The following "Management's Discussion and Analysis of Financial Condition and
Results of Operations" should be read in conjunction with our interim 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 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 conjunction with the audited consolidated financial statements and
notes thereto included in the Company's Annual Report on Form 10-K for the year
ended December 31, 2019 as filed with the SEC.



Our actual future results and trends may differ materially from expectations
depending on a variety of factors discussed in our filings with the SEC. These
factors include without limitation:



? macroeconomic conditions, such as a prolonged period of weak economic growth, and volatility in capital markets;

? changes in national and local economic conditions in the real estate and healthcare markets specifically;

? legislative and regulatory changes impacting the healthcare industry, including the implementation of the healthcare reform legislation enacted in 2010;

? the availability of debt and equity capital;





? changes in interest rates;


? competition in the real estate industry; and,

? the supply and demand for operating properties in our market areas.





                               COVID-19 Pandemic


In December 2019, a novel strain of coronavirus ("COVID-19") emerged in China. On March 11, 2020, the World Health Organization declared the outbreak of COVID-19 a pandemic. The outbreak has now spread to the United States and infections have been reported globally.


Starting in March, the COVID-19 pandemic and measures to prevent its spread
began to affect us in a number of ways. In our operating portfolio, occupancy
trended lower in the second half of the month as government policies and
implementation of infection control best practices began to materially limit or
close communities to new resident move-ins. In addition, starting in mid-March,
operating costs began to rise materially, including for services, labor and
personal protective equipment and other supplies, as our operators took
appropriate actions to protect residents and caregivers. These trends
accelerated in April and May, and are expected to continue through at least
September, impacting revenues and net operating income.



21







Our triple-net tenants experienced similar trends, which has put them under
increased operational and financial pressure. Without financial support or other
government assistance, certain of our triple-net tenants will likely experience
worsening financial conditions through the third quarter, which would pressure
their rent coverage ratios and may affect their ability to pay us contractual
rent in full on a timely basis.



As of the date of this Report, two of our facilities have reported "presumptive
positive" cases of COVID-19. The Centers for Disease Control & Prevention
("CDC") will provide final confirmation of the cases. The Company is engaging in
aggressive mitigation efforts in accordance with CDC and state Department of
Health guidelines to protect the health and safety of residents while respecting
their rights. Employees at both locations are taking several precautions as they
care for residents, including, among other things, monitoring themselves for
symptoms upon leaving and returning home, and upon arriving at and leaving the
skilled nursing facility. They are also wearing masks and other personal
protective equipment while caring for residents. Additionally, as of the date of
this Report, none of our other operators have reported any occurrences of
COVID-19 in any of the buildings they are managing. Our operators have also
reported to us that they currently have adequate supply levels, including
appropriate quantities of Personal Protective Equipment (PPE) for staff.
Additionally, as of the date of filing the Company has received no additional
information.



The federal government, as well as state and local governments, have implemented
or announced programs to provide financial and other support to businesses
affected by the COVID-19 pandemic, some of which benefit or could benefit our
company, tenants, operators, borrowers and managers. While these government
assistance programs are not expected to fully offset the negative financial
impact of the pandemic, and there can be no assurance that these programs will
continue or the extent to which they will be expanded, we are monitoring them
closely and have been in active dialogue with our tenants, operators, borrowers
and managers regarding ways in which these programs could benefit them or us.



In April and May, we applied for and were approved for an aggregate of
$1,610,169 in PPP loans issued by the SBA. As a result of newly adopted
amendments to the PPP program, 60% of the PPP loan amount must be expended on
payroll in the 24 week-period following the loan date. We believe that most if
not all of the PPP loans will be eligible to be forgiven under the PPP
guidelines. Any portion that is not forgiven must be repaid over two years.



The COVID-19 pandemic is rapidly evolving. The information in this Report is
based on data currently available to us and will likely change as the pandemic
progresses. As COVID-19 continues to spread throughout areas in which we
operate, we believe the outbreak has the potential to have a material negative
impact on our operating results and financial condition. The extent of the
impact of COVID-19 on our operational and financial performance will depend on
certain developments, including the duration and spread of the outbreak, impact
on our operators, employees and vendors, and impact on the facilities we manage,
all of which are uncertain and cannot be predicted. Given these uncertainties,
we cannot reasonably estimate the related impact to our business, operating
results and financial condition.



We expect the trends highlighted above with respect to the impact of the
COVID-19 pandemic to continue and, in some cases, accelerate. The extent of the
COVID-19 pandemic's continued effect on our operational and financial
performance will depend on future developments, including the duration, spread
and intensity of the outbreak, the pace at which jurisdictions across the
country re-open and restrictions begin to lift, the availability of government
financial support to our business, tenants and operators and whether a
resurgence of the outbreak occurs. Due to these uncertainties, we are not able
at this time to estimate the ultimate impact of the COVID-19 pandemic on our
business, results of operations, financial condition and cash flows but it

could
be material.



Overview


Global Healthcare REIT, Inc. ("Global" or "we" or the "Company") was organized for the purpose of investing in real estate related to the long-term care industry.


We acquire, develop, lease, manage, operate and dispose of healthcare real
estate. Our portfolio will be comprised of investments in the following five
healthcare segments: (i) senior housing, (ii) life science, (iii) medical
office, (iv) post-acute/skilled nursing and (v) hospital. We will make
investments within our healthcare segments using the following five investment
products: (i) properties under lease, (ii) debt investments, (iii) developments
and redevelopments, (iv) investment management and (v) the Housing and Economic
Recovery Act of 2008 ("RIDEA"), which represents investments in senior housing
operations utilizing the structure permitted by RIDEA.



