Overview
The Company is a self-managed real estate investment company that invests
primarily in real estate purposed for long-term care and senior living. Our
business primarily consists of leasing and subleasing healthcare facilities to
third-party tenants. As of
The operators of the Company's facilities provide a range of health care and related services to patients and residents, including skilled nursing and assisted living services, social services, various therapy services, and other rehabilitative and healthcare services for both long-term and short-stay patients and residents.
The following table provides summary information regarding the number of
facilities and related licensed beds/units as of
Owned Leased Managed for Third Parties Total Facilities Beds/Units Facilities Beds/Units Facilities Beds/Units Facilities Beds/Units State Alabama 2 230 - - - - 2 230 Georgia 3 395 8 884 - - 11 1,279 North Carolina 1 106 - - - - 1 106 Ohio 4 291 1 99 3 332 8 722 South Carolina 2 180 - - - - 2 180 Total 12 1,202 9 983 3 332 24 2,517 Facility Type Skilled Nursing 10 1,016 9 983 2 249 21 2,248 Assisted Living 2 186 - - - - 2 186 Independent Living - - - - 1 83 1 83 Total 12 1,202 9 983 3 332 24 2,517 The following table provides summary information regarding the number of facilities and licensed beds/units by operator affiliation as ofDecember 31, 2019 : Number of Operator Affiliation Facilities (1) Beds / Units C.R. Management 6 689 Aspire 5 390 Wellington Health Services 2 342 Peach Health 3 266 Symmetry Healthcare 2 180 Beacon Health Management 2 212 Vero Health 1 106 Subtotal 21 2,185 Regional Health Managed 3 332 Total 24 2,517 (1) Represents the number of facilities leased or subleased to separate
tenants, of which each tenant is an affiliate of the entity named in the
table above. For a more detailed discussion, see Note 7 - Leases located
in Part II, Item 8, "Financial Statements and Supplementary Data" and "Portfolio of Healthcare Investments" included in Part I, Item 1, "Business", each included in this Annual Report. Current Significant Events: The Company is closely monitoring and regularly communicating with all of the operators and management teams of its facilities regarding the COVID-19 pandemic. Our tenants may be materially and adversely affected by this pandemic. Such an outbreak or other adverse public health developments could 46 -------------------------------------------------------------------------------- materially disrupt our tenants' businesses and operations. Such events could cause issues such as temporary closures of nursing facilities, staff shortages and supply chain disruptions which could affect our tenants' ability to make rental payments pursuant to our leases and hence that could have a materially adverse effect the Company's liquidity and capital resources. As ofMarch 23, 2020 , two facilities the Company manages inMiami County, Ohio , 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 withCDC andOhio 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 ofMarch 23, 2020 , 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 COVID-19 pandemic is rapidly evolving. The information in this Annual 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. Resolved Significant Events: Prior toAugust 1, 2019 , the continuation of our business was dependent upon our ability: (i) to comply with the terms and conditions under the Pinecone Credit Facility and the second new amended and restated forbearance agreement, datedMarch 29, 2019 , between the Company and certain of its subsidiaries and Pinecone (the "Second A&R Forbearance Agreement") as amended onJune 13, 2019 ; and (ii) to refinance or obtain further debt maturity extensions on the Quail Creek Credit Facility, neither of which was entirely within the Company's control. These factors had created substantial doubt about the Company's ability to continue as a going concern. The Company repaid the Pinecone Credit Facility and Quail Creek Credit Facility onAugust 1, 2019 . OnSeptember 30, 2019 , the Company fully extinguished all obligations under the Pinecone Credit Facility when the Company and Pinecone entered into a waiver and release agreement and the Company paid approximately$0.4 million to Pinecone to fully extinguish the surviving obligations and provisions (the "Surviving Obligations") of the Pinecone Credit Facility, which included (i) a right of first refusal to provide first mortgage financing for any acquisition of a healthcare facility by the Company for a period of three months following the above repayment, and (ii) an exclusive option to refinance the Company's existing first mortgage loan (the "Pinecone Financing Option"), with a balance of$5.3 million atJune 30, 2019 , on the Company's 124-licensed bed skilled nursing facility located inAlabama known as Coosa Valley Health Care, in each case subject to the terms and conditions of the Pinecone Credit Facility.
Acquisitions and Dispositions
Pursuant to the PSA, between certain subsidiaries of the Company and MED, the Company completed the Asset Sale. Under the PSA, the Company sold: (i) onAugust 28, 2019 , the Northwest Facility; and (ii) onAugust 1, 2019 , theAttalla Facility, the College Park Facility, and the Quail Creek Facility. In connection with the Asset Sale: (i) MED paid to the Company a cash purchase price for the PSA Facilities equal to$28.5 million in the aggregate; (ii) the Company incurred approximately$0.4 million in sales commission expenses and$0.1 million for a building improvement credit; and (iii) the Company transferred approximately$0.1 million in lease security deposits to MED. OnAugust 1, 2019 , the Company used a portion of the proceeds from the Asset Sale to repay approximately$21.3 million to Pinecone to extinguish all indebtedness owed under the Pinecone Credit Facility, by the Company with an original aggregate principal amount of$16.25 million which refinanced existing mortgage debt, and to repay 47
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approximately
EffectiveJanuary 15, 2019 , the Company's leases of the Omega Facilities, which leases were due to expireAugust 2025 and which Omega Facilities the Company subleased to third party subtenants, was terminated by mutual consent of the Company and the lessor(s) and sublessee(s) of the Omega Facilities. In connection with the Omega Lease Termination, the Company transferred approximately$0.4 million of its integral physical fixed assets at the Omega Facilities to the lessor and onJanuary 28, 2019 received from the lessor gross proceeds of approximately$1.5 million , consisting of (i) a termination fee in the amount of$1.2 million and (ii) approximately$0.3 million to satisfy other net amounts due to the Company under the leases.
