REGIONAL HEALTH PROPERTIES INC
For the period ended Sep 30, 2024. Filed Nov 19, 2024.
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Sep 30, 2024 · Filed Nov 19, 2024
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Notes to Unaudited Consolidated Financial Statements
September 30, 2024
NOTE 1. ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES
Description of Business
Regional Health Properties, Inc.'s (the "Company" or "Regional Health") predecessor was incorporated in Ohio on August 14, 1991, under the name Passport Retirement, Inc. In 1995, Passport Retirement, Inc. acquired substantially all of the assets and liabilities of AdCare Health Systems, Inc. and changed its name to AdCare Health Systems, Inc. ("AdCare"). AdCare completed its initial public offering in November 2006, relocated its executive offices and accounting operations to Georgia in 2012, and changed its state of incorporation from Ohio to Georgia in December 2013. Regional Health Properties, Inc. is a self-managed real estate investment company that invests primarily in real estate purposed for long-term care and senior housing. Our business primarily consists of leasing such facilities to third-party tenants, which operate the facilities. The Company hastwo primary reporting segments: (i) Real Estate Services, which consists of the leasing and subleasing of long-term care and senior living facilities to third-party tenants, including the Company's management of three facilities on behalf of third-party owners; and (ii) Healthcare Services, which consists of the operation of the Meadowood and Glenvue facilities. Effective August 3, 2023, the Company’s 12.5% Series B Cumulative Redeemable Preferred Shares (the “Series B Preferred Stock”) is quoted on the OTC Markets Group, Inc.’s OTCQB Venture Market under the symbol “RHEPB”.
Basis of Presentation
The accompanying consolidated financial statements are prepared in conformity with U.S. generally accepted accounting principles ("GAAP") in accordance with the Financial Accounting Standards Board ("FASB") Accounting Standards Codification ("ASC"). The accompanying consolidated financial statements are unaudited and should be read in conjunction with the 2023 audited consolidated financial statements and notes thereto, which are included in our 2023 Annual Report on Form 10-K filed with the Securities and Exchange Commission ("SEC") on April 1, 2024 ("Annual Report").
In the opinion of management, the unaudited consolidated financial statements for the interim periods presented include all adjustments (consisting only of normal recurring adjustments) necessary to present fairly the Company's financial position and the results of its operations and cash flows for such periods presented. The results of operations for such interim periods are not necessarily indicative of the results to be expected for the full year.
Use of Estimates
The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the unaudited consolidated financial statements and accompanying notes. Actual results could differ materially from those estimates.
Reclassifications
Certain reclassifications have been made to the amounts in prior periods in order to conform to the current period's presentation. A reclassification has been made to certain expenses reported on the consolidated statements of operations in the prior period in order to conform to the current period's presentation. The reclassifications had no material effect on earnings per share.
Principles of Consolidations
The consolidated financial statements include the Company's majority owned and controlled subsidiaries. All intercompany transactions and balances have been eliminated through consolidation.
Variable Interest Entities
The Company has a loan receivable with Peach Health, a sublessee. Such agreement creates a variable interest in the Peach Health sublessee that may absorb some or all of the expected losses of the entity. The Company does not consolidate the operating activities of the Peach Health sublessee as the Company does not have the power to direct the activities that most significantly impact the entity's economic performance.
Revenue Recognition and Allowances
Patient Care Revenue. ASC Topic 606, Revenue from Contracts with Customers requires a company to recognize revenue when the company transfers control of promised goods and services to a customer. Revenue is recognized in an amount that reflects the consideration to which a company expects to receive in exchange for such goods and services. Revenue from our Healthcare Services business segment is derived from services rendered to patients in the Meadowood and Glenvue facilities. The Company receives payments from the following sources for services rendered in our facilities: (i) the federal government under the Medicare program administered by the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services ("CMS"); (ii) state governments under their respective Medicaid and similar programs; (iii) commercial insurers; and (iv) individual patients and clients. The vast majority of the revenue the Company recognizes is from government sources. The Company determines the transaction price based on established billing rates reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients and other price concessions. Contractual adjustments and discounts are based on contractual agreements, discount policies and historical experience. The Company recognizes revenue at the amount that reflects the consideration the Company expects to receive in exchange for the services provided. These amounts are due from residents or third-party payors and include variable consideration for retroactive adjustments from estimated reimbursements, if any, under reimbursement programs. Performance obligations are determined based on the nature of the services provided. Revenue is recognized as performance obligations are satisfied. Estimated uncollectible amounts due from patients are generally considered implicit price concessions that are a direct reduction to net operating revenues.
Triple-Net Leased Properties. The Company recognizes rental revenue in accordance with ASC 842, Leases. The Company's triple-net leases provide for periodic and determinable increases in rent. The Company recognizes rental revenues under these leases on a straight-line basis over the applicable lease term when collectability is probable. Recognizing rental income on a straight-line basis generally results in recognized revenues during the first half of a lease term exceeding the cash amounts contractually due from our tenants, creating a straight-line rent receivable that is included in the straight-line rent receivable on our consolidated balance sheets. In the event the Company cannot reasonably estimate the future collection of rent from one or more tenant(s) of the Company's facilities, rental income for the affected facilities is recognized only upon cash collection, and any accumulated straight-line rent receivable is expensed in the period in which the Company deems rent collection to no longer be probable.
Management Fee Revenues and Other Revenues. The Company recognizes management fee revenues as services are provided in accordance with ASU 2014-09, Revenue from Contracts with Customers, as codified in ASC 606, which requires revenue to be recognized in an amount that reflects the consideration to which a company expects to receive in exchange for such goods and services. The Company had one contract to manage three facilities (the “Management Contract”) which ended on December 31, 2023. Further, the Company recognizes interest income from loans and investments, using the effective interest method when collectability is probable. The Company applies the effective interest method on a loan-by-loan basis.
Allowances. The Company assesses the collectability of its rent receivables, including straight-line rent receivables and working capital loans to tenants. The Company bases its assessment of the collectability of rent receivables and working capital loans to tenants on several factors, including payment history, the financial strength of the tenant and any guarantors, the value of the underlying collateral, and current economic conditions. If the Company’s evaluation of these factors indicates it is probable that the Company will be unable to receive the rent payments or payments on a working capital loan, then the Company provides a reserve against the recognized straight-line rent receivable asset or working capital loan for the portion that we estimate may not be recovered. Payments received on impaired loans are applied against the allowance. If the Company changes its assumptions or estimates regarding the collectability of future rent payments required by a lease or required from a working capital loan to a tenant, then the Company may adjust its reserve to increase or reduce the rental revenue or interest revenue from working capital loans to tenants recognized in the period the Company makes such change in its assumptions or estimates. See Note 7 –Leases. The Company has reserved for approximately 1.5% of our patient care receivables based on the historic industry standards and continues to assess the adequacy of such reserve.
As of September 30, 2024 and December 31, 2023, the Company reserved for approximately$2.2 million and$2.0 million, respectively, of uncollected receivables. Accounts receivable, net of allowance, totaled$2.0 million at September 30, 2024 and$1.4 million at December 31, 2023.