The delivery of healthcare services requires real estate and, as a result, tenants and operators depend on real estate, in part, to maintain and grow their businesses. We believe that the healthcare real estate market provides investment opportunities due to the following:

? Compelling demographics driving the demand for healthcare services; ? Specialized nature of healthcare real estate investing; and ? Ongoing consolidation of a fragmented healthcare real estate sector.






22






Health Care Regulatory Climate





The Centers for Medicare & Medicaid Services ("CMS") annually updates Medicare
skilled nursing facility prospective payment system rates and other policies. On
July 30, 2019, CMS issued its final fiscal year 2020 Medicare skilled nursing
facility update. Under the final rule, CMS projects aggregate payments to
skilled nursing facilities will increase by $851 million, or 2.4%, for fiscal
year 2020 compared with fiscal year 2019. The final rule also addresses
implementation of the new Patient-Driven Payment Model case mix classification
system that became effective on October 1, 2019, changes to the group therapy
definition in the skilled nursing facility setting, and various skilled nursing
facility Value-Based Purchasing and quality reporting program policies. On April
10, 2020, CMS issued a proposed rule to update skilled nursing facility rates
and policies for fiscal year 2021, which starts October 1, 2020. CMS estimates
that payments to skilled nursing facilities would increase by $784 million, or
2.3%, for fiscal year 2021 compared to fiscal year 2020. CMS also proposes to
revise the geographic wage index and apply a cap on wage index decreases used in
setting skilled nursing facility rates. The proposal would also make changes to
the patient classifications under the Patient Driven Payment Model and certain
minor policy changes to the Value-Based Purchasing program. CMS is expected to
release the final rule by August 1, 2020.



Since the announcement of the COVID-19 pandemic and beginning as of March 13,
2020, CMS has issued numerous temporary regulatory waivers and new rules to
assist health care providers, including skilled nursing facilities, respond to
the COVID-19 pandemic. These include, waiving the skilled nursing facility's
3-day qualifying inpatient hospital stay requirement, flexibility in calculating
a new Medicare benefit period, waiving timing for completing functional
assessments, waiving requirements for health care professional licensure, survey
and certification, provider enrollment, and reimbursement for services performed
by telehealth, among many others. CMS also announced a temporary expansion of
its Accelerated and Advance Payment Program to allow skilled nursing facilities
and certain other Medicare providers to request accelerated or advance payments
in an amount up to 100% of the Medicare Part A payments they received from
October-December 2019; this expansion was suspended April 26, 2020 in light of
other CARES Act funding relief. In addition, CMS has also enhanced requirements
for nursing facilities to report COVID-19 infections to local, state and federal
authorities.



On March 26, 2020, President Trump signed into law the Coronavirus Aid, Relief,
and Economic Security Act (the "CARES Act"), sweeping legislation intended to
bolster the nation's response to the COVID-19 pandemic. In addition to offering
economic relief to individuals and impacted businesses, the law expands coverage
of COVID-19 testing and preventative services, addresses health care workforce
needs, eases restrictions on telehealth services during the crisis, and
increases Medicare regulatory flexibility, among many other provisions. Notably,
the CARES Act temporarily suspends the 2% across-the-board "sequestration"
reduction during the period May 1, 2020 through December 31, 2020, and extends
the current Medicare sequester requirement through fiscal year 2030. In
addition, the law provides $100 billion in grants to eligible health care
providers for health care related expenses or lost revenues that are
attributable to COVID-19. On April 10, 2020, CMS announced the distribution of
$30 billion in funds to Medicare providers based upon their 2019 Medicare fee
for service revenues. Eligible providers must agree to certain terms and
conditions in receiving these grants. In addition, the Department of Health and
Human Services ("HHS") has authorized $20 billion of additional funding for
providers that have already received funds from the initial distribution of $30
billion. Unlike the first round of funds, which came automatically, providers
have to apply for these additional funds and submit the required supporting
documentation, using the online portal provided by HHS. Providers must attest to
and agree to specific terms and conditions for the use of such funds. HHS will
make the additional distributions with the goal of allocating the whole $50
billion proportionally across all providers based on those providers'
proportional share of 2018 net Medicare fee-for-service revenue. CMS is expected
to distribute additional funding to Medicaid and potentially other providers,
but the details are not yet known.



On July 18, 2019, CMS published a final rule that eliminates the prohibition on
pre-dispute binding arbitration agreements between long-term care facilities and
their residents. The rule also strengthens the transparency of arbitration
agreements and makes other changes to arbitration requirements for long-term
care facilities. There can be no assurance that these rules or future
regulations modifying Medicare skilled nursing facility payment rates or other
requirements for Medicare and/or Medicaid participation will not have an adverse
effect on the financial condition of our borrowers and lessees which could, in
turn, adversely impact the timing or level of their payments to us.



Congress periodically considers legislation revising Medicare and Medicaid
policies, including legislation that could have the impact of reducing Medicare
reimbursement for skilled nursing facilities and other Medicare providers,
limiting state Medicaid funding allotments, encouraging home and community-based
long-term care services as an alternative to institutional settings, or
otherwise reforming payment policy for post-acute care services. Congress
continues to consider further legislative action in response to the COVID-19
pandemic. There can be no assurances that enacted or future legislation will not
have an adverse impact on the financial condition of our lessees and borrowers,
which subsequently could materially adversely impact our company.