The Company made no acquisitions or dispositions during the year ended
For further information, see Note 1 - Summary of Significant Accounting Policies, Note 9 - Notes Payable and Other Debt and Note 10 - Acquisitions and Dispositions, to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report.
Divestitures
For information regarding the Company's divestitures, please refer to Note 11 - Discontinued Operations, to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report.
The following table summarizes the activity of discontinued operations for the
years ended
For the year ended December 31, (Amounts in 000's) 2019 2018 Recoveries $ (626 ) $ (83 ) Interest expense, net $ - $ 9 Net income $ 626 $ 74 48
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Critical Accounting Policies
We prepare our consolidated financial statements in accordance with accounting principles generally accepted inthe United States of America ("GAAP"). The preparation of these consolidated financial statements requires us to make estimates and judgments that affect the reported amount of assets, liabilities, revenues and expenses. On an ongoing basis we review our judgments and estimates, including, but not limited to, those related to doubtful accounts, income taxes, stock compensation, intangible assets and loss contingencies. We base our estimates on historical experience, business knowledge and on various other assumptions that we believe to be reasonable under the circumstances at the time. Actual results may vary from our estimates. These estimates are evaluated by management and revised as circumstances change. We believe that the following represents our critical accounting policies.
Revenue Recognition and Allowances
Triple-Net Leased Properties . The Company's triple-net leases provide for periodic and determinable increases in rent. We recognize 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 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 will be recognized only upon cash collection, and any accumulated straight-line rent receivable will be reversed in the period in which the Company deems rent collection no longer probable. Rental revenues for five facilities located inOhio (until operator transition onDecember 1, 2018 ) and one facility inNorth Carolina are recorded on a cash basis. See Note 7 - Leases to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report) Revenue from Contracts with Customers and Other Revenue. The Company recognizes management fee revenues received as services are provided. The Company has one Management Contract, with payment for each month of service received in full on a monthly basis. The maximum penalty for service contract nonperformance under the Management Contract is$50,000 per year, payable after the end of the year. 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 our rent receivables, including straight-line rent receivables. 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, the Company provides a reserve against the recognized straight-line rent receivable asset or working capital loan for the portion that we estimate may not be recovered. If the Company changes its assumptions or estimates regarding the collectability of future rent payments required by a lease or required from a working capital loan to a tenant, the Company may adjust its reserve to increase or reduce the rental revenue or interest revenue from working capital loans to tenants recognized in the period the Company makes such change in its assumptions or estimates.
As of
Leasing. OnJanuary 1, 2019 , the Company adopted Accounting Standards Update ("ASU")ASU 2016-02, Leases, as codified in Accounting Standards Codification ("ASC") 842, using the non-comparative transition option pursuant to ASU 2018-11. Therefore the Company has not restated comparative period financial information for the effects of ASC 842, nor made the new required lease disclosures for comparative periods beginning beforeJanuary 1, 2019 . The Company recognized both right of use assets and lease liabilities for leases in which we lease land, real property or other equipment, electing the practical expedient to maintain the prior operating lease classification. EffectiveJanuary 1, 2019 , the Company assesses any new contracts or modification of contracts in accordance with ASC 842 to determine the existence of a lease and its classification. We are reporting revenues and expenses for real estate taxes and insurance, prospectively where the lessee has not made those payments directly to a third party in 49 -------------------------------------------------------------------------------- accordance with their respective leases with us. Additionally, we now expense certain leasing costs, other than leasing commissions, as they are incurred. Current GAAP provides for the deferral and amortization of such costs over the applicable lease term. Adoption of ASU 2016-02 has not had a material effect on the Company's consolidated financial statements, other than the initial balance sheet impact of recognizing the right-of-use assets and the right-of-use lease liabilities. Upon adoption, we recognized operating lease assets of$39.8 million on our consolidated balance sheet for the period endedMarch 31, 2019 , which represents the present value of minimum lease payments associated with such leases. Also upon adoption, we recognized operating lease liabilities of$41.5 million on our consolidated balance sheet for the period endedMarch 31, 2019 . 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 and upon adoption we utilized a discount rate of 7.98% for the Company's leases. See Note 1 - Summary of Significant Accounting Policies and Note 7 - Leases to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report)
Asset Impairment
We review the carrying value of long-lived assets that are held and used in our operations for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of these assets is determined based upon expected undiscounted future net cash flows from the operations to which the assets relate, utilizing management's best estimate, assumptions, and projections at the time. If the carrying value is determined to be unrecoverable from future operating cash flows, the asset is deemed impaired and an impairment loss would be recognized to the extent the carrying value exceeded the estimated fair value of the asset. We estimate the fair value of assets based on the estimated future discounted cash flows of the asset. Management has evaluated its long-lived assets and identified no material asset impairment during the years endedDecember 31, 2019 and 2018. We test indefinite-lived intangible assets for impairment on an annual basis or more frequently if events or changes in circumstances indicate that the carrying amount of the intangible asset may not be recoverable.Goodwill represents the excess of the purchase price over the fair value of identifiable net assets acquired in business combinations.Goodwill is subject to annual testing for impairment. In addition, goodwill is tested for impairment if events occur or circumstances change that would reduce the fair value of a facility below its carrying amount. We perform annual testing for impairment during the fourth quarter of each year (see Note 6 - Intangible Assets andGoodwill to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report). Extinguishment of Debt The Company recognizes extinguishment of debt when the criteria for a troubled debt restructure are not met and the change in the debt terms is considered substantial. The Company calculates the difference between the reacquisition price of the debt and the net carrying amount of the extinguished debt (including deferred finance fees) and recognizes a gain or loss on the consolidated statement of operations in the period of extinguishment.