The following table presents the Company's Accounts receivable, net of allowance for the periods presented:
| (Amounts in 000’s) | September 30, 2024 | December 31, 2023 |
|---|---|---|
| Gross receivables | ||
| Real Estate Services | $1,288 | $693 |
| Healthcare Services | 2,932 | 2,750 |
| Subtotal | 4,220 | 3,443 |
| Allowance | ||
| Real Estate Services | $(71) | $— |
| Healthcare Services | (2,115) | (2,040) |
| Subtotal | (2,186) | (2,040) |
| Accounts receivable, net of allowance | $2,034 | $1,403 |
Assets Held for Sale and Discontinued Operations
The Company may decide to sell properties that are held for use. The Company records these properties as assets held for sale when management has committed to a plan to sell the assets, actively seeks a buyer for the assets, and the consummation of the sale is considered probable and is expected within one year. Assets classified as held for sale are reported at the lower of their carrying value or their fair value, less estimated costs to sell. When the carrying value exceeds the fair value, less estimated costs to sell, an impairment expense is recognized. The Company estimates fair value, less estimated closing costs, based on similar real estate sales transactions. These valuation assumptions are based on the three-level valuation hierarchy for fair value measurement and represent Level 2 and 3 inputs. Level 2 inputs are quoted prices for similar assets or liabilities in active markets; quoted prices for identical or similar assets in markets that are not active; and inputs other than quoted prices. Level 3 inputs are unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. See Note 5 for additional details on assets held for sale as of September 30, 2024 and December 31, 2023. Any debt related to assets held for sale or sold during the period are classified as debt related to assets held for sale for the current and prior periods presented in the accompanying consolidated financial statements.
Assets held for sale are presented as discontinued operations in all periods presented if the disposition represents a strategic shift that has, or will have, a major effect on the Company's financial position or results of operations. This includes the net gain (or loss) upon disposal of property held for sale, the property's operating results, depreciation and interest expense.
In June 2024, the Company, with the support of its Board of Directors, committed to a plan of action to sell the Mt. Trace Property Holdings (Mt. Trace Property”), with a sale probable and subject to customary approvals. As a result, the Company’s management determined that the criteria under GAAP for the Mt. Trace Property to be classified as held for sale were met.
Prepaid Expenses and Other
As of September 30, 2024 and December 31, 2023, the Company had approximately$0.7 million and$0.6 million , respectively, in prepaid expenses and other; the$0.1 million change is related to an increase for insurance for the Meadowood and Glenvue facility operations, while the other amounts are predominantly for directors' and officers' insurance, NYSE American annual fees, and mortgage insurance premiums.
Accounts Payable
The following table presents the Company's Accounts payable for the periods presented:
| (Amounts in 000’s) | September 30, 2024 | December 31, 2023 |
|---|---|---|
| Accounts payable | ||
| Real Estate Services | $1,985 | $750 |
| Healthcare Services | 1,722 | 1,743 |
| Total Accounts payable | $3,707 | $2,493 |
Other Expense, net
The Company had retained a law firm to evaluate and assist with opportunities to improve the Company's capital structure. See Note 2 –Series A Preferred Exchange Offer.
Leases and Leasehold Improvements
The Company leases certain facilities and equipment in the normal course of business. At the inception of each lease, the Company performs an evaluation to determine whether the lease should be classified as an operating lease or finance lease. As of September 30, 2024, all of the Company's leased facilities are accounted for as operating leases. For operating leases that contain scheduled rent increases, the Company records rent expense on a straight-line basis over the term of the lease. Leasehold improvements are amortized over the shorter of the useful life of the asset or the lease term.
The Company recognizes both right of use assets and lease liabilities for leases in which we lease land, real property, or other equipment. We assess any new contracts or modification of contracts in accordance with ASC 842, Leasesto determine the existence of a lease and its classification.
We report revenues and expenses for real estate taxes and insurance where the lessee has not made those payments directly to a third-party in accordance with its respective leases with us. Additionally, we expense certain leasing costs, other than leasing commissions, as they are incurred. The present value of minimum lease payments was calculated on each lease, using a discount rate that approximated our incremental borrowing rate and the current lease term. See Note 6–Leases for more information on the Company's operating leases.
Insurance
We maintain general liability, professional liability, and other insurance policies in amounts and with coverage and deductibles we believe are appropriate, based on the nature and risks of our business, historical experience, availability, and industry standards, including for the operations at the Glenvue and Meadowood facilities. Our current policies provide for deductibles for each claim and contain various exclusions from coverage. The Company has self-insured against professional and general liability claims related to its healthcare operations that were discontinued during 2014 and 2015 in connection with its transition from an owner and operator of healthcare properties to a healthcare property holding and leasing company (the "Transition"). For further information, see Note 11 –Commitments and Contingencies, and Note 12– Commitments and Contingencies, to the consolidated financial statements for the year ended December 31, 2023 for more information. The Company evaluates quarterly the adequacy of its self-insurance reserve based on a number of factors, including: (i) the number of actions pending and the relief sought; (ii) analyses provided by defense counsel, medical experts or other information which comes to light during discovery; (iii) the legal fees and other expenses anticipated to be incurred in defending the actions; (iv) the status and likely success of any mediation or settlement discussions, including estimated settlement amounts and legal fees and other expenses anticipated to be incurred in such settlement, as applicable; and (v) the venues in which the actions have been filed or will be adjudicated. The Company believes that most of the professional and general liability actions are defensible and intends to defend them through final judgment unless settlement is more advantageous to the Company. Accordingly, the self-insurance reserve reflects the Company's estimate of settlement amounts for the pending actions, if applicable, and legal costs of settling or litigating the pending actions, as applicable. Because the self-insurance reserve is based on estimates, the amount of the self-insurance reserve may not be sufficient to cover the settlement amounts actually incurred in settling the pending actions, or the legal costs actually incurred in settling or litigating the pending actions. See Note 7 –Accrued Expenses. In addition, the Company maintains certain other insurance programs, including commercial general liability, property, casualty, directors' and officers' liability, crime, and employment practices liability.
Net Loss Per Share
Basic net loss per share is computed by dividing net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during the respective period. Diluted earnings per share is similar to basic net loss per share except that the net loss is adjusted by the impact of the weighted-average number of shares of common stock outstanding including potentially dilutive securities (such as options, warrants and non-vested common stock) when such securities are not anti-dilutive. Potentially dilutive securities from options, warrants and unvested restricted shares are calculated in accordance with the treasury stock method, which assumes that proceeds from the exercise of all options and warrants with exercise prices exceeding the average market value are used to repurchase common stock at market value. The incremental shares remaining after the proceeds are exhausted represent the potentially dilutive effect of the securities.
Securities outstanding that were excluded from the computation, because they would have been anti-dilutive were as follows:
| September 30, | ||
|---|---|---|
| (Share amounts in 000’s) | 2024 | 2023 |
| Stock options | 57 | 37 |
| Warrants - employee | 32 | 32 |
| Warrants - non employee | — | 1 |
| Total anti-dilutive securities | 89 | 70 |
The weighted average contractual terms in years for these securities as of September 30, 2024, withno intrinsic value, are 6.9 years for the stock options and 0.3 years for the warrants.
New Accounting Pronouncements Issued But Not Yet Effective
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires a public company to disclose information about their reportable segments’ significant expenses and other segment items on an interim and annual basis. A public company with a single reportable segment is required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures and reconciliation requirements in ASC 280 on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-07.
In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures,
which requires a public company, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company does not expect the adoption of ASU 2023-09 to have a material impact on the Company's consolidated financial statements.
No other new accounting pronouncement issued or effective has had, or is expected to have, a material impact on the Company's financial statements.