Additional reforms affecting the payment for and availability of health care
services have been proposed at the federal and state level and adopted by
certain states. Increasingly, state Medicaid programs are providing coverage
through managed care programs under contracts with private health plans, which
is intended to decrease state Medicaid costs. State Medicaid budgets may
experience shortfalls due to increased costs in addressing the COVID-19
pandemic. Congress and state legislatures can be expected to continue to review
and assess alternative health care delivery systems and payment methodologies.
Changes in the law, new interpretations of existing laws, or changes in payment
methodologies may have a dramatic effect on the definition of permissible or
impermissible activities, the relative costs associated with doing business and
the amount of reimbursement by the government and other third-party payors.




Acquisitions



Effective March 2, 2020, the Company, through its wholly-owned subsidiary,
Global Quapaw, LLC ("Quapaw"), completed the acquisition of an 86-licensed bed,
long-term care facility known as Higher Call Nursing Center ("Higher Call")
located in Quapaw, Oklahoma for the purchase price of $1.3 million. Quapaw has
entered into an operating lease agreement with Global Higher Call Nursing, LLC,
a wholly owned subsidiary of the Company, as lessee, to be the operator of the
facility. The acquisition represents the consummation of an Asset Purchase
Agreement dated October 21, 2019 between Higher Call Nursing Center, Inc.,

as
Seller, and Quapaw, as Buyer.



23






In connection with the acquisition of Higher Call, the Company entered into two credit facilities, summarized as follows:


The Company entered into a senior loan agreement with Security Bank in the
principal amount of $1.1 million (the "Senior Loan"). The Senior Loan accrues
interest at the rate of 6.5% per annum and is payable in monthly installments of
$7,907. The Senior Loan matures in 2040. The Senior Loan is secured by a senior
Mortgage, Security Agreement and Assignment of Rents ("Mortgage") covering the
Higher Call facility and a UCC Security Interest covering the personal property
and other non-real estate assets.



The Company also executed a promissory note in favor of the Seller, Higher Call
Nursing Center, Inc., in the principal amount of $150,000 (the "Seller Note").
The Seller Note accrues interest at the rate of 8% per annum and is payable in
equal monthly installments, principal and interest, and matures in April 2024.
The Seller Note is secured by a Corporate Guaranty of Global.



Properties


As of March 31, 2020, we owned twelve long-term care facilities including a campus of three buildings in Tulsa, OK. The following table provides summary information regarding these facilities at March 31, 2020:





                                Effective
                               Percentage                                                        Outstanding
                                 Equity            Date          Gross          Purchase           Debt at
Property Name     Location      Ownership        Acquired     Square Feet         Price         March 31, 2020

Eastman
Nursing Home
(a/k/a
Crescent         Eastman,
Ridge)           GA                     100 %    3/15/2013          28,808     $ 5,000,000     $      3,423,170

Warrenton
Health and       Warrenton,
Rehabilitation   GA                     100 %   12/31/2013          26,894     $ 3,500,000     $      3,722,532

Southern Hills
Retirement
Center           Tulsa, OK              100 %     2/7/2014         104,192     $ 2,000,000     $      7,226,969

Goodwill
Nursing Home     Macon, GA               85 %    5/19/2014          46,314     $ 7,185,000     $      5,804,878

Edwards
Redeemer         Oklahoma
Health & Rehab   City, OK               100 %    9/16/2014          31,939     $ 3,142,233     $      2,065,773

Providence of
Sparta Nursing
Home             Sparta, GA             100 %    9/16/2014          19,441     $ 2,836,930     $      2,908,417

Meadowview
Healthcare       Seville,
Center           OH                     100 %    9/30/2014          27,500     $ 3,000,000     $      2,851,800

Grand Prairie
Nursing Home     Lonoke, AR             100 %    9/16/2014          40,737     $ 6,742,767     $      4,618,006

Glen Eagle
Healthcare &     Abbeville,
Rehab            GA                     100 %    5/25/2016          29,393     $ 2,100,000     $      3,066,376

Higher Call
Nursing Center   Quapaw, OK             100 %     3/2/2020          20,694     $ 1,300,000     $      1,201,721




                                                2020 Base Revenue       Operating Lease

               Property Name                        Per Lease             Expiration

                                                                             October 31,
Eastman Nursing Home (a/k/a Crescent Ridge)    $           720,000         

2022


Warrenton Health and Rehabilitation            $           642,846         June 30, 2026
Southern Hills Retirement Center               $            12,000         

           -
                                                                             February 1,
Goodwill Nursing Home                          $           560,138                  2027
                                                                             October 31,

Edwards Redeemer Health & Rehab                $           574,958         

2022


Providence of Sparta Nursing Home              $           494,496        

June 30, 2026


                                                                            November 30,
Meadowview Healthcare Center                   $                 -         

2023


Grand Prairie Nursing Home                     $                 -                     -
Glen Eagle Healthcare & Rehab                  $                 -         

           -
Higher Call Nursing Center                     $                 -                     -




24







Going Concern



The accompanying consolidated financial statements and notes have been prepared
assuming the Company will continue as a going concern. For the three months
ended March 31, 2020, the Company had net income of $62,807 and reported net
cash provided by operations of $252,424. However, the Company has incurred net
losses in each of the previous five fiscal years and, as of March 31, 2020, had
an accumulated deficit of $11,908,620. These circumstances raise substantial
doubt as to the Company's ability to continue as a going concern. The Company's
ability to continue as a going concern is dependent upon the Company's ability
to generate sufficient revenues and cash flows to operate profitably and meet
contractual obligations or raise additional capital through debt financing or
through sales of common stock.