Self-Insurance Reserve
The Company has self-insured against professional and general liability claims since it discontinued its healthcare operations in connection with the Transition. 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. 50 --------------------------------------------------------------------------------
Stock-Based Compensation
The Company follows the provisions of ASC Topic 718 "Compensation - Stock Compensation", which requires the use of the fair-value based method to determine compensation for all arrangements under which employees, non-employees, and others receive shares of stock or equity instruments (options, warrants or restricted shares). All awards are amortized on a straight-line basis over their vesting terms.
Income Taxes
As required by ASC Topic 740, "Income Taxes", we established deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of our assets and liabilities at tax rates in effect when such temporary differences are expected to reverse. When necessary, we record a valuation allowance to reduce our net deferred tax assets to the amount that is more likely than not to be realized. AtDecember 31, 2019 , the Company has a valuation allowance of approximately$18.5 million . In future periods, we will continue to assess the need for and adequacy of the remaining valuation allowance. ASC 740 provides information and procedures for financial statement recognition and measurement of tax positions taken, or expected to be taken, in tax returns. Among other changes, the Tax Reform Act reduced the US federal corporate tax rate from 35% to 21% beginning in 2018. As a result of the Tax Reform Act, net operating loss ("NOL") carry forwards generated in tax years 2018 and forward have an indefinite life. For this reason, the Company has taken the position that the deferred tax liability related to the indefinite lived intangibles can be used to support an equal amount of the deferred tax asset related to the 2018 NOL carry forward generated. This resulted in the Company recognizing an income tax benefit of approximately$0.04 million for the year endedDecember 31, 2018 , related to the use of our naked credit as a source of income to release a portion of our valuation allowance. In determining the need for a valuation allowance, the annual income tax rate, or the need for and magnitude of liabilities for uncertain tax positions, we make certain estimates and assumptions. These estimates and assumptions are based on, among other things, knowledge of operations, markets, historical trends and likely future changes and, when appropriate, the opinions of advisors with knowledge and expertise in certain fields. Due to certain risks associated with our estimates and assumptions, actual results could differ. In general, the Company's tax returns filed for the 2016 through 2019 tax years are still subject to potential examination by taxing authorities. We are not currently under examination by any other major income tax jurisdiction. Further information required by this Item is provided in Note 1 - Summary of Significant Accounting Policies to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report. 51
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Results of Operations
Years Ended
The following table sets forth, for the periods indicated, statement of operations items and the amount and percentage of change of these items. The results of operations for any particular period are not necessarily indicative of results for any future period. The following data should be read in conjunction with our audited consolidated financial statements and the notes thereto, which are included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report. Year Ended December 31, Increase (Decrease) (Amounts in 000's) 2019 2018 Amount Percent Revenues: Rental revenues$ 19,043 $ 20,902 $ (1,859 ) (8.9 )% Management fees 995 949 46 4.8 % Other revenues 96 195 (99 ) (50.8 )% Total revenues 20,134 22,046 (1,912 ) (8.7 )% Expenses: Facility rent expense 6,645 8,683 (2,038 ) (23.5 )% Cost of management fees 661 638 23 3.6 % Depreciation and amortization 3,438 4,634 (1,196 ) (25.8 )% General and administrative expenses 3,192 3,692 (500 ) (13.5 )% (Recovery) provision for doubtful accounts (281 ) 4,132 (4,413 ) (106.8 )% Other operating expenses 1,017 1,059 (42 ) (4.0 )% Total expenses 14,672 22,838 (8,166 ) (35.8 )% Income (loss) from operations 5,462 (792 ) 6,254 (789.6 )% Other expense (income): Interest expense, net 5,265 5,929 (664 ) (11.2 )% Loss on extinguishment of debt 2,458 5,234 (2,776 ) (53.0 )% Gain on disposal of assets (7,141 ) - (7,141 ) NM Other expense 6 52 (46 ) (88.5 )% Total other expense, net 588 11,215 (10,627 ) (94.8 )% Income (loss) from continuing operations before income taxes 4,874 (12,007 ) 16,881 NM Income tax benefit - (38 ) 38 (100.0 )% Income (loss) from continuing operations 4,874 (11,969 ) 16,843 NM Income from discontinued operations, net of tax 626 74 552 745.9 % Net Income (loss)$ 5,500 $ (11,895 ) $ 17,395 NM
Year Ended
Rental Revenues-Total rental revenue decreased by$1.9 million , or 8.9%, to$19.0 million for the year endedDecember 31, 2019 , compared with$20.9 million for the year endedDecember 31, 2018 . The decrease reflects approximately$2.2 million related to the Omega Lease Termination,$1.3 million related to the sale of the PSA Facilities, approximately$0.6 million due to an amendment to the subleases for two facilities located inGeorgia subleased to affiliates ofWellington Health Services and$0.2 million rent concession provided to affiliates ofHealthcare Management, LLC ("Symmetry" or "Symmetry Healthcare ") off-set by approximately$1.9 million rent received in the current year by affiliates of Aspire for the five facilities located inOhio (the "Ohio Beacon Facilities") previously operated by and leased to affiliates (the "Ohio Beacon Affiliates") ofBeacon Health Management, LLC ("Beacon"), who stopped paying rent for those facilities and the recognition of$0.5 million of property tax income as a result of the Company's adoption on ASC 842. The Company recognizes all rental revenues on a straight line rent accrual basis, except with respect to the Ohio Beacon Affiliates in the prior year and the Company's 106-bed, skilled nursing facility located in Sylvia,North Carolina known as the Mountain Trace Facility, while operated by an affiliate of Symmetry for January andFebruary 2019 and the PSA Facilities sold during the third quarter of 2019, for which rental revenue was recognized based on cash received. For further information see Note 7 - Leases, to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report. 52