NOTE 2. LIQUIDITY
The Company intends to pursue measures to grow its operations, streamline its cost infrastructure and otherwise increase liquidity, including: (i) refinancing or repaying debt to reduce interest costs and mandatory principal repayments, with such repayment to be funded through potentially expanding borrowing arrangements with certain lenders; (ii) increasing future lease revenue through acquisitions and investments in existing properties; (iii) modifying the terms of existing leases; (iv) replacing certain tenants who default on their lease payment terms; and (v) reducing other and general and administrative expenses.
Management anticipates access to several sources of liquidity, including cash on hand, cash flows from operations, and debt refinancing, during the twelve months following the date of this filing. At September 30, 2024, the Company had$0.5 million in unrestricted cash.
During the nine months ended September 30, 2024, the Company's cash provided by operating activities was$1.0 million primarily due to the timing of accounts payable and accrued expense payments.. The Company is seeking collection of the past due rent. In addition, management is working to expedite the time it takes to collect and receive aged patient receivables. Cash flow from operations in the future will be based on the operational performance of the facilities under the company's management, Glenvue and Meadowood.
Series A Preferred Stock Exchange Offer
In connection with the completion of the Exchange Offer and the implementation of the Series A Charter Amendments and the Series B Charter Amendments, the liquidation preference of the Series A Preferred Stock was reduced, accumulated and unpaid dividends on the Series A Preferred Stock were eliminated and future dividends on the Series A Preferred Stock were eliminated. As a result, $50.4 million in accumulated and unpaid dividends on the Series A Preferred Stock were eliminated and, as of September 30, 2024, there are no accumulated and unpaid dividends on the Series A Preferred Stock. For further information regarding the Exchange Offer, Series A Charter Amendments and Series B Charter Amendments, see Note 9 –Common and Preferred Stock.
Debt
As of September 30, 2024, the Company had$49.7 million in indebtedness, net of$1.0 million deferred financing costs and unamortized discounts. The Company anticipates net principal repayments of approximately$2.2 million during the next twelve-month period, approximately$1.6 million of routine debt service amortization,$0.4 million of insurance financing amortization, and$0.2 million payment of bond debt.
As of September 30, 2024, the Company was in compliance with the various financial and administrative covenants under the Company's outstanding credit related instruments with the exception of a notice of default under two USDA loans secured by the Southland and Mt. Trace Property and an SBA loan secured by Southland. On October 25, 2024, the Company received a notice of acceleration and demand for payment from the lenders of Southland stating that the covenants of the deed of trust have been violated for failure to pay principal and interest. The lender accelerated the maturity dates and is requesting for the loans to be paid in full plus unpaid interest and late fees immediately. We are working with the lender to reach a forbearance agreement and think it is likely we will reach an agreement. On November 8, 2024, Company obtained a line of credit and intends to pay all unpaid principal and interest payments to get back into compliance with the loan documents. The Company is working with the lender of the Mt. Trace Property to get back into compliance with the loan documents and received a waiver in November 2024.
Evaluation of the Company's Ability to Continue as a Going Concern
Under the accounting guidance related to the presentation of financial statements, the Company is required to evaluate, on a quarterly basis, whether or not the Company's current financial condition, including its sources of liquidity at the date that the consolidated financial statements are issued, will enable the Company to meet its obligations as they come due arising within one year of the date of the issuance of the Company's consolidated financial statements and to make a determination as to whether or not it is probable, under the application of this accounting guidance, that the Company will be able to continue as a going concern.
At September 30, 2024, the Company had cash on hand of $0.5 million. At September 30, 2024, the Company had an accumulated deficit of $84.6 million. For the nine months ended September 30, 2024, the Company had a net loss of $2.7 million and had $1.0 million of net cash provided by operations for the period, respectively. The Company received a notice of default under one USDA loan secured by Southland and an SBA loan secured by Southland totaling $4.1 million. On October 25, 2024, the Company received a notice of acceleration and demand for payment from the lenders of Southland stating that the covenants of the deed of trust have been violated for failure to pay principal and interest. The lender accelerated the maturity dates and is requesting for the loans to be paid in full plus unpaid interest and late fees immediately. We are working with the lender to reach a forbearance agreement and think it is likely we will reach an agreement. On November 8, 2024, Company obtained a line of credit and intends to pay all unpaid principal and interest payments to get back into compliance with the loan documents.
These conditions raise doubt regarding our ability to continue as a going concern as the Company will need additional debt or equity financing or a combination of both to continue its operations and meet its financial obligations for twelve months from the date these consolidated financial statements were issued if we do not obtain a forbearance agreement with the lender. We think it is likely we will reach an agreement.
We may consume available resources more rapidly than currently anticipated, resulting in the need for additional funding. We expect to incur continuing losses for the foreseeable future.
Any additional debt or equity financing that the Company obtains may substantially dilute the ownership held by our existing stockholders. The economic dilution to our shareholders will be significant if our stock price does not materially increase, or if the effective price of any sale is below the price paid by a particular investor. The Company may be unable to access further equity or debt financing when needed or obtain additional financing under acceptable terms, if at all.
We may decide to raise additional capital through a variety of sources in the short-term and in the long-term, including but not limited to:
the public equity markets;
private equity financings;
collaborative arrangements;
asset sales; and/or
public or private debt.
If the Company is unable to raise additional capital, there is a risk that the Company could be required to discontinue or significantly reduce the scope of its operations. These consolidated financial statements do not include any adjustments related to the recoverability and classification of recorded asset amounts and classification of liabilities that might be necessary should the Company be unable to continue as a going concern.
NOTE 3. CASH AND RESTRICTED CASH
The following presents the Company's cash and restricted cash:
| (Amounts in 000’s) | September 30, 2024 | December 31, 2023 |
|---|---|---|
| Cash | $497 | $953 |
| Restricted cash: | ||
| Cash collateral | $81 | $159 |
| HUD and other replacement reserves | 1,998 | 2,125 |
| Escrow deposits | 607 | 630 |
| Restricted investments for debt obligations | 318 | 317 |
| Total restricted cash | 3,005 | 3,231 |
| Total cash and restricted cash | $3,502 | $4,184 |
Cash collateral—In securing mortgage financing from certain lending institutions, the Company and certain of its wholly-owned subsidiaries are required to deposit cash to be held as collateral in accordance with the terms of such loan agreements.
HUD and other replacement reserves—The regulatory agreements entered into in connection with the financing secured through HUD require monthly escrow deposits for replacement and improvement of the HUD project assets.
Escrow deposits—In connection with financing secured through the Company's lenders, several wholly-owned subsidiaries of the Company are required to make monthly escrow deposits for taxes and insurance.
Restricted cash for debt obligations—In compliance with certain financing and insurance agreements, the Company and certain wholly-owned subsidiaries of the Company are required to deposit cash held as collateral by the lender or in escrow with certain designated financial institutions.
NOTE 4. PROPERTY AND EQUIPMENT
The following table sets forth the Company's property and equipment:
| (Amounts in 000’s) · EstimatedUsefulLives (Years) · September 30, 2024 · December 31, 2023 | ||||||
|---|---|---|---|---|---|---|
| Buildings and improvements | 5-40 | $59,935 | $59,508 | |||
| Equipment and computer related | 2-10 | 1,170 | 1,187 | |||
| Land (1) | — | 2,774 | 2,774 | |||
| Property and equipment | 63,879 | 63,469 | ||||
| Less: accumulated depreciation and amortization | (24,450) | (23,071) | ||||
| Property and equipment, net | $39,429 | $40,398 | ||||
(1)
Includes$0.1 million of land improvements with an average estimated useful remaining life of approximately 4.5 years.