Failure to achieve the necessary levels of profitability and cash flows or
obtain additional funding would be detrimental to the Company. The consolidated
financial statements do not include any adjustments that might be necessary if
the Company is unable to continue as a going concern.



Results of Operations



The following discussion of the financial condition, results of operations, cash
flows, and changes in our financial position should be read in conjunction with
our interim consolidated financial statements and related notes appearing
elsewhere in this Quarterly Report on Form 10-Q.



Results of Operations - Three Months Ended March 31, 2020 Compared to the Three Months Ended March 31, 2019


Rental revenues for the three-month periods ended March 31, 2020 and March 31,
2019 totaled $521,012 and $895,288, respectively, a decrease of 374,276. The
Company also had healthcare revenue of $3,330,589 for the three months ended
March 31, 2020, compared to $379,791 for the three months ended March 31, 2019.
Factors that contributed to the decrease in rental revenue included the
appointment of a receivership at Eastman as well as the closure of Edwards
Redeemer. Also, the Southern Tulsa facility is operated directly by the Company
as of December 1, 2019, increasing Healthcare revenues but decreasing rental
revenues. The acquisition of the Higher Call Nursing Center also increased
healthcare revenues. Looking forward, we anticipate growing the rental revenue
at the Southern Hills ILF facility in 2020 and beyond, but the shift toward
healthcare revenue will continue as we operate more facilities directly.



General and administrative expenses were $343,063 and $193,479 for the
three-month periods ended March 31, 2020 and 2019, respectively, an increase of
$149,584 primarily due to additional expenses with the Southern Tulsa facility
being operated directly by the Company as of December 1, 2019 and Higher Call
Nursing Center as of March 1, 2020. The Company stringently reviews its costs
regularly but believes its cost structure has been optimized for its current
portfolio. For the three months ended March 31, 2020 and March 31, 2019,
respectively, general and administrative expenses included $0 and $50,529 of
share-based compensation related to restricted stock and common stock awards.



Property taxes, insurance, and other operating expenses totaled $2,331,744 and
$349,188 for the three-month periods ended March 31, 2020 and 2019,
respectively. Lessees are responsible for the payment of insurance, taxes and
other charges while under the lease. Should the lessee not pay all such charges,
as required under the leases, we may be liable for such operating expenses. We
are also responsible for all working capital related to our Glen Eagle as well
as the Southern Hills SNF, ALF and ILF, Meadowview, Higher Call, and Edwards
properties.



Expenses related to the provision for bad debt increased $206,608 from $0 for
the three months ended March 31, 2019 to $206,608 for the three months ended
March 31, 2020. The company's greatly increased Healthcare Services operations
require more complicated billing and less certain collection, and the company
anticipates and preemptively records bad debt expense as a proportion of
revenues.



Depreciation expense increased $64,293 from $322,925 for the three months ended March 31, 2019 to $387,218 for three months ended March 31, 2020.

The Company had no interest income for the three months ended March 31, 2020 and $5,467 interest income for the three months ended March 31, 2019.

Interest expense decreased $20,965 from $526,235 for the three months ended March 31, 2019 to $505,270 for the three months ended March 31, 2020. We capitalized $25 of interest during the three months ended March 31, 2020.





25






Liquidity and Capital Resources





Throughout its history, the Company has experienced shortages in working capital
and has relied, from time to time, upon sales of debt and equity securities to
meet cash demands generated by our acquisition activities.



Our liquidity is expected to increase from potential equity and debt offerings
and decrease as net offering proceeds are expended in connection with our
various property improvement projects. Our continuing short-term liquidity
requirements consisting primarily of operating expenses and debt service
requirements, excluding balloon payments at maturity, are expected to be
achieved from rental revenues received and existing cash on hand. We plan to
renew secured obligations that mature during 2020, as our projected cash flow
from operations will be insufficient to retire the debt. Our restricted cash
approximated $383,760 as of March 31, 2020 and is to be expended on insurance,
taxes, repairs, and capital expenditures associated with Providence of Sparta
Nursing Home.



Cash provided by operating activities was $252,424 for the three months ended
March 31, 2020 compared to cash provided by operating activities of $266,139 for
the three months ended March 31, 2019. Cash flows from operations were
beneficially impacted by net income and a decrease in prepaid expenses offset by
an increase in accounts receivable and a decrease in accounts payable and
accrued liabilities during the first three months of 2020.



Cash used in investing activities was $1,085,923 for the three-month period
ended March 31, 2020 compared to cash used in investing activities of $954,879
for the three-month period ended March 31, 2019. The increase is primarily due
to net cash paid in the acquisition of Higher Call assets offset by decreased
spending on property renovations and refurbishments.



Cash provided by financing activities was $1,079,580 for the three months ended
March 31, 2020 compared to cash used in financing activities of $3,828 for the
three months ended March 31, 2019. During the first three months of 2020, we
received proceeds from the issuance of debt of $1,211,721 and made payments on
debt of $124,641. During the first three months of 2019, we issued $159,875 in
debt in cash and made cash payments on debt of $147,318.