-------------------------------------------------------------------------------- Other Revenues-Other revenues decreased by$0.1 million , or 50.8%, to$0.1 million for the twelve months endedDecember 31, 2019 , compared with$0.2 million for the year endedDecember 31, 2018 due to recognizing$0.1 million less in interest revenue on a line of credit extended to affiliates ofPeach Health Group, LLC ("Peach Health "). Facility Rent Expense-Facility rent decreased by approximately$2.1 million , or 23.5%, to$6.6 million for the twelve months endedDecember 31, 2019 , compared with$8.7 million for the year endedDecember 31, 2018 . The net decrease is due to the Omega Lease Termination and an agreement withCovington Realty, LLC ("Covington"), whereby Covington among other items reduced our base rent for a period of time. See Note 7 - Leases, to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" of this Annual Report. Depreciation and Amortization-Depreciation and amortization decreased by approximately$1.2 million or 25.8%, to$3.4 million for the year endedDecember 31, 2019 , compared with$4.6 million for the year endedDecember 31, 2018 . The decrease is primarily due to the reduction in depreciation from fully depreciated equipment and computer related assets in the current year and the cessation of depreciation and amortization on assets sold inAugust 2019 . See Note 10 - Acquisitions and Dispositions, to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" of this Annual Report General and Administrative-General and administrative costs decreased by$0.5 million or 13.5%, to$3.2 million for the year endedDecember 31, 2019 , compared with$3.7 million for the year endedDecember 31, 2018 . The decrease is due to approximately$0.6 million lower business consulting and legal expenses incurred in relation to the various Pinecone Credit Facility forbearance agreements, a continued decrease in auditing, accounting and other expenses of approximately$0.1 million off-set by a non-recurring increase in employee related expenses of approximately$0.2 million . Provision for doubtful accounts-Provision for doubtful accounts expense decreased by approximately$4.4 million , to a benefit of$0.3 million , for the twelve months endedDecember 31, 2019 , compared with$4.1 million for the year endedDecember 31, 2018 . The current year recovery is related to the collection of the Ohio Beacon Affiliates lease termination payment plan, while the prior year expense is due to the Ohio Beacon Affiliates notifying the Company of their plan to cease operating our properties onJune 30, 2018 and, the Company recording allowances for balances owed by the Ohio Beacon Affiliates and affiliates of Symmetry, and the associated write-off of the straight-line rent receivable. During the three months endedSeptember 30, 2019 , the Company released all of the remaining provision for the Ohio Beacon Affiliates' payment plan due to their timely monthly payments, which was off-set by providing for all but approximately$0.1 million of the outstanding balances due from affiliates of Symmetry pursuant to non-payment of an agreement payment plan reached onSeptember 20, 2018 , where they withheld rent over a deferred maintenance dispute. In 2018, the Company had also recorded an allowance of approximately$2.0 million on a$3.0 million note issued toSkyline Healthcare LLC ("Skyline") in relation to their purchase of nine former facilities of the Company located inArkansas , due to Skyline's bankruptcy. Interest Expense, net-Interest expense, net decreased by approximately$0.6 million or 11.2%, to$5.3 million for the year endedDecember 31, 2019 , compared with$5.9 million for the year endedDecember 31, 2018 . The decrease is due to theAugust 1, 2019 , repayment of all amounts due under the Pinecone Credit Facility and the Quail Creek Credit Facility. See Note 9 - Notes Payable and Other Debt, to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data." of this Annual Report Loss on Debt Extinguishment-Loss on extinguishment of debt decreased by approximately$2.7 million to$2.5 million for the year endedDecember 31, 2019 , compared with approximately$5.2 million for the year endedDecember 31, 2018 . The current period expense is due to the Second A&R Forbearance Agreement, the repayment of all amounts due under the Pinecone Credit Facility and related expenses amounting to approximately$2.1 million and$0.4 million in settlement of the Surviving Obligations, while the prior period expense is due to approximately$3.6 million due to the substantial change in debt terms pursuant to a forbearance agreement datedSeptember 6, 2018 , known as the New Forbearance Agreement with Pinecone, and pre-payment penalties of$0.2 million and$0.2 million in expensed deferred financing fees from the repayment of debt in connection with the Pinecone Credit Facility., see Note 9 - Notes Payable and Other Debt to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data." of this Annual Report. 53 -------------------------------------------------------------------------------- Gain on disposal of Assets- Gain on disposal of assets of$7.1 million for the twelve months endedDecember 31, 2019 , is comprised of$6.4 million due to the sale of four of the Company's facilities in the current quarter and$0.7 million from the Omega Lease Termination in the first quarter of 2019. Income from Discontinued Operations- Income from discontinued operations increased by approximately$0.5 million , or 745.9%, to a benefit of$0.6 million for the twelve months endedDecember 31, 2019 , compared with a benefit of$0.1 million for the same period in 2018. The increase is due to net favorable adjustments to bad debt expense and lower professional and general legal expenses as the Company nears completion of its legacy professional and general liability claims and Transition vendor settlements and approximately a$0.1 million workers compensation insurance prior year's premium and deposit refund.