The following table summarizes total depreciation and amortization expense three and nine months ended September 30, 2024 and 2023:
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| (Amounts in 000’s) | 2024 | 2023 | 2024 | 2023 |
| Depreciation | $373 | $416 | $1,182 | $1,409 |
| Amortization | 101 | 110 | 317 | 329 |
| Total depreciation and amortization expense | $474 | $526 | $1,499 | $1,738 |
NOTE 5. ASSETS HELD FOR SALE
The following table sets forth the Company's asset held for sale:
| (Amounts in 000’s) | EstimatedUsefulLives (Years) | September 30, 2024 | December 31, 2023 |
|---|---|---|---|
| Buildings and improvements | 5-40 | $7,225 | $7,225 |
| Less: accumulated depreciation | (2,374) | (2,286) | |
| Asset held for sale, net | $4,851 | $4,939 |
NOTE 6. INTANGIBLE ASSETS AND GOODWILL
Intangible assets and Goodwill consist of the following:
| (Amounts in 000’s) | Bed licenses(includedin property andequipment) (1) | Bed Licenses - Separable (2) | LeaseRights | Total | Goodwill (2) |
|---|---|---|---|---|---|
| Gross | $14,276 | $2,471 | $176 | $16,923 | $1,585 |
| Accumulated amortization | (4,997) | — | (89) | (5,086) | — |
| Net carrying amount | $9,279 | $2,471 | $87 | $11,837 | $1,585 |
| Gross | 14,276 | 2,471 | 176 | 16,923 | 1,585 |
| Accumulated amortization | (5,302) | — | (102) | (5,404) | — |
| Net carrying amount | $8,974 | $2,471 | $74 | $11,519 | $1,585 |
(1)
Non-separable bed licenses are included in property and equipment as is the related accumulated amortization expense (see Note 4 –Property and Equipment).
(2)
The Company does not amortize indefinite-lived intangibles, which consist of separable bed licenses and goodwill.
The following table summarizes amortization expense for thethree and nine months ended September 30, 2024 and 2023:
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| (Amounts in 000’s) | 2024 | 2023 | 2024 | 2023 |
| Bed licenses | $97 | $104 | $304 | $311 |
| Lease rights | 4 | 6 | 13 | 18 |
| Total amortization expense | $101 | $110 | $317 | $329 |
Expected amortization expense for the years ending December 31, for all definite-lived intangibles, for each of the next five years and thereafter is as follows:
| (Amounts in 000’s) | BedLicenses | LeaseRights |
|---|---|---|
| 2024 (3 months remaining) | $104 | $4 |
| 2025 | 414 | 18 |
| 2026 | 414 | 18 |
| 2027 | 414 | 18 |
| 2028 | 414 | 17 |
| Thereafter | 7,214 | — |
| Total expected amortization expense | $8,974 | $74 |
NOTE 7. LEASES
Facility and Office Lessee
As of September 30, 2024 and December 31, 2023, the Company leases one Skilled Nursing Facility ("SNF") in Covington, Ohio under a non-cancelable lease, which has rent escalation clauses and provisions for payments of real estate taxes, insurance, and maintenance costs. The remaining lease term for the Covington facility is approximately 4.6 years as of September 30, 2024. The Company subleases the Covington facility to a third party.
The Company also leased certain office space located in Suwanee, Georgia through the termination date of June 30, 2023. Effective July 1, 2023, the Company signed a sublease for 2,000 sq ft of office space in Atlanta, Georgia. The sublease expires on July 31, 2025.
As of September 30, 2024, the Company is in compliance with all operating lease financial covenants.
Future Minimum Lease Payments
Future minimum lease payments for the twelve months ending December 31, for each of the next five years and thereafter is as follows:
| (Amounts in 000’s) | Futurerentalpayments | Accretion oflease liability (1) | Operatingleaseobligation |
|---|---|---|---|
| 2024 (3 months remaining) | $170 | $(50) | $120 |
| 2025 | 672 | (175) | 497 |
| 2026 | 658 | (134) | 524 |
| 2027 | 671 | (91) | 581 |
| 2028 | 685 | (42) | 643 |
| Thereafter | 230 | (2) | 227 |
| Total | $3,086 | $(494) | $2,592 |
(1)
Weighted average discount rate 3.85%.
Facilities Lessor
As of September 30, 2024, the Company was the lessorof 9 of its 11 owned facilities, and the sublessor ofone facility. These leases are triple net basis leases, meaning that the lessee (i.e., the third-party tenant of the property) is obligated for all costs of operatingthe property, including insurance, taxes and facility maintenance, as well as the lease or sublease payments to the Company. The weighted average remaining lease term for our 10 owned and subleased out facilities is approximately 4.6 years.
Future Minimum Lease Receivables
Future minimum lease receivables for the twelve months ending December 31, for each of the next five years and thereafter is as follows:
| (Amounts in 000's) | |
|---|---|
| 2024 (3 months remaining) | $1,525 |
| 2025 | 6,141 |
| 2026 | 6,233 |
| 2027 | 6,327 |
| 2028 | 6,161 |
| Thereafter | 8,127 |
| Total | $34,514 |
For further details regarding the Company's leased and subleased facilities to third-party operators, including a full summary of the Company's leases to third-parties and which comprise the future minimum lease receivables of the Company, see Note 6 -Leases and Leasing Transactions in Part II, Item 8, Financial Statements and Supplementary Data, included in the Annual Report.
NOTE 8. ACCRUED EXPENSES
Accrued expenses consist of the following:
| (Amounts in 000’s) | September 30, 2024 | December 31, 2023 |
|---|---|---|
| Accrued employee benefits and payroll-related | $431 | $255 |
| Real estate and other taxes (1) | 3,437 | 3,077 |
| Self-insured reserve | 8 | 61 |
| Accrued interest | 217 | 225 |
| Unearned rental revenue | — | 98 |
| Insurance escrow | 155 | — |
| Other accrued expenses | 455 | 344 |
| Total accrued expenses | $4,703 | $4,060 |
(1)
September 30, 2024 includes approximately $3.0 million of franchise tax accruals for the Healthcare Services segment. December 31, 2023 includes approximately $2.6 million of franchise tax accruals for the Healthcare Services segment.
NOTE 9. NOTES PAYABLE AND OTHER DEBT
See Note 8 –Notes Payable and Other Debt in Part II, Item 8, Financial Statements and Supplementary Data, included in the Annual Report for a detailed description of all the Company's debt facilities.