As of March 31, 2020, and December 31, 2019, our debt balances consisted of the
following:



                                                         March 31, 2020       December 31, 2019
Senior Secured Promissory Notes                         $      1,545,000     $         1,485,000
Senior Unsecured Promissory Notes                                300,000                 300,000
Senior Secured Promissory Notes - Related Parties                975,000   

             875,000
Fixed-Rate Mortgage Loans                                     22,306,946              22,427,949
Variable-Rate Mortgage Loans                                   5,669,727               4,618,006

Line of Credit, Senior Secured                                 7,226,969               7,230,582
Other Debt, Subordinated Secured                               1,536,000               1,386,000
Other Debt, Subordinated Secured - Related Parties               150,000   

             150,000

                                                              39,709,642              38,472,537

Premium, Unamortized Discount and Debt Issuance Costs           (468,322 ) 

            (493,353 )

                                                        $     39,241,320     $        37,979,184

As presented in the Consolidated Balance Sheets:



Debt, Net                                               $     38,122,480     $        36,954,184

Debt - Related Parties, Net                                    1,118,840               1,025,000

                                                        $     39,241,320     $        37,979,184




The weighted average interest rate and term of our fixed rate debt are 5.88% and
7.66 years, respectively, as of March 31, 2020. The weighted average interest
rate and term of our variable rate debt are 5.89% and 17.83 years, respectively,
as of March 31, 2020.



26






Mortgage Loans and Lines of Credit Secured by Real Estate





Mortgage loans and other debts such as lines of credit are collateralized by all
assets of each nursing home property and an assignment of its rents. Collateral
for certain mortgage loans includes the personal guarantee of Christopher
Brogdon or corporate guarantees. Mortgage loans for the periods presented
consisted of the following:



                   Face                 Principal Outstanding at               Stated          Maturity
                                                                              Interest
  Property        Amount         March 31, 2020       December 31, 2019         Rate             Date

Southern
Hills
Retirement
Center Line
of
Credit(1)(2)   $  7,227,074     $      7,226,969     $         7,230,582     4.75% Fixed    June 18, 2023
Eastman
Nursing Home
(1)(3)            3,570,000            3,423,170               3,451,593     5.50% Fixed   October 26, 2021
Goodwill
Nursing Home
(1)(4)            4,268,878            4,268,878               4,286,237     4.75% Fixed    April 12, 2025
Warrenton
Nursing Home
(5)               3,768,600            3,722,532               3,739,942     3.73% Fixed     July 1, 2049
Edward
Redeemer
Health &
Rehab(6)          2,065,804            2,065,773               2,074,958     4.75% Fixed    June 29, 2021
Glen Eagle
Health and
Rehab(7)          3,119,214            3,066,376               3,083,006     5.50% Fixed     May 25, 2021
Providence
of Sparta
Nursing Home
(8)               3,039,300            2,908,417               2,923,013     3.50% Fixed   November 1, 2047
Meadowview
Healthcare
Center (9)        3,000,000            2,851,800               2,869,200   

6.00% Fixed October 30, 2022


                                                                             Prime Plus
GL Nursing                                                                     1.50%/
Home(10)          5,000,000            4,618,006               4,618,006     5.75% Floor    August 3, 2037
Higher Call
Nursing                                                                      Prime Plus
Center(11)        1,051,721            1,051,721                       -   

    2.00%       March 3, 2040

                                $     35,203,642     $        34,276,537

(1) Mortgage loans are non-recourse to the Company except for (i) the senior

loan held by ServisFirst Bank on Meadowview (Ohio), (ii) the loans held by

Colony Bank on Eastman and Glen Eagle, and (iii) the Southern Hills line of

credit and Goodwill loan owed to Southern Bank (formerly First Commercial

Bank).

(2) On October 31, 2017, the Company, through its wholly-owned subsidiaries

Southern Tulsa, LLC and Southern Tulsa TLC, LLC, as Co-Borrowers,

consummated a new Line of Credit with Southern Bank (formerly First

Commercial Bank) pursuant to a Promissory Note in the principal amount of

$7,229,052 (the "Line of Credit"). Under the Line of Credit, the Company

refinanced the prior mortgage on its skilled nursing facility in Tulsa for

$1,546,801, funded open market and tender offer purchases of its Industrial

Revenue Bonds covering the ALF and ILF as well as provided working capital

for improvements to the ALF and ILF. As of March 31, 2020, a total of

$7,226,969 was drawn under the Line of Credit, and as of December 31, 2019,

a total of $7,230,582 was drawn under the Line of Credit.

The interest rate on the Line of Credit increased from 5.25% to 5.75%

effective April 28, 2019 and subsequently was changed to 4.75%. Monthly

payments of interest began on November 30, 2017 and continue until the

Promissory Note is paid in full on the Maturity Date. The Maturity Date was

been extended multiple times in three month increments initially from April

30, 2018 to May 5, 2020, and subsequently to June 18, 2023 with a principal

amount of $7,227,074. The Credit Note is secured by a First Mortgage and

Assignment of Rents on Real Property for Southern Hills Rehabilitation


      Center, a Junior Lien and Assignment of Rents on Real Property for its
      Southern Hills Independent Living Facility location and a Junior Lien on

Real Property for its Southern Hills Assisted Living Facility location. With

the retirement of the Tulsa Industrial Authority Bonds effective November 1,

2018, Southern Bank (formerly First Commercial Bank) moved into a senior

position on the ALF and ILF properties.

(3) The loan at Eastman was renewed on November 26, 2018 with the maturity

extended to October 26, 2021. For the three months ended March 31, 2020,

amortization expense related to loan costs totaled $322.

(4) The maturity for the loan at Goodwill Nursing was extended on April 28, 2020

to April 12, 2025. The face value of the note was adjusted to the principal

outstanding at the time of 4,268,878, and the interest rate was decreased to

4.75%, from 5.50%.