Liquidity and Capital Resources
The Company is undertaking measures to grow its operations, streamline its cost infrastructure and otherwise increase liquidity by: (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 or raising capital through the issuance of securities after restructuring of the Company's capital structure; (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 from the date of this filing. AtDecember 31, 2019 , the Company had$4.4 million in unrestricted cash. During the twelve months endedDecember 31, 2019 , the Company generated positive cash flow from continuing operations of$3.0 million and anticipates continued positive cash flow from operations in the future. OnJune 8, 2018 , the Board indefinitely suspended quarterly dividend payments with respect to the Series A Preferred Stock. As ofDecember 31, 2019 , as a result of the suspension of the dividend payment on the Series A Preferred Stock commencing with the fourth quarter 2017 dividend period, the Company has$18.9 million of undeclared preferred stock dividends in arrears. The Board plans to revisit the dividend payment policy with respect to the Series A Preferred Stock on an ongoing basis. The Board believes that the dividend suspension will provide the Company with additional funds to meet its ongoing liquidity needs. As the Company has failed to pay cash dividends on the outstanding Series A Preferred Stock in full for more than four consecutive dividends periods, the annual dividend rate on the Series A Preferred Stock for the fifth and future missed dividend period has increased to 12.875%, which is equivalent to$3.22 per share each year, commencing on the first day after the missed fourth quarterly payment (October 1, 2018 ) and continuing until the second consecutive dividend payment date following such time as the Company has paid all accumulated and unpaid dividends on the Series A Preferred Stock in full in cash. If and when the Company resumes payment of the dividend on the Series A Preferred Stock, the Company expects that it will satisfy the dividend requirements (including accrued dividends), if and when declared, from internally generated cash flows or raising capital through the issuance of securities after restructuring of the Company's capital structure. See Note 12 - Common and Preferred Stock to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report. Debt As ofDecember 31, 2019 , the Company had$55.4 million in indebtedness. The Company anticipates net principal repayments of approximately$1.7 million during the next twelve-month period which include$1.5 million of routine debt service amortization, approximately$0.1 million payments on other non-routine debt and a$0.1 million payment of bond debt.
On
On
54 -------------------------------------------------------------------------------- The continuation of our business was dependent upon our ability: (i) to comply with the terms and conditions under the Pinecone Credit Facility and the Second A&R Forbearance Agreement as amended onJune 13, 2019 ; and (ii) to refinance or obtain further debt maturity extensions on the Quail Creek Credit Facility, neither of which was entirely within the Company's control. These factors had created substantial doubt about the Company's ability to continue as a going concern. However, the going concern issue was resolved when Company repaid the Pinecone Credit Facility and Quail Creek Credit Facility onAugust 1, 2019 . See Note - 9 Notes Payable and Other Debt and Note - 10 Acquisitions and Dispositions to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report.
Changes in Operational Liquidity
During the year endedDecember 31, 2018 , eight of the Company's facilities were in arrears' on their rent payments. Combined cash rental payments for all eight facilities totaled$0.4 million per month, or approximately 21% of our anticipated total monthly rental receipts. Five of these facilities were the Ohio Beacon Facilities and were leased to the Ohio Beacon Affiliates. TheOhio Beacon Affiliates who were ten months in arrears on rental payments, surrendered possession of the Ohio Beacon Facilities upon the mutual lease termination onDecember 1, 2018 . Pursuant to the mutual lease termination, the Ohio Beacon Affiliates agreed to pay a$0.675 million termination fee, payable in 18 monthly installments of$37,500 commencingJanuary 3, 2019 in full satisfaction of a$0.5 million lease inducement and approximately$2.5 million in rent arrears and approximately$0.6 million of other receivables. Of the remaining three facilities who were in arrears on their rental payments and which were leased to affiliates ofSymmetry Healthcare , one such facility is located inNorth Carolina (which the Company transitioned to a new operator onMarch 1, 2019 ) and two such facilities are located inSouth Carolina . For additional information with respect to such facilities, see Note 7 - Leases to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report). OnSeptember 20, 2018 , the Company reached an agreement withSymmetry Healthcare , pursuant to whichSymmetry Healthcare agreed to a payment plan for rent arrears and the Company agreed to an aggregate reduction of approximately$0.6 million in annualized rent with respect to the three facilities leased to the Symmetry Tenants and waived approximately$0.2 million in rent that was in arrears with respect to such facilities, upon which the Symmetry Tenants recommenced monthly rent payments with respect to such facilities of$0.1 million in the aggregate, starting with theSeptember 1, 2018 amounts due. OnNovember 30, 2018 , the Company subleased the Ohio Beacon Facilities to affiliates (collectively, "Aspire Sublessees") of Aspire, management formerly affiliated withMSTC Development Inc. , pursuant to separate sublease agreements (under Aspire's operation, the "Aspire Subleases"), providing that Aspire Sublessees would take possession of and operate the Ohio Beacon Facilities (under Aspire's operation, the "Aspire Facilities") as subtenant, effectiveDecember 1, 2018 . Annual anticipated minimum cash rent for the next twelve months is approximately$1.8 million with provision for approximately$0.7 million additional cash rent based on each facility's prior month occupancy. For additional information with respect to such facilities, see Note 7 - Leases to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report. OnJanuary 15, 2019 , but effectiveFebruary 1, 2019 , the Company agreed to a 10% reduction in base rent, or in aggregate approximately an average$31,000 per month cash rent reduction for the year endedDecember 31, 2019 , and$48,000 per month decrease in straight-line revenue, respectively, for two of the Company's eight facilities located inGeorgia , which are subleased to affiliates ofWellington Health Services (the "Wellington Sublessees") under agreements datedJanuary 31, 2015 , as subsequently amended (the "Wellington Subleases"). The Wellington Sublessees are due to expireAugust 31, 2027 , and relate to the Company's 134-bed skilled nursing facility located inThunderbolt, Georgia and an 208-bed skilled nursing facility located inPowder Springs, Georgia combined. Additionally, the Company modified the annual rent escalator to 1% per year from the prior scheduled increase from 1% to 2% previously due to commence on the 1st day of the sixth lease year. See Note - 19 Subsequent Events to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report. 55 --------------------------------------------------------------------------------
The following table presents selected data from our consolidated statement of cash flows for the periods presented:
Year Ended December 31, Amounts in (000's) 2019 2018
Net cash provided by operating activities-continuing operations
$ 3,048
(652 ) (1,731 ) Net cash provided by (used in) investing activities-continuing operations 3,821 (338 ) Net cash (used in) provided by financing activities-continuing operations (4,631 )
356
Net cash used in financing activities-discontinued operations
(34 ) (239 ) Net Change in Cash and restricted cash 1,552
1,127
Cash and restricted cash at beginning of period 6,486
5,359
Cash and restricted cash at end of period$ 8,038 $ 6,486 Year EndedDecember 31, 2019 Net cash provided by operating activities-continuing operations for the year endedDecember 31, 2019 , was approximately$3.0 million , consisting primarily of our income from operations less changes in working capital, and noncash charges (primarily gain on disposal of assets, depreciation and amortization, loss on debt extinguishment, and lease revenue in excess of cash received). The slight decrease primarily reflects lower rent receipts offset by a decrease in interest payments, legal and consulting expenses related to the Pinecone Credit Facility and increase in bad debt collections.