Notes payable and other debt consists of the following:
| (Amounts in 000’s) | September 30, 2024 | December 31,2023 |
|---|---|---|
| Senior debt—guaranteed by HUD | $28,360 | $28,979 |
| Senior debt—guaranteed by USDA (1) | 7,037 | 7,259 |
| Senior debt—guaranteed by SBA(2) | 541 | 557 |
| Senior debt—bonds | 5,970 | 6,117 |
| Senior debt—other mortgage indebtedness | 7,817 | 8,001 |
| Other debt | 945 | 889 |
| Subtotal | 50,670 | 51,802 |
| Deferred financing costs | (903) | (954) |
| Unamortized discount on bonds | (109) | (113) |
| Notes payable and other debt | $49,658 | $50,735 |
(1)
U.S. Department of Agriculture ("USDA")
(2)
U.S. Small Business Administration ("SBA")
The following is a detailed listing of the debt facilities that comprise each of the above categories:
| (Amounts in 000’s) | ||||||
|---|---|---|---|---|---|---|
| Facility · Lender · Maturity · Interest Rate (1) · September 30, 2024 · December 31,2023 | ||||||
| Senior debt - guaranteed by HUD (2) | ||||||
| The Pavilion Care Center | Newpoint Capital | 12/01/2039 | Fixed | 3.97% | $774 | $801 |
| Hearth and Care of Greenfield | Newpoint Capital | 8/01/2050 | Fixed | 3.97% | 1,878 | 1,909 |
| Woodland Manor | Newpoint Capital | 11/01/2052 | Fixed | 3.97% | 4,822 | 4,891 |
| Glenvue | Newpoint Capital | 10/01/2044 | Fixed | 3.75% | 6,907 | 7,077 |
| Autumn Breeze | KeyBank | 01/01/2045 | Fixed | 3.65% | 6,007 | 6,154 |
| Georgetown | Newpoint Capital | 10/01/2046 | Fixed | 2.98% | 3,049 | 3,120 |
| Sumter Valley | KeyBank | 01/01/2047 | Fixed | 3.70% | 4,923 | 5,027 |
| Total | $28,360 | $28,979 | ||||
| Senior debt - guaranteed by USDA (3) | ||||||
| Mountain Trace (4) | Community B&T | 12/24/2036 | Prime + 1.75% | 9.75% | $3,433 | $3,539 |
| Southland | Cadence Bank, NA | 07/27/2036 | Prime + 1.50% | 9.50% | 3,604 | 3,720 |
| Total | $7,037 | $7,259 | ||||
| Senior debt - guaranteed by SBA | ||||||
| Southland(5) | Cadence Bank, NA | 07/27/2036 | Prime + 2.25% | 10.25% | $541 | $557 |
| Total | $541 | $557 | ||||
(1)
Represents interest rates as of September 30, 2024 as adjusted for interest rate floor limitations, if applicable. The rates exclude amortization of deferred financing costs which are approximately 0.13% per annum.
(2)
For theseven SNF’s, the Company has term loans insured 100% by HUD with financial institutions. The loans are secured by, among other things, an assignment of all rents paid under any existing or future leases and rental agreements with respect to the underlying facility. The loans contain customary events of default, including fraud or material misrepresentations or material omission, the commencement of a forfeiture action or proceeding, failure to make required payments, and failure to perform or comply with certain agreements. Upon the occurrence of certain events of default, the lenders may, after receiving the prior written approval of HUD, terminate the loans and all amounts under the loans will become immediately due and payable. In connection with entering into loans, the facilities entered into a healthcare regulatory agreement and a promissory note, each containing customary terms and conditions.
(3)
For thetwo SNF’s, the Company has term loans with financial institutions, which are insured 70% to 80% by the USDA. The loans have an annual renewal fee for the USDA guarantee of 0.25% of the guaranteed portion. The loans have prepayment penalties of 1% through 2020, capped at 1% for the remainder of the first 10 years of the term and 0% thereafter.
(4)
Represents debt liability related to asset held for sale (see Note 5 –Assets Held for Sale).
(5)
Forone SNF, commonly known as Southland, the Company has a term loan with a financial institution, which is insured 75% by the SBA.
| (Amounts in 000’s) | ||||||
|---|---|---|---|---|---|---|
| Facility · Lender · Maturity · Interest Rate (1) · September 30, 2024 · December 31, 2023 | ||||||
| Senior debt - bonds | ||||||
| Eaglewood Bonds Series A | City of Springfield, Ohio | 05/01/2042 | Fixed | 7.65% | $5,970 | $6,117 |
(1)
Represents cash interest rates as of September 30, 2024. The rates exclude amortization of deferred financing of approximately 0.1% per annum.
| (Amounts in 000’s) | ||||||
|---|---|---|---|---|---|---|
| Facility · Lender · Maturity · Interest Rate (1) · September 30, 2024 · December 31,2023 | ||||||
| Senior debt - other mortgage indebtedness | ||||||
| Meadowood (2) | Exchange Bank of Alabama | 10/01/2026 | Fixed | 4.50% | $3,195 | $3,237 |
| Coosa (3) | Exchange Bank of Alabama | 10/10/2026 | Fixed | 3.95% | 4,622 | 4,764 |
| Total | $7,817 | $8,001 | ||||
(1)
Represents cash interest rates as of September 30, 2024 as adjusted for interest rate floor limitations, if applicable. The rates exclude amortization of deferred financing costs of 0.34% per annum.
(2)
The Meadowood Credit Facility is secured by the Meadowood Facility and the assets of Coosa, which is guaranteed by Regional Health Properties, Inc.
(3)
The Coosa Credit Facility, guaranteed by Regional Health Properties, Inc., includes customary terms, including events of default with an associated annual 5% default interest rate, and is secured by the Coosa Facility and the assets of Meadowood. Upon the occurrence of certain events of default, the lenders may terminate the Coosa Credit Facility and the Meadowood Credit Facility, and all amounts due under both credit facilities will become immediately due and payable. The Coosa Credit Facility has prepayment penalties of 5% in the 1 st year,4% in the 2 nd year and 1% thereafter.
| (Amounts in 000’s) | |||||
|---|---|---|---|---|---|
| Lender · Maturity · Interest Rate · September 30, 2024 · December 31,2023 | |||||
| Other debt | |||||
| First Insurance Funding (1) | Various 2024 | Fixed | 3.19% | $393 | $369 |
| Key Bank (2) | 08/25/2025 | Fixed | 0.00% | 495 | 495 |
| Marlin Capital Solutions | 06/1/2027 | Fixed | 5.00% | 14 | 25 |
| Cavalier Management | 3/1/2025 | Fixed | 6.00% | 43 | — |
| Total | $945 | $889 | |||
(1)
Annual Insurance financing primarily for the Company's directors and officers insurance and professional liability for the facilities where the company is the licensed operator.
(2)
On December 30, 2022, Key Bank and the Company extended the maturity date from August 25, 2023 to August 25, 2025.
As of September 30, 2024, the Company had 16 credit related instruments outs tanding that include various financial and administrative covenant requirements. Covenant requirements include, but are not limited to, fixed charge coverage ratios, debt service coverage ratios, minimum earnings before interest, taxes, depreciation, and amortization or earnings before interest, taxes, depreciation, amortization, and restructuring or rent costs, and current ratios. Certain financial covenant requirements are based on consolidated financial measurements whereas others are based on measurements at the subsidiary level (i.e., facility, multiple facilities or a combination of subsidiaries). The subsidiary level requirements are as follows: (i) financial covenants measured against subsidiaries of the Company; and (ii) financial covenants measured against third-party operator performance. Some covenants are based on annual financial metric measurements, whereas others are based on monthly and quarterly financial metric measurements. The Company routinely tracks and monitors its compliance with its covenant requirements.
