Regional Health Properties, Inc. and a wholly owned subsidiary of Regional entered into the Eighth Amendment to Loan and Security Agreement, Fourth Amendment to Promissory Note and Reservation of Rights, dated April 30, 2019, with Congressional Bank, a Maryland chartered commercial bank. Borrower and Lender are parties to that certain Loan and Security Agreement dated as of September 27, 2013, pursuant to which Lender made to Borrower a term loan in the aggregate principal amount of $5.0 million, as evidenced by that certain Promissory Note dated as of September 27, 2013 by Borrower payable to Lender. Regional is a guarantor of Borrower's obligations under the Loan Agreement and the Note. The Loan is secured by a mortgage on the Company's 118-bed skilled nursing facility located in Oklahoma City, Oklahoma known as the Quail Creek Nursing & Rehabilitation Center (the Quail Creek Facility"). On March 31, 2019, the principal balance on the Note was $4.0 million. Pursuant to the Amendment, the Company and Lender agreed to amend certain provisions of the Loan Agreement and the Note. Such amendments, among other things, extend the maturity date of the Loan from April 30, 2019 to June 30, 2019 (the Maturity Date"), subject to an extension option. Borrower may extend the Maturity Date (the Extension Option") from June 30, 2019 to July 31, 2019 upon Borrower's satisfaction of the following conditions: (i) Borrower shall have delivered to Lender written notice of its intent to exercise the Extension Option no earlier than forty-five (45) days and no later than thirty (30) days prior to the Maturity Date; (ii) no default or event of default shall have occurred and be continuing; (iii) the closing under the PSA shall have been extended and the PSA shall otherwise still be in full force and effect (including with respect to the Quail Creek Facility); (iv) Lender shall have received such additional information or costs as Lender may request; and (v) Lender shall have approved such extension in its commercially reasonable discretion. The Amendment also provides that the termination of the PSA will constitute an immediate event of default under the Loan Agreement.