Net cash used in operating activities-discontinued operations for the year
months ended
Net cash provided by investing activities-continuing operations for the year endedDecember 31, 2019 , was approximately$3.8 million . This is the result of the receipt of$2.7 million net proceeds (excluding non-cash proceeds and payments) from the sale of the PSA Facilities in the current quarter and the$1.2 million Omega Lease Termination fee offset by$0.1 million capital expenditures on building improvements. Net cash used in financing activities-continuing operations was for the year endedDecember 31, 2019 , was approximately$4.6 million . Excluding non-cash proceeds and payments, this was the result of routine repayments of approximately$3.0 million of other existing debt obligations,$0.3 million repayment of bonds principal and approximately$1.3 million in relation to expenses and fees related to Pinecone forbearance agreements, repayment of the Pinecone Credit Facility and settlement of the Surviving Obligations.
Net cash used in financing activities-discontinued operations for the year ended
Year Ended
Net cash provided by operating activities-continuing operations for the year endedDecember 31, 2018 , was approximately$3.1 million consisting primarily of our income from continuing operations less changes in working capital, and other noncash charges (primarily loss on debt extinguishment, depreciation and amortization, and bad debt expense less lease revenue in excess of cash received) all primarily the result of routine operating activity.
Net cash used in operating activities-discontinued operations for the year
months ended
56 -------------------------------------------------------------------------------- Net cash used in investing activities-continuing operations for the year endedDecember 31, 2018 , was approximately$0.3 million . This is the result of capital expenditures on building improvements for three of the Company's properties. Net cash provided by financing activities-continuing operations was for the year endedDecember 31, 2018 , was approximately$0.4 million , excluding non-cash proceeds and payments. This is the result of$2.4 million new financing from Pinecone and approximately$0.2 million refund of bond debt issuance fees, offset by routine repayments of approximately$2.2 million of other existing debt obligations and$0.1 million of Pinecone debt issuance expense.
Net cash used in financing activities-discontinued operations for the year ended
Notes Payable and Other Debt
Notes payable and other debt consists of the following:
December 31, Amounts in (000's) 2019 2018 Senior debt-guaranteed by HUD$ 31,996 $ 32,857 Senior debt-guaranteed by USDA (a) 13,298 13,727 Senior debt-guaranteed by SBA (b) 650 668 Senior debt-bonds 6,616 6,960 Senior debt-other mortgage indebtedness 3,777 28,139 Other debt 539 664 Sub Total 56,876 83,015 Deferred financing costs (1,364 ) (1,535 ) Unamortized discounts on bonds (149 ) (167 ) Notes payable and other debt$ 55,363 $ 81,313
(a)
(b)
For a detailed description of each of the Company's debt financings, see Note 9 - Notes Payable and Other Debt to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report.
Scheduled Maturities
The schedule below summarizes the scheduled gross maturities as of
Amounts in (000's) 2020 $ 1,701 2021 2,242 2022 5,145 2023 1,752 2024 1,839 Thereafter 44,197 Subtotal 56,876 Less: unamortized discounts (149 ) Less: deferred financing costs (1,364 ) Total notes payable and other debt $ 55,363 57
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Debt Covenant Compliance
As ofDecember 31, 2019 , the Company had approximately 17 credit related instruments outstanding that include various financial and administrative covenant requirements. Covenant requirements include, but are not limited to, fixed charge coverage ratios, debt service coverage ratios, minimum 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 "Financial Covenants"). The Company routinely tracks and monitors its compliance with its covenant requirements. Included in several of the Company's loan agreements are administrative covenants requiring that a set of audited financial statements be provided to the guarantor within 90 days of the end of each fiscal year (the "Administrative Covenants").
For the year ended
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 entity's current financial condition, including its sources of liquidity at the date that the consolidated financial statements are issued, will enable the entity to meet its obligations arising within one year of the date of the issuance of the Company's consolidated financial statements as they come due and to make a determination as to whether or not it is probable, under the application of this accounting guidance, that the entity will be able to continue as a going concern. The Company's consolidated financial statements have been presented on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. In applying applicable accounting guidance, management considered the Company's current financial condition and liquidity sources, including current funds available, forecasted future cash flows, the Company's obligations due over the next twelve months as well as the Company's recurring business operating expenses. The Company is able to conclude that it is probable that the Company will be able to meet its obligations arising within one year of the date of issuance of these consolidated financial statements within the parameters set forth in the accounting guidance. See Note 9 - Notes Payable and Other Debt to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report. Receivables Our operations could be adversely affected if we experience significant delays in receipt of rental income from our operators. Our future liquidity will continue to be dependent upon the relative amounts of current assets (principally cash and accounts receivable) and current liabilities (principally accounts payable and accrued expenses). In that regard, accounts receivable can have a significant impact on our liquidity.