(5) The original loan was extended on January 19, 2019 to January 20, 2020 and

the Company capitalized $8,885 in loan costs paid. The loan was refinanced

in June 2019. The Company has incurred $156,671 in unamortized loan costs to

refinance this debt with another lender. The refinance was treated as debt

extinguishment, with a new maturity date of July 1, 2049 and an interest

rate of 3.73%. For the three months ended March 31, 2020, amortization

expense related to loan costs totaled $1,306.

(6) The maturity for the loan at Edwards Redeemer was extended to June 29, 2021

in June 2020. The face value of the note was adjusted to the principal

outstanding at the time of the modification, $2,065,804, and the interest

rate was decreased from 5.50% to 4.75%.

(7) Amortization expense related to loan costs of this loan totaled $219 for the

three months ended March 31, 2020. Amortizing payments began in January

2019. In June 2018 the Company converted the original note to a fixed note

which qualified as debt extinguishment, unamortized debt discount on the

original note was expensed as a loss on extinguishment of $27,794. In April

2018, the Company capitalized $22,800 in fees and interest and added it to

principal. The Company is subject to financial covenants and customary

affirmative and negative covenants, including compliance with the covenants

of all other notes and bonds. As of March 31, 2020, the Company was not in

compliance with some unrelated notes and bonds, which is considered to be a

technical Event of Default as defined in the note agreement, but the Company


      believes that it is in good standing with the Lender. In October 2018 the
      Lender extended the Company a line of credit with a limit of $200,365 to
      provide working capital to scale operations at the facility. The line of
      credit was expanded in February 2019 to $400,000 with a maturity date of

September 30, 2019. Prior to September 30, 2019, the Company had drawn

$400,000 on the line which was subsequently merged into the amortizing note


      due May 25, 2021.




27






(8) The senior debt and subordinated debt owed in relation to Providence of

Sparta was refinanced into a single senior HUD note during 2017.

Amortization expense related to loan costs totaled $1,246 for the three

months ended March 31, 2020. The interest rate was reduced from 3.88% to

3.50% as part of a refinance completed in April 2020.

(9) Amortization expense related to loan costs of this loan totaled $2,326 for

the three months ended March 31, 2020. The Company is subject to financial

covenants and customary affirmative and negative covenants, including

compliance with the covenants of all other notes and bonds. As of March 31,

2020, the Company was not in compliance with some unrelated notes and

bonds, which is considered to be a technical Event of Default as defined in

the note agreement, but the Company believes that it is in good standing

with the Lender.

(10) The mortgage loan collateralized by the GL Nursing Home is 80% guaranteed

by the USDA and requires an annual renewal fee payable in the amount of

0.25% of the USDA guaranteed portion of the outstanding principal balance

as of December 31 of each year. The Company is subject to financial

covenants and customary affirmative and negative covenants. As of March 31,

2020, the Company was not in compliance with certain of these financial and

non-financial covenants which is considered to be a technical Event of

Default as defined in the note agreement. The Company is also delinquent in


       installment payments due under the mortgage. Remedies available to the
       lender in the event of a continuing Event of Default, at its option,
       include, but are not necessarily limited to the following (1) lender may

declare the principal and all accrued interest on the note due and payable;


       and (2) lender may exercise additional rights and remedies under the note
       agreement to include taking possession of the collateral or seeking
       satisfaction from the guarantors. The Company has been notified by the

lender regarding the Events of Default. Guarantors under the mortgage loan

include Christopher Brogdon. With our consent, Mr. Brogdon has assumed

operations of the facility and is making payment of interest on the loan.

The Company is not obligated to repay the interest.

(11) In connection with the acquisition of Higher Call, the Company entered into

a senior loan agreement with Security Bank in the principal amount of

$1,051,721. This loan accrues interest at the rate of 6.5% per annum and is

payable in monthly installments of $7,907. The loan is secured by a senior

Mortgage, Security Agreement and Assignment of Rents covering the Higher

Call facility and a UCC Security Interest covering the personal property

and other non-real estate assets. The Company is subject to financial

covenants and customary affirmative and negative covenants. As of March 31,


       2020, the Company was in compliance with these covenants.




We have $1.9 million of debt maturing and expect principal reduction payments of
approximately $527,000 in the next twelve months. There is also $10.5 million in
debt in technical default maturing after March 31, 2021 but shown due
immediately. While we anticipate being able to refinance all the loans at
reasonable market terms upon maturity, inability to do so may impact our
financial position and results of operations. We expect to refinance $1.5
million in mortgage loans maturing in 2020 as the associated properties meet
loan to value requirements currently being employed in commercial lending
markets. We have $325,000 in note obligations maturing in 2020. Following is a
summary of our subordinated debt and corporate debt at March 31, 2020 and
December 31, 2019.



Subordinated and Corporate Debt





Our subordinated debt at March 31, 2020 and December 31, 2019 includes unsecured
notes payable issued to entities controlled by the Company used to facilitate
the acquisition of the nursing home properties.