As of September 30, 2024, the Company was in compliance with the various financial and administrative covenants under the Company's outstanding credit related instruments with the exception of a notice of default under two USDA loans secured by the Southland and Mt. Trace Property and an SBA loan secured by Southland. On October 25, 2024, the Company received a notice of acceleration and demand for payment from the lenders of Southland stating that the covenants of the deed of trust have been violated for failure to pay principal and interest. The lender accelerated the maturity dates and is requesting for the loans to be paid in full plus unpaid interest and late fees immediately. We are working with the lender to reach a forbearance agreement and think it is likely we will reach an agreement. On November 8, 2024, Company obtained a line of credit and intends to pay all unpaid principal and interest payments to get back into compliance with the loan documents. The Company is working with the lender of the Mt. Trace Property to get back into compliance with the loan documents and received a waiver in November 2024.
Scheduled Maturities
The schedule below summarizes the scheduled gross maturities as of September 30, 2024 for each of the next five years and thereafter.
| For the Twelve Months Ended December 31, | (Amounts in 000’s) |
|---|---|
| 2024 (3 months remaining) | $622 |
| 2025 | 2,464 |
| 2026 | 8,829 |
| 2027 | 1,560 |
| 2028 | 1,657 |
| Thereafter | 35,538 |
| Subtotal | $50,670 |
| Less: unamortized discounts | (109) |
| Less: deferred financing costs, net | (903) |
| Total notes and other debt | $49,658 |
NOTE 10. COMMON AND PREFERRED STOCK
On June 27, 2023, the Company convened a special meeting (the “Special Meeting”) of the holders of its 10.875% Series A Cumulative Redeemable Preferred Shares (the “Series A Preferred Stock”) and the holders of its common stock (the “Common Stock”) and Series E Redeemable Preferred Shares (the “Series E Preferred Stock”). The Special Meeting was called to consider the proposals set forth in the Company’s definitive proxy statement/prospectus filed with the SEC on May 25, 2023 (as supplemented or amended, the “Proxy Statement/Prospectus”) in connection with the Company’s offer to exchange (the “Exchange Offer”) any and all outstanding shares of the Series A Preferred Stock for newly issued shares of the Company’s Series B Preferred Stock. The expiration date (the “Expiration Date”) for the Exchange Offer was 11:59 p.m., New York City time, on June 27, 2023.
All of the proposals presented at the Special Meeting were approved by the requisite votes of the applicable shareholders of the Company, including:
certain amendments to the Company’s Amended and Restated Articles of Incorporation (as in effect prior to such amendments, the “Prior Charter”) with respect to the Series A Preferred Stock to significantly reduce the rights of holders of Series A Preferred Stock (the “Series A Charter Amendments” and, such proposal, the “Preferred Series A Charter Amendment Proposal”); and
(i) a temporary amendment of the Prior Charter to increase the authorized number of shares of preferred stock to 6,000,000 shares and, following the consummation of the Exchange Offer, the subsequent amendment of the Prior Charter to decrease the authorized number of shares of preferred stock to 5,000,000 shares and (ii) the authorization, creation and designation by the Board of Directors of the Company (the “Board”), from the authorized but undesignated shares of preferred stock, of the Series B Preferred Stock (the “Series B Charter Amendments” and, such proposal, the “Series B Preferred Stock Proposal”); and
certain amendments to the Prior Charter relating to (i) the Series A Charter Amendments and (ii) the temporary amendment of the Prior Charter to increase the authorized number of shares of the Company to 61,000,000 shares, consisting of 55,000,000 shares of common stock and 6,000,000 sharesof preferred stock, and, following the consummation of the Exchange Offer, the subsequent amendment of the Prior Charter to decrease the authorized numberof shares of the Company to 60,000,000 shares, consisting of 55,000,000 shares of common stock and 5,000,000 shares of preferred stock (such proposal, the “Common Charter Amendment Proposal”).
On June 30, 2023, the Company closed the Exchange Offer. Continental Stock Transfer & Trust Company, the exchange agent in connection with the Exchange Offer, notified the Company that 2,252,272 shares of Series A Preferred Stock had been properly tendered (and not validly withdrawn) in the Exchange Offer, representing approximately 80.1% of the then outstanding shares of Series A Preferred Stock. All of the shares of Series A Preferred Stock properly tendered (and not validly withdrawn) prior to the Expiration Date pursuant to the Exchange Offer were accepted by the Company and were retired. On June 30, 2023, in exchange for each such share of Series A Preferred Stock, participating holders of Series A Preferred Stock received one share of Series B Preferred Stock, resulting in the issuance of 2,252,272 shares of Series B Preferred Stock.559,263 shares of Series A Preferred Stock did not participate in the Exchange Offer and remain outstanding.
On July 3, 2023, in connection with the closing of the Exchange Offer, the Company filed Amended and Restated Articles of Incorporation (the “Charter”) with the Secretary of State of the State of Georgia.
Common Stock
As of September 30, 2024, the Company had 55,000,000 shares of Common Stock authorized and 1,890,129 shares issued and 1,879,249 shares outstanding. There wereno dividends declared or paid on the common stock during the three and nine months ended September 30, 2024 and 2023.
Preferred Stock
As of September 30, 2024 , the Company had 5,000,000 shares of Preferred Stock authorized and 2,811,535 shares issued and outstanding.
Series A Preferred Stock
On June 27, 2023, certain Preferred Series A Charter Amendments were approved at the Special Meeting to (i) reduce the liquidation preference of the Series A Preferred Stock to $5.00 per share, (ii) eliminate accumulated and unpaid dividends on the Series A Preferred Stock, (iii) eliminate future dividends on the Series A Preferred Stock, (iv) eliminate penalty events and the right of holders of Series A Preferred Stock to elect directors upon the occurrence of a penalty event, (v) reduce the redemption price of the Series A Preferred Stock in the event of an optional redemption to $5.00 per share, (vi) reduce the redemption price of the Series A Preferred Stock in the event of a “change of control” to $5.00 per share and (vii) change the voting rights of holders of Series A Preferred Stock when voting as a single class with any other class or series of stock to one vote per $5.00 liquidation preference.
The Company has accounted for the Series A Charter Amendments to the rights, preferences, and privileges of the Series A Preferred Stock as an extinguishment of the Series A Preferred Stock and issuance of new Series B Preferred Stock due to the significance of the modifications to the substantive contractual terms and the associated fundamental changes to the nature of the Series A Preferred Stock. Accordingly, the Company recorded an aggregate gain of $43.4 million within stockholders’ equity equal to the difference between the fair value of the new shares of Series B Preferred Stock issued and the carrying amount of the shares of Series A Preferred Stock extinguished. The gain on extinguishment is reflected in the calculation of net income (loss) available to common stockholders in accordance with FASB ASC Topic 260, Earnings per Share. The fair value of the Series A Preferred Stock was $0.76 per share based on a probability-weighted average of the expected return method.
On June 30, 2023, in connection with the closing of the Exchange Offer,2,252,272 shares of Series A Preferred Stock were retired and exchanged for 2,252,272 shares of Series B Preferred Stock.
As of September 30, 2024, the Company had 559,263 shares of Series A Preferred Stock issued and outstanding, and the accumulated and unpaid dividends on the Series A Preferred Stock in the amount of $50.4 million were forfeited as part of the extinguishment. No dividends were declared or paid on the Series A Preferred Stock for thethree and nine months ended September 30, 2024 and 2023.