Accounts receivable totaled
The allowance for bad debt was$0.6 million and$1.4 million atDecember 31, 2019 and 2018, respectively. We continually evaluate the adequacy of our bad debt reserves based on aging of older balances, payment terms and historical collection trends. 58
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Off-Balance Sheet Arrangements
Guarantee
On
OnApril 6, 2017 , the Company guaranteedPeach Health Sublessee's $2.5 million revolving working capital loan from a third-party lender (the "Peach Working Capital Facility"), subsequently capped at$1.75 million which maturesApril 5, 2020 . Borrowings under the Peach Working Capital Facility are based on a percentage of a borrowing base of eligible accounts receivable. Eligible accounts, net of an allowance for amounts outstanding after 120 days, excluding applicable credits and further reduced for a liquidity factor specific to the payor type, comprise Medicare, Medicaid and commercial accounts only and exclude co-insurance and self-pay. The Peach Working Capital Facility is subject to certain burn-off provisions (i.e., the Company's obligations under such guaranty cease after the later of 18 months or achievement of a certain financial ratio's by Peach Health Sublessee). The Company has assessed the fair value of the guarantee as not material to the financial statements atDecember 31, 2019 . OnNovember 30, 2018 , the Company subleased the Ohio Beacon Facilities to affiliates Aspire Sublessees of Aspire, pursuant to the Aspire Subleases, whereby the Aspire Sublessees took possession of, and commenced operating, the Ohio Beacon Facilities (under Aspire's operation, the Aspire Facilities) as subtenant. The Aspire Subleases became effective onDecember 1, 2018 and are structured as triple net leases. The Aspire Facilities are comprised of: (i) a 94-bed skilled nursing facility located inCovington, Ohio (the "Covington Facility"); (ii) an 80-bed assisted living facility located inSpringfield, Ohio (the "Eaglewood ALF Facility"); (iii) a 99-bed skilled nursing facility located inSpringfield, Ohio (the "Eaglewood Care Center Facility"); (iv) a 50-bed skilled nursing facility located inGreenfield, Ohio (the "H&C ofGreenfield Facility"); and (v) a 50-bed skilled nursing facility located inSidney, Ohio (the "Pavilion Care Facility"). Pursuant to the Aspire Subleases, the Company agreed to indemnify Aspire against any and all liabilities imposed on them as arising from the former operator, capped at$8.0 million . The Company has assessed the fair value of the indemnity agreements as not material to the financial statements atDecember 31, 2019 .
Operating Leases
As ofDecember 31, 2019 , the Company leased a total of nine skilled nursing facilities under non-cancelable leases, most of which have rent escalation clauses and provisions for payments of real estate taxes, insurance and maintenance costs; each of the skilled nursing facilities that are leased by the Company are subleased to and operated by third-party operators. The Company also leases certain office space located inAtlanta andSuwanee, Georgia . Future minimum lease payments for each of the next five years endingDecember 31 are as follows: Future rental Accretion of Operating lease (Amounts in 000's) payments lease liability (1) obligation 2020 $ 6,390 $ (268 ) $ 6,122 2021 6,551 (755 ) 5,796 2022 6,691 (1,223 ) 5,468 2023 6,823 (1,674 ) 5,149 2024 6,958 (2,109 ) 4,849 Thereafter 19,832 (7,954 ) 11,878 Total$ 53,245 $ (13,983 ) $ 39,262
(1) Weighted average discount rate 7.98%
For a further description of the Company's operating leases, see Note 7 - Leases to our audited consolidated financial statements in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report. 59 --------------------------------------------------------------------------------
Leased and Subleased Facilities to Third-Party Operators
As ofDecember 31, 2019 , 21 facilities (12 owned by us and nine leased to us) are leased or subleased on a triple net basis, meaning that the lessee (i.e., the third-party operator of the property) is obligated under the lease or sublease, as applicable, for all liabilities of the property in respect to insurance, taxes and facility maintenance, as well as the lease or sublease payments, as applicable. Future minimum lease receivables for each of the next five years endingDecember 31 are as follows: (Amounts in 000's) 2020 $ 15,716 2021 16,100 2022 17,272 2023 17,587 2024 17,447 Thereafter 53,311 Total $ 137,433 The following is a summary of the Company's leases and subleases to third-parties which comprise the future minimum lease receivables of the Company. Each lease contains specific rent escalation amounts ranging from 1.0% to 3.0% annually. Further, each lease has one or more renewal options. For those facilities subleased by the Company, the renewal option in the sublease agreement is dependent on the Company's renewal of its lease agreement. Lease Term Commencement Expiration 2020 Cash Facility Name Operator Affiliation (1) Date Date Annual Rent (Thousands) Owned Eaglewood ALF Aspire 12/1/2018 11/30/2028 630 Eaglewood Care Center Aspire 12/1/2018 11/30/2028 408 H&C of Greenfield Aspire 12/1/2018 11/30/2023 213 Southland Healthcare Beacon Health Management 11/1/2014 10/31/2024 970 The Pavilion Care Center Aspire 12/1/2018 11/30/2028 222 Autumn Breeze C.R. Management 9/30/2015 9/30/2025 894 Coosa Valley Health Care C.R. Management 12/1/2014 8/31/2030 995 Glenvue H&R C.R. Management 7/1/2015 6/30/2025 1,302 Meadowood C.R. Management 5/1/2017 8/31/2030 474 Georgetown Health Symmetry Healthcare 4/1/2015 3/31/2030 329 Mountain Trace Rehab Vero Health Management 3/1/2019 2/28/2029 490 Sumter Valley Nursing Symmetry Healthcare 4/1/2015 3/31/2030 632 Subtotal Owned Facilities (12)$ 7,559 Leased Covington Care Aspire 12/1/2018 11/30/2028 $ 503 Lumber City Beacon Health Management 11/1/2014 8/31/2027 936 LaGrange C.R. Management 4/1/2015 8/31/2027 1,140 Thomasville N&R C.R. Management 7/1/2014 8/31/2027 362 Jeffersonville Peach Health 6/18/2016 8/31/2027 748 Oceanside Peach Health 7/13/2016 8/31/2027 510 Savannah Beach Peach Health 7/13/2016 8/31/2027 279 Powder Springs Wellington Health Services 4/1/2015 8/31/2027 1,981 Tara Wellington Health Services 4/1/2015 8/31/2027 1,698 Subtotal Leased Facilities (9)$ 8,157 Total (21)$ 15,716 60
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(1) Represents the number of facilities which are leased or subleased to
separate tenants, which tenants are affiliates of the entity named in the
table above. See "Portfolio of Healthcare Investments" in Part I, Item 1,
"Business" in this Annual Report.