                   Face                 Principal Outstanding at             Stated Interest     Maturity
  Property        Amount         March 31, 2020       December 31, 2019           Rate             Date
Goodwill                                                                                           December
Nursing Home   $  2,180,000     $      1,536,000     $         1,536,000      13% (1) Fixed        31, 2019
Higher Call
Nursing                                                                                            April 1,
Center(2)           150,000              150,000                       -        8% Fixed               2024

                                $      1,686,000     $         1,536,000



(1) The subordinated note on Goodwill matured on July 1, 2015. Investors in the

Goodwill note were entitled to an additional 5% equity in Goodwill Hunting,

LLC every six months if the note is not paid when due. Effective December

31, 2015, the investors holding the subordinated debt executed an Agreement

Among Lenders pursuant to which they (i) agreed to waive any and all equity

ratchets and (ii) agreed to extend the maturity date of the subordinated

debt to June 30, 2017. In exchange, Goodwill Hunting agreed to pay the

investors an additional one-time premium equal to 5% of the principal amount

of the individual note at such time as the note is repaid. Effective May 3,

2017, we entered into an Allonge and Modification Agreement with the

Goodwill investors pursuant to which they agreed to (i) waive all accrued

interest through December 31, 2017, (ii) reduce interest rate to 13%

beginning January 1, 2018 and (iii) extend the maturity date of the notes to

December 31, 2019. In exchange, the Company agreed that upon repayment of

the notes, the investors would be entitled to a one-time premium payment in

the amount of 15% of the principal balance of the notes. On June 30, 2020,

the Company purchased from four former investors in GWH Investors, LLC their

notes issued by Goodwill Hunting, LLC in the aggregate principal amount of

$402,000 for an equal amount of cash. The Company has not repaid or renewed


      the note as of March 31, 2020 and it is technically in default.




28






(2) In connection with the acquisition of Higher Call, the Company executed a

promissory note in favor of the Seller, Higher Call Nursing Center, Inc., in

the principal amount of $150,000 which accrues interest at the rate of 8%


      per annum and is payable in equal monthly installments, principal and
      interest. This note is secured by a corporate guaranty of Global.




Our corporate debt at March 31, 2020 and December 31, 2019 includes unsecured
notes and notes secured by all assets of the Company not serving as collateral
for other notes.



                   Face                 Principal Outstanding at             Stated Interest     Maturity
   Series         Amount         March 31, 2020       December 31, 2019           Rate             Date

10% Senior
Secured
Promissory                                                                                         December
Note           $     25,000     $         25,000     $            25,000       10.0% Fixed         31, 2018
10% Senior
Unsecured
Promissory                                                                                          October
Notes               300,000              300,000                 300,000       10.0% Fixed         31, 2020
11% Senior
Secured
Promissory                                                                                          October
Notes             1,520,000            1,520,000               1,460,000       11.0% Fixed         31, 2021
11% Senior
Secured
Promissory
Notes -
Related                                                                                             October
Party               975,000              975,000                 875,000       11.0% Fixed         31, 2021

                                $      2,820,000     $         2,660,000




Contractual Obligations



As of March 31, 2020, we had the following contractual obligations:





                                    Total
                                 Contractual        Less Than                                          More Than
                                    Terms             1 Year        1 - 3 Years      3 - 5 Years        5 Years
Notes Payable - Principal       $   39,709,642     $ 12,930,156     $  8,454,163     $  7,945,024     $ 10,380,299
Notes Payable - Interest             7,638,137        1,554,656        1,985,567        1,034,212        3,063,702

Total Contractual Obligations $ 47,347,779 $ 14,484,812 $ 10,439,730 $ 8,979,236 $ 13,444,001






Revenues from operations are sufficient to meet the working capital needs of the
Company for the foreseeable future. Cash on hand and revenues generated from
operations are in excess of operating expenses and debt service requirements.
Debt maturities are expected to be refinanced at reasonable terms upon maturity.
The Company anticipates a combination of conventional mortgage loans, at market
rates, issuance of revenue bonds and possibly additional equity injections to
fund the acquisition cost of any additional properties. Except for renovations
at Grand Prairie and Southern Hills Retirement Center, there are no material
capital improvement or recurring capital expenditure commitments at the
properties.



Off-Balance Sheet Arrangements





We have no off-balance sheet arrangements that have or are reasonably likely to
have a current or future effect on our financial condition, changes in financial
condition, revenues or expenses, results of operations, liquidity, capital
expenditures or capital resources that we consider material.



Critical Accounting Policies



Set forth below is a summary of the accounting policies that management believes
are critical to the preparation of the consolidated financial statements.
Certain of these accounting policies are particularly important for an
understanding of the financial position and results of operations presented in
the consolidated financial statements set forth elsewhere in this report. These
policies require the application of judgment and assumptions by management and,
as a result, are subject to a degree of uncertainty. Actual results could differ
as a result of such judgment and assumptions.



Property Acquisitions



We allocate the purchase price of acquired properties to net tangible and
identified intangible assets and any liabilities based on relative fair values.
Fair value estimates are based on information obtained from independent
appraisals, other market data, information obtained during due diligence and
information related to the marketing and leasing at the specific property.
Acquisition-related costs such as due diligence, legal and accounting fees are
expensed as incurred and not applied in determining the purchase price or fair
value of an acquired property.



29






Impairment of Long-Lived Assets





When circumstances indicate the carrying value of property may not be
recoverable, the Company reviews the asset for impairment. This review is based
on an estimate of the future undiscounted cash flows, excluding interest
charges, expected to result from the property's use and eventual disposition.
This estimate considers factors such as expected future operating income, market
and other applicable trends and residual value, as well as the effects of
leasing demand, competition and other factors. If impairment exists, due to the
inability to recover the carrying amount of the property, an impairment loss is
recorded to the extent that the carrying value exceeds the estimated fair value
of the property. Estimated fair value is determined with the assistance from
independent valuation specialists using recent sales of similar assets, market
conditions and projected cash flows of properties using standard industry
valuation techniques.



Goodwill
Goodwill represents the excess of the cost of an acquired business over the
amounts assigned to its net assets. Goodwill is not amortized but is tested for
impairment at a reporting unit level on an annual basis or when an event occurs
or circumstances change that would more likely than not reduce the fair value of
a reporting unit below its carrying amount. Events or changes in circumstances
that may trigger interim impairment reviews include significant changes in
business climate, operating results, planned investments in the reporting unit,
or an expectation that the carrying amount may not be recoverable, among other
factors.