Series B Preferred Stock
Theterms and provisions of the Series B Preferred Stock include, among other things: (i) no stated maturity and not being subject to any sinking fund or mandatory redemption, except following a change of control and the cumulative redemption provisions, (ii) ranks senior to our common stock, our Series A Preferred Stock and any other shares of our stock that we may issuein the future, the terms of which specifically provide that such stock ranks junior to the Series B Preferred Stock, in each case with respect to payment of dividends and amounts upon the occurrence of a liquidation event, (iii) dividend rate is 12.5% per annum of the liquidation preference of the Series B Preferred Stock in effect on the first calendar day of the applicable dividend period, (iv) initial dividend period will commence July 1, 2027, (v) liquidation preference is initially be $10.00 per share and will increase over time, pursuant to the terms set forth in the Charter, to $25.00 per share upon the fourth anniversary date of the original issuance date, provided that once there are 200,000 or fewer shares of the Series B Preferred Stock outstanding, the liquidation preference will be reduced to $5.00 per share; and (vi) the Company must redeem, repurchase or otherwise acquire certain amount of shares of Series B Preferred Stock through the fourth anniversary of the original date of issuance as provided in the Charter. The fair value of the Series B Preferred Stock was $8.26 per share based on a probability-weighted average of the expected return method.
As of September 30, 2024, the Company had 2,252,272 shares of Series B Preferred Stock issued and outstanding. No dividends were declared or paid on the Series B Preferred Stock for thethree and nine months ended September 30, 2024 and 2023.
Series E Preferred Stock
On February 13, 2023, the Board declared a dividend of one one-thousandth of a share of Series E Preferred Stock for each outstanding share of common stock, payable on February 28, 2023 to shareholders of record at 5:00 p.m. Eastern Time on February 27, 2023 (the “Dividend Record Date”). The Articles of Amendment Establishing Series E Redeemable Preferred Shares were filed with the Secretary of State of the State of Georgia and became effective on February 14, 2023. The Series E Preferred Stock was distributed on February 28, 2023 to shareholders of record on the Dividend Record Date.
All shares of Series E Preferred Stock were redeemed in connection with the Special Meeting. The Series E Preferred Stock designation has been eliminated from the Charter and, as of September 30, 2024, there areno shares of Series E Preferred Stock issued and outstanding.
NOTE 11. STOCK BASED COMPENSATION
Stock Incentive Plans
On September 21, 2023, our Board of Directors (the "Board") approved the Regional Health Properties, Inc. 2023 Omnibus Incentive Compensation Plan (the “2023 Plan”), which was approved by the Company's shareholders on November 16, 2023 at the 2023 Annual Meeting of Shareholders. The 2023 Plan is administered by the Compensation Committee of the Board of the Company. The 2023 Plan shall remain in effect, subject to the right of the Board to amend or terminate the 2023 Plan at any time, until the earlier of 11:59 p.m. (ET) on September 21, 2033, or the date all shares subject to the 2023 Plan shall have been issued and the restrictions on all restricted shares granted under the Plan shall have lapsed, according to the 2023 Plan’s provisions.
Our 2023 Plan replaced the Regional Health Properties, Inc. 2020 Equity Incentive Plan (the “2020 Plan”). Outstanding awards under the 2020 Plan will continue to be governed by the terms of the 2020 Plan until exercised, expired or otherwise terminated or canceled, butno further equity awards will be granted under the 2020 Plan.
As of September 30, 2024, the number of securities remaining available for future issuance under the 2023 Plan is 141,000.
For thethree and nine months ended September 30, 2024 and 2023, the Company recognized stock-based compensation expense as follows:
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| (Amounts in 000’s) | 2024 | 2023 | 2024 | 2023 |
| Employee compensation: | ||||
| Stock compensation expense | $19 | $85 | $85 | $321 |
| Total employee stock-based compensation expense | $19 | $85 | $85 | $321 |
As of September 30, 2024, the remaining stock-based compensation expense that is expected to be recognized in future periods is $0.2 million.
Restricted Stock
The following table summarizes the Company's restricted stock activity for thenine months ended September 30, 2024:
| Number ofShares (000's) | Weighted Avg.Grant Date (per Share)Fair Value | |
|---|---|---|
| Unvested, December 31, 2023 | 80 | $5.27 |
| Granted | 65 | $2.18 |
| Vested | (43) | $6.67 |
| Forfeited | (16) | $3.15 |
| Unvested, September 30, 2024 | 86 | $2.61 |
The remaining unvested shares at September 30, 2024 will vest over the next 2.2 years with $0.2 million in compensation expense recognized over this period.
Common Stock Options
The following summarizes the Company's employee and non-employee stock option activity for thenine months ended September 30, 2024:
| Number ofShares (000's) · WeightedAverageExercisePrice · WeightedAverageRemainingContractualTerm(in years) · Aggregate Intrinsic Value (000's) | |||||
|---|---|---|---|---|---|
| Outstanding, December 31, 2023 | 33 | $14.84 | $— | ||
| Granted | 24 | $2.03 | |||
| Outstanding, September 30, 2024 | 57 | $9.41 | 7.5 | $— | |
| Outstanding and Vested, September 30, 2024 | 44 | $11.55 | 6.9 | $— | |
The aggregate intrinsic value of options outstanding and vested was calculated as the difference between the exercise price of the options and the fair value of the Company’s common stock as of September 30, 2024. The fair value of the common stock is the closing stock price of the Company's Common Stock.
The following summary information reflects stock options outstanding, vested, and related details as of September 30, 2024:
| Stock Options Outstanding · Stock Options Exercisable | |||||
|---|---|---|---|---|---|
| Exercise Price | Number ofShares (000's) | WeightedAverageRemainingContractualTerm(in years) | WeightedAverageExercisePrice | Shares Vested, September 30, 2024 (000's) | WeightedAverageExercisePrice |
| $2.03-$3.32 | 48 | 8.8 | $2.68 | 35 | $2.91 |
| $46.80 - $48.72 | 9 | 0.2 | $46.80 | 9 | $46.80 |
| Total | 57 | 7.5 | $9.41 | 44 | $11.55 |
Common Stock Warrants
The following summarizes the Company's employee and non-employee common stock warrant as of December 31, 2023 and September 30, 2024:
| Outstanding and Exercisable | |||
|---|---|---|---|
| Number ofShares (000's) | WeightedAverageExercisePrice | WeightedAverageRemainingContractualTerm(in years) | |
| Outstanding and Vested, December 31, 2023 | 32 | $52.50 | 1.0 |
| Outstanding and Vested, September 30, 2024 | 32 | $52.50 | 0.3 |
The Company hasno unrecognized compensation expense related to common stock warrants as of September 30, 2024.
NOTE 12. COMMITMENTS AND CONTINGENCIES
Regulatory Matters
Laws and regulations governing federal Medicare and state Medicaid programs are complex and subject to interpretation. Compliance with such laws and regulations can be subject to future governmental review and interpretation as well as significant regulatory action including fines, penalties, and exclusion from certain governmental programs. As of September 30, 2024, all of the Company's facilities operated by Regional or leased and subleased to third-party operators are certified by CMS and are operational. See Note 7 - Leases.
Legal Matters
The Company is a party to various legal actions and administrative proceedings and is subject to various claims arising in the ordinary course of business, including claims that the services the Company provided during the time it operated SNFs resulted in injury or death to the patients of the Company's facilities and claims related to professional and general negligence, employment, staffing requirements and commercial matters. Although the Company intends to vigorously defend itself in these matters, there is no assurance that the outcomes of these matters will not have a material adverse effect on the Company's business, results of operations and financial condition.