All facilities are skilled nursing facilities except for Eaglewood ALF and the Meadowood Facility which are assisted living facilities. All facilities have renewal provisions of one term of five years, except facilities (Mountain Trace,Sumter Valley ,Covington Care ,Pavilion Care Center , Eaglewood ALF, Eaglewood SNF andGeorgetown ) which have two renewal terms with each being five years and H&C ofGreenfield which has three renewal terms with each being five years. The leases also contain standard rent escalations that range from 1.0% to 3.0% annually. OnApril 24, 2018 , the Ohio Beacon Affiliates informed the Company in writing that they would no longer be operating five (four owned and one leased by the Company) of the Ohio Beacon Facilities and that they would surrender operation of such facilities to the Company onJune 30, 2018 . OnNovember 30, 2018 , the Ohio Beacon Affiliates, who were ten months in arrears on rental payments, surrendered possession of the Ohio Beacon Facilities and the lease was terminated by mutual consent. Pursuant to such termination, the Ohio Beacon Affiliates agreed to pay a$0.675 million termination fee, payable in 18 monthly installments of$37,500 commencingJanuary 3, 2019 in full satisfaction of their remaining$0.5 million lease inducement due to the Company and approximately$2.5 million in rent arrears and approximately$0.6 million of other receivables, such as property taxes and capital expenditures, which discharges each tenant from any and all claims upon completion of the payment plan. The Company intends to enforce its rights under the termination agreement. As of the date of filing this Annual Report, 14 such payments have been received, and there is no assurance that the Company will be able to obtain payment of all the outstanding unpaid termination fee from the Ohio Beacon Affiliates. The Company completed negotiations with Aspire, who received HUD approval for such facilities and took possession of Ohio Beacon Facilities onDecember 1, 2018 . OnNovember 30, 2018 the Company subleased the Ohio Beacon Facilities to affiliates of Aspire pursuant to the Aspire Subleases, providing that Aspire Sublessees would take possession of and operate the Aspire Facilities as subtenant. The Aspire Subleases became effective onDecember 1, 2018 and are structured as triple net leases. The Aspire Facilities are comprised of: (i) the Covington Facility; (ii) the Eaglewood ALF Facility; (iii) the Eaglewood Care Center Facility; (iv) the H&C of Greenfield Facility; and (v) the Pavilion Care Facility. Under the Aspire Subleases, a default related to an individual facility may cause a default under all the Aspire Subleases. All Aspire Subleases are for an initial term of ten years, with renewal options, except with respect to term for the H&C of Greenfield Facility, which has an initial five year term, and set annual rent increases generally commencing in the third lease year; from month seven of the Aspire Subleases monthly rent amounts may increase based on each facility's prior month occupancy, with minimum annual rent escalations of at least 1% generally commencing in the third lease year. Minimum rent receivable for the Covington Facility, the Eaglewood ALF Facility, the Eaglewood Care Center Facility, the H&C of Greenfield Facility and the Pavilion Care Facility for the year endedDecember 31, 2019 is$0.4 million ,$0.5 million ,$0.4 million ,$0.2 million and$0.2 million per annum, respectively. Additionally, the Company agreed to indemnify Aspire against any and all liabilities imposed on them as arising from the former operator, capped at$8.0 million . The Company has assessed the fair value of the indemnity agreements as not material to the financial statements atDecember 31, 2019 . For a detailed description of each of the Company's leases, see Note 7 - Leases to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report.
Professional and General Liability
As of the date of filing this Annual Report, the Company is a defendant in a total of nine professional and general liability actions, primarily commenced on behalf of one former patient and eight of our current or prior tenant's former patients. These actions generally seek unspecified compensatory and punitive damages for former patients who were allegedly injured or died while patients of our facilities due to professional negligence or understaffing. One such action, on behalf of the Company's former patient, is covered by insurance, except that any award of punitive damages would be excluded from such coverage, and nine of such actions relate to events which occurred after the Company transitioned the operations of the facilities in question to a third-party operator and which are subject to such operators' indemnification obligations in favor of the Company.
The Company has self-insured against professional and general liability actions since it discontinued its healthcare operations in connection with the Transition. The Company established a self-insurance reserve for these
61 -------------------------------------------------------------------------------- professional and general liability claims, included within "Accrued expenses" in the Company's audited consolidated balance sheets of$0.5 million and$1.4 million atDecember 31, 2019 , andDecember 31, 2018 , respectively. Additionally as ofDecember 31, 2019 andDecember 31, 2018 , approximately$0.3 million and$0.6 million was reserved for settlement amounts in "Accounts payable" in the Company's audited consolidated balance sheets. Accordingly, the self-insurance reserve accrual primarily reflects the Company's estimate of settlement amounts for the pending actions, as appropriate and legal costs of settling or litigating the pending actions, as applicable. These amounts are expected to be paid over time as the legal proceedings progress. The duration of such legal proceedings could be greater than one year subsequent to the year endedDecember 31, 2019 ; however management cannot reliably estimate the exact timing of payments.
See Note 15 - Commitments and Contingencies and Note 19 - Subsequent Events to our audited consolidated financial statements included in Part II, Item 8., "Financial Statements and Supplementary Data" in this Annual Report.
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