Appendix A to the prospectus included on Post-Effective Amendment No. 2 to the Registration Statement on Form S-11 (No. 333-155640) filed on April 16, 2010 (“Post-Effective Amendment No. 2”)).

4.2

Statement regarding restrictions on transferability of shares of common stock (to appear on stock certificate or to be sent upon request and without charge to stockholders issued shares without certificates) (incorporated by reference to Exhibit 4.2 to the Registration Statement on Form S-11 (No. 333-121238) filed on December 14, 2004).

4.3

Amended and Restated Distribution Reinvestment Plan (incorporated by reference to Appendix B to the prospectus dated April 16, 2010 included on Post-Effective Amendment No. 2).

4.4

2015 Omnibus Incentive Plan dated October 28, 2015 (incorporated by reference to Appendix A to the Definitive Proxy Statement on Schedule 14A filed on September 28, 2015).

10.1

LoanAmended and Restated Employment Agreement dated October 19, 2021 by and between Summit Chandler, LLC, as borrowerthe Company and Capital One, National Association, dated July 17, 2017(incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on July 18, 2017).Kent Eikanas*

10.2

PurchaseAmended and SaleRestated Employment Agreement dated October 19, 2021 by and between Summit Healthcare REIT, Inc.the Company and Family Healthreach, Inc. dated as of April 5, 2017 (incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K filed on July 18, 2017).Elizabeth Pagliarini*

31.1

Certification of Principal Executive Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2

Certification of Principal Financial Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32

Certification of Principal Executive Officer and Principal Financial Officer, pursuant to 18 U.S.C. Section 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002.

101.1

The following information from the Company’s quarterly report on Form 10-Q for the quarter ended September 30, 2017,2021, formatted in XBRL (eXtensible Business Reporting Language): (i) Condensed Consolidated Balance Sheets; (ii) Condensed Consolidated Statements of Operations; (iii) Condensed Consolidated Statements of Cash Flows.

104

Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

*    Filed herewith.

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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this quarterly report to be signed on its behalf by the undersigned, thereunto duly authorized this 9th day of November, 2017.authorized.

SUMMIT HEALTHCARE REIT, INC.

By:

/s/ Kent Eikanas

Date: November 10, 2021

Kent Eikanas

PresidentChief Executive Officer

(Principal Executive OfficerOfficer))

By:

/s/ Elizabeth A. Pagliarini

Date: November 10, 2021

Elizabeth A. Pagliarini

Chief Financial Officer

(Principal Financial Officer )Officer)

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