The Company previously operated, and the Company and its tenants now operate, in an industry that is highly regulated. As such, in the ordinary course of business, the Company and its tenants are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. In addition, the Company believes that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare and Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations against or involving the Company or its tenants, whether currently asserted or arising in the future, could have a material adverse effect on the Company's business, results of operations and financial condition.
Professional and General Liability Claims
On February 16, 2024, the Regional's insurance carrier was able to reach a settlement with the family of Mable Polite within policy limits.
As of September 30, 2024, the Company has been named in three lawsuits pertaining to facilities it transitioned operations to other entities as a lessor in 2015. Even though the residents were not part of our dates of service as the operator of the buildings, the lawsuits claim the Company knew the new operator had a history of providing poor patient care and therefore should not have leased or sold the premises to the new operator. We do not believe there is any basis in law or fact to hold the previous operator/ lessor liable, and as a result management has concluded that the likelihood of a material adverse result should be remote. Despite our confidence in our legal position, we have to acknowledge that jurors sometimes follow sympathy rather than the law. One of the three cases was dismissed. The plaintiff has until August of 2025 to re-file the lawsuit. Subsequent to quarter end, the two other suits were non-suited by the plaintiff and the matters were dismissed without prejudice. The plaintiff has until August 2025 to re-file the cases.
NOTE 13. SEGMENT RESULTS
The Company hastwo primary reporting segments:(i) Real Estate Services, which consists of the leasing and subleasing of long-term care and senior living facilities to third-party tenants, including the Company's management ofthree facil ities on behalf of third-party owners; and (ii) Healthcare Services, which consists of the operation of the Meadowood and Glenvue facilities.
The Company reports segment information based on the "management approach" defined in ASC 280, Segment Reporting. The management approach designates the internal reporting used by management for making decisions and assessing performance as the source of our reportable segments.
The table below presents the results of operations for our reporting segments for the periods presented.
| Three Months Ended September 30, · Three Months Ended September 30, · Nine Months Ended September 30, · Nine Months Ended September 30, | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2024 | 2024 | 2024 | 2023 | 2023 | 2023 | 2024 | 2024 | 2024 | 2023 | 2023 | 2023 | |
| (Amounts in 000’s) | Real Estate Services | Healthcare Services | Total | Real Estate Services | Healthcare Services | Total | Real Estate Services | Healthcare Services | Total | Real Estate Services | Healthcare Services | Total |
| Revenues: | ||||||||||||
| Patient care revenues | $— | $2,585 | $2,585 | $— | $2,136 | $2,136 | $— | $7,418 | $7,418 | $— | $6,577 | $6,577 |
| Rental revenues | 1,640 | — | 1,640 | 1,739 | — | 1,739 | 5,257 | — | 5,257 | 5,170 | — | 5,170 |
| Management fees | — | — | — | 263 | — | 263 | — | — | — | 788 | — | 788 |
| Other revenues | — | — | — | — | — | — | — | — | — | 107 | — | 107 |
| Total revenues | 1,640 | 2,585 | 4,225 | 2,002 | 2,136 | 4,138 | 5,257 | 7,418 | 12,675 | 6,065 | 6,577 | 12,642 |
| Expenses: | ||||||||||||
| Patient care expense | — | 2,179 | 2,179 | — | 2,153 | 2,153 | — | 6,462 | 6,462 | — | 6,444 | 6,444 |
| Facility rent expense | 149 | — | 149 | 284 | (135) | 149 | 446 | — | 446 | 446 | — | 446 |
| Cost of management fees | — | — | — | — | 156 | 156 | — | — | — | — | 442 | 442 |
| Depreciation and amortization | 340 | 134 | 474 | 402 | 124 | 526 | 1,110 | 389 | 1,499 | 1,578 | 160 | 1,738 |
| General and administrative expense | 897 | 327 | 1,224 | 1,234 | 95 | 1,329 | 3,034 | 1,051 | 4,085 | 2,970 | 1,314 | 4,284 |
| Credit loss expense | 466 | 33 | 499 | — | 229 | 229 | 466 | 98 | 563 | — | 269 | 269 |
| Total expenses | 1,852 | 2,673 | 4,525 | 1,920 | 2,622 | 4,542 | 5,055 | 8,000 | 13,055 | 4,994 | 8,630 | 13,623 |
| Income (loss) from operations | (212) | (88) | (300) | 82 | (486) | (404) | 202 | (582) | (380) | 1,071 | (2,053) | (981) |
| Other (income) expense: | ||||||||||||
| Interest expense, net | 571 | 106 | 677 | 600 | 108 | 708 | 1,708 | 313 | 2,021 | 1,947 | 119 | 2,066 |
| Other expense (income), net | 2 | 3 | 5 | (139) | — | (139) | 65 | 184 | 249 | — | 603 | 603 |
| Total other expense (income), net | 573 | 109 | 682 | 462 | 108 | 569 | 1,773 | 497 | 2,270 | 1,947 | 722 | 2,669 |
| Net loss | $(785) | $(197) | $(982) | $(380) | $(594) | $(973) | $(1,571) | $(1,079) | $(2,650) | $(876) | $(2,775) | $(3,650) |
Total assets for the Real Estate Services segment and Healthcare Services segment were $48.2 million and 11.9 million respectively, as of September 30, 2024.
Total assets for the Real Estate Services segment and Healthcare Services segment were$48.5 million and $13.7 million, respectively, as of December 31, 2023.
NOTE 14. SUBSEQUENT EVENTS
As of September 30, 2024, the Company was in compliance with the various financial and administrative covenants under the Company's outstanding credit related instruments with the exception of a notice of default under two USDA loans secured by the Southland and Mt. Trace Property and an SBA loan secured by Southland. On October 25, 2024, the Company received a notice of acceleration and demand for payment from the lenders of Southland stating that the covenants of the deed of trust have been violated for failure to pay principal and interest. The lender accelerated the maturity dates and is requesting for the loans to be paid in full plus unpaid interest and late fees immediately. We are working with the lender to reach a forbearance agreement and think it is likely we will reach an agreement. The Company is working with the lender of the Mt. Trace Property to get back into compliance with the loan documents and received a waiver in November 2024.
On November 8, 2024, Company obtained a $.5 million line of credit. The line of credit accrues interest at 7.75% per annum with interest only payments payable monthly.
On November 11, 2024, the Company executed a operations transfer agreement and a lease termination agreement with the tenant of the Mt. Trace Property effective November 15, 2024. The Company will be the new operator of the facility.
On November 11, 2024, the NYSE Regulation determined that the Company is no longer suitable for listing pursuant to Section 1009(a) of the NYSE American Company Guide as the Company was unable to demonstrate that it had regained compliance with Sections 1003(a)(i) and (ii) of the NYSE American Company Guide by the end of the maximum 18-month compliance plan period, which expired on November 10, 2024. The Company has a right to a review of staff’s determination to delist the Company’s Securities by the Listings Qualifications Panel of the Committee for Review of the Board of Directors of the Exchange. Following such appeal, a decision by the Listings Qualifications Panel will be made and announced by NYSE American regarding either proceeding with suspension and delisting or continued trading in the Company’s Securities. The Company’s request for such a review must be made by November 18, 2024. The Company intends to appeal such determination and will continue with the plan to regain compliance. The Company expects the Securities to continue to trade on NYSE American during the appeal process.
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