The Company may first assess qualitative factors to determine whether it is more
likely than not that the fair value of a reporting unit is less than its
carrying amount. If, after assessing the totality of events and circumstances,
the Company determines it is more likely than not that the fair value of the
reporting unit is greater than its carrying amount, an impairment test is
unnecessary. If an impairment test is necessary, the Company will estimate the
fair value of its related reporting units. If the carrying value of a reporting
unit exceeds its fair value, the goodwill of that reporting unit is determined
to be impaired and the Company will proceed with recording an impairment charge
equal to the excess of the carrying value over the related fair value.



Recently Adopted Accounting Pronouncements





None.


Recently Issued Accounting Pronouncements

The Financial Accounting Standards Board and other entities issued new or
modifications to, or interpretations of, existing accounting guidance during
2020. Management has carefully considered the new pronouncements that altered
generally accepted accounting principles and does not believe that any other new
or modified principles will have a material impact on the Company's reported
financial position or operations in the near term.



Subsequent Events



On April 20, 2020, the Company through its subsidiaries received a loan of
$574,975 pursuant to the Paycheck Protection Program (the "PPP Loan") of the
Coronavirus Aid, Relief, and Economic Security Act (the "CARES Act"). The PPP
Loan matures on April 20, 2022 (the "Maturity Date"), accrues interest at 1% per
annum and may be prepaid in whole or in part without penalty. No interest
payments are due within the initial six months of the PPP Loan. The interest
accrued during the initial six-month period is due and payable, together with
the principal, on the Maturity Date. The Company intends to use all proceeds
from the PPP Loan to retain employees, maintain payroll and make lease and
utility payments to support business continuity throughout the COVID-19
pandemic, which amounts are intended to be eligible for forgiveness, subject to
the provisions of the CARES Act.



On May 4, 2020, the Company through its subsidiaries received loans of $324,442
and $710,752 pursuant to the Paycheck Protection Program (the "PPP Loans") of
the Coronavirus Aid, Relief, and Economic Security Act (the "CARES Act"). Both
PPP Loans mature on May 4, 2022 (the "Maturity Date"), accrue interest at 1% per
annum and may be prepaid in whole or in part without penalty. No interest
payments are due within the initial six months of the PPP Loans. The interest
accrued during the initial six-month period is due and payable, together with
the principal, on the Maturity Date. The Company intends to use all proceeds
from the PPP Loan to retain employees, maintain payroll and make lease and
utility payments to support business continuity throughout the COVID-19
pandemic, which amounts are intended to be eligible for forgiveness, subject to
the provisions of the CARES Act.



As of June 30, 2020, the Company purchased from former GWH Investors, LLC their
notes issued by Goodwill Hunting LLC in the aggregate principal amount of
$402,000 for an equal amount of cash. The notes matured on December 31, 2019 and
were in default. The Company will recognize a gain from elimination of the
premium owed to the note holders. The notes cannot be retired until all
interests are repaid.



30







On July 2, 2020, the court approved the Operations Transfer Agreement ("OTA")
from the receiver to Global Eastman, LLC, newly formed subsidiary of the
Company. The OTA will be effective as of the date that Global Eastman, LLC
secures an operating license from the state. Pursuant to the terms of the OTA,
Global Eastman will assume all receivables and select critical liabilities
associated with the prior operator.



Effective July 23, 2020, Global Fairland Property, LLC ("Fairland Property"), a
newly formed wholly-owned subsidiary of the Company, signed a definitive Asset
Purchase Agreement (the "Agreement') pursuant to which Fairland Property intends
to purchase a skilled nursing facility located in Fairland, Oklahoma consisting
of 29 licensed beds and commonly known as "Family Care Center of Fairland" (the
"Facility"). The purchase price of the Facility will be $796,500. The purchase
and sale of the Facility is subject to numerous conditions, including
satisfactory due diligence, financing and other conditions customary in
transactions of this nature. There can be no assurance that the transaction

will
be consummated.



Effective July 31, 2020 the Company received a line of credit of $500,000 and a
construction loan of $750,000 to be used for renovation and capital investment
in its Edwards facility from Southern Bank. Both loans carry an interest rate of
4.75% on principal balance and mature July 30, 2021.



On August 7, 2020, the Meadowview skilled-nursing facility owned by the Company
was served with a Notice of Immediate Imposition of Remedies from the Centers
for Medicare and Medicaid Services ("CMS"), as well as a Notice of Imposition of
Remedies by the Ohio Department of Health ("ODH") ordering the facility to
relocate all residents no later than August 9, 2020. The actions of the CMS and
ODH were the result of ongoing operating deficiencies which the operator failed
to cure. All residents of the Meadowview facility were relocated by the August
9, 2020 deadline and, as a result, the facility has been closed. The Company has
submitted an application with the ODH for a new nursing home license which is
pending. The Company has not determined what additional future courses of action
may be required or appropriate.



On August 18, 2020, the Company's Board of Directors approved the repurchase for
redemption of 443,431 shares of common stock for $75,385 or $0.17 per share in a
privately negotiated transaction. The redemption has been completed and the
shares of common stock cancelled.



On September 29, 2020, the Company's President and Chief Financial Officer and a
member of the Board of Directors resigned from all positions with the Company.
The resignations were prompted by regulatory issues not involving the Company or
its subsidiaries.

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